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YOUNGKIN SCHADEWALD PRITHAM TEST B and more Exams Nursing in PDF only on Docsity! WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. Chapter 1 Access to Women’s Health Care in the United States: Affordability, Equity, Rights 1. Which health occupation has the highest percentage of women? A. Pharmacists B. Physical therapists C. Registered nurses D. Dental hygienists Answer: D 2. Which health occupation has the lowest percentage of women? A. Physicians B. Dentists C. Pharmacists D. Physical therapists Answer: B 3. Which health profession has the largest number of workers? A. Health aides B. Physicians C. Licensed practical nurses D. Registered nurses Answer: D 4. Which of the following are certifications available in advanced practice registered nursing? (Select all that WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. apply.) WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. Answer: A 8. On an average, the income of female physicians is what percentage of that of male physicians? A. 59% B. 79% C. 99% D. 109% Answer: A 9. What level of education is required to become a pharmacist? A. 6-year doctorate degree B. 2-year master’s degree (in addition to a 4-year bachelor’s degree) C. 4-year bachelor’s degree D. 2-year associate’s degree Answer: A 10. Which of the following is the median income of dentists in the United States (2012)? A. $89,310 B. $109,310 C. $129,310 D. $149,310 Answer: D 11. Which of the following are the current trends in dentistry? (Select all that apply.) A. More specialists than generalists WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. B. Research linking oral health to overall health C. Focus on treatment of disease rather than prevention D. Expected growth of 18% from 2014 to 2024 E. Increasing demand for dental implants, bridges, and cosmetic services WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. Answer: B, D, E 12. Which allied health occupation is projected to be the fastest growing? A. Health information technicians B. Nursing aides C. Occupational therapists D. Paramedics Answer: A 13. One in five workers in which of the following allied health occupation is at or below the federal poverty level? A. Medical assistant B. Home health aide C. Radiology technician D. Speech-language pathologist Answer: B 14. Veronica is a registered nurse who pours herself into her job. She works long hours without complaint andstrives to do her best. Often, she maintains a cheerful, caring, and kind demeanor on the outside whilefeeling exhausted and frustrated on the inside. The effort it takes to maintain this front before her patientsresults in a lot of stress. This phenomenon can best be described as which of the following? A. Identity crisis B. Psychological disparity C. Emotional dissonance WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. concepts? (Select all that apply.) A. Binary sexuality based on one’s chromosomes B. Sex, interacting with gender, as a continuum WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. C. Biologically determined sex based on the effects of sex hormones on reproductive organ development D. Sex and gender as an integration of body, mind, and context E. Intersectionality and embodiment as factors significantly affecting sex andgender Answer: B, D, E 4. Which of the following is the best example of how gender bias has affected the health and health care of women? A. Similar rates of mental illness being found in men and women B. Treatment outcomes among women varying based on patient compliance C. Association of patient income level with type of diagnosis D. Disproportionately more psychotropic medications being prescribed to women than men Answer: D 5. Krieger has proposed which of the following regarding sex, gender, and health? (Select all that apply.) A. Gender and sex played no significant role in determining health outcomes for women B. Gender relations influence the expression and the interpretation of biological traits C. Sex-linked biological characteristics contribute to gender differentials in health D. Traditional perspectives on gender and sex have resulted in better health outcomes for women than for men E. Equitable gender relationships have resulted in similar health outcomes in men and women Answer: B, C WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. 6. When did women’s health scholarship begin to flourish? A. 1960s B. 1970s C. 1980s WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. A. Portrayals of women as inherently sick B. A recommendation that women simulate orgasms if not orgasmic with their husbands C. Portrayals of women patients as being intellectually superior to their male physicians D. Omission of the clitoris from anatomical illustrations of women’s genitals E. Portrayal of women as invincible to illness and age, as long as they make the rightchoices Answer: A, B, D, E 10. Which of the following best describes the new model for health care for women? A. Physician-centered B. Authoritarian C. Pluralistic D. Disease-oriented Answer: C Chapter 3 Epidemiology, Diagnostic Methods, and Procedures for Women’s Health 1:A 46-year-old patient is referred for the biopsy of a vaginal lesion. Vaginal biopsy typically requires what type of anesthesia? a:General b:Caudal c:None d:Conscious sedation e:Pudendal WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. 2:A 36-year-old patient is to undergo removal of her uterus for benign disease. Which of the following is an advantage of abdominal hysterectomy over vaginal hysterectomy? a: Repair of rectocele more readily accessible b: Fewer incisional complications c: Ability to deal with smaller uterine sizes d: WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. Ability to visualize associated pelvic pathology e: Shorter recovery period 3:She undergoes removal of only her uterus. Which term refers to the surgical removal of only the uterine corpus? a:Complete hysterectomy b:Vaginal hysterectomy cTotal hysterectomy d:Subtotal hysterectomy e:Radical hysterectomy 4:A 53-year-old is referred to you for the evaluation of an adnexal mass found at the time of annual physical examination. In the initial evaluation of a possible adnexal mass, the most appropriate imaging technique is a:computed axial tomography scanning b:ultrasonography c:flat plate of the abdomen d:magnetic resonance imaging e:positron emission tomography (PET) imaging 5:What is the most appropriate biopsy location for a 45-year-old woman with abnormal vaginal bleedingfor 5 days and a normal physical examination? a:Vulva b:No biopsy indicated if less than 7 days c:Endometrium d:Vagina e:Cervix 6: A 25-year-old patient had an IUD inserted last year, but no longer feels the string. Which of the following is the most appropriate next step in management? a: Dilation and curettage b: MRI c: Hysteroscopy d: "Flat-plate" X-ray of the lower abdomen WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. transabdominal ultrasonography e: Magnetic resonance imaging (MRI) 11: A healthy, asymptomatic, nulliparous 36-year-old woman requests your advice because she has been unsuccessful at achieving pregnancy over the last 13 months, despite regular menses. Performing an WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. initial physical examination, you detect a firm, non-tender, multinodular uterus whose size corresponds to that at approximately 8 to 10 weeks of pregnancy, which is consistent with leiomyomata uteri. The remainder of the medical history and physical examination is within normal limits, as is her husband's semen analysis. Normal ovulatory status has been documented by basal body temperature monitoring and luteal-phase progesterone measurement. Your next best step is to recommend a: normal pelvic ultrasonography b: hysterosalpingogram (HSG) c: in vitro fertilization - embryo transfer (IVF-ET) d: myomectomy e: arterial embolization of the fibroids 12: A 36-year-old woman with regular, monthly, 5-day menstrual cycles presents with a 2-year history of severe right-sided pelvic pain. Pelvic examination reveals no abnormalities. She reports insomnia, loss of appetite, and decreased libido. The patient once considered evaluation for infertility but now does not desire childbearing. She has had three laparoscopic procedures in the last 18 months that showed minmal peritoneal adhesions, with no change in the pain. Appropriate management of this includes a: repeat diagnostic laparoscopy b: barium enema, intravenous pyelography, and plevic ultrasonography c: presacral neurectomy d: transabdominal hysterectomy and bilateral salpingo-oophorectomy e: psychological counseling with antidepressant therapy 13: A 63-year-old woman with 6 months of early satiety and increased abdominal girth has an abdominal fluid wave and a palpable 12 cm nodular right adnexal mass. The next BEST step would be for her WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. to obtain a: a diagnostic laparoscopy b: a staging laparotomy and debulking for her presumed ovarian cancer c: a CT scan to get the exact dimensions of the mass d: WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. 4. Rachel is a talkative, open 13-year-old who is in for a physical exam today by herself. In talking with Rachel, the nurse should recognize which of the following as characteristics typical of this stage of development? (Select all that apply.) A. Criticism of her parents WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. B. Acceptance of the physical changes of puberty C. Mood swings D. Sexual feelings emerging E. Transition to adulthood Answer: A, C, D 5. Lydia is a teenager who is in the process of researching college programs. She thinks she would like to be a lawyer. She is also searching for a summer job to save up to buy a car. Which stage of development is Lydia most likely in? A. Preadolescence B. Early adolescence C. Middle adolescence D. Late adolescence Answer: D 6. Yancy is a 14-year-old with Down syndrome. She, like many teens with disabilities, is at an increased risk of having which chronic condition? A. Epilepsy B. Obesity C. Heart disease D. Arthritis WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. Answer: B 7. Brooke is a 17-year-old who is questioning both her sexual orientation and her gender. She says she has begun exploring these but that her parents do not know. Brooke is at an increased risk of experiencing WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. 10. During an office visit, Jordan, a 16-year-old patient, asks her nurse if she can share something in confidence. The nurse affirms, but adds that there were a few disclosures that would legally require breaking confidentiality. Which of the following are issues the nurse would be obligated to report? (Select all that apply.) A. Sexual activity B. Intent to self-harm C. Evidence of abuse D. Gender questioning E. Religious doubts Answer: B, C 11. What percentage of adolescents were covered by health insurance in 2013? A. 48% B. 63% C. 78% D. 93% Answer: D 12. A nurse is having trouble communicating with her teenaged client, Enid, who is disengaged and sullen. What approach would most likely be effective in helping the nurse engage with Enid? A. Giving some concrete goals to Enid for her to pursue WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. B. Asking Enid’s mother to join them C. Using motivational interviewing with Enid D. Reminding Enid of the consequences of noncompliance Answer: C WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. 13. Nadia is a 13-year-old who is in for her first reproductive health visit. She reports having no special concerns and appears healthy. Which of the following is most important for the nurse to do in this visit? A. A Pap exam B. An internal pelvic exam C. An assessment of menstrual issues D. A mammogram Answer: C 14. In a 2013 survey of the Youth Risk Behavior Surveillance System, what percentage ofhigh school females reported drinking more than five drinks in a row on at least 1 day in the 30 days before the survey? A. 16.1% B. 21.1% C. 26.1% D. 31.1% Answer: B 15. A nurse needs to assess an adolescent client’s level of sexual development. Which diagnostic tool should the nurse use? A. Tanner staging B. CRAFFT screening C. Motivational interviewing WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. C. The cessation of menses, defined as 1 year after the final menstrual period D. The date of the last menopause-related symptom Answer: C 4. Women of which U.S. ethnic group are most likely to describe menopause as “something you have to go WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. through” and to view it as a time to reorient and restructure their lives? A. African Americans B. Japanese Americans C. European Americans D. Urban Latinas Answer: D 5. Which of the following endocrine changes are typical during the last 2 years before the final menstrual period? (Select all that apply.) A. Increased testosterone levels B. Decreased antral follicle count C. Increased follicle-stimulating hormone levels D. Decreased progesterone levels E. Increased estradiol levels Answer: B, C, D 6. Sleep disruption, a common symptom during the menopausal transition, is most often associated with which other perimenopausal symptom? A. Hot flashes B. Decline in memory C. Back pain WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. D. Depressed mood Answer: A 7. Which of the following are common symptoms during the menopausal transition? (Select all that apply.) A. Difficulty concentrating WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. Answer: A, B, D, E 11. The nurse is reviewing assessment and lab results of a patient at risk for metabolic syndrome. Which of the following findings are consistent with metabolic syndrome? (Select all that apply.) A. Waist circumference of 37 inches B. Body mass index (BMI) of 23 C. Blood pressure of 138/86 mmHg D. Fasting blood glucose level of 99 mg/dL E. Triglycerides level of 161 mg/dL Answer: A, C, E 12. Patricia is a 50-year-old woman with a body mass index (BMI) of 31 and elevated lipid levels. Which of the following changes would you recommend to promote Patricia’s health? A. Exercise 60 to 90 minutes per day at moderate intensity, most days B. Limit alcohol intake to no more than two drinks per day C. Take omega-3 fatty acid supplements D. No smoking or use of tobacco E. Reduce waist circumference to less than 40 inches Answer: A, C, D 13. Lorraine is a 46-year-old woman who has a body mass index (BMI) of 21 and who is generally healthy. Based on current recommendations by the National Institutes of Health (NIH), what exercise WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. program would you suggest to Lorraine to maintain her current level of fitness? A. None—she is already maintaining her fitness level B. 20 minutes of light-intensity exercise per day, 3 days per week WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. C. 30 minutes of moderate-intensity exercise per day, 5 days per week D. 60 minutes of heavy-intensity exercise per day, 6 days per week Answer: C 14. Isadora is a 49-year-old woman with a body mass index (BMI) of 18 and a family history of osteoporosis. Which of the following health promotion recommendations specifically related to preventing osteoporosis should the nurse give to Isadora? (Select all that apply.) A. Take aspirin daily B. Include plenty of calcium in the diet C. Consume foods fortified with vitamin D D. Limit sodium intake E. Engage in weight-bearing exercise Answer: B, C, E 15. How much more likely are women to be diagnosed with depression in their lifetime than men? A. 60% B. 70% C. 80% D. 90% Answer: B WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. Answer: B, D, E 5. In 2030, which of the following is the percentage of the older population (65 years or older) that is projected to be White? A. 47% B. 54% C. 67% D. 74% Answer: A 6. Which of the following cognition-related capacities typically decline with normal aging? (Select all that apply.) A. Motivation B. Short- and long-term memory C. Knowledge D. Learning E. Wisdom Answer: A, B, D 7. Daisy, a 77-year-old client, reports a gradual and slight loss of hearing, especially for higher pitched tones. The nurse should recognize this condition as which of the following? A. Presbyopia WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. B. Presbycusis C. Age-related macular degeneration D. Otitis media Answer: B WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. 8. What percentage of cancers are diagnosed at age 55 years or older? A. 55% B. 65% C. 75% D. 85% Answer: C 9. Which of the following is the leading cause of cancer death in women? A. Breast cancer B. Lung cancer C. Colorectal cancer D. Pancreatic cancer Answer: B 10. Mamie is a 76-year-old client who is suspected of having Alzheimer’s disease. To confirm this suspicion, the nurse should look for impairment in which of the following mental functions? (Select all that apply.) A. Visual acuity B. Memory C. Language D. Attention E. Ability to reason Answer: B, C, D, E WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. Answer: A, C, E 14. What percentage of community-dwelling older adults take at least five prescription medications? A. 29% B. 39% WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. C. 49% D. 59% Answer: A II Promotion of Wellness for Women Chapter 7 Women and Sexuality Catherine Ingram Fogel, Diane Marie Schadewald 1. Which of the following are dimensions of sexuality? (Select all that apply.) A. Sexual desire B. Sexual identity C. Ethnic identity D. Presentation of self E. Desire for achievement Answer: A, B, D 2. Sexual health requires which of the following? (Select all that apply.) A. A body mass index (BMI) of 18 to 24.9 B. Awareness and acceptance of one’s body C. Sexual intercourse two to three times per week D. The possibility of pleasurable, safe sexual experiences E. The absence of any sexually transmitted infection Answer: B, D, E 3. Which of the following are characteristics of women’s sexual response? (Select all that apply.) A. Highly consistent among a woman’s life stages WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. B. Highly variable among different women C. Expectations and perceptions influenced by culture D. A complex interplay of psychological, physiological, and interpersonal components E. Unaffected by religious beliefs WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. 7. According to a study by Robbins et al., what percentage of 17-year-old females reported ofever having masturbated? A. 28% B. 38% C. 48% D. 58% Answer: D 8. Although there is variation, during what phase of life is it most likely that females, particularly lesbians, will establish their sexual orientation? A. Childhood B. Adolescence C. Adulthood D. Midlife Answer: C 9. The nurse is conducting a sexual assessment on Pamela, a 50-year-old woman. On asking whether Pamela is involved in a sexual relationship, Pamela says “yes.” Which follow-up question would be most appropriate for the nurse to ask next? A. “Are you married?” B. “Are you and your husband satisfied with your sex life?” WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. C. “Who are you having sex with?” D. “Are you involved in a sexual relationship with men, women, or both?” Answer: D 10. The nurse is conducting a sexual assessment with Wendy, a 16-year-old client, who appears nervous. The WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. nurse sees on Wendy’s questionnaire that her period is a week later than usual. What would be the most effective way for the nurse to begin the conversation with Wendy? A. “Many young women your age experience irregular periods for different reasons. Is this something you are experiencing?” B. “So, I see that your period is late. Do you think you are pregnant?” C. “Have you been using condoms when you have sex with your boyfriend?” D. “Don’t worry. It’s highly unlikely that you are pregnant, only being a week late.” Answer: A 11. In the PLISSIT (permission, limited information, specific suggestions, and intensive therapy) model of sexual health care interventions, the first step is which of the following? A. Perform a Pap smear B. Palpate the client’s abdomen C. Ask about the patient’s past medical history D. Ask permission to discuss sexual function Answer: D 12. When conducting a sexual assessment with a client, Ellie, the client gets angryand says that her partner is always so selfish and is only concerned with her own sexual needs. She relates a string of recent experiences with her partner and then says, “What do you think I should do?” Which of the following WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. D. Genitopelvic pain/penetration disorder Answer: D 15. A nurse is counseling a 15-year-old client whose boyfriend wants her to try drinking acouple of beers before they have sex. Which of the following effects of alcohol use on sexual function should the nurse WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. mention to the client? A. An intensified orgasm for both her and her boyfriend B. Increased fear and anxiety about having sex C. Increased risk taking in sex, such as not using a condom D. Increased vaginal lubrication Answer: C Chapter 8 H Health Needs of Lesbian, Bisexual, and Transgender Populations 1. The primary cause of health disparities among lesbian, gay, bisexual, and transgender (LGBT) individuals is believed to be which of the following? A. Lack of awareness of need for care B. Increased genetic risk C. Hormonal changes D. Societal stigma and marginalization Answer: D 2. LGBT persons are believed to comprise what percentage of the population? A. 1% to 2.5% B. 3.8% to 10% C. 10.3% to 15.8% D. 16.1% to 21.7% Answer: B WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. 3. A nurse practitioner recently joined a practice with a diverse clientele, including persons of all sexual orientations and gender identities. How should the nurse approach these clients? (Select all that apply.) A. Avoid bringing up sexual orientation or gender identity WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. C. 1983 D. 1993 Answer: B WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. 7. Melissa is a 62-year-old lesbian client. On the basis of her age and sexual orientation, Melissa is more likely to do which of the following? (Select all that apply.) A. Live alone B. Have HIV C. Lack family support for meeting basic needs D. Fear discrimination when accessing medical services E. Be homeless Answer: A, C, D 8. What condition related to gender identity is included in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5)? A. Gender dysphoria B. Gender identity disorder C. Transgender disorder D. Body dysmorphic disorder Answer: A 9. Jackie is a 19-year-old transwoman who has arrived at the office today for a physical. What health disparities should the nurse assess for in Jackie? (Select all that apply.) A. Risky sexual behaviors B. Depression WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. C. Multiple sclerosis D. Trauma and violence E. Substance abuse Answer: A, B, D, E WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. B. Breast cancer C. Atherosclerosis D. Chronic obstructive pulmonary disease Answer: A 4. Which of the following are mechanisms by which early-onset injuries and illnesses increasethe risk of loss of benefits, income, and health? (Select all that apply.) A. Eligibility for government-sponsored assistance programs B. Loss of work incentive C. Loss of the ability to work D. Development of empathy for others with disabilities E. Exacerbation of preexisting conditions Answer: B, C, E 5. Sadie is a 52-year-old client with chronic back pain caused by an injury at work that has become a permanent disability. Which resources should the nurse help Sadie access benefits from? (Select all that apply.) A. Veterans Administration B. Workers’ compensation C. Women, Infants, and Children D. Social Security Disability Insurance WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. E. Supplemental Nutrition Assistance Program Answer: B, D 6. Which of the following is a risk factor for declining health in a woman with a later onset disability? WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. A. Age of 40 years or older B. Age of 50 years or older C. Age of 60 years or older D. Age of 70 years or older Answer: C 7. Which of the following is a risk factor for declining health in a woman with a disability? A. Early onset of menopause B. Late onset of menopause C. Early onset of menarche D. Late onset of menarche Answer: A 8. Which of the following is a risk factor for declining health in a woman with a disability? A. Having only seven teeth left B. Having had a root canal early in life C. Having a dental implant D. Wearing dentures Answer: A 9. To avoid a decline in health related to a sedentary lifestyle, the nurse should encourage Doris, a 63-year-old woman who is blind, to engage in planned physical activity at least for how many days per week? A. 1 WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. chronic pain. 4. A pregnant woman wishes to use aromatherapy during her labor and delivery. What is the most appropriate essential oil for the nurse to recommend? a. Juniper b. Wintergreen c. Thyme d. Citrus WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. ANS: D Citrus is one essential oil that has been shown to be useful during labor and delivery. 5. A parent asks the nurse, What is guided imagery? Which statement is the most accurate response? a. It is a technique where the patient focuses on an image to relieve stress. b. It involves using water to promote relaxation. c. The patient enters a hypnotic state of sleep to promote relaxation. d. It helps the patient recognize tension in the muscles with responses on an electronic machine. ANS: A In guided imagery, by focusing on a specific image, stress reduction and improved performance can result. 6. A woman taking St. Johns wort and ginseng daily is scheduled to have a hysterectomy in 3 weeks. What instruction should the nurse provide? a. The herbs are not likely to cause any problems during the surgery. b. The St. Johns wort must be stopped prior to surgery, but she can continue the ginseng. c. The ginseng should be stopped 1 week before surgery. d. She should discontinue taking both herbs 2 weeks before surgery. ANS: D Both St. Johns wort and ginseng can cause problems during surgery, and their use should be discontinued 2 weeks before surgery. 7. Which herb can the nurse suggest to be used for discomforts associated with menopause, such as hot flashes? a. Evening primrose oil b. Echinacea c. Milk thistle d. Black cohosh ANS: D Black cohosh diminishes hot flashes by reducing luteinizing hormone. It also reduces joint pain and other menopausal discomforts. 8. A young mother asks, Is there an alternative medicine for children with asthma? Which form of alternative medicine would be the most helpful for the nurse to suggest? a. Reflexology b. Rolfing c. Guided imagery d. Acupressure ANS: C The use of guided imagery has helped relieve some of the symptoms of asthma. 9. What is the difference between complementary therapy and alternative therapy? a. Complementary therapy must be administered by a medical doctor. WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. b. Complementary therapy is administered with conventional therapy. c. Complementary therapy replaces conventional therapy. d. Complementary therapy is administered to a group of patients at the same time. ANS: B Complementary therapy is administered with conventional therapy, such as massage with muscle relaxants for low back pain. 10. The nurse uses a diagram to show the location of meridians. How will the nurse explain the definition of meridians? WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. High concentrations of oxygen in the mothers blood can cause closure of the ductus arteriosus and cause fetal death. 16. A patient is providing history information to the admitting nurse about treatment used for chronic pain. The patient reports she participates in a type of relaxation therapy that enables her to recognize tension in the muscles via responses on an electronic machine and visual electromyography responses. What type of therapy does the nurse record on admissionrecord? a. Guided imagery b. Biofeedback c. Hypnotherapy d. Chiropractic care ANS: B Biofeedback is a type of relaxation therapy that enables the patient to recognize tension in the muscles via responses on an electronic machine and visual electromyography responses. The process is also used by traditional health care providers for drug addiction and chronic pain control. MULTIPLE RESPONSE 17. What conditions would a nurse expect to see treated with hyperbaric oxygen therapy (HBOT)? (Select all that apply.) a. Wounds b. Carbon monoxide poisoning c. Hyperemesis gravidarum d. Decompression illness e. Pneumonia ANS: A, B, D Hyperbaric oxygen therapy (HBOT) uses an airtight enclosure to provide compressed air or oxygen under increased pressure. HBOT is used to revive children with carbon monoxide poisoning, to aid wound healing, and to treat the diving syndrome known as decompression illness. HBOT is contraindicated during pregnancy, because the increased oxygen saturation can cause the ductus arteriosus to close, resulting in fetal death. 18. The mother of a pediatric patient asks the nurse about safety concerns with using herbal supplements with children. Which herbal products would the nurse educate this mother are safe to use in most of the pediatric population? (Select all that apply.) a. Ephedra b. Ginger c. Fish oil d. Chamomile e. Aloe vera ANS: B, C, D, E Ginger, fish oil, chamomile and aloe vera are safe herbal products for children. However, some herbs, such as ephedra, can be fatal to children. WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. 19. The nurse points out that light therapy is used in the treatment of patients with which disorder(s)? (Select all that apply.) a. Digestive disorders b. Seasonal affective disorder c. Inflammatory diseases d. Stress disorders e. Jaundice ANS: B, E WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. Light therapy has proven effective in the treatment of persons with seasonal affective disorders. Light therapy is also used in the treatment of jaundiced babies. 20. What advantage(s) of alternative health care should the nurse outline when providing information to patients? (Select all that apply.) a. Offering more patient control of health care b. Offering a variety of health care advisors c. Keeping patients from having to make decisions d. Using natural products rather than chemical ones e. Incorporating cultural beliefs and practices ANS: A, B, D, E Alternative health care actually promotes the patients decision making in care. 21. Which approaches to care are combined with osteopathy? (Select all that apply.) a. Manipulation therapy b. Aroma therapy c. Herbal application d. Pressure point therapy e. Traditional medicine ANS: A, D, E DIF: III Promotion of Gynecologic Health Care Chapter 11 Menstruation and Related Problems and Concerns Kristine Alswager, Christine Durler, Deborah Griswold 1: The symptoms of premenstrual syndrome typically resolve a: by the end of menses b: about 2 weeks after the start of menses c: 2 weeks before the onset of WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. a: 60%-70% b: 45%-55% c: 30%-40% d: 75%-85% 4: Premenstrual dysphoric disorder occurs in what percent of women? a: 5% b: 75% c: 50% d: 25% 5: In making the diagnosis of premenstrual syndrome or PMDD, the characteristic that is most distinguishing is the a: WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. duration of symptoms b: WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. cyclic occurrence of symptoms c: degree of disability in the patient d: severity of symptoms 6: Which of the following is most likely related to the underlying etiology of PMDD? a: Serotoni n b: Catecholamine s c: Norepinephrin e d: Progesterone 7: The most useful diagnostic tool with respect to premenstrual syndrome is a: a careful history b: serial progesterone levels c: WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. A 25-year-old woman with no medical problems comes in for her annual exam. She expresses the worry that she has PMDD. She reports feeling bloated and moody when she has her period. The most appropriate initial management for this patient is WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. a: treating her for hypothyroidism b: asking her to keep a menstrual diary for 2 months c: ordering a pelvic ultrasound d: giving her a prescription of fluoxetine to be taken only during the luteal phase 11: A patient keeps a menstrual diary for 2 months. The diary reveals that she has bloating, fatigue, anxiety, insomnia, and tearfulness in the days prior to her menses and that the symptoms resolve completely after her menses starts. She reports that her insomnia is so bad that it prevents her from being efficient at work because she is not well rested. The most likely diagnosis for this patient is a: bipolar disorder b: PMDD c: major depressive disorder d: PMS 12: A patient with PMDD asks for some treatment options. You respond that the treatment that has WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. clearly demonstrated benefit for her condition is a: WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. d: Oral contraceptive 15: An important diagnosis to distinguish from PMDD is major depressive disorder. Which of the following is increased in patients with major depressive disorder but not in patients with PMDD? a: Sleep disturbance b: Suicide risk c: Anxiet y d: Disordered eating [ANS: a,a,d,a,b,a,c,b,d,b,b,b,d,c,b] WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. Chapter 12 Contraceptive Management and Family Planning Beth Walcker, Coralie Pederson, Kathryn A. Caufield A 20-year-old white female G0 comes to see you about contraception. She is in college and plans to go to grad school, so she wants something that is 100% effective in preventing pregnancy. You explain to her that the method failure rate and the typical use rate can be very different depending on the method chosen. 1: A. The "method failure rate" reflects the rate of failure when the method is a: compared with the use of no contraception at all b: used correctly 100% of the time c: used by a random sample of women d: used in laboratory animals e: used in the laboratory setting 2: B. The most common method of contraception among younger women in the United States is a: long-acting hormone (rod or injection) b: WOMENS HEALTH A PRIMARY CARE CLINICAL GUIDE 5TH EDITION YOUNGKIN SCHADEWALD PRITHAM TEST BANK QUESTIONS AND ANSWERS LATEST UPDATED EXAMINATION STUDY GUIDE 2023 MULTIPLE QUESTIONS WITH 100% CORRECT ANSWERS. oral contraceptive c: rhyth m d: