Test bank for Maternal and Child Nursing Care 4th edition...
-
Upload
nguyendien -
Category
Documents
-
view
230 -
download
0
Transcript of Test bank for Maternal and Child Nursing Care 4th edition...
Test bank for Maternal and Child Nursing Care 4th edition by Marcia L.
London
Link full download: http://testbankcollection.com/download/test-bank-for-maternal-and-child-nursing-care-4th-
edition-by-marcia-l-london/
Question 139304
Id: 139304 Question Title:
Type: MCSA Difficulty Level:
Calculator: false
Question Stem
Which patient would the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?
Stimulus
Answer
Choice 1 17-year-old, has never had a menstrual cycle
Rationale 1 This is primary amenorrhea, or the lack of menses.
Answer 1 false
Choice 2 16-year-old, had regular menses for 4 years, but has had no menses in four
months
Rationale 2 Secondary amenorrhea is the term used when a patient has had regular cycles
that cease.
Answer 2 false
Choice 3 19-year-old, regular menses for 5 years that have suddenly become painful
Rationale 3 Secondary dysmenorrheal is the sudden onset of pain and discomfort with
menses.
Answer 3 false
Choice 4 14-year-old, irregular menses for one year, experiences cramping every cycle
Rationale 4 Primary dysmenorrhea is when menstruation has been painful from the first
menstrual cycle and consistently continues to be painful each month.
Answer 4 true
Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Diagnosis
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: 05_LO2 _Q03
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO01 - Describe accurate information to be provided to girls and women so that
they can implement effective self-care measures for dealing with menstruation.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139305
Id: 139305 Question Title:
Type: MCSA Difficulty Level:
Calculator: false
Question Stem
A patient asks her nurse, "Is it okay for me to use a vaginal douche each day when I'm on my period?" The
nurse's correct response is:
Stimulus
Answer
Choice 1 "Douching should be avoided when you're on your period."
Rationale 1
Women should avoid douching during menstruation because the cervix is
dilated to permit the downward flow of menstrual fluids from the uterine
lining.
Answer 1 true
Choice 2 "Using a douche each day will help prevent vaginal infections from occurring."
Rationale 2 Douching washes away the natural mucus and upsets the vaginal flora, which
can make the vagina more susceptible to infection.
Answer 2 false
Choice 3 "During your period, douching will help promote the flow of menstrual
secretions."
Rationale 3 During menstruation, douching may interfere with downward flow of
menstrual fluids from the uterine lining.
Answer 3 false
Choice 4 "Regular douching is necessary in order to promote good hygiene."
Rationale 4 Douching as a hygiene practice is unnecessary because the vagina cleanses
itself.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: Chapter 05_LO2 _Q04
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO01 - Describe accurate information to be provided to girls and women so that
they can implement effective self-care measures for dealing with menstruation.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139306
Id: 139306 Question Title:
Type: MCSA Difficulty Level:
Calculator: false
Question Stem
What should the gynecology clinic nurse recommend for the patient experiencing premenstrual syndrome?
Stimulus
Answer
Choice 1 “Eat more chocolate and drink more caffeine beginning a week prior to when
your menstrual cycle bleeding should begin.”
Rationale 1 Chocolate and caffeine contain methylxanthines; therefore, intake of chocolate,
coffee, and colas should be limited throughout the month.
Answer 1 false
Choice 2 “Engage in aerobic activity often throughout the month, and continue
exercising when your symptoms begin.”
Rationale 2 Regular aerobic activity helps to decrease PMS symptoms.
Answer 2 true
Choice 3 “Decrease your dietary intake of dairy and soy slightly during the month, and
especially during your days of bleeding.”
Rationale 3
1,200 mg of calcium per day can help decrease PMS symptoms. The calcium
can either come from supplements or be obtained through dietary intake of
dairy and soy products.
Answer 3 false
Choice 4 “Increase your consumption of red meat when you feel symptoms, and eat
three large meals per day.”
Rationale 4 Decreased red meat consumption can be beneficial to reduce PMS symptoms,
as will eating several small meals per day rather than three large meals.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: 05_LO03 _Q05
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO02 - Contrast the signs, symptoms, and nursing management of women with
dysmenorrhea and those with premenstrual syndrome.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139307
Id: 139307 Question Title:
Type: MCSA Difficulty Level:
Calculator: false
Question Stem
A patient comes to the clinic complaining of severe menstrual cramps. She has never been pregnant, has been
diagnosed with ovarian cysts, and has had an intrauterine device (IUD) for two years. The most likely cause for
the patient’s complaint is:
Stimulus
Answer
Choice 1 Primary dysmenorrhea.
Rationale 1 Primary dysmenorrhea is defined as cramps without underlying disease.
Answer 1 false
Choice 2 Secondary dysmenorrhea.
Rationale 2
Secondary dysmenorrhea is associated with pathology of the reproductive tract
and usually appears after menstruation has been established. Conditions that
most frequently cause secondary dysmenorrhea include ovarian cysts and the
presence of an intrauterine device.
Answer 2 true
Choice 3 Menorrhagia.
Rationale 3 Menorrhagia is excessive, profuse flow.
Answer 3 false
Choice 4 Hypermenorrhea.
Rationale 4 Hypermenorrhea is an abnormally long menstrual flow.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: 05_LO03 _Q06
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO02 – Contrast the signs, symptoms, and nursing management of women with
dysmenorrhea and those with premenstrual syndrome.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139308
Id: 139308 Question Title:
Type: MCMA Difficulty Level:
Calculator: false
Question Stem
Which issues should the nurse consider when counseling a patient on contraceptive methods?
Standard Text
Select all that apply.
Stimulus
Answer
Choice 1 Cultural perspectives on menstruation and pregnancy
Rationale 1
Cultural and religious beliefs, practices, and sanctions must be considered
when discussing contraception with patients in order to avoid insulting a
patient for whom a particular type of contraceptive method is prohibited by her
background.
Answer 1 true
Choice 2 Efficacy of the method
Rationale 2
Efficacy of contraceptive methods varies and must be considered when
discussing contraception with patients. When pregnancy is medically
contraindicated, high-efficacy methods (such as an IUD, hormonal methods, or
sterilization) should be discussed with the patient. When the patient would like
to avoid pregnancy at this time, but pregnancy is not medically
contraindicated, lower-efficacy methods (such as diaphragm, cervical cap, or
Today sponge) could be discussed.
Answer 2 true
Choice 3 Future childbearing plans
Rationale 3 If a patient desires children in the future, sterilization methods would be
inappropriate to discuss.
Answer 3 true
Choice 4 Whether the patient is a vegetarian
Rationale 4 Vegetarianism has no impact on contraceptive method use.
Answer 4 false
Choice 5 Age at menarche
Rationale 5 Age at menarche has no impact on contraceptive method use.
Answer 5 false
Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: 05_LO 04_Q07
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO03- Compare the advantages, disadvantages, and effectiveness of the various
methods of contraception available today.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139309
Id: 139309 Question Title:
Type: MCSA Difficulty Level:
Calculator: false
Question Stem
A patient has decided to use the NuvaRing vaginal contraceptive ring as her method of contraception. Which
statement suggests the patient needs further instruction?
Stimulus
Answer
Choice 1 "I do not need to be examined in order to determine the contraceptive ring size
that is correct for me."
Rationale 1 One size of the NuvaRing fits virtually all women.
Answer 1 false
Choice 2 "Every three months, I will need to remove the contraceptive ring and replace
it with a new one."
Rationale 2 The ring is left in place for 3 weeks and then removed for 1 week to allow for
withdrawal bleeding.
Answer 2 true
Choice 3 "When I store my replacement rings, I should keep them in my refrigerator."
Rationale 3 Replacement rings should be kept in the refrigerator to maintain integrity.
Answer 3 false
Choice 4 "The contraceptive ring provides a sustained release of low-dose
contraceptive."
Rationale 4 The contraceptive ring provides a low-dose, sustained-release hormonal
contraceptive.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: Chapter 05_LO 04_Q08
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO03 - Compare the advantages, disadvantages, and effectiveness of the various
methods of contraception available today.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139310
Id: 139310 Question Title:
Type: MCSA Difficulty Level:
Calculator: false
Question Stem
Which patient is not a good candidate for Depo-Provera (DMPA)?
Stimulus
Answer
Choice 1 One who wishes to get pregnant within three months
Rationale 1 Return of fertility after the use of Depo-Provera takes an average of nine
months.
Answer 1 true
Choice 2 One who wishes to breastfeed
Rationale 2 Studies have proven there is no harm to a breastfed baby when a woman uses
Depo-Provera.
Answer 2 false
Choice 3 One with a vaginal prolapse
Rationale 3 There is no correlation between a vaginal prolapse and use of Depo-Provera.
Answer 3 false
Choice 4 One who weighs 200 pounds
Rationale 4 There is no correlation between one’s weight and use of Depo-Provera.
Answer 4
Global Rationale
Meta 1
Cognitive Level: Understanding
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: 05_LO 04_Q09
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO03 - Compare the advantages, disadvantages, and effectiveness of the various
methods of contraception available today.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139311
Id: 139311 Question Title:
Type: MCSA Difficulty Level:
Calculator: false
Question Stem
The Public Health Nurse receives a phone call from a 16-year-old girl who asks, "Do I need to have a Pap smear
just because I'm sexually active?" What is the nurse's correct response?
Stimulus
Answer
Choice 1 "Yes, all sexually active females should be screened for both cervical cancer
and HPV.”
Rationale 1 Engaging in sexual activity is not an indication for routine cervical cancer or
for HPV screening.
Answer 1 false
Choice 2 "No, you do not need to be screened for cervical cancer until you are 21 years
old."
Rationale 2 2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF)
recommend initiating cervical cancer screening at age 21.
Answer 2 true
Choice 3 "Yes, all women under the age of 29 should be screened for both cervical
cancer and HPV."
Rationale 3
2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF)
recommend cervical cancer screening without HPV co-testing in women ages
21 to 29.
Answer 3 false
Choice 4 "No, but you will need to begin your screenings for both cervical cancer and
HPV when you are 18 years old."
Rationale 4 2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF)
recommend initiating cervical cancer screening at age 21.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: Chapter 05_LO 05_Q10
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO04 – Identify basic gynecologic screening procedures indicated for well
women.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139312
Id: 139312 Question Title:
Type: MCMA Difficulty Level:
Calculator: false
Question Stem
A nurse is providing a patient with instructions regarding breast self-examination (BSE). Which of the following
statements by the patient would indicate the likelihood that she understands how to detect changes such as lumps
in her breast?
Standard Text
Select all that apply.
Stimulus
Answer
Choice 1 “I should perform BSE one week prior to the start of my period.”
Rationale 1
BSE should be performed one week after the start of each menstrual period
because hormonal levels are lowest and allow closer exam of softer breast
tissue.
Answer 1 false
Choice 2 “When I reach menopause, I will perform BSE every two months.”
Rationale 2 BSE should be performed monthly, on the same day each month, during
menopause.
Answer 2 false
Choice 3 “Knowing the texture and feel of my breasts is important.”
Rationale 3 A woman who knows the texture and feel of her own breasts is far more likely
to detect changes that develop.
Answer 3 true
Choice 4 “I should inspect my breasts in a circular manner.”
Rationale 4 Checking breasts in a circular manner, feeling all parts of the breast, provides
adequate palpation and possible detection of lumps.
Answer 4 true
Choice 5 “I should inspect my breasts while in a supine position, with my arms at my
sides.”
Rationale 5 The breasts should be inspected while standing with arms at sides.
Answer 5 false
Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: 05_LO 05_Q11
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO04 - Identify basic gynecologic screening procedures indicated for well
women.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139313
Id: 139313 Question Title:
Type: MCSA Difficulty Level:
Calculator: false
Question Stem
What is the best indicator that the patient is experiencing menopause?
Stimulus
Answer
Choice 1 No menses for 8 consecutive months
Rationale 1 Menopause is defined as 12 months of amenorrhea.
Answer 1 false
Choice 2 Hot flashes and night sweats
Rationale 2 Although hot flashes and night sweats are common in menopause, lab values
or twelve months of amenorrhea are better indicators.
Answer 2 false
Choice 3 High serum FSH with low serum estrogen
Rationale 3 Examining serum levels of the hormones FSH and estrogen is a very accurate
indication of menopause.
Answer 3 true
Choice 4 Diagnosed with osteoporosis 4 months ago
Rationale 4 Menopause is not the only cause of osteoporosis; therefore, the diagnosis of
osteoporosis 4 months ago is not an indicator of menopause.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: 05_LO 06_Q12
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO05 - Examine the physical and psychologic aspects and clinical treatment
options of menopause when caring for menopausal women.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139314
Id: 139314 Question Title:
Type: MCSA Difficulty Level:
Calculator: false
Question Stem
A 63-year-old female patient requests information about complementary and alternative therapies that promote
wellness during menopause. Which therapies should the nurse recommend?
Stimulus
Answer
Choice 1 Non-weight-bearing exercise, such as swimming.
Rationale 1
Weight-bearing exercises such as walking, jogging, tennis, and low-impact
aerobics are encouraged in order to increase bone mass and decrease the risk of
osteoporosis.
Answer 1 false
Choice 2 Increased consumption of phytoestrogens (i.e., plant products with estrogen
properties) for women with a history of endometeriosis or fibroids.
Rationale 2 Women who have endometriosis or fibroids should be cautioned on the use of
phytoestrogens
Answer 2 false
Choice 3 Calcium intake of 600 mg per day to help prevent osteoporosis.
Rationale 3 Peri- and postmenopausal women are advised to have a calcium intake of at
least 1200 mg per day. Most women require supplements to achieve this level.
Answer 3 false
Choice 4 Soy for reducing insomnia symptoms.
Rationale 4 Research suggests that isoflavones, which are found in soy, are effective in
reducing symptoms of insomnia in postmenopausal women.
Answer 4 true
Global Rationale
Meta 1
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: Chapter 05_LO 06_Q13
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO05 - Examine the physical and psychologic aspects and clinical treatment
options of menopause when caring for menopausal women.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139315
Id: 139315 Question Title:
Type: MCSA Difficulty Level:
Calculator: false
Question Stem
The nurse is presenting a session on intimate partner violence. Which statement indicates a need for further
education?
Stimulus
Answer
Choice 1 “My daughter is not to blame for the violence in her marriage.”
Rationale 1
The victims of violence are not the cause of the violence. Abusers are
responsible for their violent behavior. Avoiding blaming and shaming of
victims of domestic violence is important to establish a therapeutic
relationship.
Answer 1 false
Choice 2 “Everyone experiences anger and hitting in a relationship.”
Rationale 2 Violence is not a normal part of intimate relationships. This statement indicates
that the patient has likely been a victim of domestic violence.
Answer 2 true
Choice 3 “Abusers can be either husbands or boyfriends or girlfriends.”
Rationale 3
Abusers can be spouses or boyfriends or girlfriends. Intimate partner violence
can be experienced in any intimate relationship, regardless of whether the
couple is straight, gay, or lesbian, and both within marriage and outside of
marriage.
Answer 3 false
Choice 4 “The ‘honeymoon period’ follows an episode of violence.”
Rationale 4
An acute episode of battering is followed by the tranquil phase, or honeymoon
period, when the abuser is often repentant and promising never to abuse the
victim again. In some cases, the honeymoon period is the only time there is a
lack of building tension.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: 05_LO 07_Q14
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO06 – Discuss the nurse’s role in screening and caring for women who have
experienced domestic violence or rape.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139316
Id: 139316 Question Title:
Type: MCSA Difficulty Level:
Calculator: false
Question Stem
When a woman who has been raped is admitted to the emergency department, which nursing intervention has
priority?
Stimulus
Answer
Choice 1 Explain exactly what will need to be done to preserve legal evidence.
Rationale 1 Explaining exactly what will need to be done to preserve legal evidence is not
the top priority.
Answer 1 false
Choice 2 Assure the woman that everything will be all right.
Rationale 2 Assuring the woman that everything will be all right is not the top priority and
is giving false promise.
Answer 2 false
Choice 3 Create a safe, secure atmosphere for the woman.
Rationale 3 The first priority in caring for a survivor of a sexual assault is to create a safe,
secure atmosphere that will allow the woman to process what has happened.
Answer 3 true
Choice 4 Contact family members.
Rationale 4 Contacting family members is not the top priority and can wait until a safe
environment is established.
Answer 4 false
Global Rationale
Meta 1
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id: 05_LO 07_Q15
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Writer First Name: admin
Writer Last Name:
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1: LO06 - Discuss the nurse’s role in screening and caring for women who have
experienced domestic violence or rape.
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6: