Test Bank Women’s Health Care in Advanced Practice Nursing 2nd Edition

Test Bank Women’s Health Care in Advanced Practice Nursing 2nd Edition Table ofContents Chapter 1 Women and Their Health................................ ...................... 2 Chapter 2 Women as Health Care Providers ................................ ............... 6 Chapter 3 Women and Health Care ................................ ...................... 9 Chapter 4 Health Care for Vulnerable Populations................................ ......... 10 Chapter 5 Legal Issues in Women’s Health Care ................................ .......... 13 Chapter 6 Feminist Frameworks for Advanced Practice With Women ........................ 15 Chapter 7 Women’s Bodies ................................ ............................ 18 Chapter 8 Young Women’s Health ................................ ...................... 21 Chapter 9 Midlife Women’s Health................................ ...................... 24 Chapter 10 Older Women’s Health................................ ...................... 27 Chapter 11 Well Woman’s Health ................................ ...................... 30 Chapter 12 Mental Health ................................ ............................. 33 Chapter 13 Nutrition for Women ................................ ....................... 36 Chapter 14 Healthy Practices: Physical Activity ................................ ........... 39 Chapter 15 Healthy Practices: Sleep................................ ..................... 42 Chapter 16 Genetics and Women’s Health ................................ ............... 44 Chapter 17 Women and the Workplace................................ .................. 47 Chapter 18 Health Considerations for Women Caregivers ................................ .. 50 Chapter 19 Women’s Sexual Health ................................ ..................... 52 Chapter 20 Primary Care of Lesbian, Gay, Bisexual,and Transgender Individuals............... 55 Chapter 21 Fertility Self-Management and Shared Management ............................. 57 Chapter 22 Preconception Counseling ................................ ................... 60 Chapter 23 Prenatal Care and Anticipating Birth ................................ .......... 63 Chapter 24 Breast Health Considerations ................................ ................ 66 Chapter 25 Caring for the Transgender Patient ................................ ........... 69 Chapter 26 Sexual Health Problems and Dysfunctions ................................ ..... 72 Chapter 27 Vulvar and Vaginal Health................................ ................... 75 Chapter 28 Perimenstrual and Pelvic Symptoms and Syndromes ............................ 78 Chapter 29 Urologic and Pelvic Floor Health Problems................................ ..... 81 Chapter 30 Sexually Transmitted Diseases ................................ ............... 84 1 | P a g eChapter 31 Women and HIV/AIDS ................................ ...................... 87 Chapter 32 Human Papillomavirus................................ ...................... 90 Chapter 33 Gynecologic Cancers................................ ........................ 92 Chapter 34 Menopause ................................ ............................... 95 Chapter 35 Osteoporosis ................................ .............................. 98 Chapter 36 The Challenge of Unintended Pregnancies ................................ .... 100 Chapter 37 Infertility ................................ ................................ 103 Chapter 38 High-Risk Childbearing ................................ .................... 105 Chapter 39 Intrapartum and Postpartum Care ................................ ........... 110 Chapter 40 Mental Health Challenges ................................ .................. 114 Chapter 41 Substance Abuse and Women ................................ ............... 117 Chapter 42 Gender-Based Violence and Women’s Health ................................ .. 120 Chapter 43 Cardiovascular Disease in Women ................................ ........... 124 Chapter 44 Endocrine-Related Problems................................ ................ 127 Chapter 45 Chronic Illness and Women................................ ................. 130 Chapter 46 Care of Women With Disabilities ................................ ............ 132 Chapter 1 Women and Their Health The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for 1. infant mortality rate. When developing programs to assist in decreasing these rates, which factor wouldmost likely need to be addressed as having the greatest impact? A) Resolving all language and cultural differences B) Assuring early and adequate prenatal care C) Providing more extensive womens shelters D)Encouraging all women to eat a balanced diet 2. When integrating the principles of family-centered care, the nurse would include which of the following? A)Childbirth is viewed as a procedural event B) Families are unable to make informed choices C) Childbirth results in changes in relationships D) Families require little information to make appropriate decisions When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review 3. how maternity care has changed over the years. Which of the following would the nurse include whendiscussing events of the 20th century? A) Epidemics of puerperal fever B) Performance of the first cesarean birth 2 | P a g eC) Development of the x-ray to assess pelvic size D) Creation of free-standing birth centers 4. After teaching a group of students about pregnancy-related mortality, the instructor determines thatadditional teaching is needed when the students identify which condition as a leading cause? A) Hemorrhage B) Embolism C) Obstructed laborD)Infection The nurse is working with a group of community health members to develop a plan to address the special 5. health needs of women. Which of the following conditions would the group address as the majorproblem? A) Smoking B) Heart disease C) Diabetes D)Cancer 6. When assessing a family for possible barriers to health care, the nurse would consider which factor to bemost important? A) Language B) Health care workers attitudes C) Transportatio nD)Finances 7. After teaching a group of nursing students about the issue of informed consent. Which of the following, if identified by the student, would indicate an understanding of a violation of informed consent? A) Performing a procedure on a 15-year-old without consent B) Serving as a witness to the signature process C) Asking whether the client understands what she is signing D) Getting verbal consent over the phone for emergency procedures 8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority? A) Getting telephone consent with two people listening to the verbal consent B) Providing emergency care without parental consent C) Contacting the childs aunt or uncle to obtain their consent D)Advocating for termination of parental rights for this situation 9. After teaching nursing students about the basic concepts of family-centered care, the instructordetermines that the teaching was successful when the students state which of the following? A) Childbirth affects the entire family, and relationships will change. B) Families are not capable of making health care decisions for themselves. C) Mothers are the family members affected by childbirth.D)Childbirth is a medical procedure. A nursing instructor is preparing a class discussion on the trends in health care and health care the past several centuries. When discussing the changes during the past century, which of the following would the instructor be least likely to include? A) Disease prevention B) Health promotion C) Wellness D) Analysis of morbidity and mortality 3 | P a g eA nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the standing that based on this clients cultural background, the client most likely views illness as which of the following? A) Caused by supernatural forces. B) A punishment for sins. C) Due to spirits or demons. D) From an imbalance of yin and yang A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy, labor, childbirth. Which of the following would be most important for the nurse to incorporate into that plan? A) Adhering to strict, specific routines B) Involving a pediatric physician C) Educating the client about the importance of a support person D) Assigning several nurses as a support team 13. A nursing instructor is preparing a class discussion on case management in maternal and newborn healthcare. Which of the following would the instructor include as a key component? Select all that apply. A) Advocacy B) Coordination C) Communication D) Resource management E) Event managed care 14.After teaching a group of students about the concept of maternal mortality, the instructor determines that additional teaching is needed when the students state which of the following? A) The rate includes accidental causes for deaths. B) It addresses pregnancy-related causes. C) The duration of the pregnancy is not a concern. D) The time frame is typically for a specified year. A group of students are reviewing the historical aspects about childbirth. The students demonstrate standing of the information when they identify the use of twilight sleep as a key event during which time frame? A) 1700s B) 1800s C) 1900s D) 2000s 16. A nurse is providing care to a woman who has just delivered a healthy newborn. Which action would least likely demonstrate application of the concept of family-centered care? A) Focusing on the birth as a normal healthy event for the family B) Creating opportunities for the family to make informed decisions C) Encouraging the woman to keep her other children at home D) Fostering a sense of respect for the mother and the family 17. When discussing fetal mortality with a group of students, a nurse addresses maternal factors. Which ofthe following would the nurse most likely include? Select all that apply. A) Chromosomal abnormalities B) Malnutrition C) Preterm cervical dilation 4 | P a g eD) Underlying disease condition E) Poor placental attachment 18. A nurse is preparing a presentation for a local community group about health status and childrenshealth. Which of the following would the nurse include as one of the most significant measures? A) Fetal mortality rate B) Neonatal mortality rate C) Infant mortality rate D) Maternal mortality rate A group of students are reviewing an article describing information related to indicators for womens h and the results of a national study. Which of the following would the students identify as being satisfactory for women? Select all that apply. A) Smoking cessation B) Colorectal cancer screening C) Violence against women D) Health insurance coverage E) Mammograms 20. A nurse is preparing a presentation for a local womens group about heart disease and women. Which of the following would the nurse expect to address when discussing measures to promote health. A) Women have similar symptoms as men for a heart attack. B) Heart disease is no longer viewed as a mans disease. C) Women experiencing a heart attack are at greater risk for dying. D) Heart attacks in women are more easily diagnosed. 21.A nurse is working to develop a health education program for a local community to address breast cancer awareness. Which of the following would the nurse expect to include when describing this problem tothe group? Select all that apply. A) White women have higher rates of breast cancer than African American women. B) African American women are more likely to die from breast cancer at any age. C) Survival at any stage is worse among white women. D) Women living in South America have the highest rates of breast cancer. E) Breast cancer is the leading cause of cancer mortality in women. A group of nursing students are reviewing information about factors affecting maternal, newborn, and s health. The students demonstrate understanding of the information when they identify which of the following deficiencies as being associated with poverty? Select all that apply. A) Literacy B) Employment opportunities C) Mobility D) Political representation E) Skills Answer Key 1. B 2. C 3. D 4. B 5. B 5 | P a g e6. D 7. A 8. A 9. A 10.D 11.D 12.C 13.A, B, C, D 14.A 15.C 16.C 17.B, C, D 18.C 19.B, E 20.C 21. A, B 22. A, B, C, D, E Chapter 2 Women as Health Care Providers 1. Which health occupation has the highest percentage of women? A. Pharmacists B. Physical therapists C. Registered nurses D. Dentalhygieni stsAnswer: D 2. Which health occupation has the lowest percentage of women? A. Physicians B. Dentists C. Pharmacists D. Physical therapistsAnswer: B 3. Which health profession has the largest number of workers? A. Health aides B. Physicians C. Licensed practical nurses D. Registered nursesAnswer: D 4. Which of the following are certifications available in advanced practice registered nursing? (Select allthatapply.) A. Certified nurse midwife B. Certified registered nurse anesthetist 6 | P a g eC. Certified nurse pharmacologist D. Clinical nurse specialist E. Nurse practitioner Answer: A, B, D, E 5. What level of education is required to become a licensed practical nurse? A. 2-year master’s degree (in addition to a 4-year bachelor’s degree) B. 4-year bachelor’s degree C. 2-year associate’sdegree D. 1-year certificate or diplomaAnswer: D 6. What percentage of physicians and surgeons in the United States in 2014 were women?A. 27% B. 37% C. 47% D. 57% Answer: B 7. What medical specialty has the highest percentage of women? A. General pediatrics B. Obstetrics and gynecology C. Orthopedic surgery D. Urolog yAnswer: A 8. On an average, the income of female physicians is what percentage of that of malephysicians?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’sdegree 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 7 | P a g eD. $149,310 Answer: D 11. Which of the following are the current trends in dentistry? (Select all that apply.) A. More specialists than generalists B. Research linking oral health to overallhealth C. Focus on treatment of disease rather than prevention D. Expected growth of 18% from 2014 to2024 E. Increasing demand for dental implants, bridges, and cosmetic servicesAnswer: 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. Paramedi csAnswer: A 13. One in five workers in which of the following allied health occupation is at or below the federal povertylevel? A. Medical assistant B. Home health aide C. Radiology technician D. Speech-language pathologistAnswer: 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 while feeling exhausted and frustrated on the inside. The effort it takes to maintain this front before her patients results 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 D. Gender discrimination Answer: C 15. Tests of implicit racial bias among health professionals have revealed which of the following? A. An unconscious preference for Whites over Blacks B. Use of racially charged, derogatorylanguage C. Sharing of racist jokes D. Lower pay for racial minoritiesAnswer: A 8 | P a g eChapter 3 Women and Health Care 1. To enhance women’s health care in the 21st century, researchers should do which of the following? (Selectall that apply.) A. Design studies in collaboration withwomen B. Analyze changes in women’s health data relative to men’s C. Include homogeneous populations of women in studies D. Translate research findings into clinical and public health practice E. Focus on treatment approaches equallyapplicable to men and womenAnswer: A, B, D 2. Historically, gender has been defined by which of the following? (Select all that apply.) A. Self-identification B. Appropriateroles C. Division oflabor D. Economicpower E. Political influenceAnswer: B, C, D,E 3. Hammarstrӧm et al. propose a model of sex and gender that includes which of the following concepts?(Select all that apply.) A. Binary sexuality based on one’schromosomes B. Sex, interacting with gender, as a continuum 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. Intersectionalityand embodiment as factors significantlyaffecting sex and genderAnswer: B, D, E 4. Which of the following is the best example of how gender bias has affected the health and health care ofwomen? A. Similar rates of mental illness being found in men andwomen B. Treatment outcomes among women varying based on patient compliance C. Association of patient income level with type of diagnosis D. Disproportionatelymore psychotropic medications being prescribed to women thanmenAnswer: D 5. Krieger has proposed which of the followingregarding 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 formen E. Equitable gender relationships have resulted in similar health outcomes in men and womenAnswer: B, C 6. When did women’s health scholarship begin 9 | P a g etoflourish?A. 1960s B. 1970s C. 1980s D. 1990s Answer: B 7. Which of the following were the goals included in the report “Women’s Health Research: Progress, Pitfalls, and Promise,” which was published by the Office of Research on Women’s Health in 2010? (Select all thatapply.) A. Increase sex similarities research in basic sciences studies B. Incorporate findings of sex and gender differences in the design of new technologies C. Create strategic alliances to maximize domestic and global impact of women’s health research D. Develop and implement new social networking technologies to promotemen’s health and wellnessresearch E. Employinnovative strategies to build a well-trained, diverse, and vigorous women’s health researchworkforce Answer: B, C, E 8. The National Institutes of Health (NIH) Revitalization Act of 1993 mandated that the NIH do which of thefollowing? A. Expand health insurance coverage for women B. Include women and minorities in clinicalresearch C. Research and develop new women-specificmedications D. Decrease infection rates during obstetric surgeriesAnswer: B 9. Historical examples of gender bias in medical textbooks include which of the following? (Select all thatapply.) A. Portrayals of women as inherentlysick 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 ofwomen as invincible to illness and age, as long as theymake the right choicesAnswer: 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- orientedAnswer: C Chapter 4 Health Care for Vulnerable Populations 10 | P a g e1. According to a 2015 report by Buerhaus and colleagues, which type of health care provider is most likelytocare for racial or ethnic minority patients and patients who are uninsured? A. Family practice physicians B. Physician assistants C. Nurse practitioners D. Surgeo nsAnswer: C 2. Which of the following are examples of people likely to be considered members of vulnerablepopulations? (Select all that apply.) A. An African American woman B. A young woman living in an urban setting who takes mass transit C. A single mother earning $12,000 a year D. A transgender man E. A homeless middle-aged manAnswer: A, C, D, E 3. Which of the following is the best example of a health inequity? A. AMexican American woman with diabetes who receives less attention from the physician because ofherethnicity B. A low-income woman whose children get sick repeatedly because she refused to have them vaccinated C. A gay man who must drive a long distance to visit the health care provider of his choice D. AMuslimwoman who is shunned by her neighbors because of her religionAnswer: A 4. Which of the following are effects of social determinants of health? (Select all that apply.) A. A higher rate of infant mortality in a poor neighborhood compared with wealthier ones B. Increased incidence of boating injuries in a city located on a large lake C. Amurder rate five times the national average in an inner-city neighborhood plagued by gang activity D. Aman with HIV who goes without treatment because he fears the stigma associated with his condition E. An outbreak of the flu in an area due to rapid changes in the weatherAnswer: A, C, D 5. Which of the following is the generally accepted view of race by the scientific community? A. Biologically determined B. Established by socioeconomic level C. Determined by the country of one’sbirth D. Socially constructed Answer: D 6. Mary is a 51-year-old woman with 20 years of experience as an assembly line worker in 11 | P a g ethe automobile industry. She was recently interviewed for a management position in her company but did not get the job.A coworker later tells her, “Don’t feel bad. Archie never hires women for management.” This scenario can best be described as an example of which of the following? A. Prejudice B. Discrimination C. Health inequity D. Social justice Answer: B 7. Jamie is a single mom who, because of her low income, is unable to consistently provide nutritious mealsfor her children and self. Her food insecurity makes Brittany at a greater risk for which of the following? A. Breast cancer B. Type 1diabetes C. Type 2diabetes D. Chronicobstructive pulmonary diseaseAnswer: C 8. Which of the following are challenges that low-income women are more likely to encounter in theworkplace than high-income women? (Select all that apply.) A. Discrimination based on gender B. Long commutes C. No paid sick days D. Pressure from a demanding boss E. Lack of health insuranceAnswer: A, C, E 9. Teresa lives in a town of 3,000 people in Montana, 100 miles away from the nearest city. Which barrier tocare is Teresa most likely to face as a result of living in a rural community? A. Lack of a women’s health specialist B. Higher cost of care C. Structural racism D. Social stigma Answer: A 10. What percentage of women in the United States will experience severe physical violence by anintimatepartner in their lifetimes? A. 15% B. 25% C. 35% D. 45% Answer: B 12 | P a g e11. Which group of women are likely to experience intimate partner violence? A. Lesbians B. Women with disabilities C. Women living in rural communities D. Women who work full timeAnswer: B 12. A nurse is preparing to assess a client for alcohol use. Which clinical tool would be appropriate for thistask? A. Cut down, annoyed, guilty, and eye-opener (CAGE) B. Patient Health Questionnaire (PHQ-9) C. Mini-Cog D. Wong-Baker FACES (Wong-Baker FACES Pain Rating Scale) Answer: A 13. A nurse is assisting a client who is food insecure. Which agency should the nurse refer the client to for foodassistance? A. Food and Drug Administration (FDA) B. Centers for Disease Control and Prevention (CDC) C. Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) D. World Health Organization (WHO)Answer: C 14. A nurse learns from an older client, Gabby, that Gabby’s landlord is increasing her rent by 100% with only a month’s notice. The nurse refers Gabbyto a social worker to explore subsidized housing and follows up a month later to make sure Gabby is okay. The nurse’s behavior is an example of which of the following? A. Discrimination B. Patient advocacy C. Health inequity D. Marginalizati onAnswer: B Chapter 5 Legal Issues in Women’s Health Care 1. The landmark U.S. Supreme Court case Griswold v. Connecticut established which of the following? A. Unmarried women’s right to privacy incontraception B. Women’s right to choose to have anabortion C. The right ofwomen younger than 16 years to receive birth control D. Married couples’ right to privacy in contraceptionAnswer: D 2. The U.S. Supreme Court case Carey v. Population Services established which of the following? A. Unmarried women’s right to privacy incontraception B. Women’s right to choose to have anabortion 13 | P a g eC. The right ofwomen younger than 16 years to receive birth control D. Married couples’ right to privacy in contraceptionAnswer: C 3. What proportion of pregnancies in the United States are unintended each year? A. One fourth B. One third C. One half D. Two thirds Answer: C 4. By age 45, what proportion of women have had an abortion in their lifetime? A. 1 in 10 B. 2 in 10 C. 3 in 10 D. 4 in 10 Answer: D 5. In the U.S. Supreme Court case in which Hobby Lobby challenged an aspect of the Patient ProtectionandAffordable Care Act, what was the outcome? A. The Court ruled that the contraception mandate violated religious liberty B. The Court ruled that Hobby Lobbymust provide birth control coverage for its employees C. The Court ruled that Hobby Lobby must provide abortion coverage for its employees D. The Court ruled that the individual mandate was unconstitutionalAnswer: A 6. Before 1880, what was the status of abortion in the United States? A. It was prohibited by federal law B. It was unregulated C. It was outlawed by individual states, with limited exceptions D. It was a right legally protected by federal lawAnswer: B 7. Which of the following were outcomes of the landmark U.S. Supreme Court case Roe v. Wade, 1973?(Select all that apply.) A. Women were granted the right to choose to have an abortion B. Human life was defined as beginning atbirth C. States retained the right to restrict and regulate abortion D. States retained the right to outlawabortion E. Physicians retained the right to make decisions regarding abortion with their patientsAnswer: A, C, E 8. Which of the following are controversial aspects of in vitro fertilization? (Select all that apply.) A. Allowing parents to select the sex of their child B. Implanting two to three embryos at atime C. Allowing parents to implant an embryo for the purpose ofharvesting an organ to be 14 | P a g edonated to a sicksibling D. Allowing preimplantation genetic testing when a parent has a history of an inheritable genetic disorder E. Allowing parents to select the hair color, eye color, and skin complexion ofa childAnswer: A, C, E 9. Which U.S. Supreme Court case involved a child custody battle between parents of anembryo that wasmistakenly implanted in another woman and the woman who gave birth to this child? A. Griswold v. Connecticut B. Eisenstadt v. Baird C. Rodgers v. Fasano D. Doe v. DoeAnswer: C 10. In the case of In re Baby M, 1988, the New Jersey Supreme Court did which of the following? A. Granted permission for the surrogate mother to have an abortion B. Awarded custody ofthe child to the surrogate mother C. Awarded custody of the child to the father, who was the client and sperm donor D. Awarded custody of the child to the stateAnswer: B 11. Which state has prosecuted a woman for illegal drug use in pregnancy; allowed drug testing on women in a public hospital without their consent and arrested and incarcerated those who tested positive; and convicted a woman of murder after her child was stillborn as a result of her using cocaine? A. Alabama B. South Carolina C. Georgia D. Texas Answer: B 12. What percentage of women who have experienced domestic violence are diagnosed with an anxietydisorder? A. 26% B. 36% C. 46% D. 56% Answer: C Chapter 6 Feminist Frameworks for Advanced Practice With Women 15 | P a g e1. Which of the following is the process of marginalizing groups of people who are not part of a dominantandprivileged group of society? A. Critiquing B. Colonializing C. Othering D. Deconstructi ngAnswer: C 2. Which “wave” of feminism was focused on organizing women and using feminism as a resourceforseeking equality in social organizations? A. First wave B. Second wave C. Third wave D. Fourth wave Answer: B 3. Which of the following were proponents of liberal feminism? (Select all that apply.) A. MaryWollstonecraft B. Angela Davis C. John Stuart Mill D. Julia Kristeva E. Shulamith FirestoneAnswer: A, C 4. Which feminist theory seeks to eradicate sexual oppression by ending women’s economic dependenceonmen? A. Marxist/socialist feminism B. Liberal feminism C. Radicalfeminism D. Psychoanalyticfemin ismAnswer: A 5. Which feminist theory strives to eradicate the patriarchal system by replacing the institutions thatsupporthierarchy and dominance? A. Womanist B. Liberal feminism C. Radicalfeminism D. Psychoanalyticfemin ismAnswer: C 6. According to radical feminism, which of the following are sources of women’s oppression? (Select all thatapply.) A. Biology B. Gender C. Psyche D. Sexuality 16 | P a g eE. Language Answer: A, C, D 7. Which feminist theory seeks to reveal how language constructs gender and to use language to deconstructgender? A. Womanist B. Postmodernist feminism C. Postcolonial feminism D. Liberal feminism Answer: B 8. Which group of feminist theorists is concerned primarily with exploring subjectivity and agency, abjection, and psychosexual identity formation? A. French psychoanalytic feminists B. Early psychoanalytic feminists C. Queer theorists D. Womanis tsAnswer: A 9. Which group of feminist theorists is concerned primarily with pointing out the differences between thelives of women of color and the lives ofWhite women? A. Queer theorists B. Liberal feminists C. Radical feminists D. Womanis tsAnswer: D 10. Who coined the term “womanist”? A. Mary Daly B. Julia Kristeva C. Michel Foucault D. Alice Walker Answer: D 11. Which group of feminist theorists is known for studying sexuality via concepts such asthe Oedipuscomplex and for promoting dual parenting? A. French psychoanalytic feminists B. Early psychoanalytic feminists C. Queer theorists D. Womanis tsAnswer: B 12. Which group of feminist theorists describes feminism from lesbian, gay, bisexual, transgendered, andqueer(LGBTQ) perspectives and emphasizes “affinity and solidarity 17 | P a g eover identity”? A. Queer theorists B. Postcolonial feminists C. Radical feminists D. Womanis tsAnswer: A 13. A nurse researcher is interested in studying how the phenomenon of child labor in developing nations, resulting from globalization and the imposition of Western economic principles, has affected the health ofgirls in these nations. Which feminist theory would be most appropriate to adopt in this case? A. Queer theory B. Postcolonial feminist theory C. Psychoanalytic feminist theory D. Postmodern feminist theoryAnswer: B 14. A nurse researcher would like to explore how the health outcomes of low-income African American women differ from those of low-income White women. Which feminist theory would be mostappropriateto adopt in this case? A. Queer theory B. Marxist feminist theory C. Psychoanalytic feminist theory D. Womanist theoryAnswer: D 15. Which of the following term denotes the concept that race-, class-, and gender-based oppressionsinteractand shape one another, resulting in complex, multifactorial results in the lives ofwomen? A. Transnationalism B. Intersectionality C. Poststructuralism D. Subjectivi tyAnswer: B Chapter 7 Women’s Bodies 1. On an average, by how much are women shorter than men? A. 2 inches B. 4 inches C. 6 inches D. 8 inches Answer: C 18 | P a g e2. Which of the following characteristics are generally true of women compared with men? (Select all thatapply.) A. 42% to 68% less absolute strength B. Thicker skin but thinner subcutaneous tissues C. Lower levels of VO2 max and cardiovascular fitness D. Higher fat stores in the abdomen E. Smaller lungs and airwaysAnswer: A, C, E 3. A nurse is performing a clinical breast exam on a client. Which of the following signs should the nurse noteas a possible indicator of breast cancer? A. Slight asymmetry in breast size B. Brown areolar pigment C. Erect nipples D. An invertednipple Answer: D 4. Which structure of the female anatomy is homologous to the penis of the male? A. Perineum B. Clitoris C. Labia minora D. Vaginal orificeAnswer: B 5. Out of the approximately 1 to 2 million germ cells present in the ovary at birth, how many, on an average,will achieve ovulation during a woman’s reproductive life? A. 100 B. 400 C. 800 D. 1,200 Answer: B 6. Which three bones compose the innominate bone? (Select all that apply.) A. Sacrum B. Ilium C. Pubis D. Ischium E. Coccyx Answer: B, C, D 7. Which of the following denotes a substance that is produced in one part of the body that enters intotheblood circulation, travels to and stimulates target cells, and exerts specific effects? A. Hormone B. Neuron 19 | P a g eC. Erythrocyte D. Lymp h Answer: A 8. Which of the following are steroidal hormones secreted by the ovaries? (Select all that apply.) A. Inhibin B. Estrogen C. Activin D. Progesterone E. Follistat inAnswer: B, D 9. Which hormone, secreted by neurons in the hypothalamus, triggers a hormonal cascade of reproductiveprocesses that result in puberty? A. Estrogen B. Follicle-stimulating hormone (FSH) C. Luteinizing hormone (LH) D. Gonadotropin-releasing hormone (GnRH)Answer: D 10. When viewing the ultrasound display of a woman in her 20th week of pregnancy, a nurse notes thepresence of labia majora in the fetus. This is a sign of which of the following? A. Gender B. Genetic sex C. Gonadal sex D. Somatic sexAnswer: D 11. Which of the following is the phase of the ovarian cycle that occurs following ovulation but beforemenses? A. Luteal B. Follicular C. Proliferative D. Secreto ryAnswer: A 12. Ovulation typically occurs on which day of the menstrual cycle? A. 1 B. 7 C. 14 D. 21 20 | P a g eAnswer: C 13. The proliferative phase of the endometrial cycle is characterized by which of the following? A. Shedding of the endometrium B. Growth of the endometrium C. Secretion of progesterone D. Growth of thefollicleAnswer: B 14. The average age for the onset of the perimenopausal period is which of the following? A. 38 years B. 42 years C. 46 years D. 50 years Answer: C 15. Kelly, a woman in her mid-40s, asks the nurse what symptoms she is most likelyto experience once sheenters the perimenopausal period. Which of the following should the nurse mention? A. Cessation ofmenstrual period B. Mood changes C. Hot flashes D. Night sweats E. Nausea Answer: B, C, D Chapter 8 Young Women’s Health 1. The teen birthrate is highest among which major racial or ethnic group? A. Latinos B. African Americans C. Whites D. Asian s Answer: A 2. What percentage of the U.S. population was 10 to 19 years old in 2014?A. 14% B. 19% C. 24% 21 | P a g eD. 29% Answer: A 3. Which of the following are examples of protective factors for adolescents? (Select all that apply.) A. Bonds with friends and family B. Physical inactivity C. A school’s high expectations ofstudents D. Risky sexual behaviors E. Opportunities for youth participation in the communityAnswer: A, C, E 4. Rachel is a talkative, open 13-year-old who is in for a physical exam today by herself. In talking withRachel, 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 B. Acceptance of the physical changes ofpuberty C. Mood swings D. Sexual feelings emerging E. Transition toadulthoodAnswer: A, C, D 5. Lydia is a teenager who is in the process of researching college programs. She thinks she would like to be alawyer. 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 increasedriskof having which chronic condition? A. Epilepsy B. Obesity C. Heart disease D. Arthrit is Answer: B 7. Brooke is a 17-year-old who is questioning both her sexual orientation and her gender. She says shehasbegun exploring these but that her parents do not know. Brooke is at an increased risk of experiencing which of the following? (Select all that apply.) 22 | P a g eA. Obesity B. Family violence C. Homelessness D. Substance abuse E. Suicidality Answer: B, C, D, E 8. Rose is a 14-year-old refugee from Nigeria who recently came to the United States. Being a foreignborn,which of the following is Rose more likely to do than her native- born classmates? A. Exercise B. Succeed academically C. Eat meals with her family D. Develop positive peer relationshipsAnswer: C 9. Destiny is an outgoing, fun-loving 13-year-old who has developed a strong network of friends atschool.These positive relationships make it more likely that Destiny will experience which of the following? (Select all that apply.) A. Academic achievement B. A healthy diet C. Reduced substance abuse D. Improved mental health E. Lack of peer conflictAnswer: A, C, D 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? (Selectall that apply.) A. Sexual activity B. Intent to self-harm C. Evidence ofabuse D. Gender questioning E. Religiousdou btsAnswer: 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 23 | P a g enurse engage with Enid? A. Giving some concrete goals to Enid for her to pursue B. Asking Enid’s mother to join them C. Using motivational interviewing with Enid D. Reminding Enid of the consequences of noncomplianceAnswer: C 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 of high school femalesreported 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 toolshouldthe nurse use? A. Tanner staging B. CRAFFT screening C. Motivational interviewing D. Mini-Cog assessmentAnswer: A Chapter 9 Midlife Women’s Health 1. Midlife is commonly defined by which of the following ways? (Select all that apply.) A. Age B. Proximity to menopause C. Degree of children’s independence D. Level of cognitive function E. Women’s self-perception ofageAnswer: A, B, C, E 2. Vivian is an 80-year-old patient who is reminiscing about her own midlife with her 24 | P a g enurse, who has just entered midlife. Given her age, Vivian is most likely to identify which of the following as having beenaprimary source ofmeaning during her midlife? A. Her career B. Her family C. Her friends D. Her artisticaccomplishments Answer: B 3. Which of the following is the definition ofmenopause currently used in the health sciences? A. The date of onset of menopause-related symptoms B. The cessation ofmenses, defined as the end of the final menstrual period C. The cessation ofmenses, defined as 1 year after the final menstrual period D. The date of the last menopause-related symptomAnswer: C 4. Women of which U.S. ethnic group are most likely to describe menopause as “something you have togothrough” 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 finalmenstrualperiod? (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 levelsAnswer: B, C, D 6. Sleep disruption, a common symptom during the menopausal transition, is most oftenassociated withwhich other perimenopausal symptom? A. Hot flashes B. Decline in memory C. Back pain D. Depressed moodAnswer: A 7. Which of the following are common symptoms during the menopausal transition? (Select all that apply.) A. Difficulty concentrating B. Urinary incontinence C. Vaginal dryness D. Increased sexual desire 25 | P a g eE. Nausea and vomitingAnswer: A, B, C 8. Which of the following statements is most accurate concerning symptoms of the menopausal transition? A. Almost all women experience the same set of symptoms, known as menopausal syndrome. B. Almost all women experience hot flashes, but other symptoms are too variable to predict. C. Symptoms experienced appear to vary from culture to culture, and thus may be culture bound. D. Symptoms are completelyrandom, demonstratingno predictable patterns.Answer: C 9. Which of the following accurately describes metabolic changes in bone, muscle, and fat that typicallyoccurin the menopausal transition? A. Increases in bone, muscle, and fatmass B. Decreases in bone, muscle, and fatmass C. Increases in muscle and fat mass but a decrease in bone mass D. Decreases in bone andmuscle mass but an increase in fat massAnswer: D 10. Which of the following are characteristics ofmetabolic syndrome? (Select all that apply.) A. Increased lipid levels B. Insulin resistance C. Decreased inflammatory response D. Increased risk of thrombosis E. Increased blood pressureAnswer: A, B, D, E 11. The nurse is reviewing assessment and lab results of a patient at risk for metabolic syndrome. Which of thefollowing findings are consistent with metabolic syndrome? (Select all that apply.) A. Waist circumference of 37 inches B. Body mass index (BMI) of23 C. Blood pressure of 138/86mmHg D. Fasting blood glucose level of 99mg/dL E. Triglycerides level of161 mg/dLAnswer: A, C, E 12. Patricia is a 50-year-old woman with a body mass index (BMI) of 31 and elevated lipid levels. Which ofthe 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 oftobacco E. Reduce waist circumference to less than 26 | P a g e40 inchesAnswer: A, C, D 13. Lorraine is a 46-year-old woman who has a body mass index (BMI) of 21 and who is generallyhealthy.Based on current recommendations by the National Institutes of Health (NIH), what exercise 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 C. 30 minutes ofmoderate-intensity exercise per day, 5 days per week D. 60 minutes ofheavy-intensity exercise per day, 6 days per weekAnswer: 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 thediet C. Consume foods fortified with vitamin D D. Limit sodium intake E. Engage in weight-bearing exerciseAnswer: 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 Chapter 10 Older Women’s Health 1. How many people in the United States were 65 years or older in 2010? A. 3.1 million B. 20.5 million C. 40.3 million D. 83.7 million Answer: C 2. What percentage of those 85 years and older in the United States in 2010 were women?A. 47% B. 57% C. 67% D. 77% Answer: C 27 | P a g e3. What percentage of women 85 years and older in the United States in 2010 were widowed?A. 35% B. 52% C. 73% D. 91% Answer: C 4. Compared with older men, older women are: (Select all that apply.) A. More prepared to retire B. Less likely to retire at retirementage C. More likely to have a retirement pension from their employer D. Less likely to report being satisfied in retirement E. More likely to live aloneAnswer: B, D, E 5. In 2030, which of the following is the percentage of the older population (65 years or older) thatisprojected to be White?