NSG 6430 Final Exam / NSG6430 Final Exam (Latest): South University (Already graded A)
NSG 6430 Final Exam / NSG6430 Final Exam (Latest): South University Question 1 (2.5 points) The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary incontinence and contributing factors in daily life is: Question 1 options: A) the interview B) a voiding diary C) the physical exam D) the patient's response to non-pharmacologic treatments Question 2 (2.5 points) The nurse practitioner is counseling a 57 year-old patient with urinary incontinence. The patient desires to try non-pharmacological, non-invasive methods of treatment at this time. Which of the following should be included in the patient's plan of care? Select all that apply. Question 2 options: A. Bladder training B. Kegel exercises C. Eliminate caffeine and alcohol consumption D. Use of bulking agents Question 3 (2.5 points) The nurse practitioner is performing a bimanual exam on a new OB patient and notices that the lower portion of the patient’s uterus is soft. This is known as: Question 3 options: A) Hegar's Sign B) Chadwick's Sign C) Nightingale's Sign D) Goodell's Sign Question 4 (2.5 points) Your female patient presents for vaginal discharge with an odor, and has noticed painless “bumps” on her vaginal area. Sexual history includes past male partners and her current female partner. On exam you note beefy red papules and an ulcerative lesion on her vulva, granular tissue and scarring, and inguinal adenopathy. You suspect she has: Question 4 options: A) HSV-2 B) Granuloma Inguinale C) Chancroid D) Molluscum Contagiosum Question 5 (2.5 points) The physical examination of any woman suspected of being abused or battered includes all of the following except: Question 5 options: A) a thorough inspection for signs of injury, past and present B) a physical assessment just like that of any other adult female C) a focus on the patient's physical appearance, not her behavior D) the use of body maps and diagrams to accurately portray the patient's physical condition Question 6 (2.5 points) The most effective means of obtaining the history of abuse is to use a communication model that: Question 6 options: A) avoids having the patient's children present during the discussion B) signals someone is interested and that the woman is not alone C) emphasizes the belief that violence is not acceptable, no matter what the batterer might have said to the patient D) allows the patient to talk without interruption and with time to relate, emphasize, and repeat her full story Question 7 (2.5 points) Clinicians should routinely consider intimate partment violence (IPV) as a possible diagnosis for women who present with all of the following except: Question 7 options: A) chronic stress-related symptoms B) denial of any physical health problems C) central nervous system (CNS) symptoms D) gynecologic problems, especially multiple ones Question 8 (2.5 points) The factors that enable women to enjoy and control their sexual and reproductive lives, including a physical and emotional state of well-being and the quality of sexual and other close relationships, make up a woman's: Question 8 options: A) sexual health B) gender identit C) gender role behaviors D) psychosocial orientation Question 9 (2.5 points) Which one of the following is not among the ways clinicians can provide a welcoming, safe environment for Lesbian, Gay, Bixsexual, or Transgender (LGBT) patients? Question 9 options: A) Avoid the heterosexual assumption by using gender-neutral language. B) Explain whether and how information will be documented in the patient's medical record. C) Ignore the sexual status or gender identity of all patients. D) Offer mainstream referrals that are culturally sensitive to SGMs. Question 10 (2.5 points) Which one of the following is the definition of the term "gender identity"? Question 10 options: A) People who respond erotically to both sexes B) A self-label, regardless of biologic or natal sex C) People who are similar in age, class, and sexual status D) A label for behavior not usually associated with one's natal sex Question 11 (2.5 points) Which one of the following statements about sexually transmitted infections (STIs) is false? Question 11 options: A) Lesbians are at very low risk for development of STIs and vaginal infections. B) HIV has been identified in case studies of women who report sex only with women. C) Transgender women (Male to Female) have extremely high rates of HIV infection. D) Risky behaviors for STIs include sex during menses. Question 12 (2.5 points) Among the midlife health issues of women, the number one cause of mortality in the United States is: Question 12 options: A) primary osteoporosis B) cardiovascular disease C) overweight and obesity D) cancer Question 13 (2.5 points) Lifestyle approaches to manage menopause related vasomotor symptoms include: Question 13 options: A) sleeping more than 8 hours per night B) avoiding spicy foods, hot drinks, caffeine, and alcohol C) decreasing levels of physical activity D) more than 1,000 international units/day of vitamin E Question 14 (2.5 points) The standard for managing moderate to severe menopausal symptoms is: Question 14 options: A) lifestyle changes, such as dieting and exercising B) nonhormone products, such as antidepressant medications C) alternative care, such as acupuncture, combined with organic herbs D) prescription systemic hormone products, such as estrogen and progestogen Question 15 (2.5 points) The nurse practitioner is managing an adolescent with a 4 cm functional ovarian cyst that was confirmed on a recent ultrasound. What plan of care should be anticipated for this patient? Question 15 options: A) Repeat bimanual exam in 1 week B) Refer for surgical consult C) Repeat ultrasound in 2 months D) Stop all ovulatory inhibitor meds Question 16 (2.5 points) Non-pharmacologic therapy for chronic pelvic pain includes the following: Select all that apply. Question 16 options: A) Vitamin B6 B) Physical therapy C) Aerobic and nonaerobic exercise D) Antidepressants Question 17 (2.5 points) The nurse practitioner understands that all of the following organisms are responsible for infection of the Bartholin's gland except: Question 17 options: Streptococcus faecalis Klebsiella Staphylococcus aureus E. Coli Question 18 (2.5 points) Treatment of a large, symptomatic Bartholin's cyst includes all of the following except: Question 18 options: Sitz baths Incision and drainage Topical corticosteroids Antibiotics Question 19 (2.5 points) A 44 year-old African American female presents with complaints of menorrhagia x 15 months. Pelvic ultrasound confirms the presence of a large intramural leiomyomata. The nurse practitioner should discuss all of the following options with the patient except: Question 19 options: GnRH agonist therapy Referral for surgical consult Progestin therapy Estrogen therapy Question 20 (2.5 points) The nurse practitioner is treating a patient with Elimite for scabies. The proper instructions to the patient should include: Question 20 options: All household contacts should be treated with Elimite regardless of symptoms. The medication should be taken orally in one single dose and repeated in 2 weeks. Apply only to the body area infested with scabies and repeat treatment in 5 days. Apply to all areas of the body from the neck down, wash off after 8 to 14 hours, then repeat treatment in one week Question 21 (2.5 points) The nurse practitioner understands that the proper management of an asymptomatic woman with a small fibroid should include: Question 21 options: Start combination COC therapy. Repeat ultrasound in 3-4 months. Reassess in 6 to 12 months. Refer for myomectomy. Question 22 (2.5 points
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