NSG 6430 Midterm Exam / NSG6430 Week 5 Midterm Exam (Latest-2020, Version-1): South University (Verified and 100% Correct Q & A)

NSG6430 Midterm Exam / NSG 6430 Week 5 Midterm Exam (Latest): South University South University NSG6430 Midterm Exam/ South University NSG 6430 Midterm Exam 1. Lakeisha, seventeen years old, is seeing her regular nurse practitioner for a sports physical. While participating in a psychosocial screen, Lakeisha volunteers that she “hasn’t had sex yet.” What is the best initial response to Lakeisha’s statement? Congratulate her for abstaining and move on to another topic. Clarify which behaviors are included in Lakeisha’s definition of “having sex.” Demonstrate condom use and give Lakeisha some condoms for future partners. Encourage Lakeisha to be screened for STIs. 2. Lenore, fifty-five years old, comes in for evaluation of a breast mass. Which of the following is not usually linked with carcinoma of the breast? Scaly lesions similar to eczema on one areola and nipple Peaud’orange dimpling of skin over breast Unilateral retraction and deviation of nipple Well-circumscribed, rubbery, and tender lesion 3. Tanisha is a twenty-two-year-old woman who presents with extreme irritability and mood swings, bloating, constipation, fluid retention, and headache. She tearfully tells you, “This happens every month in my cycle. I get like a crazy woman, lashing out at everyone. I’m afraid I’ll lose my job if I can’t stop this. Sometimes, it’s so bad. I just want to quit living. I need help!” Tanisha’s symptoms are typical of what disorder? Depression Premenstrual syndrome (PMS) Bipolar disorder CORRECTPremenstrual dysphoric disorder (PMDD) 4. According to Neinstein, all stages of adolescent psychosocial development revolve around issues with independence/dependence, body image concerns, peer group involvement, and identity development. During which stage are eating disorders most likely to surface? Early adolescence (10 to 13 years) CORRECT Middle adolescence (14 to 16 years) Older adolescence (17 to 21 years) All of the above 5. Iris is a thirty-two-year-old married woman with three children. She comes in for information on using the copper T intrauterine device (IUD) for contraception. Which of the following would be a contraindication to using this appliance? Nulliparity Heart disease Prior ectopic pregnancy History of multiple births 6. You are meeting with twenty-twoyear- old Emily to discuss birth control options. She has tried “the pill” in the past but failed to take it regularly. She is interested in depo because she only has to come in every three months for a shot. She also heard that one does not get a period on depo, and she likes the thought of that. Which of the following would be a specific consideration with depo that you would need to discuss? Depo offers no protection from STIs. Depo depletes skeletal mass, so it is necessary to take calcium supplements. As with any hormonal birth control, changes in weight can occur. Depo does not offer pregnancy protection for those who are obese. 7. You are working in a women’s health practice and decide to incorporate brief preconception counseling into every visit. Which of the following would not be included in brief preconception counseling? Maternal assessment Risk screening Immunizations Medication management 8. The National Osteoporosis Foundation has screening guidelines for DEXA scans. Which of the following women would be most in need of bone mineral density testing? Student Answer: A sixty-year-old postmenopausal woman receiving hormone replacement therapy (HRT) A fifty-year-old woman who is having irregular menstrual cycles A fifty-one-year-old woman with COPD on long-term corticosteroid therapy A forty-nine-year-old, obese Caucasian woman who smokes 9. Frankie is concerned that she has an ultrasound ordered after the results of her mammogram of been reviewed by the nurse practitioner. You emphasize that the primary role of a breast ultrasound is to _____ screen for breast cancer definitively diagnose breast cancer determine if a breast lesion is cystic or solid locate small lesions before surgery 10. There are several phases to the menstrual cycle. What phase begins with menses cessation and ends with ovulation? Ovulatory phase Follicular phase Proliferative phase Luteal phase 11. Karen is concerned that she may develop breast cancer. Which of the following is not an associated risk factor? Older age Family history Nulliparity Breastfeeding 12. Elisabeth comes for a consultation. She has been in a committed relationship for five years now and wants to become pregnant. She is seeking information on the menstrual cycle and her “fertile period.” Her cycle is twenty-eight days and regular. She and her partner have used condoms consistently to avoid pregnancy. Which of the following would be most valuable to her initially? The viability period for sperm is twenty-four hours. Ovulation occurs on day 14 /– 2 days, before the next period. Taking her temperature daily will tell her when she is fertile. Cervical mucus evaluation can be used to determinefertility. 13. Which of the following characteristics is not associated with psychosocial development problems in adolescence? A) Being different than others or feeling different B) Late onset of pubertal sexual maturity C) Sexual identity as GLBTQ D) Having a disability or chronic health condition 14. Thalia is a fifteen-year-old who is referred to your women’s health practice by her school counselor. She has macromastia and has been teased and ridiculed by her classmates at school. Which of the following would be the first step in dealing with this problem? Encourage Thalia to wear loose clothing and a bra with strong support. Refer Thalia to a therapist for counseling and support, including antibullying. Meet with Thalia and her parents to discuss options, including breast reduction surgery. Assess Thalia’s Tanner staging for breasts and date of menarche. 15. A nurse practitioner student is researching as to why menopausal women have an increased risk of heart disease. Which of the following lipid changes occur with estrogen withdrawal in menopause? Increase in HDL, LDL, and triglycerides Decrease in HDL, LDL, and triglycerides Increase in HDL with a decrease in LDL and triglycerides Decrease in HDL with an increase in LDL and Triglycerides 16. Which of the following is an approved treatment for premenstrual dysphoric disorder (PMDD)? Drospirenone/ethinyl estradiol/levomefolate calcium (Beyaz) Soybean milk (Soy) Amitriptyline (Elavil) Conjugated estrogen (Premarin) 17. Nancy is an elevenyear- old presenting for an annual wellchild visit. When reviewing the physiology of puberty, you recall that the initiation of puberty begins physiologically with the release of GnRH by the ____. hypothalamus adrenal gland ovaries pituitary glan 18. Luz is a fifteen-yearold girl who comes to your of