NUR 231 Adult II Final Exam 2026
Questions and Answers Graded A+
Therapeutic communication - Correct answer-Client appraisal; psychosocial
support/therapeutic communication; PLISSIT
PLISSIT - Correct answer-Permission, limited information, specific suggestions,
and intensive therapy approach to talking about sexual topics with clients.
Discussing sexuality and intimacy - Correct answer-Part of the health history, has
important safety implications; important parts of development, wellness, and
health.
Prostatitis - Correct answer-Compression of urethra causing urinary retention,
bleeding, pain, infection, fever, and perineal pain.
Clinical manifestations of prostatitis - Correct answer-Caused by swelling around
the prostate; sudden onset of dysuria, perineal prostatic pain, severe lower urinary
tract symptoms.
Assessment of prostatitis - Correct answer-Focused urinary assessment and history
- contributing factors (stress, evaluation of sexual partners).
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,Medical management of prostatitis - Correct answer-Urine culture and sensitivity;
pelvic floor therapy, reduction of prostatic fluid retention.
Nursing management of acute prostatitis - Correct answer-Administration of
prescribed antibiotics, pain control - antibiotics and sitz baths.
Nursing management of chronic prostatitis - Correct answer-Usually treated on an
outpatient basis, needs to be educated about continuing antibiotics.
BPH - Correct answer-Noncancerous enlargement of prostate; the longer a man
lives, the more likely it is he will develop this condition.
Clinical manifestations of BPH - Correct answer-Obstructive and irritative
symptoms - urgency, frequency, nocturia, hesitancy, sensation of incomplete
bladder emptying.
Assessment for BPH - Correct answer-Health history - focus on the urinary tract,
previous surgical procedures, general health issues.
Diagnostics for BPH - Correct answer-Urinalysis to screen for hematuria and UTI;
post-void residual urine to check how much urine is left.
Medical management of BPH - Correct answer-Improve quality of life, improve
urine flow, relieve obstruction, prevent disease progression.
©COPYRIGHT 2025,ALL RIGHTS RESERVED 2
,Pharmacologic therapy for BPH - Correct answer-Alpha-adrenergic blockers -
Tamsolin, Terazosyn; hormonal manipulation (antiandrogen agents).
Prostate cancer - Correct answer-2nd most common cancer and 2nd most common
cause of cancer death in men.
Risk factors for prostate cancer - Correct answer-Increasing age, familial
predisposition, presence of mutations in breast CA genes - BRCA1 and BRCA2.
Clinical manifestations of prostate cancer - Correct answer-Early stages - few
symptoms; later stages - urinary obstruction, blood in urine or semen, painful
ejaculation.
Diagnostic triad of prostate cancer - Correct answer-1. Digital rectal examination
(DRE) - should be smooth and rounded; 2. Serum PSA - not cancer specific.
Transrectal ultrasound (TRUS) with biopsy - Correct answer-Tissue sampling, only
way to confirm cancer
CT scan in prostate cancer - Correct answer-Visualize lymph node involvement
MRI, bone scans, x-rays in prostate cancer - Correct answer-Determination of
metastatic disease
Medical management of prostate cancer - Correct answer-Depends on cancer goal -
cure, control, or comfort
©COPYRIGHT 2025,ALL RIGHTS RESERVED 3
, Surveillance in prostate cancer - Correct answer-Also known as 'watchful waiting'
for low grade tumors and limited life span
Radical prostatectomy - Correct answer-Surgery that carries risk for incontinence
Radiation therapy - Correct answer-Internal or external treatment for those that
aren't surgical candidates
Hormonal treatment for prostate cancer - Correct answer-Helps control cancer but
is not curative
Chemotherapy for prostate cancer - Correct answer-Used in advanced cases
Immunotherapy for prostate cancer - Correct answer-Sometimes helps stimulate
patient's own cancer cells
Education for prostate cancer - Correct answer-Includes risks for individuals and
groups, early screening, recognizing symptoms
Transurethral resection of the prostate (TURP) - Correct answer-Minimally
invasive, most common prostate removal surgery
Preoperative interventions for TURP - Correct answer-Includes reduction of
anxiety, relieving discomfort, and providing education
Postoperative nursing interventions for TURP - Correct answer-Maintain fluid
balance, monitor for complications, relieve pain
©COPYRIGHT 2025,ALL RIGHTS RESERVED 4
Questions and Answers Graded A+
Therapeutic communication - Correct answer-Client appraisal; psychosocial
support/therapeutic communication; PLISSIT
PLISSIT - Correct answer-Permission, limited information, specific suggestions,
and intensive therapy approach to talking about sexual topics with clients.
Discussing sexuality and intimacy - Correct answer-Part of the health history, has
important safety implications; important parts of development, wellness, and
health.
Prostatitis - Correct answer-Compression of urethra causing urinary retention,
bleeding, pain, infection, fever, and perineal pain.
Clinical manifestations of prostatitis - Correct answer-Caused by swelling around
the prostate; sudden onset of dysuria, perineal prostatic pain, severe lower urinary
tract symptoms.
Assessment of prostatitis - Correct answer-Focused urinary assessment and history
- contributing factors (stress, evaluation of sexual partners).
©COPYRIGHT 2025,ALL RIGHTS RESERVED 1
,Medical management of prostatitis - Correct answer-Urine culture and sensitivity;
pelvic floor therapy, reduction of prostatic fluid retention.
Nursing management of acute prostatitis - Correct answer-Administration of
prescribed antibiotics, pain control - antibiotics and sitz baths.
Nursing management of chronic prostatitis - Correct answer-Usually treated on an
outpatient basis, needs to be educated about continuing antibiotics.
BPH - Correct answer-Noncancerous enlargement of prostate; the longer a man
lives, the more likely it is he will develop this condition.
Clinical manifestations of BPH - Correct answer-Obstructive and irritative
symptoms - urgency, frequency, nocturia, hesitancy, sensation of incomplete
bladder emptying.
Assessment for BPH - Correct answer-Health history - focus on the urinary tract,
previous surgical procedures, general health issues.
Diagnostics for BPH - Correct answer-Urinalysis to screen for hematuria and UTI;
post-void residual urine to check how much urine is left.
Medical management of BPH - Correct answer-Improve quality of life, improve
urine flow, relieve obstruction, prevent disease progression.
©COPYRIGHT 2025,ALL RIGHTS RESERVED 2
,Pharmacologic therapy for BPH - Correct answer-Alpha-adrenergic blockers -
Tamsolin, Terazosyn; hormonal manipulation (antiandrogen agents).
Prostate cancer - Correct answer-2nd most common cancer and 2nd most common
cause of cancer death in men.
Risk factors for prostate cancer - Correct answer-Increasing age, familial
predisposition, presence of mutations in breast CA genes - BRCA1 and BRCA2.
Clinical manifestations of prostate cancer - Correct answer-Early stages - few
symptoms; later stages - urinary obstruction, blood in urine or semen, painful
ejaculation.
Diagnostic triad of prostate cancer - Correct answer-1. Digital rectal examination
(DRE) - should be smooth and rounded; 2. Serum PSA - not cancer specific.
Transrectal ultrasound (TRUS) with biopsy - Correct answer-Tissue sampling, only
way to confirm cancer
CT scan in prostate cancer - Correct answer-Visualize lymph node involvement
MRI, bone scans, x-rays in prostate cancer - Correct answer-Determination of
metastatic disease
Medical management of prostate cancer - Correct answer-Depends on cancer goal -
cure, control, or comfort
©COPYRIGHT 2025,ALL RIGHTS RESERVED 3
, Surveillance in prostate cancer - Correct answer-Also known as 'watchful waiting'
for low grade tumors and limited life span
Radical prostatectomy - Correct answer-Surgery that carries risk for incontinence
Radiation therapy - Correct answer-Internal or external treatment for those that
aren't surgical candidates
Hormonal treatment for prostate cancer - Correct answer-Helps control cancer but
is not curative
Chemotherapy for prostate cancer - Correct answer-Used in advanced cases
Immunotherapy for prostate cancer - Correct answer-Sometimes helps stimulate
patient's own cancer cells
Education for prostate cancer - Correct answer-Includes risks for individuals and
groups, early screening, recognizing symptoms
Transurethral resection of the prostate (TURP) - Correct answer-Minimally
invasive, most common prostate removal surgery
Preoperative interventions for TURP - Correct answer-Includes reduction of
anxiety, relieving discomfort, and providing education
Postoperative nursing interventions for TURP - Correct answer-Maintain fluid
balance, monitor for complications, relieve pain
©COPYRIGHT 2025,ALL RIGHTS RESERVED 4
