NSG 6430 midterm EXAM 2023
1. According to Neinstein, all stages of adolescent psychosocial develop-
ment 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?: middle adolescence (14 to 16)
2. 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?: Prior ectopic pregnancy
3. You are meeting with twenty-two year- 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 depletes skeletal mass, so it is necessary to take calcium supplements
4. 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?: Clarify which behaviors are included in Lakeisha's definition of "having sex"
5. 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?: well-circum-
scribed, rubbery and tender lesion
6. Tanisha is a twenty-two-year-old woman who presents with extreme irri-
tability 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 NSG 6430 midterm
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?: Premenstrual dysphoric disorder (PMDD)
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?: 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 test-
ing?: a fifty-one-year-old woman with COPD on long-term corticosteroid therapy
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 _____: Determine if a breast lesion is cystic or solid
10. There are several phases to the menstrual cycle. What phase begins with menses cessation
and ends with ovulation?: proliferative phase
11. Karen is concerned that she may develop breast cancer. Which of the following is not an
associated risk factor?: breastfeeding
12. Elisabeth comes for a consultation. She has been in a committed rela-
tionship 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?: ovulation occurs on day 14+/- 2 days, before next period
13. Which of the following characteristics is not associated with psychoso-
cial development
problems in adolescence?: Late onset of pubertal sexual maturity
1. According to Neinstein, all stages of adolescent psychosocial develop-
ment 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?: middle adolescence (14 to 16)
2. 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?: Prior ectopic pregnancy
3. You are meeting with twenty-two year- 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 depletes skeletal mass, so it is necessary to take calcium supplements
4. 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?: Clarify which behaviors are included in Lakeisha's definition of "having sex"
5. 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?: well-circum-
scribed, rubbery and tender lesion
6. Tanisha is a twenty-two-year-old woman who presents with extreme irri-
tability 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 NSG 6430 midterm
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?: Premenstrual dysphoric disorder (PMDD)
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?: 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 test-
ing?: a fifty-one-year-old woman with COPD on long-term corticosteroid therapy
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 _____: Determine if a breast lesion is cystic or solid
10. There are several phases to the menstrual cycle. What phase begins with menses cessation
and ends with ovulation?: proliferative phase
11. Karen is concerned that she may develop breast cancer. Which of the following is not an
associated risk factor?: breastfeeding
12. Elisabeth comes for a consultation. She has been in a committed rela-
tionship 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?: ovulation occurs on day 14+/- 2 days, before next period
13. Which of the following characteristics is not associated with psychoso-
cial development
problems in adolescence?: Late onset of pubertal sexual maturity
