Nokea
The nurse is assessing a patient who believes that she has recently begun menopause. What principle should inform the nurses interactions with this patient?
- A. The nurse should express empathy for the patients difficult health situation.
- B. The nurse should begin by assuring the patient that her health will be much better in a few years.
- C. The nurse must carefully assess the patients feelings and beliefs surrounding menopause.
- D. The nurse should encourage the patient to celebrate this life milestone and its accompanying benefits.
Correct Answer: C
Rationale: Women have widely varying views on menopause, and the nurse must assess the patient's feelings and beliefs to provide individualized care. Presuming a positive or negative view, or assuring future health improvements, risks misaligning with the patient's perspective.
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By initiating an assessment about sexual concerns what does the nurse convey to the patient? Select all that apply.
- A. That sexual issues are valid health issues
- B. That it is safe to talk about sexual issues
- C. That sexual issues are only a minor aspect a persons identity
- D. That changes or problems in sexual functioning should be discussed
- E. That changes or problems in sexual functioning are highly atypical
Correct Answer: A,B,D
Rationale: By initiating an assessment about sexual concerns, the nurse communicates that issues about changes or problems in sexual functioning are valid and significant health issues, that it is safe to discuss them, and that they should be addressed. Sexual issues are not portrayed as minor or highly atypical.
A patient states that PMS that is significantly disrupting her quality of life and that conservative management has failed to produce relief. What pharmacologic treatment may benefit this patient?
- A. An opioid analgesic
- B. A calcium channel blocker
- C. A monoamine oxidase inhibitor (MAOI)
- D. A selective serotonin reuptake inhibitor (SSRI)
Correct Answer: D
Rationale: Selective serotonin reuptake inhibitors (SSRIs) are effective pharmacologic treatments for severe PMS, addressing mood-related symptoms. Opioids, calcium channel blockers, and MAOIs are not indicated for PMS management.
The nurse is working with a patient who expects to begin menopause in the next few years. What educational topic should the nurse prioritize when caring for a healthy woman approaching menopause?
- A. Patient teaching and counseling regarding healthy lifestyles
- B. Referrals to local support groups
- C. Nutritional counseling regarding osteoporosis prevention
- D. Drug therapy options
Correct Answer: A
Rationale: Fostering healthy lifestyles through patient teaching and counseling is a priority, as it supports overall health and well-being during the menopausal transition. This encompasses specific topics like osteoporosis prevention, support groups, and drug therapy but is broader in scope.
The nurse is caring for a couple trying to get pregnant and have not been able to for over a year. The couple asks what kind of problems a man can have that can cause infertility. What should be the nurses response?
- A. Men can have increased prolactin levels that decrease sperm viability.
- B. Men can have problems that increase the temperature around their testicles and decrease the quality of their semen.
- C. Men may inherit the gene that causes low sperm production.
- D. Men may produce sperm that are incompatible with the shape of the egg.
Correct Answer: B
Rationale: Varicoceles, which increase testicular temperature, can decrease semen quality and contribute to male infertility. Increased prolactin is less common, genetic factors are not specifically noted, and sperm-egg shape incompatibility is not a recognized cause.
A 27-year-old primipara presents to the ED with vaginal bleeding and suspected contractions. The woman relates that she is 14 weeks pregnant and she thinks she is losing her baby. Diagnostic testing confirms a spontaneous abortion. What nursing action would be a priority at this time?
- A. Leave the patient alone so she can grieve in private.
- B. Teach the patient that this will not affect her future chance of conception.
- C. Take the patient off the obstetric floor so she will not hear a baby cry.
- D. Provide opportunities for the patient to talk and express her emotions.
Correct Answer: D
Rationale: Providing opportunities for the patient to talk and express emotions is a priority, as it supports grieving and informs further care. Assuming the patient prefers solitude, discussing future pregnancies, or moving her off the unit may not address her immediate emotional needs.