Nokea
The nurse is utilizing the PLISSIT model of sexual health assessment during an interaction with a new patient. According to this model, the nurse should begin with what action?
- A. Conducting a preliminary assessment
- B. Addressing the patients psychosocial status
- C. Asking the patients permission to discuss sexuality
- D. Assessing for physiologic problems
Correct Answer: C
Rationale: The PLISSIT model of sexual assessment begins with permission, where the nurse seeks the patient's consent to discuss sexual health, fostering a safe environment. This is followed by limited information, specific suggestions, and intensive therapy if needed.
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A couple has come to the infertility clinic because they have been unable to get pregnant even though they have been trying for over a year. Diagnostic tests are planned for the woman to ascertain if ovulation is regular and whether her endometrium is adequately supported for implantation. What test would the nurse expect to have ordered for this woman?
- A. Serum progesterone
- B. Abdominal CT
- C. Oocyte viability test
- D. Urine testosterone
Correct Answer: A
Rationale: Serum progesterone levels are used to assess ovulation regularity and endometrial support for implantation, key factors in female infertility evaluation. Abdominal CT, oocyte viability tests, and urine testosterone are not standard for this purpose.
A premenopausal patient is complaining of vaginal spotting and sharp, colicky lower abdominal pain. She informs the nurse that her period is 2 weeks late. The nurse should recognize a need for this patient to be investigated for what health problem?
- A. Trichomonas vaginalis
- B. Ectopic pregnancy
- C. Cervical cancer
- D. Fibromyalgia
Correct Answer: B
Rationale: Clinical symptoms of an ectopic pregnancy include delay in menstruation of 1 to 2 weeks, vaginal spotting, and sharp, colicky pain. These symptoms align with the patient's presentation, warranting investigation for this condition. Trichomonas vaginalis causes vaginal infection, typically with discharge, not typically associated with delayed menstruation or colicky pain. Cervical cancer may cause abnormal bleeding but is less likely to present with acute colicky pain and delayed menstruation. Fibromyalgia is unrelated to menstrual irregularities or vaginal spotting.
A patient calls the clinic and tells the nurse she has thick white, curd-like discharge from her vagina. How should the nurse best interpret this preliminary data?
- A. The drainage is physiologic and normal.
- B. The patient may have a Candida species infection.
- C. The patient needs a Pap smear as soon as possible.
- D. The patient may have a Trichomonas infection.
Correct Answer: B
Rationale: Drainage caused by Candida is typically curd-like and white, matching the patient's description. Trichomonas infections usually cause copious, frothy yellowish-green discharge. A Pap smear is not indicated as the primary response, as malignancy is unlikely. The discharge is not physiologic or normal.
A community health nurse is leading a health education session addressing menopause and other aspects of womens health. What dietary supplements should the nurse recommend to prevent morbidity associated with osteoporotic fractures?
- A. Vitamin B12 and vitamin C
- B. Vitamin A and potassium
- C. Vitamin B6 and phosphorus
- D. Calcium and vitamin D
Correct Answer: D
Rationale: Calcium and vitamin D supplementation are recommended to reduce bone loss and prevent osteoporotic fractures, a key concern in menopause. Other listed supplements do not address bone health effectively.
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.