The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which condition is the priority.
- A. Cancer
- B. Heart Disease
- C. Diabetes
- D. Smoking
- G. B
Correct Answer: Heart disease is the leading cause of death among women globally (21% of deaths in 2019 per WHO), making it the priority for educational programs to raise awareness and promote prevention.
Rationale:
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A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make?
- A. Don't worry, I will be with you during the exam.
- B. What part of the exam makes you most nervous?
- C. All you need to do is relax.
- D. A pelvic exam is required if you want birth control pills.
- G. B
Correct Answer: Asking about specific concerns shows empathy and facilitates discussion to alleviate fears. Dismissive or coercive responses can increase anxiety or pressure the client.
Rationale:
A nurse is assessing a male client recently diagnosed with genital herpes. Which finding would most likely correlate with this diagnosis?
- A. Reports of itching, tingling, and pain in the genital area
- B. Painful urination with a penile discharge present
- C. Wart-like flesh-colored lesions on the scrotal area
- D. A chancre on the penis
- G. A
Correct Answer: Genital herpes causes itching, tingling, and pain before painful blisters appear. Discharge suggests gonorrhea/chlamydia, warts suggest HPV, and a chancre indicates syphilis.
Rationale:
A nurse is preparing a client for radiation treatment who is postoperative following a mastectomy. The nurse should inform the client to expect which of the following adverse effects from the treatment?
- A. Diarrhea
- B. Anorexia
- C. Fatigue
- D. Alopecia
- G. C
Correct Answer: Fatigue is a common side effect of radiation due to damage to healthy cells. Diarrhea and anorexia are more associated with gastrointestinal or systemic treatments, and alopecia is typical with chemotherapy.
Rationale:
A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?
- A. Brushing her teeth
- B. Buttoning her blouse
- C. Eating her breakfast
- D. Combing her hair
- G. D
Correct Answer: Combing hair requires lifting the arm above the shoulder, which can be painful and difficult due to impaired lymphatic drainage and nerve damage post-mastectomy. Brushing teeth, buttoning a blouse, and eating are less challenging as they require minimal arm elevation or strength.
Rationale:
A nurse is preparing a class discussion on the clinical manifestations of a heart attack observed in women. Which symptoms would the nurse include as key assessment data? Select all that apply.
- A. Sleep disturbances
- B. Syncope
- C. Unusual fatigue
- D. Extreme hunger
- E. Arm pain
- G. A,C,E
Correct Answer: Women may experience sleep disturbances (48%), unusual fatigue (70%), and arm pain (42%) before a heart attack, indicating reduced cardiac function. Syncope (12%) and extreme hunger (4%) are less common.
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