ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 56 : Assessment and Management of Patients With Female Physiologic Processes Questions
Question 1 of 5
The nurse is assessing a patient who believes that she has recently begun menopause. What principle should inform the nurses interactions with this patient?
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.
Question 2 of 5
A 51-year-old woman is experiencing perimenopausal symptoms and expresses confusion around the possible use of hormone therapy (HT). She explains that her mother and aunts used HT and she is unsure why few of her peers have been prescribed this treatment. What should the nurse explain to the patient?
Correct Answer: C
Rationale: Research, such as the Women's Health Initiative, has shown significant health risks (e.g., breast cancer, cardiovascular events) associated with HT, leading to reduced use. HT remains effective for symptom relief, has not been replaced by nonpharmacologic options, and does not exacerbate symptoms.
Question 3 of 5
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?
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.
Question 4 of 5
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?
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.
Question 5 of 5
A womans current health complaints are suggestive of a diagnosis of premenstrual dysphoric disorder (PMDD). The nurse should first do which of the following?
Correct Answer: B
Rationale: Severe PMDD can lead to suicidal or violent behavior, so assessing suicide risk is the priority to ensure patient safety. HT is not relevant, PMDD is not self-limiting, and suggesting herbal remedies like St. John's wort requires provider input.