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Reproductive Issues/Encouraging Healthy Lifestyles/Maladaptive Flashcards | StudBud
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Reproductive Issues/Encouraging Healthy Lifestyles/Maladaptive
Reproductive Issues/Encouraging Healthy Lifestyles/Maladaptive
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1
A form of elder abuse includes:
Restricting social interactions
Financial exploitation
Ignoring the client’s preferences
Encouraging the elder to enter assisted living
2
A nurse is teaching adolescents about sexual health. What statement indicates understanding?
“STIs are only a concern for older adults."
“Oral sex does not require protection.”
“Consent in necessary before engaging in any sexual activity.”
“Contraceptive prevent all STIs.”
3
What should the nurse include in a teaching about uterine fibroids?
“Uterine fibroids are a type of benign tumor.”
“Uterine fibroids are more common in clients after menopause.”
“Clients who have uterine fibroids have less menstrual flow.”
“Clients with uterine fibroids can have trouble emptying their bladder.”
4
Signs of child neglect include:
Malnourishment and untreated medical conditions
Overprotection by caregivers
Excessive school involvement
Strong attachment to categivers
5
Which emotional response is common in clients undergoing infertility treatment?
Indifference
Euphroia
Grief and depression
Disinterest
6
A client taking combined oral birth control should be educated on the warning signs of complications, what is H (ACHES)?
Hypertension
Hypotension
Headache (severe)
Heavy periods
7
Alcohol withdrawal symptoms typically peak within:
72-96 hours
12-24 hours
One week
24-48 hours
8
When should cervical cancer screening (Pap smear) begin?
At first sexual encounter
At age 21, regardless of sexual activity
At age 30
At age 18
9
A postmenopausal woman is at risk for which condition?
Osteoporosis
Hyperthyroidism
High estrogen levels
Increased fertility
10
What is a common barrier to reproductive healthcare?
Low STI rates
Overuse of contraception
Increased provider availability
Lack of insurance coverage
11
A client with genital warts asks about treatment. The best response is?
“Once warts are removed, the virus is gone.”
“There is no treatment for HPV."
“Warts can be treated, but HPV is a lifelong virus.”
“HPV does not cause warts.”
12
A transgender male asks about reproductive health screenings. What should the nurse recommend?
Mammograms only if taking testosterone
No screenings are needed
Cervical cancer screening if they have a cervix
Prostate exams annually
13
A client experiencing a panic attack states, “I feel like I’m going to die!” What is the appropriate nursing response?
“I’ll leave you alone to calm down.”
“This is irrational; you are not going to die."
“You should try to sleep it off.”
“You are safe. Let’s focus on taking deep breaths together.”
14
What is a common sexual change in older men?
Delayed ejaculation and erectile dysfunction
Increased testosterone levels
Decreased risk of prostate enlargement
Decreased refractory period
15
Which assisted reproductive technology fertilizes an egg before implanting it into the uterus?
Intracytoplasmic sperm injection (ICSI)
In vitro fertilization (IVF)
Gamete intrafallopian transfer (GIFT)
Intrauterine insemination (IUI)
16
Which question will the nurse ask to obtain subjective data about manifestations of fibrocystic breasts?
“Do you have severe cramping with menstruation?”
“Have you notices drainage from your nipple?”
“Do you notice any lumps in your breasts?”
“Do you have a rash on your breasts?”
17
Nurses are legally required to:
Report suspected abuse to authorities
Keep suspected abuse confidential
Report abuse only if the client confirms it
Discuss abuse only with family members
18
Which statement should the nurse include in the teaching about bacterial vaginosis (BV)?
“Treatment for BV includes using a vaginal douche twice each day.”
“You will need a blood test to confirm you have BV.”
“BV causes yellow or green vaginal drainage."
“Having BV makes it easier for you to get another STI.”
19
A side effect of vagus nerve stimulation (VNS) is:
Panic attacks
Increased energy
Hoarseness and throat discomfort
Dizziness and confusion
20
Which diabetes statement needs correction?
“I can stop my medication if my sugars are normal.”
“I’ll check my sugar daily."
“Exercise helps control sugar."
“Small meals help balance sugar.”
21
Which intervention best supports LGBTQ+ clients in healthcare?
Using gender-inclusive language
Using only medical terminology
Avoid discussions on gender
Referring all LGBTQ+ clients to specialists
22
Which is the most common bacterial STI in the US?
Syphilis
Chlamydia
HPV
Gonorrhea
23
Which medication is used to reverse an opioid overdose?
Buprenorphine
Methadone
Naloxone
Disulfiram
24
A client with genital herpes asks about managing outbreaks. Which is correct?
"Condoms prevent spread fully."
"Avoid sex during outbreaks."
"No treatment is needed."
"Antivirals cure herpes."
25
Which of the following statements indicates to the nurse that elder neglect has occurred?
“My child constantly tells me I am a terrible parent."
“My child leaves me at home without food most days."
“My child won’t let me access my bank accounts.”
“My child pushed me against the wall yesterday.”
26
A SAD PERSONS score of 7 or higher indicates:
Mild risk, requiring outpatient monitoring
High risk, needing hospitalization
Low risk, no immediate action needed
Moderate risk, needing counseling
27
What is a common healthcare barrier for transgender clients?
Universal insurance coverage
Increased access to inclusive care
Provider lack of knowledge about transgender health
Overrepresentation in research
28
Which assessment should the nurse perform first on a client with dysfunctional uterine bleeding and vaginal drainage?
Color of vaginal discharge
Pain
Blood pressure
Anxiety
29
A nurse is teaching an adolescent about safe sex should say:
“Birth control prevents all STIs.”
“Only abstinence prevents STIs.”
“Condoms reduce but do NOT eliminate STI risk.”
“STIs only affect older adults.”
30
What is the best way to help a client quit smoking?
Develop a quit plan.
Suggest cold turkey.
Recommend fewer cigarettes.
Tell them to stop now.
31
A COPD client joins pulmonary rehab. What type of prevention is this?
Primary
Secondary
Avoidance
Tertiary
32
A client experiencing alcohol withdrawal requires which priority intervention?
Monitor vital signs and seizure precautions
Allow the client to withdraw alone
Encourage drinking fluids
Provide a high-protein diet
33
Electroconvulsive therapy (ECT) is used for:
Major Depressive Disorder that hasn’t responded to medication
Personality disorders
Mild anxiety disorders
ADHD
34
A PAP smear test detects:
Ovarian cysts
Cervical changes and HPV changes
Breast cancer
Endometriosis
35
A male client asks about ED treatment. The nurse expects:
Estrogen therapy
Clomid
Insulin
Sildenafil (Viagra)
36
What is an appropriate question when assessing a client's sexuality?
"Are you ashamed of preferences?"
"Do you have concerns about sexual health?"
"Why haven't you sought care?"
"How often do you have sex?"
37
What is a KEY symptom of gonorrhea in females?
Foul-smelling discharge
Often asymptomatic
Painless ulcer
Skin rash
38
A lesbian client expresses discomfort with assumptions about her sexual activity at a visit. What should the nurse do?
Assume she has had male partners
Reassure her she is not at risk for STIs
Avoid asking sexual history
Use open-ended questions about her sexual health practices
39
A client with vaginal dryness, that has has a hysterectomy, may need:
Estrogen therapy
Antifungals
Insulin
Calcium
40
The highest priority intervention for a suicidal client in an inpatient setting is:
Asking the client to sign a no-suicide contract
Removing harmful objects and providing close monitoring
Encouraging participation in group therapy
Providing frequent reassurance
41
Which STI causes a foul-smelling, green discharge?
Gonorrhea
Syphilis
Trichomoniasis
Chlamydia
42
A common cause of male infertility is:
Low sperm count
Low estrogen
HPV infection
Irregular ovulation
43
What is a modifiable factor that can improve fertility?
Taking antibiotics
Avoiding exercise
Reducing alcohol intake
Increasing testosterone supplements
44
When is a domestic violence at highest risk?
When attempting to leave the realtionship
When abuse is emotional rather than physical
During the honeymoon phase
If they have children
45
A nurse is assessing a client experiencing moderate anxiety. Which finding should the nurse expect?
Pounding heartbeat and increased respirations
Complete lack of awareness of surroundings
Increased ability to focus on details
Delusions and hallucinations
46
A common side effect of ECT is:
Hyperactivity
Increased energy
Confusion and short-term memory loss
Weight gain
47
What is a common financial barrier for infertility treatment?
Male partner refusal
Religious beliefs
High failure rates
Lack of insurance coverage
48
How can a nurse support a transgender client preparing for surgery?
Warn of surgery regret
Rely on family for support
Provide peer support resources
Suggest delaying surgery
49
Which emergency contraception is available over the counter?
Plan B (Levonorgestrel)
Monthly birth control pills
Ella (Ulipristal)
Copper IUD
50
A sign of severe alcohol withdrawal (delirium tremens) is:
Decreased appetite and fatigue
Mild anxiety and insomnia
Hallucinations and seizures
Muscle weakness and low blood pressure
51
Which statement by a client taking an SSRI for depression requires further teaching?
“It might take a few weeks before I start feeling better.”
“If I don’t feel better in a few days, I should double my dose.”
“I may have some sexual side effects while taking this medication.”
“I should not stop taking this medication suddenly.”
52
A school nurse does vision screenings. What type of prevention is this?
Health maintenance
Primary
Secondary
Tertiary
53
A client is diagnosed with Major Depressive Disorder. Which symptom is a priority for the nurse to assess?
Lack of energy
Insomnia or hypersomnia
Poor concentration
Suicidal ideation
54
Which hormone surges before ovulation?
LH (Luteinizing Hormone)
Estrogen
Progesterone
FSH (Follicle Stimulating Hormone)
55
A nurse is teaching a client about the menstrual cycle. Which of the following statements should the nurse include?
“The average menstrual cycle occurs every 45 days.”
“An ovum is released each cycle when menstruation begins.”
“The menstrual cycle begins on the last day of menstrual flow.”
“Most clients menstruate for about three to five days each cycle.”
56
Which statement shows understanding of IUD use?
"IUDs are only for women with children."
"IUDs last 10 years."
"IUDs may increase infection risk after insertion."
"IUDs require no maintenance."
57
A couple has been trying to conceive for 14 months. What is the next step?
Recommend birth control for cycle regulation
Start progesterone injections
Wait 6 more months
Refer to a fertility specialist
58
A woman taking Clomid for infertility should be educated about which common side effect?
Weight loss
Increased risk of cervical cancer
Increased appetite
Hot flashes
59
Which is a contraindication for ECT?
Schizophrenia
History of anxiety disorder
Recent myocardial infarction
Treatment-resistant depression
60
A client joins cardiac rehab after a heart attack. This is an example of:
Health promotion
Primary prevention
Tertiary prevention
Secondary prevention
61
How can a client prevent osteoporosis?
Take calcium only if needed
Increase calcium and vitamin D
Avoid weight-bearing exerise
Avoid dairy completely
62
Nurses must document suspected abuse assessments:
By using vague, general terms
By recording injuries and statements verbatim
By summarizing finding without client quotes
Only if the client requests documentation
63
A client with severe anxiety is pacing the room and wringing their hands. What’s the nurse’s priority intervention?
Encourage the client to verbalize feelings
Offer a sedative medication immediately
Minimize environmental stimuli and use a calm voice
Leave the client alone to calm down
64
After trying to conceive for 18 months unsuccessfully, what is the first diagnostic test for the male partner?
Testosterone levels
Sperm penetration assay
Semen analysis
Scrotal ultrasound
65
Which birth control method also protects against STIs?
Implant
Male condom
IUD
Oral contraceptives
66
Which of the following client statements indicates teaching about a laparoscopy was effective?
“A biopsy will be completed during a separate procedure.”
“I will be awake during the procedure."
“The provider will examine the inside of my uterus.”
“I will have several small incisions on my abdomen.”
67
Tricyclic antidepressants (TCAs) have serious side effects, including?
Hyperactivity and restlessness
Increased libido and improved focus
Cardiac dysrhythmias and urinary retention
Increased appetite and weight gain
68
Which contraceptive method protects against STIs?
Implant
Oral contraceptives
Male condom
IUD
69
A client asks about the HPV vaccine. The best response is:
“You must get it before age 18.”
“It’s recommended until age 45.”
“It’s only for females.”
“It prevents all cervical cancers.”
70
Which birth control method requires daily adherence?
Oral contraceptives pills
IUD
Impant
Depo-Provera
71
Which test assess fallopian tube patency?
Hysterosalpingography (HSG)
Ultrasound
Laparoscopy
Colposcopy
72
A key symptom of Major Depressive Disorder is:
Increased energy levels
Delusions and paranoia
Excessive talking and risk-taking behaviors
Inability to feel pleasure
73
A nurse is reviewing lab results for a client receiving testosterone therapy. Which lab result is expected?
Hypoglycemia
Polycythemia
Hyponatremia
Leukocytosis
74
A client is at the highest risk for suicide when they have:
Firearm access, no support system, and previous attempts
A vague plan but strong support system
A supportive family and good coping mechanisms
Mild depressive symptoms and no history of suicide attempts
75
A client with BRCA1 mutation asks about breast cancer screening. The nurse should recommend:
Self-breast exams only
No screening until symptoms appear
Annual mammograms starting at age 40
Annual MRI and mammogram starting at age 25-30
76
The nurse is assessing a client who has prostatitis. Which finding is expected?
Blood Urea Nitrogen is elevated.
The client reports that they are voiding more than usual.
The client states, “I sometimes see blood in my urine.”
Prostate Specific Antigen level is below the reference range.
77
An intervention for osteoporosis prevention in menopause is:
High-fat diet
Weight-bearing exercises
Increased caffeine intake
Smoking cessation only
78
What is a safe weight loss goal?
Use weight-loss drinks.
Cut all carbs suddenly.
Lose 1-2 lbs per week.
Skip meals to lose weight.
79
Which is a common sexual change in postmenopausal women?
Vaginal dryness
Increased vaginal lubrication
Increased libido
Shorter orgasms
80
A hypertensive client understands diet teaching if they say:
“I’ll limit my water intake.”
“I need more saturated fat.”
“I’ll avoid processed foods.”
“I’ll use herbal remedies."
81
Which STI is caused by a virus?
Gonorrhea
Syphilis
Chlamydia
Herpes
82
A nurse is caring for a client with HPV. Which of the following is the client at risk for developing?
Diabetes
Cancer
Erectile dysfunction
Infertility
83
A nurse is evaluating a client on an MAO inhibitor. The nurse should teach the client to avoid which foods?
Fresh fruits and vegetables
Whole grain breads and lean meats
Aged cheese and cured meats
Grilled chicken and brown rice
84
Which client should NOT use a combined oral contraceptive pill?
A 38-year-old who smokes one pack per day
A 30-year-old with a history of migraine without aura
A 45-year-old with controlled hypertension
A 24-year-old who smokes 5 cigarettes a day
85
Which statement by a client taking an SSRI indicates a need for further teaching?
“I should report any increase in suicidal thoughts.”
“I might experience mild nausea when I first start this medication.”
“It may take a few weeks for this medication to work.”
“I should not take St. John’s Wort with my SSRI.”
86
What is a key teaching point for the fertility awareness method as contraception?
“Barrier methods should not be used in combination with this method.”
“You do not need to monitor ovulation closely."
“You should track basal body temperature and cervical mucus changes daily.”
“This method is 100% effective at preventing pregnancy.”
87
Which of the following statements is the highest priority for the nurse to make to a client with bacterial prostatitis?
“Take the full course of antibiotics as prescribed.”
“Take a warm bath to decrease your pain.”
“Use a condom during sexual intercourse.”
“Increase your fluid intake.”
88
A diabetic client is frustrated about checking blood sugar. What’s the nurses best response?
“You must check it as ordered."
“Uncontrolled sugar is dangerous.”
“Your doctor can adjust your plan.”
“What concerns you most about testing?”
89
Depression often coexists with which other condition(s)?
Bipolar disorder
Schizophrenia
Obsessive-compulsive disorder
Anxiety and irritability
90
Transcranial Magnetic Stimulation (TMS) is:
A medication for depression
A surgical procedure
Magnetic pulses used to stimulate brain areas
A form of talk therapy
91
A woman on Clomid should report which side effect?
Hair loss
Low blood pressure
Weight gain
Vision changes
92
Which contraceptive method provides the highest effectiveness when used correctly?
Fertility Awareness
Withdrawal
Condom
Implant (Nexplanon)
93
A pregnant client tests positive for chlamydia. What is the treatment of choice?
Doxycycline 100 mg BID for 7 days
Metronidazole
Azithromycin 1 g PO once
Ceftriaxone
94
Which client statement shows understanding of exercise benefits?
“Exercise helps my heart and mood.”
“Only intense workouts count.”
“Only weight loss matters."
“I should avoid all exercise."
95
Which client statement needs more teaching about exercise?
“Walking helps my heart.”
“I don’t need to warm up."
“Strength training helps."
“I’ll walk 150 minutes per week.”
96
Which is an example of primary prevention?
Diabetes management
Cancer screening
Flu vaccine
Cardiac rehab
97
A client recovering from alcohol use disorder should be encouraged to:
Avoid discussing past drinking habits
Take an antidepressant to prevent relapse
Participate in Alcoholics Anonymous meetings
Use alcohol in moderation
98
A painless ulcer on the genitals is a characteristic of:
Syphilis (primary stage)
Trichomoniasis
Chlamydia
Gonorrhea
99
A major hormonal change during menopause is:
Increases testosterone
Increased follicle stimulating hormone (FSH)
Increased progesterone
Decreased estrogen
100
Which statement by the client indicates that the client is experiencing the “Tension Building Phase”?
“My partner forced me to have sex this morning.”
“My partner took me out to celebrate our anniversary this week.”
“My partner is going to counseling and says they won’t hit me anymore.”
“My partner has been criticizing me all week.”
101
A client with prostatitis, asks “What should I do if I cannot pee?” Which is the best response from the nurse?
“You should stop drinking fluids until you can pass your urine.”
“This is expected. Try passing your urine again in several hours.”
“Taking your pain medication will allow you to pass urine.”
“You should seek emergency treatment.”
102
A client with PCOS trying to conceive is most likely to be prescribed:
Metformin only
Clomiphene citrate (Clomid)
Estrogen
Progesterone-only pills
103
Teaching teens about safe sex is what level of prevention?
Teritary
Primary
Secondary
Palliative
104
A nurse teaching a postmenopausal woman about sex should include:
“You no longer need vaginal lubrication.”
“STI risk still exists, use protection.”
“Menopause eliminates infection risks."
“You can stop all reproductive screenings."
105
A client struggles to take their medication. What’s the best response?
“Here’s a pamphlet on meds.”
“What makes it hard to take.”
“Ask your doctor for options.”
“You must take it as prescribed."
106
Which statement about combined oral contraceptives (COCs) indicates a need for further teaching?
“COCs can help regulate menstrual cycles.”
“COCs protect against STIs.”
“COCs should be take at the same time everyday for maximum effectiveness.”
“COCs contain both estrogen and progesterone.”
107
Which emotional support is best for a couple undergoing fertility treatments?
"Stay hopeful and avoid stress."
"Adoption resolved infertility pain."
"Consider stopping treatments."
"Discuss your emotions openly."
108
When should an average-risk adult get a colonoscopy?
40 years old
45 years old
35 years old
55 years old
109
Which statement would the nurse expect from a client with erectile dysfunction?
“My partner and I have been trying to have a baby for a long time."
“I am not able to have sexual intercourse.”
“I have trouble emptying my bladder completely.”
“I am not able to have an orgasm during sexual intercourse.”
110
A client says, “I know smoking is bad, but I’m not ready to quit.” What stage of change is this?
Preparation
Maintenance
Contemplation
Precontemplation
111
A 55-year-old male asks about prostate cancer screening. What should the nurse advise?
Annual PSA testing is mandatory after 50
All men need a biopsy after 50
Digital rectal exams are no longer used
Screening is recommended basted on individual risk factors and the provider
112
At what age should a woman start getting mammograms?
40-44 years (optional), 45-54 years annually
25 years old
After menopause
At first pregnancy
113
Asking about suicidal thoughts:
Helps assess risk and prevent suicide attempts
Encourages the client to act on suicidal thoughts
Should only be done by mental health professionals
Is inappropriate unless the client brings it up
114
What is a common symptom during menopause?
Hot flashes
High estrogen levels
Increased fertility
Increased libido
115
A client says, “I drink beer when stressed.” What should the nurse do?
Suggest deep breathing only.
Recommend more sleep.
Teach healthy coping methods.
Encourage occasional drinking.
116
Secondary suicide prevention includes:
Offering grief support to survivors of suicide loss
Providing suicide precautions in a hospital setting
Teaching suicide prevention in schools
Encouraging self-care strategies
117
What is a common barrier to STI education?
Too many resources
Overuse of condoms
Increased vaccine availablility
Lack of public awareness
118
What vaccine should adults get yearly?
Hepatitis B vaccine
Flu vaccine
Pneumococcal vaccine
Shingles vaccine
119
Which statement shows a client is in the action stage of weight loss?
“I plan to start next month."
“I go to the gym 3 times a week.”
“I think about eating healthier."
“I tried dieting before."
