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NSG 6430 Final Exam (2018): South University


Question 1 (2.5 points)


The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary incontinence and contributing factors in daily life is:

Question 1 options:


A)        the interview



B)        a voiding diary



C)        the physical exam



D)        the patient’s response to non-pharmacologic treatments



Question 2 (2.5 points)


The nurse practitioner is counseling a 57 year-old patient with urinary incontinence. The patient desires to try non-pharmacological, non-invasive methods of treatment at this time. Which of the following should be included in the patient’s plan of care? Select all that apply.

Question 2 options:


A.    Bladder training


B.     Kegel exercises


C.     Eliminate caffeine and alcohol consumption


D.    Use of bulking agents


Question 3 (2.5 points)


The nurse practitioner is performing a bimanual exam on a new OB patient and notices that the lower portion of the patient’s uterus is soft. This is known as:

Question 3 options:


A)        Hegar’s Sign



B)        Chadwick’s Sign



C)        Nightingale’s Sign



D)        Goodell’s Sign



Question 4 (2.5 points)


Your female patient presents for vaginal discharge with an odor, and has noticed painless “bumps” on her vaginal area. Sexual history includes past male partners and her current female partner. On exam you note beefy red papules and an ulcerative lesion on her vulva, granular tissue and scarring, and inguinal adenopathy. You suspect she has:

Question 4 options:


A)        HSV-2



B)        Granuloma Inguinale



C)         Chancroid



D)        Molluscum Contagiosum



Question 5 (2.5 points)


The physical examination of any woman suspected of being abused or battered includes all of the following except:

Question 5 options:


A)        a thorough inspection for signs of injury, past and present



B)        a physical assessment just like that of any other adult female



C)        a focus on the patient’s physical appearance, not her behavior



D)        the use of body maps and diagrams to accurately portray the patient’s physical condition



Question 6 (2.5 points)


The most effective means of obtaining the history of abuse is to use a communication model that:

Question 6 options:


A)        avoids having the patient’s children present during the discussion



B)        signals someone is interested and that the woman is not alone



C)        emphasizes the belief that violence is not acceptable, no matter what the batterer might have said to the patient



D)        allows the patient to talk without interruption and with time to relate, emphasize, and repeat her full story



Question 7 (2.5 points)


Clinicians should routinely consider intimate partment violence (IPV) as a possible diagnosis for women who present with all of the following except:

Question 7 options:


A)        chronic stress-related symptoms



B)        denial of any physical health problems



C)        central nervous system (CNS) symptoms



D)        gynecologic problems, especially multiple ones



Question 8 (2.5 points)


The factors that enable women to enjoy and control their sexual and reproductive lives, including a physical and emotional state of well-being and the quality of sexual and other close relationships, make up a woman’s:

Question 8 options:


A)        sexual health



B)        gender identit



C)        gender role behaviors



D)        psychosocial orientation



Question 9 (2.5 points)


Which one of the following is not among the ways clinicians can provide a welcoming, safe environment for Lesbian, Gay, Bixsexual, or Transgender (LGBT) patients?

Question 9 options:


A)        Avoid the heterosexual assumption by using gender-neutral language.



B)        Explain whether and how information will be documented in the patient’s medical record.



C)        Ignore the sexual status or gender identity of all patients.



D)        Offer mainstream referrals that are culturally sensitive to SGMs.



Question 10 (2.5 points)


Which one of the following is the definition of the term “gender identity”?

Question 10 options:


A)        People who respond erotically to both sexes



B)        A self-label, regardless of biologic or natal sex



C)        People who are similar in age, class, and sexual status



D)        A label for behavior not usually associated with one’s natal sex


NSG 6430 Final Exam
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