artner violence in this country is:

a. 1 in 2.
b. 1 in 4.
c. 1 in 6.
d. 1 in 8.


   2. When presenting a talk to high school students on intimate partner violence, the nurse explains that:

a. proportionately, more men become homicide victims than do women.
b. violence often begins early in a relationship and gets progressively worse.
c. intimate partner abuse is generally confined to the lower socioeconomic strata.
d. violence occurs randomly without any association with family violence during childhood.


   3. A nurse works with a diverse clientele. When discussing intimate partner violence (IPV) with women from differing cultural backgrounds, the nurse should emphasize that:

a. rates of IPV are roughly the same among different cultural/ethnic groups.
b. women should take advantage of the resources available to victims of IPV.
c. although cultural perceptions of abuse may differ, harming others is illegal.
d. interventions in IPV situations should not take immigration status into account.


   4. A clinic nurse is taking a history from a woman who has vague complaints she can’t describe well. The nurse is frustrated and consults a more experienced nurse who advises checking the chart for:

a. chronic illnesses.
b. psychiatric problems.
c. missed appointments.
d. drug or alcohol abuse.


   5. A woman seen in the emergency department has facial injuries she states were the result of being hit during an attempted purse-snatching. Which diagnostic finding would lead the nurse to believe the patient’s account is accurate? The patient has:

a. a mandibular fracture.
b. loose and missing teeth.
c. a zygomatic arch fracture.
d. an orbital blow out fracture.


   6. A woman is complaining of a sore throat and difficulty swallowing over the last several weeks. Her complete blood count (CBC) and rapid strep swab are normal. The nurse should next assess for:

a. an intact gag reflex.
b. a history of smoking.
c. signs of strangulation.
d. intimate partner violence.


   7. The nurse is counseling a pregnant woman who is in a violent relationship about some of the consequences of intimate partner violence (IPV) during pregnancy. Which statement by the nurse is inconsistent with current knowledge about this situation?

a. Violence tends to decrease when a woman is pregnant.
b. Babies born to women experiencing violence often are premature.
c. Approximately one-third of homicides of pregnant women are related to IPV.
d. Kidney infections occur more often in pregnant women experiencing IPV.


   8. A woman is experiencing intimate partner violence (IPV) and the nurse is trying to assist her to identify resources. The woman states she has no real friends anymore and her family won’t help her. The nurse can most likely conclude that:

a. no one believes the woman is being harmed.
b. the violence is not as bad as the woman says it is.
c. the family and friends are tired of trying to help her.
d. the abuser has isolated her and intimidated her support system.


   9. The manager of a busy clinic initiates a policy for screening for intimate partner violence (IPV) in accordance with the American Nurses Association (ANA) 2000 position statement. The manager explains to the staff that this means:

a. assessing all patients for the presence of IPV at every visit.
b. asking women who have injuries if they have been harmed.
c. only asking women who share a residence with someone about IPV.
d. performing an IPV assessment if the patient shares a concern about it.


   10. A nurse is counseling a woman in a violent relationship about ways to keep herself safe. Which recommendation by the nurse is inconsistent with this goal? The nurse tells the patient to:

a. change the locks on the doors and install window locks.
b. try to leave the house when it appears violence is imminent.
c. pre-pack a bag with important items in case she needs to flee.
d. hide in a closet or small room when her partner is becoming violent.


   11. A woman wonders if she has premenstrual syndrome. The nurse explains that the most important criteria for this diagnosis is:

a. psychological symptoms that disrupt her life.
b. the timing of the symptoms in the menstrual cycle.
c. the presence of at least five major and three minor symptoms.
d. a constellation of symptoms that occur during her cycle.


   12. The nurse understands that the “luteal phase” of the menstrual cycle is the:

a. onset and duration of the monthly menstrual cycle.
b. period of time that begins with ovulation and ends with the beginning of menstruation.
c. first half of the cycle when the ovarian graafian follicle is growing.
d. time when the corpus luteum produces 80% of the circulating estrogen.


   13. A nurse is providing community education on premenstrual syndrome (PMS). Which statement by the nurse is inconsistent with current knowledge about this condition?

a. “Indirect costs are higher than direct medical costs for PMS.”
b. “The direct economic costs associated with PMS are substantial.”
c. “Symptoms must occur for at least six cycles for a diagnosis of PMS to be made.”
d. “There are at least 100 distinct signs and symptoms related to PMS.”


   14. The nurse explains to a patient that the main difference between premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) is:

a. the symptoms are more severe and disabling in PMDD.
b. psychiatric symptoms are present exclusively in PMDD.
c. the absence of gastrointestinal symptoms in PMDD.
d. that no effective treatment exists for PMDD.


   15. A patient is in the clinic with symptoms of premenstrual syndrome (PMS). She reports extreme fatigue, depression, and a feeling of worthlessness. Which action by the nurse takes priority? The nurse should:

a. prepare the patient for a pelvic exam.
b. order blood work for hormone levels.
c. assess the patient for suicidal thoughts.
d. take a thorough history of the patient’s complaints.


   16. A woman with symptoms of premenstrual syndrome (PMS) asks whether or not she should have serum hormone testing. The best response by the nurse is:

a. “Yes, hormone levels are important in establishing a diagnosis of PMS.”
b. “Yes, we can draw serial hormone levels throughout your menstrual cycle.”
c. “No, actually hormone levels are similar in women with and without PMS.”
d. “Not right now, unless you are in the follicular stage of your menstrual cycle.”


   17. A patient has symptoms she thinks are related to premenstrual syndrome (PMS). A strategy the nurse can teach the patient that would help with confirming the diagnosis is to:

a. monitor how long each menstrual cycle lasts.
b. keep a symptom diary for two to three menstrual cycles.
c. avoid caffeine and other stimulants while menstruating.
d. investigate the relationship between symptoms and exercise.


   18. A nurse is teaching a woman with premenstrual syndrome (PMS) about exercise as a treatment modality. Which instruction by the nurse is most accurate?

a. “Avoid low-intensity exercise like yoga and stretching.”
b. “Vigorous exercise is better than moderate exercise for PMS.”
c. “You need to exercise moderately at least 75 minutes a week.”
d. “Exercising moderately for about 150 minutes a week can help with PMS symptoms.”


   19. A woman with premenstrual syndrome asks about alternative and complementary medicine practices that might be helpful for her. The nurse explains that:

a. evening primrose (Oenothera biennis) has been proven beneficial in relieving PMS symptoms.
b. chasteberry has not been approved for use for PMS symptoms in any country.
c. good randomized trials of relaxation therapy demonstrate a clear benefit in PMS symptom relief.
d. there are some herbal remedies that may help to reduce PMS symptoms, but claims about the benefits associated with other herbal products are unsubstantiated.


   20. A woman who has premenstrual syndrome (PMS) has been prescribed spironolactone (Aldactone) for her symptoms. The nurse would evaluate that treatment with this medication has been effective when the patient says:

a. “I am so glad I don’t get my period anymore because of this medication.”
b. “I have really noticed a decrease in my bloating while on this medication.”
c. “My anxiety and depression have slowly gotten better with this medicine.”
d. “My partner and I like that this medication decreases my PMS symptoms and provides contraception.”


   21. A patient asks how obesity is related to the development of breast cancer. The best response by the nurse is that:

a. adipose tissue can hide the developing tumors easily.
b. limited exercise contributes to several types of cancer.
c. estrogen is produced in adipose tissue after menopause.
d. larger breasts in heavy women are more prone to cancer.


   22. A nurse wishes to plan a breast health educational activity. In order to have the greatest potential impact, in which location should the nurse conduct the activity? The nurse should plan to conduct this activity in:

a. a busy shopping mall.
b. several local fitness centers.
c. high school and college health centers.
d. a predominantly African-American church.


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