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Final Flashcards

1
Q

In general, natural menopause occurs for most women between the ages of ____ years

A

48 and 55

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2
Q

Narcissistic personality disorder is more likely to occur in families that

A

Teach children they are special and entitled to the best in life.

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3
Q

Which of the following is no longer performed because it does not offer any survival advantage?

A

radical masectomy

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4
Q

Which of the following is a chronic, relapsing inflammatory disorder of the hair follicles that can have similar appearance to sebaceous cysts in the early stages?

A

Hidradenitis suppurativa

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5
Q

Which of the following is not a protective factor against developing breast cancer?

A

moderate physical activity

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6
Q

Conrad, a 26-year old male, is being treated for cuts after being arrested for breaking the windows in the home of his girlfriend, who has just told him that they are through. He has history of having been physically abused by his father, setting fire as a child, treatment for substance abuse, and arrest for stealing a car. Which of the following personality disorders might the clinician consider?

A

Antisocial

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7
Q

Which vaccine is not recommended for women over the age of 26?

A

HPV

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8
Q

In the GTPAL system for recording pregnancy history, the T stands for

A

term births.

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9
Q

Patients with histrionic personality disorder frequently manifest which of the following?

A

Use of their appearance to the be the center of attention.

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10
Q

Core symptoms of complicated grief include experiencing which of the following symptoms more than 6 months after death?

A

All of the above.

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11
Q

The most common type of UTI affecting women

A

acute bacterial cystitis

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12
Q

Open-ended questions

A

Are useful in the beginning of an interview

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13
Q

Which of the following is known to be a risk factor for cognitive decline?

A

Loneliness and social isolation

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14
Q

A predisposing event would be all of the following except?

A

Recent arrests or incarceration’s

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15
Q

Which of the following is considered secondary prevention?

A

Routine laboratory screenings

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16
Q

Some childhood disorders persist in the same form into adulthood, but some may increase the risk for other psychiatric disorders. Which of the following childhood disorders increases risk for other psychiatric disorder

A

Oppositional-defiant disorder

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17
Q

True or false? Clinicians who work in practices located in high-prevalence areas should consider all sexually active women in non-monogamous relationships at increased risk of STIs

A

True

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18
Q

The patient says that she has been feeling sad and having difficulty sleeping over the past 6 weeks. She says she has lost her appetite and has lost about 10lbs. This is the first time she has felt this way and she can not recall any specific unsettling event. Given this minimal information, an initial diagnosis might be:

A

Major depression; single episode.

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19
Q

For a patient who is over inclusive or rambling the clinician

A

Uses direction and redirection

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20
Q

The clinical effects and withdrawal symptoms of amphetamines are similar to those of

A

heroine

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21
Q

Increased risk for suicide has been associated with

A

Coexisting alcohol use disorders

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22
Q

What is the definition of primary amenorrhea

A

The failure to begin menses by age 16

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23
Q

In teaching about the management of the care of a patient with major depressive disorder who has expressed thoughts of suicide, the advanced practice nurse emphasizes that the risk is greatest:

A

When the patient begins to feel more energetic

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24
Q

What is the general goal of surgical tx for UI

A

To support and stabilize the urethra

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25
Q

Women’s health risks, treatments, and approaches are not always based in science and biology because

A

They are determined by social expectations and gender assumptions

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26
Q

All of the following diagnostic testing and procedures, for infertility are now infrequently performed in clinical practice except:

A

hysterosalpingogram

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27
Q

What should be used for women whose hirsutism remains refractory after 6 months of combined oral contraceptive use?

A

Antiandrogens

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28
Q

A patient who is being evaluated in the emergency room says that she is a mother deity, the earth mother god who is all-powerful. The advanced practice nurse states that the patient is

A

experiencing a delusion

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29
Q

Of the two intrauterine contraceptive devices currently available in the US, only one provides a local delivery of protestin. Is is the:

A

LNG-IUS (Mirena)

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30
Q

Narcissistic personality disorder is characterized by symptoms that

A

include attitudes of grandiosity and entitlement

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31
Q

Which of the following is a frontline tx for insomnia in depressed elderly individuals?

A

Sleep hygiene

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32
Q

A factor that has frequently been associated with children’s increased risk of experiencing maltreatment is

A

Having a parent with mental illness and substance abuse

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33
Q

An atypical antipsychotic would be expected to work better than a typical antipsychotic for which of the symptoms?

A

Cognitive dysfunction

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34
Q

where in the breast do most malignancies develop?

A

Upper outer quadrant

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35
Q

The tricyclic antidepressant class of medications can be characterized by all of the following properties except

A

Safety in overdose

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36
Q

At what phase is the cervical mucus clear, copious, and elastic?

A

During the last follicular phase

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37
Q

Why have women’s changing roles come at a cost of their health

A

Balancing competing demands increases stress

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38
Q

The neurotransmitters most widely accepted to be dysregulated in delirium are

A

Dopamine and acetylcholine

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39
Q

Regarding alcohol withdrawal delirium or delirium tremens, which of the following is true?

A

Symptoms may include agitation and abnormal preceptions

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40
Q

Current treatment approaches for dual diagnosis or co-occurring disorders focuses on

A

Treating all co-occurring disorders as primary disorders

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41
Q

Pelvic pain in adolescents is almost always

A

Gynecological

42
Q

Which of the following is a new focus area added for Healthy People 2020?

A

Lesbian, gay, bisexual, and transgender health.

43
Q

Among women aged 55 years and older

A

Breast masses are presumed malignant until proven otherwise.

44
Q

What is the best definition of abnormal uterine bleeding (AUB)?

A

Uterine bleeding that is irregular in amount or frequency

45
Q

Susan, a 35-year-old single female who has a history of panic attacks that interfere with her working, has become afraid to go out alone and prefers to have a family member stay with her at home at all times. The most appropriate diagnosis based on this limited information is

A

panic disorder with agoraphobia.

46
Q

Why are the majority of cases of ovarian cancer diagnosed when the disease has already reached an advanced stage?

A

Symptoms are vague

47
Q

In considering suicide among older adults, it has been found that they are more likely than younger adults to

A

plan carefully

48
Q

The patient says that for the last 5 years, she has begun to feel depressed around the time the golf season ends in November and begins to feel better when she is able to get outdoors to play again in April. When she is depressed, she craves carbohydrates, overeats, and gains weight. She has no energy and wants to sleep all the time and she is irritable and snaps at people. The psychiatric advanced practice nurse considers which of the following diagnoses?

A

Major depressive disorder with seasonal pattern

49
Q

Symptoms of alcohol withdrawl

A

Are most severe 24 to 28 hours after last drink

50
Q

What field of study informs qualitative research?

A

Anthropology

51
Q

Which of the following medications used to decrease alcohol consumption interferes with the metabolism of alcohol?

A

Disulfiram (Antabuse)

52
Q

Medications that are frequently used for patients with dementia are

A

Acetylcholinesterase inhibitors

53
Q

_____ Is the most common sexually transmitted infection in the US

A

Chlamydia

54
Q

research has found that sleep therapy is effective in reducing symptoms of which of the following disorder?

A

Depression

55
Q

At this time, in the prevention of schizophrenia, the focus is on?

A

Preventing prodromal symptoms from converting to schizophrenia

56
Q

The side effects of estrogen therapy include:

A

Increased risk of breast cancer

57
Q

the key feature of acute stress disorder is the presence of

A

Symptoms of dissociation

58
Q

Which cancer has the highest mortality rate of all gynecological cancers?

A

Ovarian cancer

59
Q

manic episodes of bipolar disorder are thought to be related to

A

Disruption of sleep-wake cycles.

60
Q

True or False? Although its efficacy is questioned; hormone replacement therapy is considered safe for all postmenopausal women

A

False

61
Q

When used for treatment of a patient with schizophrenia, typical antipsychotics could be expected to be most effective for which of the following symptoms?

A

Hallucinations

62
Q

the key feature of adjustment disorder is

A

the response to a known stressor that occurs within 3 months of the stressor

63
Q

The most effective way to avoid pregnancy is

A

abstinence

64
Q

Which of the following are screening test for type 2 diabetes mellitus

A

All of these are correct

65
Q

If a woman is complaining of bilateral, milky, nipple discharge, the clinician is to first

A

Perform a pregnancy test

66
Q

which screening recommendation is similar across all groups for colorectal cancer?

A

Screening for all women starting at the age of 50

67
Q

which of the following is most common cause of female infertility

A

Ovulatory dysfunciton

68
Q

Although barrier contraception’s methods are less effective in preventing pregnancy than more modern methods, interest in them is on the risk because they

A

can help prevent against STI, including HIV

69
Q

On clinical presentation, patients with OCD tend to

A

Describe a sudden intrusion of unwanted distressful thoughts and the need to do something to reduce their distress

70
Q

You are seeing a lactating mother, 6 weeks postpartum. She is concerned about getting pregnant again. What would be your recommendation?

A

Start her on progestin-only pills (POPs)

71
Q

What is the term for the inflammation of the vagina characterized by an increased vaginal discharge containing numerous white blood cells?

A

Vaginitis

72
Q

What is a common nongynecological cause of chronic pelvic pain

A

Irritable bowel syndrome

73
Q

What is the primary reason many older women live in poverty and have health problems?

A

they have outlived their support system

74
Q

An example of universal preventive intervention would be which of the following

A

Educating Americans about the benefits of following a Mediterranean diet

75
Q

A young adult who works as a court reporter describes herself as being depressed most of the time and says she has been that way since her teens. She denies any weight loss or sleep disturbances. She describes problems with concentration, difficulty making decisions, and lack of energy that are causing her problems at work. which of the following is the most likely diagnosis?

A

Dysthymia

76
Q

What is the leading cause of first-trimester maternal death?

A

Ectopic pregnancies

77
Q

Chlamydia is transmitted from mother to baby

A

during the birth from exposure to the infected cervix

78
Q

What is generally the cause of Bartholin’s cyst

A

Obstruction of the Bartholin’s gland

79
Q

In the early stages of dementia, frontal-temporal dementia is more likely than Alzheimer’s type dementia to be characterized by

A

Personality chagnes

80
Q

Which skills are valued in a clinician taking a health history

A

All of the above

81
Q

What is the leading preventable cause of death across all populations in the US

A

Obesity

82
Q

What has contributed to the decreased incidence of Hepatitis B over the past 20 years?

A

The HBV vaccination

83
Q

the majority of early pregnancy losses are due to

A

chromosomal abnormalities

84
Q

Patients which Schizoid personality disorders are likely to

A

Appear to be cold, aloof, and a loner

85
Q

In obsessives-compulsive disorder, patients are likely to experience

A

Obsessions of symmetry and need to have things just right

86
Q

A woman’s sexual complaint may be attributed to

A

All of these are correct

87
Q

What test should be ordered for a woman who is experiencing AUB as well as headaches and peripheral vision changes

A

Prolactin level test

88
Q

Closed-ended questions

A

are used to gather specific information

89
Q

How many stags does the tanner scale use to stage sexual maturity

A

5 stages

90
Q

Which class of antidepressants has the most anticholinergic side effects?

A

tricyclic antidepressants (TCAs)

91
Q

the medical definition of infertility is the inability to achieve a successful pregnancy after ___ or more of regular unprotected intercourse?

A

12 months

92
Q

Hyperandrogenism in reproductive-aged women is most frequently associated with

A

Polycystic ovary syndrome

93
Q

The primary goal of treatment for patients with post-traumatic stress disorder is to help them to

A

Place the trauma in the larger perspective of their lives

94
Q

There is no one legal definition of rape, which means

A

Clinicians must learn their own state’s definitions and statues.

95
Q

What is the preferred maneuver order of the pelvic examination?

A

External inspection, palpation, speculum, bimanual

96
Q

In treatment of the acute phase of mania the focus is on

A

protecting the patient’s biopsychosocial safety

97
Q

A patients states that she hears voices telling her that she should kill herself. The advanced practice nurse states that the patient is

A

experiencing hallucinations

98
Q

What is one of the most frequent reasons women visit their providers

A

Changes in mensturation

99
Q

Adjustment disorder is often associated with

A

time lost from work

100
Q

Among the midlife health issues of women, the number one cause of mortality in the US is

A

cardiovascular disease.

670 Final (1 decks)

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