Final

Question 1

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

Answer 1

48 and 55

Question 2

Narcissistic personality disorder is more likely to occur in families that

Answer 2

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

Question 3

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

Answer 3

radical masectomy

Question 4

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?

Answer 4

Hidradenitis suppurativa

Question 5

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

Answer 5

moderate physical activity

Question 6

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?

Answer 6

Antisocial

Question 7

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

Answer 7

HPV

Question 8

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

Answer 8

term births.

Question 9

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

Answer 9

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

Question 10

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

Answer 10

All of the above.

Question 11

The most common type of UTI affecting women

Answer 11

acute bacterial cystitis

Question 12

Open-ended questions

Answer 12

Are useful in the beginning of an interview

Question 13

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

Answer 13

Loneliness and social isolation

Question 14

A predisposing event would be all of the following except?

Answer 14

Recent arrests or incarceration’s

Question 15

Which of the following is considered secondary prevention?

Answer 15

Routine laboratory screenings

Question 16

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

Answer 16

Oppositional-defiant disorder

Question 17

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

Answer 17

True

Question 18

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:

Answer 18

Major depression; single episode.

Question 19

For a patient who is over inclusive or rambling the clinician

Answer 19

Uses direction and redirection

Question 20

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

Answer 20

heroine

Question 21

Increased risk for suicide has been associated with

Answer 21

Coexisting alcohol use disorders

Question 22

What is the definition of primary amenorrhea

Answer 22

The failure to begin menses by age 16

Question 23

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:

Answer 23

When the patient begins to feel more energetic

Question 24

What is the general goal of surgical tx for UI

Answer 24

To support and stabilize the urethra

Question 25

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

Answer 25

They are determined by social expectations and gender assumptions

Question 26

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

Answer 26

hysterosalpingogram

Question 27

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

Answer 27

Antiandrogens

Question 28

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

Answer 28

experiencing a delusion

Question 29

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

Answer 29

LNG-IUS (Mirena)

Question 30

Narcissistic personality disorder is characterized by symptoms that

Answer 30

include attitudes of grandiosity and entitlement

Question 31

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

Answer 31

Sleep hygiene

Question 32

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

Answer 32

Having a parent with mental illness and substance abuse

Question 33

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

Answer 33

Cognitive dysfunction

Question 34

where in the breast do most malignancies develop?

Answer 34

Upper outer quadrant

Question 35

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

Answer 35

Safety in overdose

Question 36

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

Answer 36

During the last follicular phase

Question 37

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

Answer 37

Balancing competing demands increases stress

Question 38

The neurotransmitters most widely accepted to be dysregulated in delirium are

Answer 38

Dopamine and acetylcholine

Question 39

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

Answer 39

Symptoms may include agitation and abnormal preceptions

Question 40

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

Answer 40

Treating all co-occurring disorders as primary disorders

Question 41

Pelvic pain in adolescents is almost always

Answer 41

Gynecological

Question 42

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

Answer 42

Lesbian, gay, bisexual, and transgender health.

Question 43

Among women aged 55 years and older

Answer 43

Breast masses are presumed malignant until proven otherwise.

Question 44

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

Answer 44

Uterine bleeding that is irregular in amount or frequency

Question 45

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

Answer 45

panic disorder with agoraphobia.

Question 46

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

Answer 46

Symptoms are vague

Question 47

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

Answer 47

plan carefully

Question 48

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?

Answer 48

Major depressive disorder with seasonal pattern

Question 49

Symptoms of alcohol withdrawl

Answer 49

Are most severe 24 to 28 hours after last drink

Question 50

What field of study informs qualitative research?

Answer 50

Anthropology

Question 51

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

Answer 51

Disulfiram (Antabuse)

Question 52

Medications that are frequently used for patients with dementia are

Answer 52

Acetylcholinesterase inhibitors

Question 53

_____ Is the most common sexually transmitted infection in the US

Answer 53

Chlamydia

Question 54

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

Answer 54

Depression

Question 55

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

Answer 55

Preventing prodromal symptoms from converting to schizophrenia

Question 56

The side effects of estrogen therapy include:

Answer 56

Increased risk of breast cancer

Question 57

the key feature of acute stress disorder is the presence of

Answer 57

Symptoms of dissociation

Question 58

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

Answer 58

Ovarian cancer

Question 59

manic episodes of bipolar disorder are thought to be related to

Answer 59

Disruption of sleep-wake cycles.

Question 60

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

Answer 60

False

Question 61

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

Answer 61

Hallucinations

Question 62

the key feature of adjustment disorder is

Answer 62

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

Question 63

The most effective way to avoid pregnancy is

Answer 63

abstinence

Question 64

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

Answer 64

All of these are correct

Question 65

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

Answer 65

Perform a pregnancy test

Question 66

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

Answer 66

Screening for all women starting at the age of 50

Question 67

which of the following is most common cause of female infertility

Answer 67

Ovulatory dysfunciton

Question 68

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

Answer 68

can help prevent against STI, including HIV

Question 69

On clinical presentation, patients with OCD tend to

Answer 69

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

Question 70

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

Answer 70

Start her on progestin-only pills (POPs)

Question 71

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

Answer 71

Vaginitis

Question 72

What is a common nongynecological cause of chronic pelvic pain

Answer 72

Irritable bowel syndrome

Question 73

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

Answer 73

they have outlived their support system

Question 74

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

Answer 74

Educating Americans about the benefits of following a Mediterranean diet

Question 75

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?

Answer 75

Dysthymia

Question 76

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

Answer 76

Ectopic pregnancies

Question 77

Chlamydia is transmitted from mother to baby

Answer 77

during the birth from exposure to the infected cervix

Question 78

What is generally the cause of Bartholin's cyst

Answer 78

Obstruction of the Bartholin's gland

Question 79

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

Answer 79

Personality chagnes

Question 80

Which skills are valued in a clinician taking a health history

Answer 80

All of the above

Question 81

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

Answer 81

Obesity

Question 82

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

Answer 82

The HBV vaccination

Question 83

the majority of early pregnancy losses are due to

Answer 83

chromosomal abnormalities

Question 84

Patients which Schizoid personality disorders are likely to

Answer 84

Appear to be cold, aloof, and a loner

Question 85

In obsessives-compulsive disorder, patients are likely to experience

Answer 85

Obsessions of symmetry and need to have things just right

Question 86

A woman's sexual complaint may be attributed to

Answer 86

All of these are correct

Question 87

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

Answer 87

Prolactin level test

Question 88

Closed-ended questions

Answer 88

are used to gather specific information

Question 89

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

Answer 89

5 stages

Question 90

Which class of antidepressants has the most anticholinergic side effects?

Answer 90

tricyclic antidepressants (TCAs)

Question 91

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

Answer 91

12 months

Question 92

Hyperandrogenism in reproductive-aged women is most frequently associated with

Answer 92

Polycystic ovary syndrome

Question 93

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

Answer 93

Place the trauma in the larger perspective of their lives

Question 94

There is no one legal definition of rape, which means

Answer 94

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

Question 95

What is the preferred maneuver order of the pelvic examination?

Answer 95

External inspection, palpation, speculum, bimanual

Question 96

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

Answer 96

protecting the patient's biopsychosocial safety

Question 97

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

Answer 97

experiencing hallucinations

Question 98

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

Answer 98

Changes in mensturation

Question 99

Adjustment disorder is often associated with

Answer 99

time lost from work

Question 100

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

Answer 100

cardiovascular disease.