Chapter 4 Family Planning
1) A nurse is teaching contraception to a group of college students during a
health class. What reason will the nurse include as to why couples might
choose to use contraception?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Couples use contraception to avoid pregnancy.
2. Couples use contraception to space future pregnancies.
3. Couples use contraception to gain control over the number of children
conceived.
4. Couples use contraception to avoid decisions about the number of children
to have.
5. Couples use contraception to avoid contracting sexually transmitted
diseases.
Answer: 1, 2, 3, 5
Explanation: 1. This is the main reason for the use of contraception.
2. Contraception is used to space children.
3. Contraception is used to control the number of children that a couple
desires.
5. Some types of birth control will avoid sexually transmitted diseasesfor
example, some of the barrier methods.
Page Ref: 53, 57
,Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships to promote health, safety and well-being,
and self-care management. | AACN Essentials Competencies: VII. 5. Use
evidence-based practices to guide health teaching, health counseling,
screening, outreach, disease and outbreak investigation, referral, and follow-
up throughout the lifespan. | NLN Competencies: Relationship-Centered
Care: Communicate information effectively; listen openly and cooperatively.
| Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1 Describe the reasons why women and couples choose
to use contraception.
MNL LO: 6.1.2 Compare advantages, disadvantages, risk factors, and
contraindications of contraception methods.
1
Copyright 2016 Pearson Education, Inc.
2) The nurse is planning an educational session about contraception. What
will the nurse emphasize as being the most significant factor in determining the
effectiveness of a specific method of contraception to avoid pregnancy?
1. Reliability
2. Ease of use
3. Consistency of use
4. Cost
Answer: 3
Explanation: 3. Consistency of use is the most important factor for
determining the effectiveness of a specific type of contraception.
Page Ref: 54
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
,surrogates in active partnerships that promote health, safety and well-being,
and self-care management. | AACN Essentials Competencies: VII. 5. Use
evidence-based practices to guide health teaching, health counseling,
screening, outreach, disease and outbreak investigation, referral, and follow-
up throughout the lifespan. | NLN Competencies: Relationship-Centered
Care: Communicate information effectively; listen openly and cooperatively.
| Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1 Describe the reasons why women and couples choose
to use contraception.
MNL LO: 6.1.2 Compare advantages, disadvantages, risk factors, and
contraindications of contraception methods.
2
Copyright 2016 Pearson Education, Inc.
3) The culturally sensitive nurse will assess cultural attitudes and beliefs
about contraception, which can include which of the following?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Gender inequities
2. Religion
3. Deference to authority figures
4. Devaluation of large families
5. Attitudes about bleeding
Answer: 1, 2, 3, 5
Explanation: 1. Gender inequities may prohibit some Arab, Latina, and Eastern
Indian women from seeking out or using a contraceptive method unless their
husbands do not object.
2. The Roman Catholic Church considers all artificial methods of
contraception unacceptable.
3. Deference to authority figures is not uncommon in traditional Chinese,
Arab, Latina, and East Indian women, especially if the nurse is male.
5. Attitudes toward bleeding affect a womans duties to her family and
, partner. Vaginal bleeding may be seen as unclean by Muslim and Orthodox
Jewish women. Any contraceptive method that involves irregular bleeding
might not be acceptable. Among women who feel a monthly period is
necessary, any method that ultimately causes amenorrhea would not be
acceptable.
Page Ref: 67
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 1. Elicit patient values, preferences,
and expressed needs as part of clinical interview, implementation of care plan
and evaluation of care. | AACN Essentials Competencies: VII. 3. Assess
health/illness beliefs, values, attitudes, and practices of individuals, families,
groups, communities, and populations. | NLN Competencies: Personal and
Professional Development: Demonstrate respect for all persons, and for
human dignity, equality, and justice. | Nursing/Integrated Concepts: Nursing
Process: Assessment
Learning Outcome: 1 Describe the reasons why women and couples choose
to use contraception.
MNL LO: 6.1.2 Compare advantages, disadvantages, risk factors, and
contraindications of contraception methods.
3
Copyright 2016 Pearson Education, Inc.
4) A client in the clinic asks the nurse about available contraceptives. Before
responding, the nurse must assess which of the following factors?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. When menarche occurred
2. How frequently the client has intercourse
3. Whether the client has a history of thrombophlebitis
4. What the clients partner prefers
1) A nurse is teaching contraception to a group of college students during a
health class. What reason will the nurse include as to why couples might
choose to use contraception?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Couples use contraception to avoid pregnancy.
2. Couples use contraception to space future pregnancies.
3. Couples use contraception to gain control over the number of children
conceived.
4. Couples use contraception to avoid decisions about the number of children
to have.
5. Couples use contraception to avoid contracting sexually transmitted
diseases.
Answer: 1, 2, 3, 5
Explanation: 1. This is the main reason for the use of contraception.
2. Contraception is used to space children.
3. Contraception is used to control the number of children that a couple
desires.
5. Some types of birth control will avoid sexually transmitted diseasesfor
example, some of the barrier methods.
Page Ref: 53, 57
,Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships to promote health, safety and well-being,
and self-care management. | AACN Essentials Competencies: VII. 5. Use
evidence-based practices to guide health teaching, health counseling,
screening, outreach, disease and outbreak investigation, referral, and follow-
up throughout the lifespan. | NLN Competencies: Relationship-Centered
Care: Communicate information effectively; listen openly and cooperatively.
| Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1 Describe the reasons why women and couples choose
to use contraception.
MNL LO: 6.1.2 Compare advantages, disadvantages, risk factors, and
contraindications of contraception methods.
1
Copyright 2016 Pearson Education, Inc.
2) The nurse is planning an educational session about contraception. What
will the nurse emphasize as being the most significant factor in determining the
effectiveness of a specific method of contraception to avoid pregnancy?
1. Reliability
2. Ease of use
3. Consistency of use
4. Cost
Answer: 3
Explanation: 3. Consistency of use is the most important factor for
determining the effectiveness of a specific type of contraception.
Page Ref: 54
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
,surrogates in active partnerships that promote health, safety and well-being,
and self-care management. | AACN Essentials Competencies: VII. 5. Use
evidence-based practices to guide health teaching, health counseling,
screening, outreach, disease and outbreak investigation, referral, and follow-
up throughout the lifespan. | NLN Competencies: Relationship-Centered
Care: Communicate information effectively; listen openly and cooperatively.
| Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1 Describe the reasons why women and couples choose
to use contraception.
MNL LO: 6.1.2 Compare advantages, disadvantages, risk factors, and
contraindications of contraception methods.
2
Copyright 2016 Pearson Education, Inc.
3) The culturally sensitive nurse will assess cultural attitudes and beliefs
about contraception, which can include which of the following?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Gender inequities
2. Religion
3. Deference to authority figures
4. Devaluation of large families
5. Attitudes about bleeding
Answer: 1, 2, 3, 5
Explanation: 1. Gender inequities may prohibit some Arab, Latina, and Eastern
Indian women from seeking out or using a contraceptive method unless their
husbands do not object.
2. The Roman Catholic Church considers all artificial methods of
contraception unacceptable.
3. Deference to authority figures is not uncommon in traditional Chinese,
Arab, Latina, and East Indian women, especially if the nurse is male.
5. Attitudes toward bleeding affect a womans duties to her family and
, partner. Vaginal bleeding may be seen as unclean by Muslim and Orthodox
Jewish women. Any contraceptive method that involves irregular bleeding
might not be acceptable. Among women who feel a monthly period is
necessary, any method that ultimately causes amenorrhea would not be
acceptable.
Page Ref: 67
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 1. Elicit patient values, preferences,
and expressed needs as part of clinical interview, implementation of care plan
and evaluation of care. | AACN Essentials Competencies: VII. 3. Assess
health/illness beliefs, values, attitudes, and practices of individuals, families,
groups, communities, and populations. | NLN Competencies: Personal and
Professional Development: Demonstrate respect for all persons, and for
human dignity, equality, and justice. | Nursing/Integrated Concepts: Nursing
Process: Assessment
Learning Outcome: 1 Describe the reasons why women and couples choose
to use contraception.
MNL LO: 6.1.2 Compare advantages, disadvantages, risk factors, and
contraindications of contraception methods.
3
Copyright 2016 Pearson Education, Inc.
4) A client in the clinic asks the nurse about available contraceptives. Before
responding, the nurse must assess which of the following factors?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. When menarche occurred
2. How frequently the client has intercourse
3. Whether the client has a history of thrombophlebitis
4. What the clients partner prefers
