Chapter 6 Womens Health Problems
1) The nurse receives a phone call from a 25-year-old woman experiencing
breast tenderness in the week prior to her menses, with palpable breast
nodularity, without nipple discharge. What is the best response by the nurse?
1. Please make an appointment at the breast cancer center as soon as possible.
2. How much salty food do you regularly consume?
3. As long as you dont have nipple discharge, it isnt a serious condition.
4. Eliminate caffeine and chocolate from your diet.
Answer: 2
Explanation: 2. The client is describing fibrocystic breast changes. A salt
restriction with a mild diuretic taken the week before menstrual bleeding
often improves the condition.
Page Ref: 92
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: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning
,Learning Outcome: 1 Contrast the common benign and malignant breast
disorders.
1
Copyright 2016 Pearson Education, Inc.
2) A client describes breast swelling and tenderness. What piece of data
would be most important for the nurse to gather initially?
1. Timing of the symptoms
2. Birth control method
3. Method of breast self-examination
4. Diet history
Answer: 1
Explanation: 1. The breast undergoes regular cyclical changes in response to
hormonal stimulation. The nurse will want to determine when the swelling
and tenderness occur within the menstrual cycle.
Page Ref: 88, 89
Cognitive Level: Applying
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: IX. 1.
Conduct comprehensive and focused physical, behavioral, psychological,
spiritual, socioeconomic, and environmental assessment of health and illness
parameters in patient, using developmentally and culturally appropriate
approaches. | NLN Competencies: Context and Environment: Read and
interpret data; apply health promotion/disease prevention strategies; apply
health policy; conduct population-based transcultural health assessments and
interventions. | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1 Contrast the common benign and malignant breast
disorders.
3) A client is concerned about her risk for breast cancer. Following the initial
history, the nurse identifies which of the following as a high risk factor for
,breast cancer?
1. History of late menarche and early menopause
2. Sister who has had breast cancer
3. Mother with fibrocystic breast disease
4. Multiparity
Answer: 2
Explanation: 2. Family history of first-degree relative (mother, sister, or
daughter) with breast cancer increases the risk of breast cancer with the number
of first-degree relatives with breast cancer.
Page Ref: 94
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health Screening
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. 1. Assess
protective and predictive factors, including genetics, which influence the health
of individuals, families, groups, communities, and populations. | NLN
Competencies: Context and Environment: Read and interpret data; apply health
promotion/disease prevention strategies; apply health policy; conduct
population-based transcultural health assessments and interventions. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1 Contrast the common benign and malignant breast
disorders.
2
Copyright 2016 Pearson Education, Inc.
4) The nurse is educating a group of women about the manifestations of
benign breast conditions. What information topics will the nurse include?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Masses rapid in appearance or disappearance
, 2. Galactorrhea is common
3. Galactorrhea is seen with some psychiatric medications
4. Ulcerations or skin erosions are possible
5. An increased breast size with dimpling
Answer: 1, 2, 3
Explanation: 1. Fluctuations in size and rapid appearance or disappearance of
breast masses are common in fibrocystic breasts.
2. Galactorrhea is a benign change often associated with hormone therapy.
3. Galactorrhea is often seen in women who have nursed, who have
fibrocystic changes in the breast, or are on some types of psychiatric
medication.
Page Ref: 93
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 10. Engage patients and designated
surrogates in active partnerships that promote health, safety and well-being,
and self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1 Contrast the common benign and malignant breast
disorders.
3
Copyright 2016 Pearson Education, Inc.
5) A nurse is providing a client with instructions regarding breast self-
examination (BSE). Which of the following statements by the client would
indicate that the teaching has been successful?
Note: Credit will be given only if all correct choices and no incorrect choices
are selected.
1) The nurse receives a phone call from a 25-year-old woman experiencing
breast tenderness in the week prior to her menses, with palpable breast
nodularity, without nipple discharge. What is the best response by the nurse?
1. Please make an appointment at the breast cancer center as soon as possible.
2. How much salty food do you regularly consume?
3. As long as you dont have nipple discharge, it isnt a serious condition.
4. Eliminate caffeine and chocolate from your diet.
Answer: 2
Explanation: 2. The client is describing fibrocystic breast changes. A salt
restriction with a mild diuretic taken the week before menstrual bleeding
often improves the condition.
Page Ref: 92
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: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning
,Learning Outcome: 1 Contrast the common benign and malignant breast
disorders.
1
Copyright 2016 Pearson Education, Inc.
2) A client describes breast swelling and tenderness. What piece of data
would be most important for the nurse to gather initially?
1. Timing of the symptoms
2. Birth control method
3. Method of breast self-examination
4. Diet history
Answer: 1
Explanation: 1. The breast undergoes regular cyclical changes in response to
hormonal stimulation. The nurse will want to determine when the swelling
and tenderness occur within the menstrual cycle.
Page Ref: 88, 89
Cognitive Level: Applying
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: IX. 1.
Conduct comprehensive and focused physical, behavioral, psychological,
spiritual, socioeconomic, and environmental assessment of health and illness
parameters in patient, using developmentally and culturally appropriate
approaches. | NLN Competencies: Context and Environment: Read and
interpret data; apply health promotion/disease prevention strategies; apply
health policy; conduct population-based transcultural health assessments and
interventions. | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1 Contrast the common benign and malignant breast
disorders.
3) A client is concerned about her risk for breast cancer. Following the initial
history, the nurse identifies which of the following as a high risk factor for
,breast cancer?
1. History of late menarche and early menopause
2. Sister who has had breast cancer
3. Mother with fibrocystic breast disease
4. Multiparity
Answer: 2
Explanation: 2. Family history of first-degree relative (mother, sister, or
daughter) with breast cancer increases the risk of breast cancer with the number
of first-degree relatives with breast cancer.
Page Ref: 94
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health Screening
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. 1. Assess
protective and predictive factors, including genetics, which influence the health
of individuals, families, groups, communities, and populations. | NLN
Competencies: Context and Environment: Read and interpret data; apply health
promotion/disease prevention strategies; apply health policy; conduct
population-based transcultural health assessments and interventions. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1 Contrast the common benign and malignant breast
disorders.
2
Copyright 2016 Pearson Education, Inc.
4) The nurse is educating a group of women about the manifestations of
benign breast conditions. What information topics will the nurse include?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Masses rapid in appearance or disappearance
, 2. Galactorrhea is common
3. Galactorrhea is seen with some psychiatric medications
4. Ulcerations or skin erosions are possible
5. An increased breast size with dimpling
Answer: 1, 2, 3
Explanation: 1. Fluctuations in size and rapid appearance or disappearance of
breast masses are common in fibrocystic breasts.
2. Galactorrhea is a benign change often associated with hormone therapy.
3. Galactorrhea is often seen in women who have nursed, who have
fibrocystic changes in the breast, or are on some types of psychiatric
medication.
Page Ref: 93
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 10. Engage patients and designated
surrogates in active partnerships that promote health, safety and well-being,
and self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1 Contrast the common benign and malignant breast
disorders.
3
Copyright 2016 Pearson Education, Inc.
5) A nurse is providing a client with instructions regarding breast self-
examination (BSE). Which of the following statements by the client would
indicate that the teaching has been successful?
Note: Credit will be given only if all correct choices and no incorrect choices
are selected.
