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During a visit for a school physical, the 13-year-old girl being examined questions the asymmetry of her breasts. The best response is: Question 1 options: “One breast may grow faster than the other during development”. “I will give you a referral for a mammogram”. “You will probably have fibrocystic disease when you are older”. “This may be an indication of hormonal imbalance. We will check again in 6 months”. Question 2 (1 point) Saved The examiner is going to inspect the breasts for retraction. The best position for this part of the examination is: Question 2 options: Lying supine with arms at the sides Leaning forward with hands outstretched Sitting with hands pushing onto hips One arm at the side, the other arm elevated Question 3 (1 point) Saved Gynecomastia is the enlargement of male breast tissue. This is a normal finding in: Question 3 options: Boys in puberty Middle-aged men Men using testosterone Men who are on blood pressure medication Question 4 (1 point) Saved Which statement would be most appropriate when introducing the topic of sexual relationships during an interview? Question 4 options: “Most women your age have had more than one sexual partner, how many would you say you have had?” “Women often feel dissatisfied with their sexual relationships. It would be okay to discuss this now.” “Now it is time to talk about your sexual history. When did you first have intercourse?” “Often women have questions about their sexual relationship and how it affects their health.” Question 5 (1 point) Saved During the interview your client reveals that she has some vaginal discharge. She is worried that it may be a sexually transmitted infection. Your most appropriate response to this would be: Question 5 options: “Have you been engaging in unprotected sexual intercourse?” “Oh, don’t worry. Some cyclic vaginal discharge is normal.” “I’d like some information about the discharge. What colour is it?” “Have you had any urinary incontinence associated with the discharge?” Question 6 (1 point) Saved How should the nurse position Ms. Wiener for palpation of the axillae and the breasts? Question 6 options: Supine with her arms at her sides Supine with her arms over her head Supine with a pillow under the shoulder of the side being examined and the arm on that side over the head Supine with a pillow under the opposite shoulder of the side being examined and the arm on that side over the head Question 7 (1 point) Saved You are describing how to perform testicular self-examination to a client. Which of the following statements is most appropriate? Question 7 options: “A good time to examine your testicles is just before you take a shower.” “The testicle is egg shaped and moveable. It feels firm and has a lumpy consistency.” “If you notice an enlarged testicle or a painless lump, make an appointment with your health care provider.” “Perform a testicular exam at least once a week, to detect the early stages of testicular cancer.” Question 8 (1 point) Saved When the nurse is conducting a sexual history for a male adolescent, which statement would be most appropriate to use at the beginning of the interview? Question 8 options: “Do you use condoms?” “You don’t masturbate, do you?” “Have you had sex in the last 6 months?” “Often boys your age have questions about sexual activity.” Question 9 (1 point) Saved Which of the following statements is most appropriate when the nurse is obtaining a genitourinary history from an elderly man? Question 9 options: “Do you need to get up at night to urinate?” “Do you experience nocturnal emissions or ‘wet dreams’?” “Do you know how to perform testicular self-examination?” “Has anyone ever touched your genitals when you did not want them to?” Question 10 (1 point) Saved When the nurse is interviewing a preadolescent girl, which of the following opening statement would be least threatening? Question 10 options: “Do you have any questions about growing up?” “What has your mother told you about growing up?” “When did you notice that your body was changing?” “I remember being very scared when I got my period. How do you think you will
SCIENCE
HEALTH SCIENCE
NURSING
NSG 2317

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