During her annual gynecologic checkup, a 17-year-old woman states that recently she has been experiencing cramping and pain during her menstrual periods. The nurse would document this complaint as:

a. Amenorrhea.
b. Dysmenorrhea.
c. Dyspareunia.
d. Premenstrual syndrome (PMS).


B

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A Amenorrhea is the absence of menstrual flow.
B Dysmenorrhea is pain during or shortly before menstruation.
C Dyspareunia is pain during intercourse.
D PMS is a cluster of physical, psychologic, and behavioral symptoms that begin in the luteal phase of the menstrual cycle and resolve within a couple of days of the onset of menses.

Nursing

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A patient has severe shoulder pain from subluxation of the shoulder is being cared for on the unit. To prevent further injury and pain, the nurse caring for this patient is aware of what?

A) Use of a sling should be avoided due to adduction of the affected shoulder. B) Elevation of the arm and hand can lead to further complications associated with edema. C) Passively exercising the affected extremity is avoided to minimize pain. D) The patient should be taught to interlace fingers, place palms together, and slowly bring scapulae forward to avoid excessive force to shoulder.

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Ethnographic studies have been incorporated within health care settings by informaticians to glean data at the point of care. Which of the following statements about ethnography is true?

1. Ethnography is a quantitative method from anthropology and sociology that includes fieldwork and analysis of people in cultural, social settings. 2. In ethnography researchers describe the person of interest's point of view focusing on experience and interactions in social settings rather than the actions themselves. 3. Ethnography is an outdated method of inquiry. 4. The use of ethnography is criticized as a method to determine HCI effectiveness.

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Your patient is a newly diagnosed diabetic who has been incorrectly taking the medication prescribed. What is the most likely reason?

1. The patient feels the dose of medication is not enough. 2. The patient feels the dose of medication is too much. 3. The patient does not understand the medication dosage. 4. The patient cannot swallow the medication.

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At what age is sexual development in boys and girls considered to be precocious?

a. Boys, 11 years; girls, 9 years b. Boys, 12 years; girls, 10 years c. Boys, 9 years; girls, 8 years d. Boys, 10 years; girls, 9 1/2 years

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