The nurse is seeing a 68-year old woman for a physical exam in the family practice clinic. The woman complains about having another pelvic exam. What response by the nurse is best?
a. "I know it's uncomfortable, but it's im-portant to do it."
b. "You are past the age where this exam is recommended."
c. "Why don't you want to have your pelvic exam?"
d. "This will be the last time you need this exam."
B
According to the U.S. Preventative Task Force, pelvic exams and pap smears can be discontinued after age 65 if prior testing was normal and the patient is not at high risk for cervical cancer. The other statements are incorrect.
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Key examples of health care practices and interventions outcomes are (select all that apply):
a. mortality. b. birth rates. c. health status. d. quality of life. e. ability to function.
A woman is having her first child. She has been in labor for 15 hours. Two hours ago her vaginal examination revealed the cervix to be dilated to 5 cm and 100% effaced, and the presenting part was at station 0
Five minutes ago her vaginal examination indicated that there had been no change. What abnormal labor pattern is associated with this descrip-tion? a. Prolonged latent phase b. Protracted active phase c. Secondary arrest d. Protracted descent
When assisting in a community education program the nurse knows that early cancer of the uterus or cervix causes no symptoms and focuses interventions on:
A) promoting screening and early detection with Papanicolaou (Pap) smear. B) providing sex education programs for high school students. C) distribution of pamphlets describing risk factors for cervical cancer. D) promoting annual physical examinations for all females.
Elders are usually a vulnerable population because of the:
a. natural progression toward frailty b. onset of dementia c. loss of spouse or loved ones d. increased risk of cancer