NURS 6551 week 2 Primary Care of Women Essay

 NURS 6551 week 2 Primary Care of Women Essay 

NURS 6551 Week 2 Quiz: Primary Care of Women:


Walden University Approximately how many working American adult women older than 18 smoke cigarettes? a. 20% b. 10% c. 5% d. 30% In respect to an evidentiary examination: a. The patient may not withhold consent if the clinician is a mandated reporter. b. The clinician is required to strictly follow local agency protocols, no others. c. The time frame within which it must take place depends on local standards. d. Maintaining the chain of custody of all evidence collected is recommended, not required. There is no one legal definition of rape, which means: a. Clinicians must learn their own state’s definitions and statutes. b. It is easier to monitor the incidence of sexual violence in the nation. c. It may be considered a social problem, not a public health problem. d. Measuring risk and identifying protective measures is a simple task. If a patient has not reported a sexual assault to law enforcement, all of the following clinician actions are important except: a. Asking if reporting is something she wants to consider b. Discussing any fears or concerns that she may have about reporting c. Explaining that only some forced sexual contacts are reportable crimes d. Telling her that women who report do better psychologically than those who do not What is the current (2006) recommendation by the CDC regarding HIV testing? a. Test all patients who report risk behaviors associated with HIV. b. NURS 6551 week 2 Primary Care of Women Essay Test all patients unless they explicitly decline to be tested. c. Test all patients. d. Test only those patients who ask to be tested. What is the screening recommendation by the American College of Obstetricians and Gynecologists for intimate partner violence (IPV)? a. Routinely ask all women direct, specific questions about abuse. Refer to community-based services when identified. b. There is insufficient evidence to recommend for or against routine screening. c. No screening recommendation. d. Remain alert for signs of family violence at every patient encounter. Which of the following are screening tests for type 2 diabetes mellitus? a. Fasting plasma glucose b. Two-hour post-load plasma glucose c. Hemoglobin A1C d. All of the above The USPSTF assigns a certainty level to assess the net benefit of a preventive service based on: a. The nature of the overall evidence available b. The cost-effectiveness of a service c. Known health outcomes d. Select studies in a limited primary care population The most effective means of obtaining the history of abuse is to use a communication model that: a. Avoids having the patient’s children present during the discussion b. Signals someone is interested and that the woman is not alone c. Emphasizes the belief that violence is not acceptable, no matter what the batterer might have said to the patient d. Allows the patient to talk without interruption and with time to relate, emphasize, and repeat her full story In the GTPAL system for recording pregnancy history, the “T” stands for: a. Term births b. Terminal pregnancies c. Total number of pregnancies d. Type of birth (spontaneous, assisted, or cesarean NURS 6551 week 2 Primary Care of Women Essay

Week 2: Common Screenings for Women
Many screening procedures are often recommended and routinely used with women to detect diseases in the earliest stages possible. Consider Cindy, who was 28 years old when she received the results of her annual pap smear. The results of the test were abnormal, leading to a diagnosis of human papillomavirus (HPV). While Cindy’s type of HPV did not require treatment, subsequent annual pap smears were highly recommended due to risks associated with the disease. Five years later, after another round of abnormal screening results, Cindy was diagnosed with aggressive cervical cancer, which was then successfully treated (Tamika & Friends, Inc., 2011). For diseases like cervical cancer, screenings and early detection can save patients’ lives, as it did in Cindy’s case. As an advanced practice nurse caring for women, you must be able to provide recommendations for screening tests, interpret test results, and develop care plans that meet the unique needs of patients.
Learning Objectives
By the end of this week, students will:

Evaluate strengths and limitations of guidelines for screening procedures
Analyze the influence of guidelines on clinical decision making
Analyze the impact of advanced practice nurses on issues related to screening guidelines
Evaluate diagnoses for patients
Evaluate treatment and management plans
Understand and apply key terms, principles, and concepts related to clinical guidelines on screening procedures
Analyze differences between common screenings for younger women and common screenings for older women

Discussion: Guidelines on Screening Procedures
The goal of health promotion and education is to help prevent disease in patients. However, this is not always successful, and disease it not always preventable. With disease, early detection is ideal, often making screening procedures a routine part of clinical care. Unfortunately, many patients do not utilize these health services. This can be attributed to lack of awareness or access to care, financial concerns, or even levels of comfort with health care providers. In your role as the advanced practice nurse, you must be aware of potential obstacles for patients and implement strategies to ensure patients receive necessary screenings. Although a variety of screening procedures are recommended for women at various stages of life, not all screenings are appropriate for all patients. Understanding the strengths and limitations of each screening, as well as current guidelines for use is essential to effectively facilitate patient care. For this Discussion, the course Instructor will assign a specific topic for you to research.
To prepare:

Review this week’s media presentation, as well as Chapters 6 and 8 of the Tharpe et al. text and the U.S. Department of Health and Human Services article in the Learning Resources.
Research guidelines on screening procedures for the topic assigned to you by the course Instructor (e.g., guidelines on screening for domestic violence, safety, nutrition, osteoporosis, heart disease, mental health, eating disorders, thyroid disease, pap smear, mammogram, cancer, and sexually transmitted infections). Note: The course Instructor will assign a topic to you by Day 1 of this week.NURS 6551 week 2 Primary Care of Women Essay
Reflect on strengths and limitations of the screening guidelines.
Consider how the guidelines might support your clinical decision making.

By Day 3
Post an explanation of the guidelines on screening procedures for the topic assigned to you “THYROID DISEASE”. Include an explanation of strengths and limitations of the guidelines. Then, explain how the guidelines might support your clinical decision making.

By Day 6
Respond to at least two of your colleagues on two different days who were assigned different topics than you. Explain a patient scenario in which your colleague’s guidelines might not be appropriate. Then, explain how you would provide care for the patient in the scenario. Finally, explain how you, as an advanced practice nurse, might be able to impact issues related to these screening guidelines.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! NURS 6551 week 2 Primary Care of Women Essay