Care of Men Study Guide Question and Answers

Care of Men Study Guide Question and Answers

 

 

1) The population health nurse is preparing a seminar on men’s health issues for a community organization. For the presentation the nurse should explain that men are ________ as likely as women to die from heart disease and ________ times more likely to commit suicide.

1. Three times, four.
2. Four times, two.
3. Twice, four.
4. Twice, six.

Answer:  3

Explanation:  3. Men are twice as likely as women to die from heart disease and four times more likely to commit suicide. The mortality rate from heart disease is not greater than twice that of females. The mortality rate from suicide is greater than twice; however, not as great as six times that of females.

Nursing/Int.Conc:  Nursing Process: Planning

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  17-1

 

2) The population health nurse is working with a community who is devoting a month to men’s health. Which information should be included on marketing material for this event?

1. Men have lower rates of sexually transmitted diseases as compared to women.
2. Men are less likely to die from cancer as are women.
3. Men develop heart disease earlier and die more frequently than do women.
4. Worldwide, the most frequent cause of death in young and middle adult men is prostate cancer.

Answer:  3

Explanation:  3. Men develop heart disease at earlier ages and they die earlier than women. Men have higher rates of sexually transmitted diseases as compared to women. Men are more likely to die from cancer than women. Worldwide the most frequent cause of death in young and middle adult men is traffic accidents.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  17-1

 

3) The population health nurse is reviewing psychological determinants of health in preparation for a meeting with a group of male community leaders. What should the nurse keep in mind about the general dimensions of the stereotypical male role when meeting with the group?

1. Freely demonstrate affection.
2. Are more reliant on others.
3. Participate in routine health care screenings.
4. View oneself as superior to others.

Answer:  4

Explanation:  4. Society has socialized both men and women to accept a stereotypical male role that makes it difficult to meet basic psychological needs. General dimensions of this stereotyped role include a need to refrain from behaviors ascribed to women as freely demonstrating affection, a need to be self-reliant, and a need to be powerful and superior. Internalization of the typical male gender role has been shown to be associated with less attention to routine health care screenings.

Nursing/Int.Conc:  Nursing Process: Planning

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  17-1

 

4) The population health nurse decides to screen the male population of a small rural community for the presence of suicide risks. On which risks should the nurse focus? (Select all that apply.)

1. Depression.
2. Unemployment.
3. Married.
4. Substance abuse.
5. Relationships with peers.

Answer:  1, 2, 4

Explanation:  1. Because suicide is such a frequent cause of mortality for men, it is important that population health nurses assess individual men and the male population for the presence of suicide risk factors, including depression, unemployment, and substance abuse. Protective factors against suicide include social and peer support and a stable domestic situation.

2. Because suicide is such a frequent cause of mortality for men, it is important that population health nurses assess individual men and the male population for the presence of suicide risk factors, including depression, unemployment, and substance abuse. Protective factors against suicide include social and peer support and a stable domestic situation.
3. Because suicide is such a frequent cause of mortality for men, it is important that population health nurses assess individual men and the male population for the presence of suicide risk factors, including depression, unemployment, and substance abuse. Protective factors against suicide include social and peer support and a stable domestic situation.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  17-1

 

5) A male client is complaining of not being able to achieve and maintain an erection sufficient for sexual activity. The population health nurse realizes this client is experiencing a change in which determinant of health?

1. Biological.
2. Psychological.
3. Environmental.
4. Sociocultural.

Answer:  1

Explanation:  1. Erectile dysfunction is a reproductive problem common among men and is considered a biological determinant of health. Psychological determinants of health include socialization, stress, coping abilities, and suicide. Environmental determinants of health include pollution, overcrowding, and safety hazards. Sociocultural dimension of health include family interactions, economic and occupational issues, and issues related to violence.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  17-1

 

6) The nurse is caring for a bisexual male client. In addition to routine adult immunizations, the nurse is aware that the client needs to receive the:

1. Meningococcal vaccine.
2. Hepatitis A and B vaccine.
3. Hepatitis B vaccine.
4. Pneumococcal vaccine.

Answer:  2

Explanation:  2. In addition to the routine adult immunizations, gays, bisexual, and transgender men should receive immunization for hepatitis A and B. Routine immunizations for the bisexual male client would not include meningococcal and pneumococcal vaccinations. Hepatitis B is not correct as the client needs to receive both the hepatitis A and B series.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  17-2

 

 

7) The population health nurse is asked to participate on a committee to support health lifestyles for the entire family. What should the nurse suggest to support the men’s health promotion needs?

1. Healthy diet and physical activity.
2. Identification of medication side effects.
3. Receiving recommended immunizations.
4. Smoking cessation and limiting alcohol intake.

Answer:  1

Explanation:  1. Interventions to promote a healthy lifestyle for males include a healthy diet and physical activity. Identification of medication side effects would focus on health restoration. Receiving recommended immunizations, smoking cessation, and limiting alcohol intake are actions to prevent injury and illness.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  17-2

8) The population health nurse is concerned that a male community member is at risk for recidivism for heroin use. What did the nurse observe to cause this concern?

1. Enrolling in college classes.
2. Spending time with family members.
3. Going out with friends who use heroin.
4. Attends substance abuse meetings every other day.

Answer:  3

Explanation:  3. Actions that increase the likelihood of recidivism include maintaining social contacts with abusers. Interventions that decrease the likelihood of recidivism include improving coping skills and participating with support groups. Enrolling in college classes and spending time with family would decrease recidivism.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  17-4

 

 

9) A nurse is working with a group of elderly men in a community health clinic. Even though the nurse might need to discuss each of these statements, which statement should the nurse address first?

1. “I know I can eat this fried chicken every day because I exercise a lot.”
2. “I cannot eat as much as I used to.”
3. “My sleep patterns have changed.”
4. “I have to turn the volume up on the television these days.”

Answer:  1

Explanation:  1. There are some commonly encountered patterns of health behavior among men. One such behavior is a tendency to view exercise as sufficient to compensate for unhealthy behaviors such as a high intake of dietary fats. The statements regarding eating patterns, sleep patterns, and hearing changes could be addressed after addressing the statement regarding exercise and a high intake of dietary fats.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  17-3

 

10) The nurse is trying to help the male client see the same situation in a different light. The best description of this technique is:

1. Processing.
2. Reframing.
3. Acknowledgement.
4. Cause and effect.

Answer:  2

Explanation:  2. Reframing, which focuses on helping men to see the same situation in a different light, is one technique that can be used to promote positive behavioral change. Processing, acknowledgement, and cause and effect are not techniques to analyze a situation in a different light.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  17-3

 

11) The population health nurse is using the six-point HEALTH program intended to facilitate creation of health care services that better meet the health promotion needs of men in the community. When using this program, what should be done for the letter T in the acronym?

1. Typical.
2. Transfer.
3. Tailor.
4. Temperature.

Answer:  3

Explanation:  3. The T in HEALTH stands for Tailor. Health care services for men should be tailored to their specific needs with input from those involved. The letter T in the acronym does not stand for typical, transfer, or temperature.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  17-3

 

12) The population health nurse is working in a community health clinic and is planning a program to resolve health problems in male clients. One such example could be a program:

1. That eliminates high-risk behaviors.
2. Related to diabetes prevention.
3. That encourages blood pressure screening.
4. That explains adult immunizations.

Answer:  3

Explanation:  3. Resolving health problems among men involves the earliest possible detection of health needs through effective screening. Resolution of existing problems also encompasses the actual treatment of the health needs or disorders themselves. Population health nurses may participate in health screening activities by providing or encouraging the client’s use of such health measures as blood pressure screening. Eliminating high-risk behaviors, preventing diabetes, and immunizations are all focused on health promotion and illness/injury prevention.

Nursing/Int.Conc:  Nursing Process: Planning

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  17-3

 

 

13) The nurse is talking with a male client who is on a regimen of antihypertensive medications. The nurse knows that there are side effects that affect masculine roles associated with these medications. Those side effects include:

1. Impotence and hyperglycemia.
2. Impotence and dizziness.
3. Decreased tolerance for physical activity and tremors.
4. Erectile dysfunction and hoarseness.

Answer:  2

Explanation:  2. Examples of side effects associated with antihypertensive medications include impotence and dizziness. Hyperglycemia, decreased tolerance for physical activity, tremors, erectile dysfunction and hoarseness are not side effects of antihypertensive medications that affect the masculine role.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  17-4

14) The nurse is working with a client who had his testes surgically removed as part of treatment for testicular cancer. The treatment had a profound impact on his self-image. An important area of health restoration for this client would be:

1. Encouraging him to join a support group.
2. Referring him to a marriage counselor.
3. Hormone therapy.
4. Antidepressant medications.

Answer:  1

Explanation:  1. Health restoration for men is directed at those disorders that influence men’s health in some ongoing manner or that have a likelihood of recurrence. The goals of rehabilitation are to assist men in coping with the continuing manifestations of illness and to reduce the likelihood of future episodes of an illness. An important area of health restoration prevention involves encouraging men to join support groups. Marriage counseling, hormone therapy, and antidepressant medication are not actions to support health restoration for this client.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  17-4

 

 

15) The population health nurse realizes that behavioral factors seem to make a greater contribution to men’s health status as compared to women. This is most likely because:

1. Men are more apt to perform healthful behaviors.
2. Men are more reliant on others.
3. Men are more educated about health issues.
4. Men are generally more likely to engage in high-risk behaviors.

Answer:  4

Explanation:  4. Men are generally more likely than women to engage in high-risk behaviors. Because of their gender socialization, men are more inclined to engage in high-risk behaviors and less apt to perform healthful behaviors. Men are not generally more reliant on others and are not necessarily more educated about health issues.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  17-1