Question 1

A patient states that she is afraid that she and her husband will not be able to maintain a healthy sexual relationship now that they have a baby in the house.To assist these patients,what would it be most helpful for the nurse to know?

A) If they have similar parenting beliefs
B) How long they have been married
C) That effective communication about sexuality requires a nondiscriminatory attitude
D) The level of knowledge the patients have regarding healthy sexual relationships

C

Accepted Answer

Effective communication about sexuality requires a nondiscriminatory attitude, which is important for healthcare providers to have when discussing sensitive topics such as sexual health. This will allow the nurse to listen without judgment and provide non-biased information and support to the patients. The other options may be important factors to consider but are not as relevant to the patient's immediate concern about sexual health.

Question 2

The nurse is conducting a sexual history with a patient who is scheduled for cardiac surgery.The patient tells the nurse that he is nervous about resuming sexual activities.Which of the following responses by the nurse indicates that he or she is using therapeutic communication with the patient?

A) "You can have sexual intercourse after your surgery, but there are serious risks."
B) "Your partner will be nervous about resuming sexual activities, but that is normal."
C) "Don't worry. In about two months you will be able to return to your normal sexual patterns."
D) "You are expressing a very normal concern; perhaps we could discuss your feelings further."

D

Accepted Answer

Option D acknowledges and validates the patient's concern, and offers to discuss it further, showing the use of therapeutic communication techniques. Option A is incorrect because it focuses on the risks rather than addressing the patient's concerns. Option B is incorrect because it assumes the patient has a partner and may not address the patient's specific concerns. Option C is incorrect because it provides a specific timeframe that may not apply to all patients and does not address the patient's concerns.

Question 3

Why do adolescents tend to engage in risky sexual behaviour?&#10;A) They feel invincible.&#10;B) They lack factual information.&#10;C) They emulate poor social models.&#10;D) They possess immature decision-making skills.

Accepted Answer

A

Question 4

Which of the following statements is correct regarding the nurse's role relevant to the patient's sexuality in a long-term care setting?&#10;A) Upon admission, the nurse tells the patient that sexual expression is not permitted on the unit.&#10;B) The nurse reminds the patient that during periods of illness, sexual activity is prohibited.&#10;C) The nurse politely reminds the patient that masturbation is not acceptable in a hospital setting.&#10;D) The nurse makes proper arrangements for privacy for a resident's sexual expressions in a long-term care facility.

Accepted Answer

The nurse's role relevant to the patient's sexuality in a long-term care setting is to make proper arrangements for privacy for a resident's sexual expressions in a long-term care facility. The other options are incorrect and can be seen as disrespectful to the patient's sexuality and personal rights.

Question 5

Which of the following available contraceptives has the lowest initial rate of effectiveness?&#10;A) Male condom&#10;B) Tubal ligation&#10;C) Female condom&#10;D) Vaginal contraceptive ring

Accepted Answer

The female condom has a higher failure rate compared to other methods listed, especially with typical use, due to factors like incorrect usage.

Question 6

What is the maximum time frame after intercourse that most emergency contraception pills (ECPs)are effective?&#10;A) 6 hours&#10;B) 24 hours&#10;C) 48 hours&#10;D) 72 hours

Accepted Answer

The maximum time frame after intercourse that most emergency contraception pills (ECPs) are effective is 72 hours. Therefore, option D is the best choice as it correctly reflects the maximum time frame.

Question 7

In preparing a presentation on the problems of sexual abuse,the nurse incorporates which of the following information?&#10;A) Nurses decide if suspected sexual child abuse is reported.&#10;B) Sexual abuse is found primarily in lower socioeconomic groups.&#10;C) Sexual abusers fit into easily identified, classic profiles.&#10;D) Most sexual abuse incidents occur with a former intimate partner or family member.

Accepted Answer

Research shows that most sexual abuse incidents occur with a former intimate partner or family member, rather than strangers or casual acquaintances. Option A is incorrect because nurses are mandated reporters and must report suspected cases of child abuse. Option B is incorrect as sexual abuse can occur in any socioeconomic group. Option C is incorrect as sexual abusers do not fit into easily identified classic profiles, making it harder to detect and prevent sexual abuse.

Question 8

A 58-year-old woman asks the nurse what she can do to adjust to normal changes related to aging.How does the nurse respond?&#10;A) &#34;Continue what you've been doing. Nothing should have changed.&#34;&#10;B) &#34;I will refer you to a sexual therapist to assist you.&#34;&#10;C) &#34;Using a water-based lubricant may be helpful.&#34;&#10;D) &#34;Reducing the frequency of intercourse may help you.&#34;

Accepted Answer

Using a water-based lubricant can assist with common vaginal dryness that can occur with aging, helping to make sexual activity more comfortable. Option A is incorrect as the woman is clearly seeking advice on how to adjust to normal changes related to aging. Option B may not be necessary or appropriate for this woman. Option D is incorrect as reducing the frequency of intercourse is not typically recommended as a first-line treatment for normal changes related to aging.

Question 9

The school nurse is responsible for teaching adolescents about sexually transmitted infections (STIs).Which one of the following statements would the nurse make about chlamydial infection when instructing the students?

A) It is a viral infection that cannot be cured.
B) It can be treated with a full course of antibiotics.
C) It can be contracted via bloodborne exchange.
D) It can be prevented with the use of a spermicide.

Accepted Answer

Chlamydial infection is a bacterial infection that can be treated with a full course of antibiotics. It is not a viral infection that cannot be cured (choice A), it is not contracted via bloodborne exchange (choice C), and it cannot be prevented with the use of a spermicide (choice D).

Question 10

On completing an assessment of a patient in the medical clinic,the nurse documents that the patient has dyspareunia.This is based on the patient's experience of which of the following symptoms?&#10;A) Delay or absence of an orgasm&#10;B) Deficient or absent sexual desire&#10;C) Involuntary constriction of the vagina&#10;D) Genital pain during intercourse

Accepted Answer

Dyspareunia is defined as genital pain experienced by a woman during or after sexual intercourse. Delay or absence of an orgasm, deficient or absent sexual desire, and involuntary constriction of the vagina are not characteristic symptoms of dyspareunia.

Question 11

An adolescent female student who is sexually active visits the office of the school nurse.Which of the following statements best reflects the student's understanding of the effective use of contraception devices?

A) "My boyfriend is able to withdraw before ejaculation, and that prevents me from getting pregnant."
B) "I take my temperature every morning, and when it goes down for at least two days, we have unprotected sex."
C) "We use 'foam' before each time we have sex, and I haven't gotten pregnant yet."
D) "We use a condom with a water-based lubricant."

Accepted Answer

The answer of An adolescent female student who is sexually...

Question 12

In the critical thinking model for sexuality assessment,which of the following is an example of a quality?&#10;A) Display curiosity.&#10;B) Apply ethic of care.&#10;C) Accept sexual orientation acceptance.&#10;D) Determine the patient`s sexual concerns.

Accepted Answer

The answer of In the critical thinking model for sexuality...

Question 13

Which one of the following provinces does not have a hospital that will provide women with the option of an abortion?&#10;A) Quebec&#10;B) New Brunswick&#10;C) British Columbia&#10;D) Prince Edward Island

Accepted Answer

The answer of Which one of the following provinces does...

Question 14

The nurse is aware that sexuality is part of growth and development.The preschooler's interest in gender sexuality is characterized by an interest in which of the following?&#10;A) His or her genitalia&#10;B) Learning how and why his or her anatomy differs from that of other children&#10;C) Playing with and developing friendships with children of the opposite sex&#10;D) Spending most of his or her time with the parent of the opposite sex

Accepted Answer

The answer of The nurse is aware that sexuality is...

Question 15

Which of the following STIs does Canadian law require to be reported?&#10;A) Gonorrhea&#10;B) Genital warts&#10;C) Genital herpes&#10;D) Human papillomavirus

Accepted Answer

The answer of Which of the following STIs does Canadian...

Deck 26: Sexuality