Question 1

A female client tells the nurse about having no interest in sex since it has become painful.Which intervention(s)would be appropriate to help the client with this problem? Select all that apply.

Accepted Answer

A) The client is describing a sexual arousal disorder, a subjective lack of sexual excitement that is linked with a lack of lubrication in the female. Interventions to help with this problem include using artificial lubrication and discussing medication options with the healthcare provider. Antibiotics, screening for sexually transmitted infections, and the last Pap smear would be interventions to address a sexual pain disorder, which involves pain that occurs during or immediately after intercourse.
B) The client is describing a sexual arousal disorder, a subjective lack of sexual excitement that is linked with a lack of lubrication in the female. Interventions to help with this problem include using artificial lubrication and discussing medication options with the healthcare provider. Antibiotics, screening for sexually transmitted infections, and the last Pap smear would be interventions to address a sexual pain disorder, which involves pain that occurs during or immediately after intercourse.
C) The client is describing a sexual arousal disorder, a subjective lack of sexual excitement that is linked with a lack of lubrication in the female. Interventions to help with this problem include using artificial lubrication and discussing medication options with the healthcare provider. Antibiotics, screening for sexually transmitted infections, and the last Pap smear would be interventions to address a sexual pain disorder, which involves pain that occurs during or immediately after intercourse.
D) The client is describing a sexual arousal disorder, a subjective lack of sexual excitement that is linked with a lack of lubrication in the female. Interventions to help with this problem include using artificial lubrication and discussing medication options with the healthcare provider. Antibiotics, screening for sexually transmitted infections, and the last Pap smear would be interventions to address a sexual pain disorder, which involves pain that occurs during or immediately after intercourse.
E) The client is describing a sexual arousal disorder, a subjective lack of sexual excitement that is linked with a lack of lubrication in the female. Interventions to help with this problem include using artificial lubrication and discussing medication options with the healthcare provider. Antibiotics, screening for sexually transmitted infections, and the last Pap smear would be interventions to address a sexual pain disorder, which involves pain that occurs during or immediately after intercourse.

Question 2

The nurse is planning care for a client with erectile dysfunction.What should the nurse include in this client's plan of care? Select all that apply.

Accepted Answer

A) When planning the care of a client with erectile dysfunction, the nurse should include information on medications for treatment and types of devices and surgeries available to help with the disorder. Because an exact cause may be difficult to determine for the client, this would not be appropriate for the nurse to include in the client's plan of care. Explaining the reason for the disorder as being a side effect of prescribed medication could cause the client to discontinue medication necessary to treat other health disorders and should not be done. The nurse should not provide the names of psychologists who treat the disorder.
B) When planning the care of a client with erectile dysfunction, the nurse should include information on medications for treatment and types of devices and surgeries available to help with the disorder. Because an exact cause may be difficult to determine for the client, this would not be appropriate for the nurse to include in the client's plan of care. Explaining the reason for the disorder as being a side effect of prescribed medication could cause the client to discontinue medication necessary to treat other health disorders and should not be done. The nurse should not provide the names of psychologists who treat the disorder.
C) When planning the care of a client with erectile dysfunction, the nurse should include information on medications for treatment and types of devices and surgeries available to help with the disorder. Because an exact cause may be difficult to determine for the client, this would not be appropriate for the nurse to include in the client's plan of care. Explaining the reason for the disorder as being a side effect of prescribed medication could cause the client to discontinue medication necessary to treat other health disorders and should not be done. The nurse should not provide the names of psychologists who treat the disorder.
D) When planning the care of a client with erectile dysfunction, the nurse should include information on medications for treatment and types of devices and surgeries available to help with the disorder. Because an exact cause may be difficult to determine for the client, this would not be appropriate for the nurse to include in the client's plan of care. Explaining the reason for the disorder as being a side effect of prescribed medication could cause the client to discontinue medication necessary to treat other health disorders and should not be done. The nurse should not provide the names of psychologists who treat the disorder.
E) When planning the care of a client with erectile dysfunction, the nurse should include information on medications for treatment and types of devices and surgeries available to help with the disorder. Because an exact cause may be difficult to determine for the client, this would not be appropriate for the nurse to include in the client's plan of care. Explaining the reason for the disorder as being a side effect of prescribed medication could cause the client to discontinue medication necessary to treat other health disorders and should not be done. The nurse should not provide the names of psychologists who treat the disorder.

Question 3

A male client tells the nurse that he has no idea why his wife wants to stay married to him because he has not been able to "perform" sexually since his prostate surgery.Which diagnosis would be appropriate for this client?

Accepted Answer

A) The client is viewing himself as less than a man and is concerned with his wife wanting to remain married to him. Situational Low Self-Esteem is the most appropriate nursing diagnosis for the client at this time. Sexual dysfunction is associated with anxiety concerning the cause of the dysfunction, which is not the case for the client. The client may or may not be experiencing ineffective coping. Hormonal imbalance is not a nursing diagnosis.
B) The client is viewing himself as less than a man and is concerned with his wife wanting to remain married to him. Situational Low Self-Esteem is the most appropriate nursing diagnosis for the client at this time. Sexual dysfunction is associated with anxiety concerning the cause of the dysfunction, which is not the case for the client. The client may or may not be experiencing ineffective coping. Hormonal imbalance is not a nursing diagnosis.
C) The client is viewing himself as less than a man and is concerned with his wife wanting to remain married to him. Situational Low Self-Esteem is the most appropriate nursing diagnosis for the client at this time. Sexual dysfunction is associated with anxiety concerning the cause of the dysfunction, which is not the case for the client. The client may or may not be experiencing ineffective coping. Hormonal imbalance is not a nursing diagnosis.
D) The client is viewing himself as less than a man and is concerned with his wife wanting to remain married to him. Situational Low Self-Esteem is the most appropriate nursing diagnosis for the client at this time. Sexual dysfunction is associated with anxiety concerning the cause of the dysfunction, which is not the case for the client. The client may or may not be experiencing ineffective coping. Hormonal imbalance is not a nursing diagnosis.

Question 4

A menopausal client is concerned that intercourse with her spouse has become increasingly painful.What should the nurse explain about the changes in this client's body after menopause?

Accepted Answer

A) Older women remain capable of multiple orgasms and may, in fact, experience an increase in sexual desire after menopause. Vaginal lubrication and elasticity decrease with menopause and decreased estrogen, and phases of the sexual response cycle may take longer to occur. The client's concerns are not related to cervical mucus.
B) Older women remain capable of multiple orgasms and may, in fact, experience an increase in sexual desire after menopause. Vaginal lubrication and elasticity decrease with menopause and decreased estrogen, and phases of the sexual response cycle may take longer to occur. The client's concerns are not related to cervical mucus.
C) Older women remain capable of multiple orgasms and may, in fact, experience an increase in sexual desire after menopause. Vaginal lubrication and elasticity decrease with menopause and decreased estrogen, and phases of the sexual response cycle may take longer to occur. The client's concerns are not related to cervical mucus.
D) Older women remain capable of multiple orgasms and may, in fact, experience an increase in sexual desire after menopause. Vaginal lubrication and elasticity decrease with menopause and decreased estrogen, and phases of the sexual response cycle may take longer to occur. The client's concerns are not related to cervical mucus.

Question 5

A nurse is caring for a client who is prescribed a selective phosphodiesterase type 5 inhibitor for the treatment of erectile dysfunction.The nurse should include which statement when educating the client regarding this medication?

Accepted Answer

A) Sildenafil citrate (Viagra), vardenafil hydrochloride (Levitra), tadalafil (Cialis), and avanafil (Stendra) are all selective phosphodiesterase type 5 inhibitors used in the treatment of erectile dysfunction. The nurse should tell the client that the action of this medication will last up to 36 hours. The client should take the medication an hour prior to sexual activity, not 30 minutes. This medication will enhance erections only with sexual stimulation and should not be taken more than once daily.
B) Sildenafil citrate (Viagra), vardenafil hydrochloride (Levitra), tadalafil (Cialis), and avanafil (Stendra) are all selective phosphodiesterase type 5 inhibitors used in the treatment of erectile dysfunction. The nurse should tell the client that the action of this medication will last up to 36 hours. The client should take the medication an hour prior to sexual activity, not 30 minutes. This medication will enhance erections only with sexual stimulation and should not be taken more than once daily.
C) Sildenafil citrate (Viagra), vardenafil hydrochloride (Levitra), tadalafil (Cialis), and avanafil (Stendra) are all selective phosphodiesterase type 5 inhibitors used in the treatment of erectile dysfunction. The nurse should tell the client that the action of this medication will last up to 36 hours. The client should take the medication an hour prior to sexual activity, not 30 minutes. This medication will enhance erections only with sexual stimulation and should not be taken more than once daily.
D) Sildenafil citrate (Viagra), vardenafil hydrochloride (Levitra), tadalafil (Cialis), and avanafil (Stendra) are all selective phosphodiesterase type 5 inhibitors used in the treatment of erectile dysfunction. The nurse should tell the client that the action of this medication will last up to 36 hours. The client should take the medication an hour prior to sexual activity, not 30 minutes. This medication will enhance erections only with sexual stimulation and should not be taken more than once daily.

Question 6

The nurse is caring for a client with erectile dysfunction (ED).Which medication should the nurse anticipate being prescribed for this client? Select all that apply.

Accepted Answer

A) Sildenafil (Viagra) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Vardenafil (Levitra) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Tadalafil (Cialis) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Buspirone (Buspar) is an antianxiety agent and is not effective for erectile dysfunction (ED). Methylphenidate (Ritalin) is a mild central nervous system stimulant and is not effective for ED.
B) Sildenafil (Viagra) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Vardenafil (Levitra) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Tadalafil (Cialis) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Buspirone (Buspar) is an antianxiety agent and is not effective for erectile dysfunction (ED). Methylphenidate (Ritalin) is a mild central nervous system stimulant and is not effective for ED.
C) Sildenafil (Viagra) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Vardenafil (Levitra) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Tadalafil (Cialis) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Buspirone (Buspar) is an antianxiety agent and is not effective for erectile dysfunction (ED). Methylphenidate (Ritalin) is a mild central nervous system stimulant and is not effective for ED.
D) Sildenafil (Viagra) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Vardenafil (Levitra) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Tadalafil (Cialis) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Buspirone (Buspar) is an antianxiety agent and is not effective for erectile dysfunction (ED). Methylphenidate (Ritalin) is a mild central nervous system stimulant and is not effective for ED.
E) Sildenafil (Viagra) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Vardenafil (Levitra) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Tadalafil (Cialis) works to relax the smooth muscles in the penis, allowing increased blood flow to the penis resulting in an erection. Buspirone (Buspar) is an antianxiety agent and is not effective for erectile dysfunction (ED). Methylphenidate (Ritalin) is a mild central nervous system stimulant and is not effective for ED.

Question 7

The nurse is conducting a health history with a client with erectile dysfunction.Which finding(s)could provide a possible cause for the client's problem? Select all that apply.

Accepted Answer

A) The risk factors for erectile dysfunction are numerous. They include advancing age, diseases such as heart disease and diabetes, trauma, and the use of prescription or illicit drugs. Excessive use of alcohol can also result in erectile dysfunction. Recreational sports, a body mass index within normal limits, and a normal blood pressure would not provide a possible cause for the client's recent experience with the disorder.
B) The risk factors for erectile dysfunction are numerous. They include advancing age, diseases such as heart disease and diabetes, trauma, and the use of prescription or illicit drugs. Excessive use of alcohol can also result in erectile dysfunction. Recreational sports, a body mass index within normal limits, and a normal blood pressure would not provide a possible cause for the client's recent experience with the disorder.
C) The risk factors for erectile dysfunction are numerous. They include advancing age, diseases such as heart disease and diabetes, trauma, and the use of prescription or illicit drugs. Excessive use of alcohol can also result in erectile dysfunction. Recreational sports, a body mass index within normal limits, and a normal blood pressure would not provide a possible cause for the client's recent experience with the disorder.
D) The risk factors for erectile dysfunction are numerous. They include advancing age, diseases such as heart disease and diabetes, trauma, and the use of prescription or illicit drugs. Excessive use of alcohol can also result in erectile dysfunction. Recreational sports, a body mass index within normal limits, and a normal blood pressure would not provide a possible cause for the client's recent experience with the disorder.
E) The risk factors for erectile dysfunction are numerous. They include advancing age, diseases such as heart disease and diabetes, trauma, and the use of prescription or illicit drugs. Excessive use of alcohol can also result in erectile dysfunction. Recreational sports, a body mass index within normal limits, and a normal blood pressure would not provide a possible cause for the client's recent experience with the disorder.

Question 8

A nurse educator is teaching a group of student nurses regarding problems of infertility and genetic inheritance of disease.Which statement made by the nurse indicates that teaching has been effective?

Accepted Answer

A) In an autosomal recessive inherited disorder, the individual must have two abnormal genes to be affected. A person's phenotype is the observable expression of traits, and the total genetic makeup of an individual is referred to as genotype. An individual is said to have an autosomal dominant inherited disorder if the disease trait is heterozygous-that is, the abnormal gene overshadows the normal gene of the pair to produce the trait.
B) In an autosomal recessive inherited disorder, the individual must have two abnormal genes to be affected. A person's phenotype is the observable expression of traits, and the total genetic makeup of an individual is referred to as genotype. An individual is said to have an autosomal dominant inherited disorder if the disease trait is heterozygous-that is, the abnormal gene overshadows the normal gene of the pair to produce the trait.
C) In an autosomal recessive inherited disorder, the individual must have two abnormal genes to be affected. A person's phenotype is the observable expression of traits, and the total genetic makeup of an individual is referred to as genotype. An individual is said to have an autosomal dominant inherited disorder if the disease trait is heterozygous-that is, the abnormal gene overshadows the normal gene of the pair to produce the trait.
D) In an autosomal recessive inherited disorder, the individual must have two abnormal genes to be affected. A person's phenotype is the observable expression of traits, and the total genetic makeup of an individual is referred to as genotype. An individual is said to have an autosomal dominant inherited disorder if the disease trait is heterozygous-that is, the abnormal gene overshadows the normal gene of the pair to produce the trait.

Question 9

A female client tells the nurse about having difficulty with sexual relations because of a recent weight gain.Which interventions should the nurse include when planning this client's care?

Accepted Answer

A) Body image is constantly changing. How people feel about their bodies is related to sexuality. People who have a poor body image may respond negatively to sexual arousal. This is what the client is experiencing. Sexual self-concept determines with whom one will have sex, the gender and kinds of people one is attracted to, and the values about when, where, with whom, and how one expresses sexuality. Gender identity is one's self-image as male or female. Gender-role behavior is the outward expression of a person's sense of maleness or femaleness as well as the expression of what is perceived as gender-appropriate behavior.
B) Body image is constantly changing. How people feel about their bodies is related to sexuality. People who have a poor body image may respond negatively to sexual arousal. This is what the client is experiencing. Sexual self-concept determines with whom one will have sex, the gender and kinds of people one is attracted to, and the values about when, where, with whom, and how one expresses sexuality. Gender identity is one's self-image as male or female. Gender-role behavior is the outward expression of a person's sense of maleness or femaleness as well as the expression of what is perceived as gender-appropriate behavior.
C) Body image is constantly changing. How people feel about their bodies is related to sexuality. People who have a poor body image may respond negatively to sexual arousal. This is what the client is experiencing. Sexual self-concept determines with whom one will have sex, the gender and kinds of people one is attracted to, and the values about when, where, with whom, and how one expresses sexuality. Gender identity is one's self-image as male or female. Gender-role behavior is the outward expression of a person's sense of maleness or femaleness as well as the expression of what is perceived as gender-appropriate behavior.
D) Body image is constantly changing. How people feel about their bodies is related to sexuality. People who have a poor body image may respond negatively to sexual arousal. This is what the client is experiencing. Sexual self-concept determines with whom one will have sex, the gender and kinds of people one is attracted to, and the values about when, where, with whom, and how one expresses sexuality. Gender identity is one's self-image as male or female. Gender-role behavior is the outward expression of a person's sense of maleness or femaleness as well as the expression of what is perceived as gender-appropriate behavior.

Question 10

A nurse is treating a client with diabetes mellitus who complains of erectile dysfunction (ED).Which hormonal cause contributes to ED?

Accepted Answer

A) Hormonal causes of ED include decreased testosterone, decreased prolactin, and alterations in thyroid function. A decrease in thyroid-stimulating hormone (TSH) would be a cause of this disorder. All other choices are incorrect.
B) Hormonal causes of ED include decreased testosterone, decreased prolactin, and alterations in thyroid function. A decrease in thyroid-stimulating hormone (TSH) would be a cause of this disorder. All other choices are incorrect.
C) Hormonal causes of ED include decreased testosterone, decreased prolactin, and alterations in thyroid function. A decrease in thyroid-stimulating hormone (TSH) would be a cause of this disorder. All other choices are incorrect.
D) Hormonal causes of ED include decreased testosterone, decreased prolactin, and alterations in thyroid function. A decrease in thyroid-stimulating hormone (TSH) would be a cause of this disorder. All other choices are incorrect.

Question 11

A client asks for a prescription for tadalafil (Cialis).What would be important for the nurse know prior to planning interventions for this client?

Accepted Answer

A) Combining tadalafil (Cialis) with nitroglycerine can lead to serious hypotension. Taking blood pressure medication is not a contraindication to the use of tadalafil (Cialis). Having diabetes mellitus is not a contraindication to the use of tadalafil (Cialis). Having a sexually transmitted infection is not a contraindication to the use of tadalafil (Cialis).
B) Combining tadalafil (Cialis) with nitroglycerine can lead to serious hypotension. Taking blood pressure medication is not a contraindication to the use of tadalafil (Cialis). Having diabetes mellitus is not a contraindication to the use of tadalafil (Cialis). Having a sexually transmitted infection is not a contraindication to the use of tadalafil (Cialis).
C) Combining tadalafil (Cialis) with nitroglycerine can lead to serious hypotension. Taking blood pressure medication is not a contraindication to the use of tadalafil (Cialis). Having diabetes mellitus is not a contraindication to the use of tadalafil (Cialis). Having a sexually transmitted infection is not a contraindication to the use of tadalafil (Cialis).
D) Combining tadalafil (Cialis) with nitroglycerine can lead to serious hypotension. Taking blood pressure medication is not a contraindication to the use of tadalafil (Cialis). Having diabetes mellitus is not a contraindication to the use of tadalafil (Cialis). Having a sexually transmitted infection is not a contraindication to the use of tadalafil (Cialis).

Question 12

During a physical assessment,a client tells the nurse that his penis "hurts" when the shaft is touched.What should the nurse suspect is occurring with this client?

Accepted Answer

A) Normally, palpation of the penis should not cause tenderness. The client's complaint of pain could indicate a urethral stricture. Redness or lesions on the penis could indicate inflammatory disease. Acute epididymis and acute orchitis are associated with a tender scrotum.
B) Normally, palpation of the penis should not cause tenderness. The client's complaint of pain could indicate a urethral stricture. Redness or lesions on the penis could indicate inflammatory disease. Acute epididymis and acute orchitis are associated with a tender scrotum.
C) Normally, palpation of the penis should not cause tenderness. The client's complaint of pain could indicate a urethral stricture. Redness or lesions on the penis could indicate inflammatory disease. Acute epididymis and acute orchitis are associated with a tender scrotum.
D) Normally, palpation of the penis should not cause tenderness. The client's complaint of pain could indicate a urethral stricture. Redness or lesions on the penis could indicate inflammatory disease. Acute epididymis and acute orchitis are associated with a tender scrotum.

Question 13

A female client is prescribed an androgen medication to treat an estrogen-sensitive type of breast cancer.What should the nurse instruct this client about the medication? Select all that apply.

Accepted Answer

A) Androgen hormone replacements may be used to treat estrogen-dependent cancers. The nurse should instruct the client of the risk of developing secondary male sex characteristics when taking this medication. This medication also affects body weight so the nurse should instruct the client to monitor body weight weekly. Increased risk of multiple births is associated with female infertility medications. Reporting calf pain or dyspnea is associated with estrogen hormone replacement therapy. This medication does not need to be taken with food.
B) Androgen hormone replacements may be used to treat estrogen-dependent cancers. The nurse should instruct the client of the risk of developing secondary male sex characteristics when taking this medication. This medication also affects body weight so the nurse should instruct the client to monitor body weight weekly. Increased risk of multiple births is associated with female infertility medications. Reporting calf pain or dyspnea is associated with estrogen hormone replacement therapy. This medication does not need to be taken with food.
C) Androgen hormone replacements may be used to treat estrogen-dependent cancers. The nurse should instruct the client of the risk of developing secondary male sex characteristics when taking this medication. This medication also affects body weight so the nurse should instruct the client to monitor body weight weekly. Increased risk of multiple births is associated with female infertility medications. Reporting calf pain or dyspnea is associated with estrogen hormone replacement therapy. This medication does not need to be taken with food.
D) Androgen hormone replacements may be used to treat estrogen-dependent cancers. The nurse should instruct the client of the risk of developing secondary male sex characteristics when taking this medication. This medication also affects body weight so the nurse should instruct the client to monitor body weight weekly. Increased risk of multiple births is associated with female infertility medications. Reporting calf pain or dyspnea is associated with estrogen hormone replacement therapy. This medication does not need to be taken with food.
E) Androgen hormone replacements may be used to treat estrogen-dependent cancers. The nurse should instruct the client of the risk of developing secondary male sex characteristics when taking this medication. This medication also affects body weight so the nurse should instruct the client to monitor body weight weekly. Increased risk of multiple births is associated with female infertility medications. Reporting calf pain or dyspnea is associated with estrogen hormone replacement therapy. This medication does not need to be taken with food.

Question 14

During a health history,the nurse learns that a client has a recent onset of impotence.Which question will help identify a potential cause of this manifestation?

Accepted Answer

A) A client's health history can provide clues to the underlying cause of impotence. The question "for what diseases and disorders have you been treated" would provide the nurse with information as to possible causes for the recent onset of the disorder. Asking the client if the impotence occurs often will not help identify the cause of the problem. Asking the client how the partner feels about the problem also will not help identify a possible cause. The question "are you on any medication?" would be beneficial to ask; however, it should be an open-ended question and not a closed-ended question as identified. The nurse should ask the client to "list any medications" instead of asking "are you on any medication?" which could be answered with a yes or no.
B) A client's health history can provide clues to the underlying cause of impotence. The question "for what diseases and disorders have you been treated" would provide the nurse with information as to possible causes for the recent onset of the disorder. Asking the client if the impotence occurs often will not help identify the cause of the problem. Asking the client how the partner feels about the problem also will not help identify a possible cause. The question "are you on any medication?" would be beneficial to ask; however, it should be an open-ended question and not a closed-ended question as identified. The nurse should ask the client to "list any medications" instead of asking "are you on any medication?" which could be answered with a yes or no.
C) A client's health history can provide clues to the underlying cause of impotence. The question "for what diseases and disorders have you been treated" would provide the nurse with information as to possible causes for the recent onset of the disorder. Asking the client if the impotence occurs often will not help identify the cause of the problem. Asking the client how the partner feels about the problem also will not help identify a possible cause. The question "are you on any medication?" would be beneficial to ask; however, it should be an open-ended question and not a closed-ended question as identified. The nurse should ask the client to "list any medications" instead of asking "are you on any medication?" which could be answered with a yes or no.
D) A client's health history can provide clues to the underlying cause of impotence. The question "for what diseases and disorders have you been treated" would provide the nurse with information as to possible causes for the recent onset of the disorder. Asking the client if the impotence occurs often will not help identify the cause of the problem. Asking the client how the partner feels about the problem also will not help identify a possible cause. The question "are you on any medication?" would be beneficial to ask; however, it should be an open-ended question and not a closed-ended question as identified. The nurse should ask the client to "list any medications" instead of asking "are you on any medication?" which could be answered with a yes or no.

Question 15

A client is concerned about becoming impotent because of the inability to sustain an erection and a history of a sexually transmitted infection as a young adult.What is the nurse's best response to this client's concerns?

Accepted Answer

A) This client is concerned about his masculinity and sexual abilities. The correct answer at this point is to tell him that it is common and normal for men to experience occasional erectile difficulties. The other options are also true, but they do not serve to alleviate the client's concerns. If the client continues to have difficulties achieving or sustaining an erection, further investigation should take place. Simply correcting the client's use of medical terminology does not address his concerns.
B) This client is concerned about his masculinity and sexual abilities. The correct answer at this point is to tell him that it is common and normal for men to experience occasional erectile difficulties. The other options are also true, but they do not serve to alleviate the client's concerns. If the client continues to have difficulties achieving or sustaining an erection, further investigation should take place. Simply correcting the client's use of medical terminology does not address his concerns.
C) This client is concerned about his masculinity and sexual abilities. The correct answer at this point is to tell him that it is common and normal for men to experience occasional erectile difficulties. The other options are also true, but they do not serve to alleviate the client's concerns. If the client continues to have difficulties achieving or sustaining an erection, further investigation should take place. Simply correcting the client's use of medical terminology does not address his concerns.
D) This client is concerned about his masculinity and sexual abilities. The correct answer at this point is to tell him that it is common and normal for men to experience occasional erectile difficulties. The other options are also true, but they do not serve to alleviate the client's concerns. If the client continues to have difficulties achieving or sustaining an erection, further investigation should take place. Simply correcting the client's use of medical terminology does not address his concerns.

Question 16

A female client complains of having a "strange discharge" from the vagina and "stinging" when voiding urine.Which diagnostic test(s)would be useful to aid in the diagnosis of this client's disorder? Select all that apply.

Accepted Answer

A) The client is complaining of a strange discharge from her vagina. A Papanicolaou smear would be the most helpful in diagnosing the cause of that symptom. The client is also complaining of stinging with urination. A urinalysis would be helpful to rule out a urinary tract infection as the cause for the urinary pain. The other diagnostic tests may or may not help diagnose this client's health problem.
B) The client is complaining of a strange discharge from her vagina. A Papanicolaou smear would be the most helpful in diagnosing the cause of that symptom. The client is also complaining of stinging with urination. A urinalysis would be helpful to rule out a urinary tract infection as the cause for the urinary pain. The other diagnostic tests may or may not help diagnose this client's health problem.
C) The client is complaining of a strange discharge from her vagina. A Papanicolaou smear would be the most helpful in diagnosing the cause of that symptom. The client is also complaining of stinging with urination. A urinalysis would be helpful to rule out a urinary tract infection as the cause for the urinary pain. The other diagnostic tests may or may not help diagnose this client's health problem.
D) The client is complaining of a strange discharge from her vagina. A Papanicolaou smear would be the most helpful in diagnosing the cause of that symptom. The client is also complaining of stinging with urination. A urinalysis would be helpful to rule out a urinary tract infection as the cause for the urinary pain. The other diagnostic tests may or may not help diagnose this client's health problem.
E) The client is complaining of a strange discharge from her vagina. A Papanicolaou smear would be the most helpful in diagnosing the cause of that symptom. The client is also complaining of stinging with urination. A urinalysis would be helpful to rule out a urinary tract infection as the cause for the urinary pain. The other diagnostic tests may or may not help diagnose this client's health problem.

Question 17

A nurse who is working at an obstetrics clinic is caring for a client who desires more information regarding fertility awareness-based contraceptive methods.Which statement made by the nurse provides the client with correct information?

Accepted Answer

A) Fertility awareness-based methods, also known as natural family planning, are based on an understanding of the changes that occur throughout a woman's ovulatory cycle. Maximum fertility for the woman occurs approximately 6 days before ovulation and decreases rapidly the day after. The calendar rhythm method, also called the standard days method, is based on the assumption that ovulation tends to occur about 14 days before the start of the next menstrual period. To use this method, the woman must record her menstrual cycles for 6 months to identify the shortest and longest cycles. The calendar method is the least reliable of the fertility awareness methods.
B) Fertility awareness-based methods, also known as natural family planning, are based on an understanding of the changes that occur throughout a woman's ovulatory cycle. Maximum fertility for the woman occurs approximately 6 days before ovulation and decreases rapidly the day after. The calendar rhythm method, also called the standard days method, is based on the assumption that ovulation tends to occur about 14 days before the start of the next menstrual period. To use this method, the woman must record her menstrual cycles for 6 months to identify the shortest and longest cycles. The calendar method is the least reliable of the fertility awareness methods.
C) Fertility awareness-based methods, also known as natural family planning, are based on an understanding of the changes that occur throughout a woman's ovulatory cycle. Maximum fertility for the woman occurs approximately 6 days before ovulation and decreases rapidly the day after. The calendar rhythm method, also called the standard days method, is based on the assumption that ovulation tends to occur about 14 days before the start of the next menstrual period. To use this method, the woman must record her menstrual cycles for 6 months to identify the shortest and longest cycles. The calendar method is the least reliable of the fertility awareness methods.
D) Fertility awareness-based methods, also known as natural family planning, are based on an understanding of the changes that occur throughout a woman's ovulatory cycle. Maximum fertility for the woman occurs approximately 6 days before ovulation and decreases rapidly the day after. The calendar rhythm method, also called the standard days method, is based on the assumption that ovulation tends to occur about 14 days before the start of the next menstrual period. To use this method, the woman must record her menstrual cycles for 6 months to identify the shortest and longest cycles. The calendar method is the least reliable of the fertility awareness methods.

Question 18

During a sexual history,a female client tells the nurse that because she is in a committed relationship,sexual relations are more satisfying and frequent.What should the nurse realize the client is describing?

Accepted Answer

A) Fulfillment of sexuality depends on the ability to relate to a partner in an intimate and mutually pleasing manner that is compatible with one's values and chosen lifestyle. Lack of intimacy is related to satisfaction problems. If one has sex with a stranger, the body may function well, but there is often a sense of something missing after the sexual experience. Making love to one person while feeling more attracted to or in love with another person can result in feelings of emptiness or disconnection. Even couples in a committed relationship may complain of lack of intimacy. Dissatisfaction issues include lack of romance, love, tenderness, and nurturance.
B) Fulfillment of sexuality depends on the ability to relate to a partner in an intimate and mutually pleasing manner that is compatible with one's values and chosen lifestyle. Lack of intimacy is related to satisfaction problems. If one has sex with a stranger, the body may function well, but there is often a sense of something missing after the sexual experience. Making love to one person while feeling more attracted to or in love with another person can result in feelings of emptiness or disconnection. Even couples in a committed relationship may complain of lack of intimacy. Dissatisfaction issues include lack of romance, love, tenderness, and nurturance.
C) Fulfillment of sexuality depends on the ability to relate to a partner in an intimate and mutually pleasing manner that is compatible with one's values and chosen lifestyle. Lack of intimacy is related to satisfaction problems. If one has sex with a stranger, the body may function well, but there is often a sense of something missing after the sexual experience. Making love to one person while feeling more attracted to or in love with another person can result in feelings of emptiness or disconnection. Even couples in a committed relationship may complain of lack of intimacy. Dissatisfaction issues include lack of romance, love, tenderness, and nurturance.
D) Fulfillment of sexuality depends on the ability to relate to a partner in an intimate and mutually pleasing manner that is compatible with one's values and chosen lifestyle. Lack of intimacy is related to satisfaction problems. If one has sex with a stranger, the body may function well, but there is often a sense of something missing after the sexual experience. Making love to one person while feeling more attracted to or in love with another person can result in feelings of emptiness or disconnection. Even couples in a committed relationship may complain of lack of intimacy. Dissatisfaction issues include lack of romance, love, tenderness, and nurturance.

Question 19

The nurse is instructing a client about the medication sildenafil (Viagra).Which client statement indicates teaching has been effective?

Accepted Answer

A) Taking only one pill in a 24-hour period is the recommended dosing for sildenafil (Viagra). Grapefruit juice can lead to increased, not decreased, levels of sildenafil. Sildenafil should be taken on an empty stomach, not with food. The optimum time for administration is 1 hour before sex, but it can be taken up to 4 hours before sex.
B) Taking only one pill in a 24-hour period is the recommended dosing for sildenafil (Viagra). Grapefruit juice can lead to increased, not decreased, levels of sildenafil. Sildenafil should be taken on an empty stomach, not with food. The optimum time for administration is 1 hour before sex, but it can be taken up to 4 hours before sex.
C) Taking only one pill in a 24-hour period is the recommended dosing for sildenafil (Viagra). Grapefruit juice can lead to increased, not decreased, levels of sildenafil. Sildenafil should be taken on an empty stomach, not with food. The optimum time for administration is 1 hour before sex, but it can be taken up to 4 hours before sex.
D) Taking only one pill in a 24-hour period is the recommended dosing for sildenafil (Viagra). Grapefruit juice can lead to increased, not decreased, levels of sildenafil. Sildenafil should be taken on an empty stomach, not with food. The optimum time for administration is 1 hour before sex, but it can be taken up to 4 hours before sex.

Question 20

An older adult client tells the nurse that he still has erections and wants to have sex with his wife,but she does not have the same interest as he does.What should the nurse do to assist this client?

Accepted Answer

A) The nurse's role with this client is counseling for sexual dysfunction. The nurse should encourage the client to ask his wife to discuss the lack of interest with her healthcare provider as a starting point. The other choices are inappropriate and should not be provided to the client.
B) The nurse's role with this client is counseling for sexual dysfunction. The nurse should encourage the client to ask his wife to discuss the lack of interest with her healthcare provider as a starting point. The other choices are inappropriate and should not be provided to the client.
C) The nurse's role with this client is counseling for sexual dysfunction. The nurse should encourage the client to ask his wife to discuss the lack of interest with her healthcare provider as a starting point. The other choices are inappropriate and should not be provided to the client.
D) The nurse's role with this client is counseling for sexual dysfunction. The nurse should encourage the client to ask his wife to discuss the lack of interest with her healthcare provider as a starting point. The other choices are inappropriate and should not be provided to the client.

Quiz 19: Sexuality

A female client tells the nurse about having no interest in sex since it has become painful.Which intervention(s) would be appropriate to help the client with this problem? Select all that apply.

The nurse is planning care for a client with erectile dysfunction.What should the nurse include in this client's plan of care? Select all that apply.

A male client tells the nurse that he has no idea why his wife wants to stay married to him because he has not been able to "perform" sexually since his prostate surgery.Which diagnosis would be appropriate for this client?

A menopausal client is concerned that intercourse with her spouse has become increasingly painful.What should the nurse explain about the changes in this client's body after menopause?

A nurse is caring for a client who is prescribed a selective phosphodiesterase type 5 inhibitor for the treatment of erectile dysfunction.The nurse should include which statement when educating the client regarding this medication?

The nurse is caring for a client with erectile dysfunction (ED) .Which medication should the nurse anticipate being prescribed for this client? Select all that apply.

The nurse is conducting a health history with a client with erectile dysfunction.Which finding(s) could provide a possible cause for the client's problem? Select all that apply.

A nurse educator is teaching a group of student nurses regarding problems of infertility and genetic inheritance of disease.Which statement made by the nurse indicates that teaching has been effective?

A female client tells the nurse about having difficulty with sexual relations because of a recent weight gain.Which interventions should the nurse include when planning this client's care?

A nurse is treating a client with diabetes mellitus who complains of erectile dysfunction (ED) .Which hormonal cause contributes to ED?

A client asks for a prescription for tadalafil (Cialis) .What would be important for the nurse know prior to planning interventions for this client?