Question 1

Which of the following questions or statements would be most useful for the nurse to make when eliciting information about a client's sexual history?

Accepted Answer

Option C, "How would you describe the problem?" is open-ended and non-judgmental, encouraging the client to share information about their sexual history in their own words, which can lead to a more comprehensive understanding of their situation.

Question 2

Which of the following occurs in the male during the resolution phase of the sexual response cycle?

Accepted Answer

During the resolution phase of the sexual response cycle, the male experiences a refractory period during which he is incapable of achieving another erection or orgasm. This phase follows orgasm, where the body gradually returns to its pre-aroused state.

Question 3

The nursing instructor is talking with the junior nursing class about male reproductive issues. The instructor tells the students that the causes of erectile dysfunction include which of the following? Select all that apply.

Accepted Answer

Erectile dysfunction can be caused by a variety of factors, including alcoholism, spinal cord trauma, and diabetes. Tadalafil and phosphodiesterase-5 inhibitors are actually medications used to treat erectile dysfunction, so they would not be considered causes of it.

Question 4

The nurse is conducting a class on human sexual response. The participants have understood the education when they identify that, during the excitement phase of the sexual response, the man may experience what?

Accepted Answer

During the excitement phase of the sexual response, the man may experience nipple erection as a result of increased blood flow to the breasts. Hypotension (low blood pressure), bradycardia (slow heart rate), and decreased blood flow to the genitals are not typical responses in the excitement phase.

Question 5

During a class for 5th- and 6th-grade girls about menstruation, one student comments that she has heard that girls smell bad during their menses. Other students chime in saying they have heard the same thing and ask how to prevent odors. The nurse correctly answers with which of the following solutions?

Accepted Answer

Utilizing good hygiene and regular bathing is the correct solution to prevent odors during menstruation. It is important to keep the genital area clean and dry by changing pads or tampons at least daily and washing the area with mild soap and water. Using scented products can actually cause irritation and worsen any odors, so it is best to avoid deodorizing pads or tampons. Staying at home during the heaviest flow is not necessary and can limit daily activities.

Question 6

A new client has come to the clinic wanting a method of birth control. The client asks about a diaphragm. What would the nurse teach this client about a diaphragm?

Accepted Answer

The diaphragm must be used during each episode of sexual activity. It must be inserted up to two hours before intercourse and should be left in place for at least six hours afterward. It needs to be refitted if the client loses or gains 10 pounds or more, has had a full-term pregnancy or an abortion in the second trimester or later or has undergone gynecological surgery.

Answer: C 
 The diaphragm's effectiveness increases with the use of spermicidal jelly, which kills sperm. The diaphragm may be purchased in several sizes and should be fitted by a healthcare provider.

Therefore, answer A and D are inaccurate.

Question 7

Parents of an infant express concern because the infant is touching his genitals. What should the nurse teach the parents?

Accepted Answer

Self-manipulation of genitals is a normal behavior for infants and young children. As long as it is not interfering with the child's daily routine or causing harm, it is not a cause of concern. Clothing restrictions or punishment are not necessary or appropriate in this situation. The nurse should educate the parents about normal infant development and encourage them to observe the behavior to ensure it is not causing physical harm.

Question 8

A boy age 13 years visits the school nurse's office and asks to speak privately with her. He looks very upset and embarrassed and struggles to make eye contact with the nurse. After some stuttered stops and starts, he finally asks about masturbating and if the things he has heard about it are true. The nurse provides correct education and information for the young man about masturbation by telling him which of the following? Choose all that apply.

Accepted Answer

Masturbation is a normal and healthy form of self-exploration and self-stimulation. It is a common practice among people of all ages and genders. It is important to provide correct education and information to young people so that they do not feel ashamed or embarrassed about their natural curiosity. However, it is important to note that the idea that masturbation can lead to blindness or decrease intelligence is a myth and is not supported by any scientific evidence. It is also important to emphasize that masturbation is not dirty or wrong, but rather a natural and normal part of human sexuality.

Question 9

The nurse is caring for a female age 45 years who discloses during the admission nursing history that she is no longer able to enjoy sex with her husband because it causes too much pain in her vagina. The nurse includes which of the following nursing diagnoses in the client's care plan related to this information?

Accepted Answer

The client's statement suggests that she is experiencing pain during sexual intercourse, which is a symptom of dyspareunia. Therefore, the appropriate nursing diagnosis would be Sexual Dysfunction: Dyspareunia. Altered Sexuality Patterns: Change in sexual expression, Altered Sexuality Patterns: Loss of desire, and Altered Sexuality Patterns: Change in positioning may be appropriate nursing diagnoses in other situations, but do not accurately reflect the client's presenting problem in this case.

Question 10

The clinic nurse sees the client today and asks about his chief complaint. The client describes to the nurse his inability to attain an erection. Which of the following would be a priority for the nurse to assess? Choose all that apply.

Accepted Answer

The nurse should assess the medication history as some medications can cause erectile dysfunction. Understanding specifics about the sexual problem helps in identifying the nature and potential causes. A history of diabetes is important as it can lead to erectile dysfunction due to vascular and nerve damage.

Question 11

The nurse conducting a class on human sexuality includes which of the following about gender identity?

Accepted Answer

Gender identity refers to a person's internal sense of their own gender, which may or may not align with their biologic gender (determined by chromosomes and physical characteristics). It is important for healthcare providers to understand and respect individuals' gender identity.

Question 12

The client suffered a myocardial infarction (MI) and has shared with the nurse that he is reluctant to resume sexual activity. He is worried about having another MI. The nurse discusses various methods of sexual expression and points out that the most important body area for sexual arousal and stimulation is which of the following?

Accepted Answer

The most important body area for sexual arousal and stimulation is the brain, as it controls the release of hormones and neurotransmitters that impact sexual desire and satisfaction. This information may help the client feel more comfortable with resuming sexual activity, as he can focus on engaging his brain and other non-genital areas to achieve sexual pleasure.

Question 13

The nurse is providing sexual education to a group of teenagers. One of the class members reports feeling sexually aroused when her boyfriend strokes her arms. The nurse points out that the human body has many erogenous zones, the largest being which of the following?

Accepted Answer

The skin is the largest erogenous zone on the human body, containing many nerve endings that can be stimulated to produce sexual arousal. While genitalia and breasts are also erogenous zones, they are not the largest. The brain is also involved in sexual arousal but is not considered an erogenous zone.

Question 14

The nurse is caring for a female 29 years of age who is admitted with chronic pain secondary to rheumatoid arthritis. She confides in the nurse that she would like to be able to have sex with her husband but it just hurts too much. The nurse's best response is which of the following?

Accepted Answer

The nurse's best response in this situation is to suggest modified positions for sexual activity that may be less painful. Option A is dismissive and insensitive to the patient's concerns. Option B is not helpful in addressing the patient's pain or sexual concerns. Option C is invalidating and dismissive of the patient's struggles.

Question 15

When conducting a class on sexuality with teenagers, the nurse includes that sexuality is which of the following?

Accepted Answer

Sexuality encompasses more than just physical anatomy or sexual activity. It also includes how individuals perceive and relate to their own gender and the gender of others, and the emotional and psychological aspects of sexual relationships.

Quiz 44: Sexuality