Deck 19: Womens Sexual Health

Question 1

Which of the following are dimensions of sexuality? (Select all that apply.)

A) Sexual desire
B) Sexual identity
C) Ethnic identity
D) Presentation of self
E) Desire for achievement

Answer 1

A, B, D

Question 2

Sexual health requires which of the following? (Select all that apply.)

A) A body mass index (BMI) of 18 to 24.9
B) Awareness and acceptance of one's body
C) Sexual intercourse two to three times per week
D) The possibility of pleasurable, safe sexual experiences
E) The absence of any sexually transmitted infection

Answer 2

B, D, E

Question 3

Which of the following are characteristics of women's sexual response? (Select all that apply.)

A) Highly consistent among a woman's life stages
B) Highly variable among different women
C) Expectations and perceptions influenced by culture
D) A complex interplay of psychological, physiological, and interpersonal components
E) Unaffected by religious beliefs

Answer 3

B, C, D

Question 4

The Masters and Johnson model of human sexual response developed in the 1960s included which series of phases?

A) Excitement, plateau, orgasm, resolution
B) Desire, excitement, orgasm
C) Neutrality, awareness of nonsexual need to be sexual, choice to be stimulated, some sexual arousal, sexual desire, more arousal, physical well-being, spin-offs
D) Neutrality, desire, excitement, plateau, orgasm, resolution

Question 5

The Kaplan model of human sexual response included which series of phases?

A) Excitement, plateau, orgasm, resolution
B) Desire, excitement, orgasm
C) Neutrality, awareness of nonsexual need to be sexual, choice to be stimulated, some sexual arousal, sexual desire, more arousal, physical well-being, spin-offs
D) Neutrality, desire, excitement, plateau, orgasm, resolution

Question 6

Basson's model of female sexual response is based on which of the following premises?

A) Women and men experience the same cycle of sexual response.
B) Desire is a critical first step in the sexual response cycle.
C) Women can enter into sexual activity for reasons other than innate desire.
D) Female sexual response follows a linear biologic progression.

Question 7

According to a study by Robbins et al., what percentage of 17-year-old females reported of ever having masturbated?

A) 28%
B) 38%
C) 48%
D) 58%

Question 8

Although there is variation, during what phase of life is it most likely that females, particularly lesbians, will establish their sexual orientation?

A) Childhood
B) Adolescence
C) Adulthood
D) Midlife

Question 9

The nurse is conducting a sexual assessment on Pamela, a 50-year-old woman. On asking whether Pamela is involved in a sexual relationship, Pamela says "yes." Which follow-up question would be most appropriate for the nurse to ask next?

A) "Are you married?"
B) "Are you and your husband satisfied with your sex life?"
C) "Who are you having sex with?"
D) "Are you involved in a sexual relationship with men, women, or both?"

Question 10

The nurse is conducting a sexual assessment with Wendy, a 16-year-old client, who appears nervous. The nurse sees on Wendy's questionnaire that her period is a week later than usual. What would be the most effective way for the nurse to begin the conversation with Wendy?

A) "Many young women your age experience irregular periods for different reasons. Is this something you are experiencing?"
B) "So, I see that your period is late. Do you think you are pregnant?"
C) "Have you been using condoms when you have sex with your boyfriend?"
D) "Don't worry. It's highly unlikely that you are pregnant, only being a week late."

Question 11

In the PLISSIT (permission, limited information, specific suggestions, and intensive therapy) model of sexual health care interventions, the first step is which of the following?

A) Perform a Pap smear
B) Palpate the client's abdomen
C) Ask about the patient's past medical history
D) Ask permission to discuss sexual function

Question 12

When conducting a sexual assessment with a client, Ellie, the client gets angry and says that her partner is always so selfish and is only concerned with her own sexual needs. She relates a string of recent experiences with her partner and then says, "What do you think I should do?" Which of the following would be the most appropriate response for the nurse to give?

A) "I agree that your partner is being selfish. You might consider breaking up with her."
B) "Why don't we schedule a follow-up appointment with you and your partner so that we can discuss this together."
C) "When my husband is being selfish, I just refuse to have sex with him. Maybe you should do the same."
D) "Let me refer you to a good sex therapist I know. She is better trained to provide the kind of care you require."

Question 13

A patient reports chronic pain in the vulvar area that has persisted for 4 months. The nurse recognizes this condition as which of the following?

A) Vulvodynia
B) Vestibulodynia
C) Dyspareunia
D) Genitopelvic pain/penetration disorder

Question 14

A patient reports experiencing fear and anxiety just before having intercourse related to the pain she anticipates experiencing. She also reports feeling uncomfortable tension in her pelvic floor muscles during intercourse. The nurse recognizes this condition as which of the following?

A) Vulvodynia
B) Vestibulodynia
C) Dyspareunia
D) Genitopelvic pain/penetration disorder

Question 15

A nurse is counseling a 15-year-old client whose boyfriend wants her to try drinking a couple of beers before they have sex. Which of the following effects of alcohol use on sexual function should the nurse mention to the client?

A) An intensified orgasm for both her and her boyfriend
B) Increased fear and anxiety about having sex
C) Increased risk taking in sex, such as not using a condom
D) Increased vaginal lubrication