Deck 33: Sexual Health

Question 1

Your 35-year-old client tells you that his boss requires him to massage her shoulders and she rubs his legs,thighs,and genitals.He further states that he does not want to upset her because he needs the job.Which statement best applies to this situation?

A) The male is receiving sexual satisfaction from having his legs, thighs, and genitals massaged.
B) This is an example of quid pro quo sexual harassment and should be reported to her supervisor.
C) This is an example of hostile work environment sexual harassment and should be immediately reported to her supervisor.
D) This is not a situation of harassment because no sexual intercourse occurred.

Answer 1

This is an example of quid pro quo sexual harassment and should be reported to her supervisor.

Question 2

A 19-year-old client asks if he is normal because he has always viewed himself as a female,although he has acted like a male to please his parents.The nurse should provide the client with education on which concept?

A) Intersex
B) Transsexual
C) Transvestite
D) Bisexual

Answer 2

Transsexual

Question 3

Which of the following statements by a teenage client would indicate that your teaching about detection of STIs has been effective?

A) "A healthcare provider can tell whether you have an STI just by looking at your genitals."
B) "The doctor has to do surgery to biopsy the tissue to find out if a person has an STI."
C) "A healthcare provider can tell whether you have an STI by getting a detailed sexual history."
D) "A genital swab culture can be done at the office or clinic to determine whether a person has an STI."

Answer 3

"A genital swab culture can be done at the office or clinic to determine whether a person has an STI."

Question 4

The nurse is assigned a patient scheduled for a penectomy as treatment for penile cancer.The patient says,"I am going to be a freak.I won't be a man after surgery." The nurse recognizes that the patient connects having a penis with which aspect of sexuality?

A) Role and identity
B) Eroticism
C) Intimacy
D) Reproduction

Question 5

The nurse is developing a plan of care for a female patient who expresses loss of interest in sexual intimacy with her husband following a mastectomy several months ago.What nursing diagnosis would be most appropriate for this patient?

A) Ineffective sexuality patterns
B) Sexual Dysfunction
C) Activity Intolerance and Fatigue
D) Disturbed Body Image

Question 6

The mental health unit separates from others a male patient who repeatedly talks rapidly,makes sexual comments to female patients,and touches them inappropriately.While reviewing his medical records,which diagnosis can the nurse best anticipate for this patient?

A) Depression
B) Schizophrenia
C) Alzheimer's disease
D) Bipolar disorder

Question 7

Which is the third stage of sexual arousal?

A) Desire
B) Excitement
C) Plateau
D) Orgasm

Question 8

The nurse working in a gynecology office recognizes what sexual practice by a patient as a form of sexual expression that is illegal in the United States?

A) Public displays of affection
B) Private sexual behavior
C) Female circumcision
D) Transgender surgery

Question 9

To discuss a client's sexual health needs in a comfortable and competent manner,it is most important for a nurse to be able to:

A) Recognize and set aside personal biases or experiences related to sexuality
B) Perform an accurate and comprehensive physical assessment
C) Collect an accurate and comprehensive sexual history
D) Acquire theoretical knowledge of sexual health concerns

Question 10

When in the reproductive cycle is there marked growth of ovarian material and regrowth of the endometrium,ending with the release of the ovum?

A) Menstrual phase
B) Follicular phase
C) Luteal phase
D) Fertilization

Question 11

The nurse is admitting a young adult male and asks him where he works.The patient appears embarrassed and says,"You're going to think I'm lazy,but I stay home with our young children while my wife works." The nurse recognizes this patient is experiencing what type of conflict?

A) Gender
B) Gender role
C) Gender identity
D) Sexual orientation

Question 12

The nurse is assessing the patient's sexual functioning.With cultural patterns in mind,which patient will the nurse expect most likely to be uncomfortable discussing this topic?

A) 34-year-old African American male patient
B) 54-year-old Hispanic male patient
C) 71-year-old African American female patient
D) 48-year-old Asian American female patient

Question 13

A client confides to you that he feels guilty because when he has intercourse with his girlfriend,he pretends that she is a certain female actress.What is your best response?

A) "This behavior is known as a voyeuristic disorder and is perfectly normal."
B) "Are there problems in your relationship with your girlfriend?"
C) "I can provide you with a referral to a sexual counselor who can help you work through these guilt feelings."
D) "Fantasy before or during sexual intercourse can add excitement to a relationship."

Question 14

The emergency room nurse receives a male patient experiencing an acute myocardial infarction (heart attack)who is dressed in his wife's bra,panties,and nightgown.What is the most accurate inference the nurse can make about the patient with this data? The patient:

A) is transsexual
B) is a transvestite
C) is homosexual
D) has gender confusion

Question 15

Which statement below is a myth regarding sexuality and bodily functions?

A) Douching after intercourse does not prevent pregnancy.
B) Wearing a condom during intercourse does not prevent pregnancy.
C) Celibacy is 100% effective in the prevention of pregnancy.
D) Antibiotics can cure all types of sexually transmitted infections.

Question 16

When providing care for a client with concerns about his sexual orientation,you use the PLISSIT model.You recognize that the first step you must take is to:

A) Provide information about sexual orientation and common alterations
B) Plan time to discuss concerns with the client in a private, comfortable setting
C) Permit the client to speak openly by communicating an open, accepting attitude
D) Provide referrals to the client so he can identify resources to assist him in the future

Question 17

The nurse is performing a sexual assessment on a newly admitted married 60-year-old female patient.Which question should the nurse omit from the nursing assessment?

A) "Are you sexually active?"
B) "How often do you have sexual intercourse?"
C) "Do you experience any discomfort during sex?"
D) "What method of birth control are you currently using?"

Question 18

When evaluating the treatment plan for a patient with erectile dysfunction (ED),you would deem the treatment successful if the patient made the following statement:

A) "I feel very good about the treatment; I am now comfortable with my sexual orientation."
B) "I am happy with the treatment as I can now maintain an erection through orgasm."
C) "Now I can communicate my sexual needs to my partner without embarrassment."
D) "I now know how to prevent further sexually transmitted infections."

Question 19

A parent of a 10-year-old calls the clinic and tells you that she recently found out that a convicted sex offender is living in their neighborhood.She asks your advice on how to protect her child.What is your best response?

A) "Keep the child indoors to prevent any contact with the sex offender."
B) "Discuss your concerns with the sex offender."
C) "Teach your child to stay away from strangers and never let another person touch her private parts."
D) "Teach your child to walk on the opposite side of the street and away from the house of the known sex offender."

Question 20

You are assessing a 16-year-old female's knowledge of sexuality.Which of her statements indicates that she requires further teaching?

A) "I don't practice oral sex, because it could lead to sexually transmitted infections."
B) "I don't have sexual intercourse because I want to remain a virgin until marriage."
C) "My boyfriend and I are practicing abstinence by engaging in shared touching."
D) "My parents are lesbians, but it has not affected my sexual orientation."

Question 21

The 65-year-old patient tells the nursing student that his sex life was ruined after having rostate surgery.What statement by the student would be most appropriate?

A) "I am so sorry to hear that. A close sexual relationship is so important."
B) "It is possible to have a close, intimate relationship without intercourse."
C) "Let's talk a little more about the ways in which your sex life has been ruined."
D) "You might want to try one of the medications available to treat erectile dysfunction."

Question 22

Which of the following are considered sexual response cycle disorders? Select all that apply.

A) Arousal disorder
B) Date rape
C) Orgasmic disorder
D) Low libido

Question 23

A 2-year-old boy has come to the well-child clinic with his mother for a checkup.When the nurse asks his mother whether she has any concerns,she says,"I don't know why he won't quit touching his 'privates' all the time.I have tried sitting him in a chair,smacking his hand,and telling him no,but he continues to do this.I just don't know how to make him stop." How would you best respond to her concerns? Select all that apply.

A) "Give him a little time, and he'll grow out of it. He's just too young to understand right now."
B) "How often do you punish him by giving him a time-out or by using physical discipline?"
C) "Physical punishment, such as smacking his hand, is not the best way to modify a child's behavior."
D) "It isn't unusual for him to fondle his genitals, as this is part of his exploration of his body."

Question 24

The nurse has finished teaching a class for adolescents and young adults on sexually transmitted infections (STIs)and safe sexual practices.The nurse determines further teaching is needed when which statements are made? Select all that apply.

A) "It is important for me to avoid STIs, so I will get a prescription for birth control pills."
B) "I cannot contract an STI if we only perform oral sex on one another."
C) "I should see my provider to be tested if I experience burning on urination."
D) "If I contract an STI, it isn't my fault because I had sex with only one person."
E) "I need to have a discussion with my sexual partner about our past sexual histories."

Question 25

You are caring for a 32-year-old woman who has been sexually assaulted.What nursing interventions are initially most important for this client? Select all that apply.

A) Help her to communicate effectively with police about the attack.
B) Obtain permission from your client to test for pregnancy and STIs.
C) Refer your client to a sexual assault support group.
D) Promote and model empathy and support for her family members.

Question 26

The nurse teaches a class on reproduction for adolescents and explains that which female reproductive organs engorge and become sensitive during stimulation? Select all that apply.

A) Vagina
B) Labia majora
C) Labia minora
D) Clitoris
E) Bartholin's glands

Question 27

The nurse teaching 8th grade girls addresses common myths about sexuality and body functions.Which statement by a student is an indication that teaching was effective?

A) "After the first time I have sex, I need to begin some form of birth control to avoid pregnancy."
B) "Condoms are the most effective birth control and it is the only way I can be sure I won't get pregnant."
C) "I only have to worry about being infected with a sexually transmitted infection if I see a sore or have pain."
D) "Enjoyable sexual relationships or reaching orgasm simultaneously does not indicate the quality of the relationship."

Question 28

A physician frequently approaches a nurse and complements her on her appearance,including making comments about private areas of the nurse's body.What is the nurse's initial best action?

A) Inform the nursing supervisor of the physician's behavior.
B) Call the medical board to report the physician's behavior.
C) Document the physician's behavior and report concerns to the chief of staff.
D) Inform the physician the behavior is inappropriate and unwelcome.

Question 29

Normal physiological changes in women's sexual responses that occur with aging include which of the following? Select all that apply.

A) Delayed nipple erection
B) Increased vaginal expansion
C) Reduced vaginal lubrication
D) Reduced labial separation and swelling

Question 30

The nurse sees a patient in the clinic who is diagnosed with pelvic inflammatory disease.What assessment finding does the nurse suspect as the possible cause of this infection?

A) Soaking in a hot bath every evening.
B) Skipping showers over the weekend
C) Wearing cotton underwear
D) Douching two times per week

Question 31

The patient tells the nurse,"My partner and I never have intercourse when I have my period because I read that it is dangerous." What statement by the nurse is most appropriate?

A) "You can protect the bed linens by placing protective padding under the buttocks."
B) "Reaching orgasm during your period can help to relieve menstrual cramps."
C) "The blood is from the uterus, not the vagina, so intercourse will not harm the vagina."
D) "The increased blood flow to the pelvis will make sex more pleasurable for you."

Question 32

When caring for a woman who was sexually assaulted,what is your best approach for collecting information surrounding the event? Select all that apply.

A) Use a calm, reassuring voice when asking questions of your patient.
B) Ask only close family members to describe events related to the incident.
C) Provide privacy by asking questions behind a closed curtain.
D) Document the details using the patient's own words.

Question 33

What are common reasons that a female victim of abuse might not report an incident of sexual assault? Select all that apply.

A) Fear that her boyfriend would be angry if she reported it and would hurt her again
B) Belief that she was to blame for starting a fight with her boyfriend
C) Idea that the legal system couldn't prosecute him for the crime against her
D) Desire to have the incident behind her, as if it never happened in the first place
E) None of the above