Question 1

A nurse is caring for a 15-year-old who in the past 6 months has had multiple male and female sexual partners. Which response by the nurse will be most effective?&#10;A) &#34;Sexually transmitted infections and unwanted pregnancy are a real risk. Let's discuss what you think is the best method for protecting yourself.&#34;&#10;B) &#34;Having sexual interaction with both males and females places you at higher risk for STIs. To protect yourself, you need to decide which orientation you are.&#34;&#10;C) &#34;Your current friends are leading you to make poor choices. You should find new friends to hang out with.&#34;&#10;D) &#34;I think it's best to notify your parents. They know what's best for you and can help make sure you practice safe sex.&#34;

Accepted Answer

Some adolescents participate in risky behaviors. The nurse should acknowledge this feeling to the patient and offer education and alternatives, while giving the patient the autonomy to make his or her own decisions. Adolescents who engage in sexual risk behaviors experience negative health outcomes such as STIs and unintended pregnancy. In addition, the pattern of risk-taking behavior tends to be established and continue throughout life. The nurse should not force the patient to make a choice of orientation and should not pass judgment on a patient's sexual orientation or social network; this would make the patient feel defensive and would eliminate the trust in the relationship. Involving parents is not the first line of action; parents should be notified only if the child is in a life or death situation.

Question 2

A nurse is conducting a sexual assessment. Which question is appropriate for the nurse to ask?&#10;A) Have you noticed any changes in the way you feel about yourself?&#10;B) What is your favorite sex position with men and with women?&#10;C) Do you think your partner is attractive?&#10;D) Why do you like men over women?

Accepted Answer

Asking about any changes in the way you feel about yourself is an appropriate question to ask during a sexual assessment. Asking about favorite sex position with men and/or women is inappropriate and invasive. The assessment needs to focus on the patient, not the partner. Asking "why" questions is nontherapeutic and is judgmental in this scenario.

Question 3

A nursing student is providing education to a group of older adults who are in an independent living retirement village. Which statement made by the nursing student requires the nurse to intervene?&#10;A) &#34;Avoiding alcohol use will enhance your sexual functioning.&#34;&#10;B) &#34;You need to tell your partner how you feel about sex and any fears you may have.&#34;&#10;C) &#34;You do not need to worry about getting a sexually transmitted infection at this point in your life.&#34;&#10;D) &#34;Using pillows and taking pain medication if needed before having sexual intercourse often help alleviate pain and improve sexual functioning.&#34;

Accepted Answer

Research indicates many older adults are more sexuality active than previously thought and engage in high-risk sexual encounters, resulting in a steady increase HIV and STI rates over the past 12 years. Therefore, the nurse needs to intervene when the student tells the older adults that they are not at risk for developing an STI. Avoiding the use of alcohol; using pillows; taking pain medications before having intercourse if needed; and communicating thoughts, fears, and feelings about sex all enhance sexual functioning.

Question 4

A woman who has been in a monogamous relationship for the past 6 months presents to clinic with herpes on her labia. The patient is distraught because her partner must have cheated on her. Which response by the nurse is most effective in establishing an open rapport with a patient?

A) Share a story.
B) Inform the patient that all encounters are confidential.
C) Encourage the patient to break up with her partner for cheating.
D) Tell the patient that she must be honest about every sexual experience she has had.

Accepted Answer

If open communication is to be established with the patient, the patient must know that she can trust health care team members. By telling the patient that all encounters are confidential, the nurse establishes trust. Sharing a story brings the focus to the nurse, inhibiting open rapport. The nurse does not tell the patient what to do, because that should be the patient's decision. Forcing the patient to confide by sharing every sexual encounter may hinder a trusting relationship.

Question 5

The nurse is caring for a patient who recently had unprotected sex with a partner who has HIV. Which response by the nurse is best?&#10;A) &#34;You should have your blood drawn today to see if you were infected.&#34;&#10;B) &#34;If you have the virus, you will have flu-like symptoms in 6 months.&#34;&#10;C) &#34;Highly active antiretroviral therapy has been shown effective in slowing the disease process.&#34;&#10;D) &#34;I will set you up with a support group to help you cope with dying within the next 10 years.&#34;

Accepted Answer

Highly active retroviral therapy increases the survival time of a person with HIV or AIDS. HIV antibodies will not show up in blood work for 6 weeks to 3 months. The infection stage of HIV lasts for about a month after the virus is contracted; during that time, the patient may experience flu-like symptoms. A support group may be beneficial for a patient who contracts HIV; however, it is unknown whether the patient has contracted HIV, and antiretroviral therapy has helped people live beyond the 10 years expected if HIV goes untreated.

Question 6

A patient who has had several sexual partners in the past month expresses a desire to use a contraceptive. Which contraceptive method should the nurse recommend?&#10;A) Condom&#10;B) Diaphragm&#10;C) Spermicide&#10;D) Oral contraceptive

Accepted Answer

Condoms are both a contraceptive and a barrier against STIs and HIV; proper use will greatly reduce the risk. Spermicides, diaphragms, and oral contraceptives all protect against pregnancy; however, they are not a barrier and do not prevent bodily fluids from coming in contact with the patient during sexual intercourse.

Question 7

The nurse is leading a seminar about menopause and age-related changes. Which response from a group member indicates the nurse needs to follow up?&#10;A) &#34;Hormones of sexual regulation decrease with aging.&#34;&#10;B) &#34;Orgasms are no longer achievable after menopause.&#34;&#10;C) &#34;The excitement phase is prolonged as we age.&#34;&#10;D) &#34;As men age, their erection may be less firm.&#34;

Accepted Answer

Believing that orgasms are no long achievable requires follow-up to correct this misconception. Orgasms are achievable at any age; however, it may take longer with aging. All other statements indicate that the patient does have an understanding of age-related changes and needs no follow-up. Both genders experience a reduced availability of sex hormones. The excitement phase prolongs in both men and women. Men often have erections that are less firm and shorter acting.

Question 8

A nurse is assessing a child for sexual abuse. Which assessment findings will the nurse expect?&#10;A) Physical aggression and sleep disturbances&#10;B) Many peers and no drug usage&#10;C) Panic attacks and anorexia&#10;D) Anxiety and depression

Accepted Answer

Behavioral signs of sexual abuse in a child include physical aggression, sleep disturbance, poor peer relationships, and substance abuse. Panic attacks, anorexia, anxiety, and depression are behavioral signs for adults.

Question 9

A nurse is reviewing a patient's history. Which priority finding will alert the nurse to assess the patient for possible sexual dysfunction?&#10;A) Takes vacations out of the country&#10;B) Takes antianxiety medication&#10;C) Takes exercise classes&#10;D) Takes afternoon naps

Accepted Answer

Medications that can affect sexual functioning include antihypertensive, antipsychotics, antidepressants, and antianxiety. Taking vacations out of the country, exercise classes, and afternoon naps are not as priority for sexual functioning as medications.

Question 10

A nurse is interviewing a woman who uses a diaphragm. Which information from the patient will require the nurse to follow up?&#10;A) &#34;I have lost 12 pounds on this diet.&#34;&#10;B) &#34;I use the diaphragm to prevent pregnancy.&#34;&#10;C) &#34;I use a contraceptive cream with my diaphragm.&#34;&#10;D) &#34;I know this provides a barrier over the cervical opening.&#34;

Accepted Answer

The woman needs to be refitted after a significant change in weight (10-pound gain or loss) or pregnancy. The diaphragm is a round, rubber dome that has a flexible spring around the edge. It is used with a contraceptive cream or jelly and is inserted in the vagina so it provides a contraceptive barrier over the cervical opening.

Question 11

A nurse is using the PLISSIT model when caring for a patient with dyspareunia from diminished vaginal secretions. The nurse suggests using water-soluble lubricants. Which component of PLISSIT is the nurse using?

A) P
B) LI
C) SS
D) IT

Accepted Answer

The answer of A nurse is using the PLISSIT model...

Question 12

A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after repeated attempts at fertility treatment. The patient tells the nurse, "I feel happier, but my sex drive is gone." Which nursing diagnosis has the highest priority?

A) Sexual dysfunction
B) Ineffective coping
C) Risk for self-directed violence
D) Deficient knowledge about contraception

Accepted Answer

The answer of A nurse is caring for a 35-year-old...

Question 13

A 15-year-old patient is concerned because her mother wants her to receive the human papillomavirus (HPV) vaccination, but the patient is unsure if she wants it. Which response by the nurse is most therapeutic?

A) Ask the patient what concerns she may have about the vaccination.
B) Inquire about how many sexual partners she has had in the past year.
C) Remind her that her mother knows best and that she should respect her parents' wishes.
D) Promote the importance of the vaccine, and recommend that the patient get the vaccine as soon as possible.

Accepted Answer

The answer of A 15-year-old patient is concerned because her...

Question 14

A patient who had a colostomy placed 1 month ago is feeling depressed and does not want to participate in sexual activities anymore. The patient is afraid that the partner does not want sex. The patient is afraid the ostomy is physically unattractive. Which initial nursing intervention will be most effective in helping this patient resume sexual activity?

A) Inform the patient about a support group for people with colostomies.
B) Reassure the patient that lots of people resume sex the same week the colostomy is placed.
C) Teach the patient about intimate activities that can be done to incorporate the ostomy.
D) Discuss ways to adapt to new body image so the patient will be comfortable in resuming intimacy.

Accepted Answer

The answer of A patient who had a colostomy placed...

Question 15

A nurse is preparing a community class about sexually transmitted infections. Which primary group will the nurse focus on for this class?&#10;A) Bisexual women&#10;B) Men who have sex with men&#10;C) Youths between the ages of 24 and 27&#10;D) Pregnant women and their partners

Accepted Answer

The answer of A nurse is preparing a community class...

Question 16

A nurse is caring for a patient who expresses a desire to have an elective abortion. The nurse's religious and ethical values are strongly opposed. How should the nurse best handle the situation?&#10;A) Attempt to educate the patient about the consequences of abortion.&#10;B) Refer the patient to a family planning center or another health professional.&#10;C) Continue to care for the patient, and limit conversation as much as possible.&#10;D) Inform the patient that, because of immoral issues, another nurse will have to care for her.

Accepted Answer

The answer of A nurse is caring for a patient...

Question 17

An 18-year-old male patient informs the nurse that he isn't sure if he is homosexual because he is attracted to both genders. Which response by the nurse will help establish a trusting relationship?&#10;A) &#34;Don't worry. It's just a phase you will grow out of.&#34;&#10;B) &#34;Those are abnormal impulses. You should seek therapy.&#34;&#10;C) &#34;At your age, it is normal to be curious about both genders.&#34;&#10;D) &#34;Having questions about sexuality is normal but if these sexual activities make you feel bad you should stop.&#34;

Accepted Answer

The answer of An 18-year-old male patient informs the nurse...

Question 18

Which patient is most in need of a nurse's referral to adoption services?&#10;A) A woman considering abortion for an unwanted pregnancy&#10;B) An infertile couple religiously opposed to artificial insemination&#10;C) A woman who suffered miscarriage during her first pregnancy&#10;D) An infertile couple who has been attempting conception for 3 months

Accepted Answer

The answer of Which patient is most in need of...

Question 19

A parent asks about the human papillomavirus (HPV) vaccine. Which information will the nurse include in the teaching session?&#10;A) It is recommended for girls 6 to 9 years old.&#10;B) It is recommended for females ages 11 to 26.&#10;C) It is recommended that booster injections be given.&#10;D) It is recommended to receive four required injections.

Accepted Answer

The answer of A parent asks about the human papillomavirus...

Question 20

A mother brings her 12-year-old daughter into a clinic and inquires about getting a human papillomavirus (HPV) vaccine that day. Which information will the nurse share with the mother and daughter about the HPV vaccine?

A) Protects against human immunodeficiency virus (HIV)
B) Protects against cervical cancer
C) Protects against chlamydia
D) Protects against pregnancy

Accepted Answer

The answer of A mother brings her 12-year-old daughter into...

Question 21

A nurse is caring for a patient with dyspareunia. In which order will the nurse provide care, starting with the first step?
1) Determine which signs and symptoms of dyspareunia the patient has.
2) Mutually decide upon goals and objectives for dyspareunia.
3) Ask the patient if the dyspareunia is improving.
4) Develop a nursing diagnosis for the patient.
5) Use resources to help resolve the problem.

A) 5, 3, 1, 4, 2
B) 1, 4, 2, 5, 3
C) 3, 1, 4, 2, 5
D) 4, 2, 5, 3, 1

Accepted Answer

The answer of A nurse is caring for a patient...

Question 22

An older couple expresses concern because they are easily fatigued during sexual intercourse and cannot reach climax. Which strategies to increase sexual stamina will the nurse offer? (Select all that apply.)

A) Plan sexual activity around a time when the couple feels rested.
B) Encourage intimate touching, such as hugging and kissing.
C) Use extra lubrication to decrease discomfort.
D) Take pain medication before intercourse.
E) Avoid alcohol and tobacco.
F) Eat well-balanced meals.

Accepted Answer

The answer of An older couple expresses concern because they...

Question 23

The nurse is teaching a patient how to use a condom. Which instructions will the nurse provide?&#10;A) Store in a warm lit space.&#10;B) Use massage oils for lubrication.&#10;C) Rinse and reuse the condom if needed.&#10;D) Hold onto the condom when pulling out.

Accepted Answer

The answer of The nurse is teaching a patient how...

Deck 35: Sexuality