Deck 44: Sexuality

Question 1

A nurse is counseling a female victim of sexual assault. Which of the following statements accurately describes the increased risks for this client?

A) The client is three times more likely to suffer from depression.
B) The client is 10 times more likely to suffer from post-traumatic stress disorder.
C) The client is 20 times more likely to abuse alcohol and 26 times more likely to abuse drugs.
D) The client is 20 times more likely to contemplate suicide.

Answer 1

The client is three times more likely to suffer from depression.

Question 2

What do most nursing interventions pertaining to sexuality involve?

A) Teaching to promote sexual health
B) Examinations to identify sexually transmitted infections
C) Advocacy for those with sexual dysfunctions
D) Maintaining confidentiality and privacy

Answer 2

Teaching to promote sexual health

Question 3

In which of the phases of the sexual response cycle may secretions from Cowper's glands appear at the glans of the penis?

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

Answer 3

Plateau

Question 4

An adolescent male tells the nurse that he is afraid his penis will be damaged because he masturbates every day. The nurse's response is based on what knowledge?

A) Masturbation is not a normal activity.
B) Only adult men masturbate.
C) Masturbation may delay puberty.
D) Self-stimulation is a normal activity.

Question 5

A male client age 15 years is experiencing nocturnal emissions. What nursing intervention would be appropriate for this client?

A) Ask the parents to consult with a specialist.
B) Tell the client to limit physical activity in the evening.
C) Ask the primary care provider to perform a physical examination.
D) No intervention is necessary as this is a normal phenomenon.

Question 6

While answering questions posed by a nurse during a health history, a young woman says, "Before my period I get headaches, am moody, and my breasts hurt." What is the client experiencing?

A) Perimenopause
B) Menarche
C) PMS
D) Menses

Question 7

A nurse is responding to sexual harassment from a client at work. Which of the following is a recommended guideline for dealing with this behavior?

A) If confronted by management, deny any feelings about being harassed.
B) Do not confront the person harassing you in person.
C) Set and enforce limits to the behavior and maintain boundaries.
D) Document the incident but do not report it to the supervisor unless harassment continues.

Question 8

A heterosexual couple enjoys both anal and vaginal intercourse. What may result from these sexual activities?

A) Feelings of guilt and shame
B) Vaginal infections
C) Damage to the vagina
D) Penile infections

Question 9

What is the most significant difficulty regarding sexuality faced by people taking medications for hypertension?

A) Medications result in increased desire for sex.
B) Medications change sexual functioning.
C) Clients experience a growth of body hair.
D) Clients experience increased body odors.

Question 10

What term is used to describe painful intercourse?

A) Dyspareunia
B) Dysmenorrhea
C) Impotence
D) Vulvodynia

Question 11

A nurse is educating a student nurse on how STIs affect the health of their clients. Which of the following statements accurately describes an effect of an STI?

A) STIs are most common in young to middle adulthood populations.
B) The incidence of STIs is decreasing due to health promotion efforts.
C) Most of the time STIs cause no symptoms, especially in women.
D) Health problems caused by STIs are more severe and frequent in men.

Question 12

A young woman has been diagnosed with human papilloma virus (HPV). As a result, she will be at increased risk for which of the following?

A) Infertility
B) Genital warts
C) Vaginal bleeding
D) Cervical cancer

Question 13

After instructing the male client on the performance of a testicular examination, the nurse instructs the client to perform the examination how often?

A) Monthly
B) Weekly
C) Bi-monthly
D) Bi-yearly

Question 14

A woman is using Depo-Provera as a method of birth control. What common side effect should the nurse explain to the client?

A) Constipation
B) Nausea
C) Irregular bleeding
D) Pregnancy

Question 15

What are the primary nursing considerations when assisting with, or conducting, a physical assessment of the genitalia?

A) Ensuring sterility of all equipment and supplies
B) Respecting the client's privacy and modesty
C) Providing a means for cleansing the area
D) Leaving the room during the assessment

Question 16

A woman complains of pain with intercourse. What client medications should the nurse check for that contribute to dyspareunia?

A) Antihistamines
B) Calcium supplements
C) Antibiotics
D) Antihypertensives

Question 17

A nurse is explaining the use of an IUD to a female client interested in obtaining contraception. Which of the following statements regarding the IUD is correct?

A) The intrauterine device (IUD) is an object that is placed by the client within the uterus to prevent implantation of a fertilized ovum.
B) IUDs are small devices made of flexible plastic that provide irreversible birth control.
C) IUDs do not prevent fertilization of the egg.
D) IUDs seem to affect the way the sperm or egg moves.

Question 18

A woman tells a nurse, "My husband wants to have sex when I have my period. Is that safe?" What is an appropriate answer?

A) "No, the flow of blood could be slowed down."
B) "No, it will tend to make your cramps worse."
C) "Yes, but be sure to douche after sex."
D) "Yes, there is no reason not to have sex then."

Question 19

A woman age 70 years tells the nurse that she is still sexually active. How would the nurse respond?

A) "You are too old for that kind of behavior."
B) "Tell me what you enjoy the most."
C) "You can be sexually active as long as you want to be."
D) "There comes a time in life when this is no longer important."

Question 20

A male client tells the nurse that he does not understand why he feels the way he does when he is sexually excited. What would the nurse teach the client?

A) "I don't know, but I will ask my boyfriend if he can describe his feelings to me."
B) "The sexual response cycle includes excitement, plateau, orgasm, and resolution."
C) "That is something that just happens and nobody knows why."
D) "Isn't sex wonderful? I think it has different parts to the experience."

Question 21

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?

A) "We need to talk about this."
B) Why did you have unprotected sex?
C) "How would you describe the problem?
D) I need to know sex partners' numbers."

Question 22

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

A) The penis becomes erect due to increased pelvic congestion of blood.
B) Involuntary spasmodic contractions occur in the penis.
C) The male orgasm occurs usually with ejaculation of semen from the penis.
D) The male experiences a period during which he is incapable of sexual response.

Question 23

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.

A) Alcoholism
B) Spinal cord trauma
C) Tadalafil
D) Phosphodiesterase-5 inhibitors
E) Diabetes

Question 24

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?

A) Nipple erection
B) Hypotension
C) Bradycardia
D) Decreased blood flow to genitals

Question 25

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?

A) Stay at home during heaviest flow
B) Use deodorizing pads and tampons
C) Utilize good hygiene and regular bathing
D) Change pads or tampons at least daily

Question 26

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?

A) One size fits all females.
B) The diaphragm must be used during each episode of sexual activity.
C) A diaphragm's effectiveness does not require spermicidal jelly.
D) The diaphragm may be removed an hour following intercourse.

Question 27

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

A) Self-manipulation of genitals is normal behavior in an infant.
B) Have the child wear clothes that prohibit touching.
C) If this bad behavior continues, seek counseling.
D) Make him have time out every time it happens.

Question 28

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.

A) It is a technique of self-stimulation
B) People do it regardless of age or gender
C) Masturbation can lead to blindness
D) Masturbation is not dirty or wrong
E) Masturbation can decrease intelligence

Question 29

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?

A) Sexual Dysfunction: Dyspareunia
B) Altered Sexuality Patterns: Change in sexual expression
C) Altered Sexuality Patterns: Loss of desire
D) Altered Sexuality Patterns: Change in positioning

Question 30

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.

A) Medication history
B) Specifics about sexual problem
C) Sleep history
D) Physical activity history
E) History of diabetes

Question 31

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

A) It is opposite of biologic gender.
B) It may be the same as or different from biologic gender.
C) It is determined by male (XY) or female (XX) chromosomes.
D) It is determined by physical characteristics.

Question 32

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?

A) Breasts
B) Skin
C) Brain
D) Genitalia

Question 33

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?

A) Skin
B) Brain
C) Genitalia
D) Breasts

Question 34

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?

A) After a time that sort of thing doesn't matter.
B) Is your husband willing to forgo sex?
C) It may be time to put that behind you.
D) Modified positions may be possible.

Question 35

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

A) External appearance of one's genitalia as male or female
B) Male or female internal organ structure and function
C) How one experiences maleness or femaleness physically, emotionally, and mentally
D) The pleasure experienced during sexual activity