Question 1

The mother of an adolescent female asks the nurse to recommend the contraceptive that is 100% effective for her daughter.Which method should the nurse suggest?&#10;A) Abstinence&#10;B) Withdrawal&#10;C) Spermicide&#10;D) Diaphragm&#10;

Accepted Answer

Abstinence is the only form of contraception that is 100% effective in preventing pregnancy. All other methods, including withdrawal, spermicides, and diaphragms, have varying rates of failure. It is important for the nurse to educate the adolescent and her mother on the importance of abstinence as the most reliable form of contraception, while also discussing other options for when abstinence may not be feasible.

Question 2

The nurse cares for a client with concerns about sexual orientation.When using the PLISSIT model,which step will the nurse take first?&#10;A) Provide information about sexual orientation and common alterations.&#10;B) Plan time to discuss concerns with the client in a private,comfortable setting.&#10;C) Permit the client to speak openly by communicating an open,accepting attitude.&#10;D) Provide referrals to the client to identify resources for help in the future.&#10;

Accepted Answer

The first step in the PLISSIT model is to permit the client to speak openly by communicating an open, accepting attitude. This allows the client to feel comfortable and safe discussing their concerns about their sexual orientation.

Question 3

Which is the first stage of sexual arousal?&#10;A) Desire&#10;B) Excitement&#10;C) Stimulation&#10;D) Orgasm&#10;

Accepted Answer

Desire

Question 4

A female client has no symptoms but asks to be evaluated for sexually transmitted infections because her partner has a discharge from the penis and pain with urination.For which disorder should the client be tested to protect future fertility?

A) Chlamydia
B) Trichomoniasis
C) Genital herpes
D) Human papillomavirus

Accepted Answer

Chlamydia can cause pelvic inflammatory disease (PID) which can lead to infertility in women if left untreated. Testing and treatment are essential to prevent long-term complications. Trichomoniasis can cause discomfort but does not typically lead to infertility. Genital herpes and human papillomavirus can cause symptoms, but do not typically result in infertility.

Question 5

An adolescent who is pregnant asks what can be done to make sure that the baby is a girl.What should the nurse explain to this client?&#10;A) Gender is determined at the moment of conception.&#10;B) The female ovum determines the gender of the fetus.&#10;C) Getting adequate rest increases the chances of having a female baby.&#10;D) Staying physically active increases the chances of having a male baby.&#10;

Accepted Answer

The gender of the baby is determined at the moment of conception when the sperm fertilizes the egg. It is determined by the sex chromosomes carried by the sperm, which can be either X or Y. If the sperm carries an X chromosome, the baby will be female, and if it carries a Y chromosome, the baby will be male.

Question 6

Based on a nursing diagnosis of Ineffective Sexuality Pattern related to values conflicts,what would be the most effective nursing intervention for a patient?&#10;A) Educate the patient about sexual orientation and function.&#10;B) Encourage the patient to discuss relationship problems with her partner.&#10;C) Advise the patient to discuss her value conflict with a counselor.&#10;D) Instruct the patient on effective methods to identify fears.&#10;

Accepted Answer

Advising the patient to discuss her value conflict with a counselor allows for a safe and supportive environment for the patient to explore her thoughts and feelings, as well as develop coping strategies and potentially resolve conflicts that are impacting her sexuality pattern. It is important to respect the patient's autonomy and allow her to make choices about her own sexuality, rather than educating or instructing her on specific methods or behaviors. Encouraging the patient to discuss relationship problems with her partner may also be helpful, but it may not address the root cause of the ineffective sexuality pattern related to values conflicts. Similarly, instructing the patient on methods to identify fears may not be the most effective intervention for addressing the underlying issue of values conflicts.

Question 7

A widow is dating; however,she hesitates to have sexual relations because of the fear of &#34;cheating&#34; on her deceased spouse.What is an appropriate nursing diagnosis for this woman?&#10;A) Sexual Dysfunction related to conflicted sexual orientation&#10;B) Ineffective Sexuality Patterns related to values conflicts&#10;C) Ineffective Sexuality Patterns related to impaired relationship with partner&#10;D) Sexual Dysfunction related to fear of the unknown&#10;

Accepted Answer

The widow's hesitance to have sexual relations due to the fear of "cheating" on her deceased spouse suggests a conflict of values related to her sexuality patterns. She may be grieving the loss of her spouse and adjusting to a new relationship, which can impact her sexual behaviors. Therefore, the appropriate nursing diagnosis for this woman is Ineffective Sexuality Patterns related to values conflicts. Option A is incorrect as the woman's sexual orientation is not mentioned in the scenario. Option C is incorrect, as there is no mention of an impaired relationship with a partner. Option D is incorrect as the scenario does not indicate fear of the unknown as the reason for the woman's hesitation.

Question 8

A female client is concerned about the frequency of vaginal infections even though douching is performed every week.What should the nurse respond to this client?&#10;A) &#34;It is the best way to eliminate genital odor.&#34;&#10;B) &#34;It really is the best method to prevent pregnancy.&#34;&#10;C) &#34;It washes away the bacteria that protects from infections.&#34;&#10;D) &#34;It does prevent the development of pelvic inflammatory disease.&#34;&#10;

Accepted Answer

Douching can actually disrupt the natural balance of bacteria in the vagina and increase the risk of vaginal infections, including bacterial vaginosis and yeast infections. It is important for the nurse to educate the client on the potential risks of douching and suggest alternative methods for maintaining vaginal hygiene, such as using mild soap and water or simply rinsing with water.

Question 9

A 35-year-old male client is distressed about being male and has always thought of himself as being female even though it causes isolation social issues.How should the nurse respond to this client?&#10;A) Provide information about support groups and other community resources for transgender people.&#10;B) Reassure him that he is normal,saying there are more people than we know who feel this way.&#10;C) Share with him that you personally have had thoughts like this but have coped with these thoughts.&#10;D) Suggest your patient seek mental healthcare for medication to help him deal with his anxiety.&#10;

Accepted Answer

The best response in this situation is to provide the client with information about support groups and other community resources for transgender people. This can help the client feel supported and find a community of people who can relate to their experience. Reassuring the client may be well-intentioned, but it may not address the client's unique concerns and issues. Similarly, sharing personal experience is not appropriate as it redirects the focus of the conversation to the nurse instead of the client. Finally, suggesting medication for the client's anxiety may not be appropriate until a full assessment and diagnosis has been made by a mental healthcare provider.

Question 10

What do shared touching,celibacy,masturbation,and developing intimate relationships have in common?&#10;A) Forms of sexuality or sexual orientation&#10;B) Cues to use in formulating a nursing diagnosis&#10;C) Important in the development of sexual identity&#10;D) Forms of sexual expression&#10;

Accepted Answer

Shared touching, celibacy, masturbation, and developing intimate relationships are all forms of sexual expression.

Question 11

What must the nurse do in order to discuss a client's sexual health needs in a comfortable and competent manner?&#10;A) Recognize and set aside personal biases or experiences related to sexuality.&#10;B) Perform an accurate and comprehensive physical assessment.&#10;C) Collect an accurate and comprehensive sexual history.&#10;D) Acquire theoretical knowledge of sexual health concerns.&#10;

Accepted Answer

The answer of What must the nurse do in order...

Question 12

Which client statement indicates that teaching about erectile dysfunction (ED)was effective?&#10;A) &#34;I feel very good about the treatment; I am now comfortable with my sexual orientation.&#34;&#10;B) &#34;I am happy with the treatment as I can now maintain an erection through orgasm.&#34;&#10;C) &#34;Now I can communicate my sexual needs to my partner without embarrassment.&#34;&#10;D) &#34;I now know how to prevent further sexually transmitted infections.&#34;&#10;

Accepted Answer

The answer of Which client statement indicates that teaching about...

Question 13

Which statement by a teenage client indicates that teaching about detection of STIs has been effective?&#10;A) &#34;A healthcare provider can tell if you have an STI just by looking at your genitals.&#34;&#10;B) &#34;The doctor has to do surgery to biopsy the tissue to find out if a person has an STI.&#34;&#10;C) &#34;A healthcare provider can tell if you have an STI by getting a detailed sexual history.&#34;&#10;D) &#34;A genital swab culture can be done at the office or clinic to determine if a person has an STI.&#34;&#10;

Accepted Answer

The answer of Which statement by a teenage client indicates...

Question 14

A middle-aged male client asks the nurse to stop by at the end of the shift to give him &#34;a happy ending.&#34; What should the nurse respond to this client?&#10;A) &#34;You are too funny!&#34;&#10;B) &#34;That is inappropriate.&#34;&#10;C) &#34;I have a steady partner.&#34;&#10;D) &#34;I can't do that with a client!&#34;&#10;

Accepted Answer

The answer of A middle-aged male client asks the nurse...

Question 15

An 18-year-old high school senior comes to the local family planning clinic requesting birth control pills.When discussing sexual health with the adolescent girl,what should be the nurse's first priority?

A) Urge the teen to practice healthful sexual behaviors.
B) Inform her about the risk of pregnancy and STIs.
C) Assess the teen's knowledge of sexuality and reproduction.
D) Provide detailed information about birth control pills.

Accepted Answer

The answer of An 18-year-old high school senior comes to...

Question 16

Which are normal physiological changes in women's sexual responses that occur with aging? Select all that apply.&#10;A) Delayed nipple erection&#10;B) Increased vaginal expansion&#10;C) Reduced vaginal lubrication&#10;D) Reduced labial separation and swelling&#10;E) Enhanced spread of sexual flush&#10;

Accepted Answer

The answer of Which are normal physiological changes in women's...

Question 17

What is the most important information to collect at a women's health examination for a 52-year-old woman?&#10;A) Age at first sexual encounter&#10;B) History of PMS&#10;C) Birth control method used&#10;D) Date of last menstrual period&#10;

Accepted Answer

The answer of What is the most important information to...

Question 18

During a health history a client states &#34;bisexual&#34; for sexual orientation.What should the nurse include when assessing this client?&#10;A) Current relationship status&#10;B) Frequency of sexual relations&#10;C) Group with which client primarily identifies&#10;D) Actions taken to prevent pregnancy&#10;

Accepted Answer

The answer of During a health history a client states...

Question 19

The nurse evaluates teaching provided to adolescents about the use of condoms.Which behavior indicates that additional instruction is required?&#10;A) Discards a used condom&#10;B) Places condom in a wallet&#10;C) Stores condoms out of the sun&#10;D) Selects latex condoms for purchase&#10;

Accepted Answer

The answer of The nurse evaluates teaching provided to adolescents...

Question 20

When in the menstrual cycle is there marked growth of ovarian material and regrowth of the endometrium,ending with the release of the ovum?&#10;A) Menstrual phase&#10;B) Follicular phase&#10;C) Luteal phase&#10;D) Fertilization&#10;

Accepted Answer

The answer of When in the menstrual cycle is there...

Question 21

Why might a victim of abuse not report an incident of sexual assault? Select all that apply.&#10;A) Fear that the abuser would be angry if reported and will abuse again&#10;B) Belief of being to blame for the abuser's behavior&#10;C) Idea that the legal system couldn't prosecute the abuser for the crime&#10;D) Desire to ignore the behavior&#10;E) Involvement of alcohol or drugs&#10;

Accepted Answer

The answer of Why might a victim of abuse not...

Question 22

When caring for a woman who was sexually assaulted,what is the best approach for collecting information surrounding the event? Select all that apply.&#10;A) Use a calm,reassuring voice when asking questions.&#10;B) Ask only close family members to describe events related to the incident.&#10;C) Provide privacy by asking questions behind a closed curtain.&#10;D) Document the details using the patient's own words.&#10;E) Assess for risk for self-harm.&#10;

Accepted Answer

The answer of When caring for a woman who was...

Question 23

The nurse cares 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.&#10;A) Help to communicate effectively with police about the attack.&#10;B) Obtain permission to test for pregnancy and STIs.&#10;C) Refer to a sexual assault support group.&#10;D) Promote and model empathy and support for family members.&#10;E) Conduct a complete physical examination.&#10;

Accepted Answer

The answer of The nurse cares for a 32-year-old woman...

Question 24

The mother of a 7-year-old child is concerned that the child "touches and plays" with the genitals despite being punished for doing so.Which response should the nurse make to the mother? 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 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."
E) "Constantly touching the genitals indicates a urinary tract infection in a toddler."

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Accepted Answer

The answer of The mother of a 7-year-old child is...

Question 25

Which is considered a sexual response cycle disorder? Select all that apply.&#10;A) Arousal disorder&#10;B) Date rape&#10;C) Orgasmic disorder&#10;D) Low libido&#10;E) Erectile dysfunction&#10;

Accepted Answer

The answer of Which is considered a sexual response cycle...

Deck 34: Sexual Health