Question 1

A patient has been diagnosed with a sexually transmitted disease (STD) and the patient's partner is angry, saying, &#34;She must have cheated on me.&#34; What response by the nurse is most appropriate?&#10;A) &#34;This infection may have been present for a long time.&#34;&#10;B) &#34;You need to be tested for this disease too.&#34;&#10;C) &#34;Yes, you're right; if you don't have the STD, she cheated.&#34;&#10;D) &#34;Now, now, getting angry will not help anything.&#34;

Accepted Answer

Some STD symptoms may go unnoticed for a long time. Telling the partner to get tested as well without further explanation is likely to cause defensiveness. The nurse has no way of knowing if the patient "cheated" on the partner or not. Telling the partner not to get angry is dismissive of his/her concerns.

Question 2

A nurse is working with a patient using the PLISSIT model. In the LI phase, what is an appropriate activity?&#10;A) Educate the patient on water-based lubricants.&#10;B) Ask the patient for permission to discuss sexuality.&#10;C) Instruct the patient on positions acceptable after knee replacement.&#10;D) Refer the patient and partner to a licensed therapist.

Accepted Answer

The LI phase of the PLISSIT model stands for limited information, which would be information the patient needs to function sexually. Asking permission is P. Discussing specific concerns related to a specific medical condition is SS (specific suggestions). Referral to a therapist is IT (intensive therapy).

Question 3

The student learns that which are cycles in the female sexual response cycle?&#10;A) Excitement&#10;B) Orgasm&#10;C) Resolution&#10;D) Detumescence&#10;E) Plateau

Accepted Answer

The female sexual response cycle includes the phases of excitement, plateau, orgasm, and resolution. Detumescence is when the penis is no longer erect after orgasm.

Question 4

A patient asks the nurse to recommend a nonprescription contraceptive. What options does the nurse discuss?&#10;A) Diaphragm&#10;B) Cervical cap&#10;C) Condom&#10;D) Intrauterine device

Accepted Answer

The condom is the only option listed that is nonprescription.

Question 5

A nurse is caring for a victim of domestic violence. What charting by the nurse is most appropriate?&#10;A) Patient allegedly beat up by her boyfriend.&#10;B) Patient has several bruises on the legs.&#10;C) Patient states, &#34;My boyfriend hit me with a hammer.&#34;&#10;D) Patient claims she was assaulted last night.

Accepted Answer

Good charting is objective and detailed. Using the patient's own words, in quotation marks, is the most accurate example of documentation. The nurse should not use words like "allegedly" or "claims" because they seem to cast doubt on the patient's story. The bruises on the legs need to be measured and described more fully.

Question 6

The nurse is working with a patient who has a sexual dysfunction. What statement by the patient indicates progress toward an important goal?&#10;A) &#34;I am beginning to enjoy sex more these days.&#34;&#10;B) &#34;I'm glad my partner is understanding of the lack of sex.&#34;&#10;C) &#34;I wish I didn't need these pills but I know they are important.&#34;&#10;D) &#34;I hope one day to have a sexual partner again.&#34;

Accepted Answer

According to NANDA, sexual dysfunction occurs when a person has a change in sexual function that the person finds "unsatisfying, unrewarding, or inadequate." To show that a goal has been met, the patient would state that sexual activity is more satisfying, rewarding, or adequate. The patient stating that he/she is beginning to enjoy sex more shows progress toward that goal.

Question 7

A patient is recovering from colostomy surgery and states, &#34;I guess I'll never be able to have sex again &#8230; who would want me?&#34; What Nursing diagnosis is most important for this patient?&#10;A) Sexual dysfunction&#10;B) Ineffective sexuality pattern&#10;C) Knowledge deficit&#10;D) Ineffective coping

Accepted Answer

Ineffective sexuality patterns refer to a patient who expresses concern about his/her own sexuality. This patient is concerned about the effect of this surgery on his/her attractiveness and desirability. Sexual dysfunction relates more to the physical problems. The patient may have a knowledge deficit or ineffective coping, but these are not apparent from the question.

Question 8

A nurse wishes to incorporate an assessment of patient sexuality into all patient encounters but is concerned about appearing inappropriate. What action by the nurse is best?&#10;A) State, &#34;I always ask my patients permission to discuss sexuality. Is this alright?&#34;&#10;B) Wait for the patient to bring the subject of sexuality up to the nurse.&#10;C) Give the patient written material on sexuality, then ask if he/she has questions.&#10;D) Tell patients that if they have any sexual concerns, you would be happy to discuss them.

Accepted Answer

A matter-of-fact, organized approach to sexuality will decrease anxiety in both patient and nurse. Stating that all patients are asked about this topic makes it appear to be a normal part of the assessment. The other options put the responsibility for discussing sexuality on the patient when the nurse should be directing the process.

Question 9

A patient states, &#34;I just don't conform to my gender role.&#34; What does the nurse understand about this statement?&#10;A) The patient is a homosexual.&#10;B) The patient's behaviors are abnormal.&#10;C) The patient's actions differ from what is expected.&#10;D) The patient is having a gender crisis.

Accepted Answer

Gender roles are socially imposed "rules" about the behavior appropriate for men and women. When someone does not conform to gender role expectations, his/her behaviors are at odds with those expected by society. The patient is not necessarily homosexual, abnormal, or having a crisis.

Question 10

A nurse is planning sexuality education programs. Which topics are important to each age-group?&#10;A) Adolescents: contraception&#10;B) Adolescents: infertility&#10;C) Young adults: conception&#10;D) Middle adulthood: sexual dysfunction&#10;E) Old age: decreased sexuality

Accepted Answer

Adolescents need education on contraception and avoidance of unwanted pregnancy, STDs, HIV infection, sexual abuse, sexual orientation, and good decision making. Young adults particularly need information on conception and infertility. Middle adults need education on emotional and physical changes that occur during this age span including the empty nest syndrome and sexual dysfunction. Older adults need education on physical changes brought by age and encouragement that sexuality normally continues throughout life.

Question 11

A nurse is teaching patients about their medications and implications for sexuality. Which combinations are correct?&#10;A) Antipsychotics: erectile dysfunction&#10;B) Phenytoin: decreased desire&#10;C) Antihistamines: increased vaginal lubrication&#10;D) SSRIs: prolonged orgasm&#10;E) Marijuana: chronic use-reduced inhibitions

Accepted Answer

The answer of A nurse is teaching patients about their...

Question 12

An emergency department (ED) manager wants to improve care for victims of sexual assault. What action by the manager is best?&#10;A) Designate a private area of the ED for examinations.&#10;B) Establish a SART team for the department.&#10;C) Ask nurses to volunteer to be advocates for these patients.&#10;D) Have victims examined immediately, rather than waiting their turn.

Accepted Answer

The answer of An emergency department (ED) manager wants to...

Question 13

A parent confides to the nurse that the parent's 3-year-old son seems to be touching his genitals frequently. What response by the nurse is best?&#10;A) &#34;This is normal behavior at his age.&#34;&#10;B) &#34;Why do you think he is doing that?&#34;&#10;C) &#34;Does he complain of burning with urination?&#34;&#10;D) &#34;I'd ignore that behavior; it's attention-seeking.&#34;

Accepted Answer

The answer of A parent confides to the nurse that...

Question 14

A school nurse is planning a sex education activity. What information from research does the nurse apply to this education?&#10;A) Sex education should be taught in high school.&#10;B) The school nurse should be the primary source of sex education.&#10;C) The method of birth control that should be presented is abstinence.&#10;D) Parents' open communication regarding sex education has a positive impact on their children.

Accepted Answer

The answer of A school nurse is planning a sex...

Question 15

A nurse in the emergency department wants to screen a patient for domestic violence, but the woman's partner won't leave. What action by the nurse is best?&#10;A) Ask the questions anyway.&#10;B) Tell the partner to leave.&#10;C) Go with the patient to the bathroom.&#10;D) Skip the abuse assessment.

Accepted Answer

The answer of A nurse in the emergency department wants...

Question 16

A male patient takes a medication known to cause erectile dysfunction. What action by the nurse is best?&#10;A) State, &#34;If this medication has bad side effects, talk to your doctor.&#34;&#10;B) Ask, &#34;Are you having any sexual problems in your life right now?&#34;&#10;C) Give the patient written information on the side effects of the drug.&#10;D) State, &#34;Many men have erectile dysfunction on this drug.&#34;

Accepted Answer

The answer of A male patient takes a medication known...

Question 17

A woman complains that her partner threatens her and berates her in front of the children. She denies being in an abusive relationship or being the victim of physical violence. What action by the nurse is best?

A) Tell the woman to leave the abusive partner.
B) Educate the woman on forms of domestic abuse.
C) Help the woman work on a physical safety plan.
D) Insist the woman take written information.

Accepted Answer

The answer of A woman complains that her partner threatens...

Question 18

The nurse learns that spermatozoa are produced in which sexual organ?&#10;A) Scrotum&#10;B) Testes&#10;C) Glans&#10;D) Prostate

Accepted Answer

The answer of The nurse learns that spermatozoa are produced...

Question 19

A nurse is working with a patient after the patient had a heart attack and is using the PLISSIT model to address sexuality needs. For the SS phase, what action by the nurse is best?&#10;A) Ask the patient if he wants to discuss sexuality.&#10;B) Teach the patient positions that require less stress.&#10;C) Offer the patient a referral to a sex therapist.&#10;D) Direct the patient to speak with the doctor about sex.

Accepted Answer

The answer of A nurse is working with a patient...

Question 20

The nursing student learns that the function of the hypothalamus is to do which of the following?&#10;A) Cause lactation to begin.&#10;B) Produce spermatozoa.&#10;C) Release follicle-stimulating hormone.&#10;D) Release gonadotropin-releasing hormone.

Accepted Answer

The answer of The nursing student learns that the function...

Question 21

The nurse has assessed a patient and determined that the patient has a sexual issue that needs to be addressed. What actions by the nurse are most appropriate?&#10;A) Use information from multiple sources to help plan care.&#10;B) Collaborate with other health professionals to develop the plan.&#10;C) Involve the patient and significant other in the process.&#10;D) Use standard care plans to limit patient embarrassment.&#10;E) Examine one's own biases before implementing the plan.

Accepted Answer

The answer of The nurse has assessed a patient and...

Question 22

A nurse understands that which characteristics of family dynamics impact a patient's sexuality?&#10;A) Religion&#10;B) Age&#10;C) Ethnicity&#10;D) Culture&#10;E) Geographic location

Accepted Answer

The answer of A nurse understands that which characteristics of...

Question 23

A nurse is uncomfortable with a patient's comments, which are sexual in nature. Which actions by the nurse are most appropriate?&#10;A) Tell the patient to stop making sexual comments.&#10;B) Try joking with the patient to establish rapport.&#10;C) Tell the patient you are leaving and will return in a few minutes.&#10;D) Inform the patient he/she can be sued for this behavior.&#10;E) Explain to the patient how you feel about the comments.

Accepted Answer

The answer of A nurse is uncomfortable with a patient's...

Question 24

A nurse is planning an educational event on safer sex. What topics does the nurse include?&#10;A) Proper use of condoms&#10;B) Avoidance of risky behaviors&#10;C) Need for routine examinations&#10;D) Avoidance of homosexual activity&#10;E) Symptoms of common STDs

Accepted Answer

The answer of A nurse is planning an educational event...

Question 25

The nurse is assessing factors that affect sexual function in patients with chronic diseases. What topics does the nurse include in the assessment?&#10;A) Fatigue&#10;B) Medications&#10;C) Pain&#10;D) Occupation&#10;E) Physical impairment

Accepted Answer

The answer of The nurse is assessing factors that affect...

Deck 24: Human Sexuality