Deck 26: Sexuality

Question 1

A patient states that she is afraid that she and her husband will not be able to maintain a healthy sexual relationship now that they have a baby in the house.To assist these patients,what would it be most helpful for the nurse to know?

A) If they have similar parenting beliefs
B) How long they have been married
C) That effective communication about sexuality requires a nondiscriminatory attitude
D) The level of knowledge the patients have regarding healthy sexual relationships

Answer 1

C

Question 2

The nurse is conducting a sexual history with a patient who is scheduled for cardiac surgery.The patient tells the nurse that he is nervous about resuming sexual activities.Which of the following responses by the nurse indicates that he or she is using therapeutic communication with the patient?

A) "You can have sexual intercourse after your surgery, but there are serious risks."
B) "Your partner will be nervous about resuming sexual activities, but that is normal."
C) "Don't worry. In about two months you will be able to return to your normal sexual patterns."
D) "You are expressing a very normal concern; perhaps we could discuss your feelings further."

Answer 2

D

Question 3

Why do adolescents tend to engage in risky sexual behaviour?

A) They feel invincible.
B) They lack factual information.
C) They emulate poor social models.
D) They possess immature decision-making skills.

Answer 3

A

Question 4

Which of the following statements is correct regarding the nurse's role relevant to the patient's sexuality in a long-term care setting?

A) Upon admission, the nurse tells the patient that sexual expression is not permitted on the unit.
B) The nurse reminds the patient that during periods of illness, sexual activity is prohibited.
C) The nurse politely reminds the patient that masturbation is not acceptable in a hospital setting.
D) The nurse makes proper arrangements for privacy for a resident's sexual expressions in a long-term care facility.

Question 5

Which of the following available contraceptives has the lowest initial rate of effectiveness?

A) Male condom
B) Tubal ligation
C) Female condom
D) Vaginal contraceptive ring

Question 6

What is the maximum time frame after intercourse that most emergency contraception pills (ECPs)are effective?

A) 6 hours
B) 24 hours
C) 48 hours
D) 72 hours

Question 7

In preparing a presentation on the problems of sexual abuse,the nurse incorporates which of the following information?

A) Nurses decide if suspected sexual child abuse is reported.
B) Sexual abuse is found primarily in lower socioeconomic groups.
C) Sexual abusers fit into easily identified, classic profiles.
D) Most sexual abuse incidents occur with a former intimate partner or family member.

Question 8

A 58-year-old woman asks the nurse what she can do to adjust to normal changes related to aging.How does the nurse respond?

A) "Continue what you've been doing. Nothing should have changed."
B) "I will refer you to a sexual therapist to assist you."
C) "Using a water-based lubricant may be helpful."
D) "Reducing the frequency of intercourse may help you."

Question 9

The school nurse is responsible for teaching adolescents about sexually transmitted infections (STIs).Which one of the following statements would the nurse make about chlamydial infection when instructing the students?

A) It is a viral infection that cannot be cured.
B) It can be treated with a full course of antibiotics.
C) It can be contracted via bloodborne exchange.
D) It can be prevented with the use of a spermicide.

Question 10

On completing an assessment of a patient in the medical clinic,the nurse documents that the patient has dyspareunia.This is based on the patient's experience of which of the following symptoms?

A) Delay or absence of an orgasm
B) Deficient or absent sexual desire
C) Involuntary constriction of the vagina
D) Genital pain during intercourse

Question 11

An adolescent female student who is sexually active visits the office of the school nurse.Which of the following statements best reflects the student's understanding of the effective use of contraception devices?

A) "My boyfriend is able to withdraw before ejaculation, and that prevents me from getting pregnant."
B) "I take my temperature every morning, and when it goes down for at least two days, we have unprotected sex."
C) "We use 'foam' before each time we have sex, and I haven't gotten pregnant yet."
D) "We use a condom with a water-based lubricant."

Question 12

In the critical thinking model for sexuality assessment,which of the following is an example of a quality?

A) Display curiosity.
B) Apply ethic of care.
C) Accept sexual orientation acceptance.
D) Determine the patient`s sexual concerns.

Question 13

Which one of the following provinces does not have a hospital that will provide women with the option of an abortion?

A) Quebec
B) New Brunswick
C) British Columbia
D) Prince Edward Island

Question 14

The nurse is aware that sexuality is part of growth and development.The preschooler's interest in gender sexuality is characterized by an interest in which of the following?

A) His or her genitalia
B) Learning how and why his or her anatomy differs from that of other children
C) Playing with and developing friendships with children of the opposite sex
D) Spending most of his or her time with the parent of the opposite sex

Question 15

Which of the following STIs does Canadian law require to be reported?

A) Gonorrhea
B) Genital warts
C) Genital herpes
D) Human papillomavirus