Question 1

In discussion with teenagers,the nurse chooses to use the term sexually transmitted infection rather than sexually transmitted disease.What is the rationale for this choice?

Accepted Answer

Using the term sexually transmitted disease may elicit guilt, shame, and fear in teenagers which can impede effective communication and education about prevention and treatment. In contrast, the term sexually transmitted infection is a more neutral and less stigmatizing term that may encourage open discussion and promote understanding about the importance of prevention and treatment.

Question 2

The nurse is developing strategies for the relief of menstrual cramping to teach a group of young clients.What should be the focus of these strategies?

Accepted Answer

Menstrual cramps are caused by uterine contractions that help shed the lining of the uterus. Increasing blood flow to the uterine muscle can help relieve these cramps.

Question 3

A nurse colleague learns that a grandchild's day-care center is planning a class on sexuality for 3- and 4-year-olds.Discussion of this plan should include what concept?

Accepted Answer

At this age, education regarding sexuality should come from parents.

Question 4

The female client has experienced recurrent candidiasis with intense vaginal itching and excoriation.After treatment the client is reexamined,and the nurse practitioner finds presence of a white,cheesy discharge.What recommendation is necessary?

Accepted Answer

The presence of a white, cheesy discharge suggests that the candidiasis infection has not been fully treated. As such, it is important to examine and treat the sexual partner to prevent re-infection. Referral to a surgeon or treatment with a stronger oral antibiotic are not indicated for treating recurrent candidiasis, and routine douches with a topical antibiotic solution can actually worsen the symptoms.

Question 5

The 15-year-old female tells the nurse that she makes her boyfriend stop intercourse before she has an orgasm so she will not get pregnant.What teaching is necessary for this client?

Accepted Answer

Conceiving is not related to whether or not the female partner experiences an orgasm.

Question 6

The mother of a 5-year-old tells the nurse that her daughter has always been closer to her than to her husband.The mother expresses concern that,over the last 2 months,the little girl wants to spend all of her time with her father instead of with the mother.The nurse recognizes that this behavior

Accepted Answer

It is normal for preschoolers to develop closer relationships with one parent than the other and to express a preference for spending time with that parent. This behavior is not necessarily an indication of sexual abuse or precocious puberty. Overidentifying with the male gender is also not a likely explanation for this behavior.

Question 7

A young adult single mother of a second-grade child has to make a decision regarding the teacher her child will have in third grade and asks the nurse for advice.All other variables being equal,which choice is best?

Accepted Answer

The answer of A young adult single mother of a...

Question 8

The nurse is preparing for pelvic physical examination of a woman who has been medically diagnosed with vaginismus.What equipment should the nurse obtain for this examination?

Accepted Answer

Vaginismus is a condition where there is involuntary spasms of the vaginal muscles, making it difficult or impossible for penetration to occur. To perform a pelvic examination on a woman with vaginismus requires the use of smaller-than-normal speculums to minimize discomfort or pain during the examination. Culture tubes and preexamination douches are not necessary for this examination, and extra cleaning supplies may not be necessary either, depending on the patient's hygiene.

Question 9

A client experienced female circumcision as a puberty ritual while living in Africa as a child.For which health problem should the nurse monitor the client as an adult?

Accepted Answer

Female circumcision, also known as female genital mutilation, can result in chronic urinary tract infections due to the alteration of the female genitalia, which can interfere with normal urine elimination and create a reservoir for bacteria. The other options are not typically associated with female circumcision.

Question 10

The nurse uses the PLISSIT format in helping clients who have sexual dysfunction.Which action by the nurse best reflects the P section of this format?

Accepted Answer

The P section of the PLISSIT model stands for Permission, which involves creating a safe space for the client to discuss their sexual concerns without judgment. Acknowledging the client's spoken and unspoken sexual concerns when providing care is an important step in gaining their trust and establishing a therapeutic relationship. A is incorrect because a nurse does not need permission from a physician to discuss sexual topics with a client. B is incorrect because signed informed consent is not necessary for sexual education or counseling. D is incorrect because pre-certification for benefits is not directly related to providing sexual teaching or counseling.

Question 11

A client is concerned because he was unable to achieve an erection during his last sexual encounter with his wife.He tells the nurse that he has worried about becoming impotent because he had a sexually transmitted infection as a young adult.What is the nurse's best response to this client's concerns?

Accepted Answer

It is important for the nurse to reassure the client that an occasional incident of not achieving an erection is normal and common. This may help alleviate the client's concerns about becoming impotent. It is also important for the nurse to encourage the client to seek further evaluation if the problem persists.

Question 12

Which statement made by a postmenopausal client should the nurse evaluate as indicating the need for further assessment?

Accepted Answer

The statement "I am so glad that I don't need to worry about sex anymore" may indicate a lack of interest or concern about sexual health, which could be a sign of underlying issues such as depression, relationship problems, or misconceptions about postmenopausal sexuality that may require further assessment.

Question 13

A client speaks about an adult son who is a practicing homosexual and expresses concern by stating: "I am so worried about him and I know he is going to hell." What is the most important fact for the nurse to consider in formulating a response to this client's concern?

Accepted Answer

It is important for the nurse to remember that what is considered "normal" or acceptable in terms of sexual expression can vary greatly among cultures and religions. Therefore, the nurse should not make assumptions or judgments about the client's beliefs and should instead offer support and empathy while remaining respectful of the client's values.

Question 14

The nurse uses the PLISSIT format in helping clients who have sexual dysfunction.Which action by the nurse best reflects the LI section of this format?

Accepted Answer

The LI section of the PLISSIT format stands for "Limited Information." The nurse's role in this section is to provide accurate but concise information in response to any sexual questions that may be asked by the client. This helps to address any gaps in knowledge and can alleviate some anxiety or uncertainty that the client may be experiencing. Providing too much information (option A) can overwhelm the client, while using slang terms (option C) may not be understood or could be considered disrespectful. Reviewing literature (option D) may be appropriate, but it would fall under the "SS" section (Specific Suggestions) of the PLISSIT format.

Question 15

The 45-year-old client reports that she has no interest in sex and that she and her husband have not had intercourse in 16 years.How should the nurse interpret this assessment data?

Accepted Answer

If both partners share the same lack of desire and are content with their situation, it is not necessarily considered a problem or dysfunction.

Question 16

There is disagreement among the nursing unit staff regarding how much sexual history should be included in adult admission assessments.What standard is generally the most applicable?

Accepted Answer

The amount of sexual information taken should be based on the individual case and the client's chief complaint. In general, a brief sexual history should be taken as part of the admission assessment, but the depth of questioning may vary depending on the specific situation. It is important to respect the client's privacy and cultural beliefs regarding sexual activity.

Question 17

A research article the nurse is reading discusses the prevalence of androgyny in persons 20 to 30 years old.What should the nurse keep in mind when caring for clients who are androgynous?

Accepted Answer

Androgynous individuals do not limit their behaviors to one gender over the other, meaning they may exhibit characteristics traditionally associated with both males and females. The other options (B, C, and D) are not necessarily true of all androgynous individuals and should not be assumed without further information or individual assessment.

Question 18

A recently married couple is trying to conceive a child.The husband is a collegiate athlete and his coach forbids sexual activity for 2 days prior to a game.The wife asks the nurse if abstinence before the game is necessary.What is the best response?

Accepted Answer

The nurse should inform the couple that the coach's advice is a common myth among athletes but there is no basis in fact. It is important to provide accurate and evidence-based information to the couple.

Question 19

The nurse is teaching a class on body development to a group of middle school girls.One of the girls asks about using tampons for sanitary protection during menstruation.What advice should the nurse include?

Accepted Answer

Alternating tampons with sanitary pads can help decrease the risk of infection, such as Toxic Shock Syndrome, by allowing the body to have a break from tampon use.

Question 20

The nurse enters the room and finds the adult client masturbating.What action should the nurse take?

Accepted Answer

The nurse should respect the client's privacy and dignity by excusing themselves and leaving the room, as masturbation is a private act.

Quiz 40: Sexuality