Question 1

After reviewing a list of prescribed medications,the nurse plans to complete a sexual history with the client.Which medications in the client's list caused the nurse to make this clinical decision?
Standard Text: Select all that apply.

Accepted Answer

Cardiotonics and beta-blockers can affect sexual function, prompting the nurse to inquire about the client's sexual history.

Question 2

The daughters of an 80-year-old man who is aphasic after suffering a cerebrovascular accident (stroke)express concern that their father is "always exposing and playing with himself and his catheter" while they are in the room.Upon assessment,the nurse finds the client pulling on and rubbing his penis.What is the nurse's priority action?

Accepted Answer

The priority action is to assess the client's penis for irritation from the catheter, as this behavior may be a response to discomfort or irritation.

Question 3

During a sexual assessment,a client tells the nurse about a preference for oral-genital sex.How should the nurse instruct this client?

Accepted Answer

The nurse should instruct the client about safe sex practices, including the use of barriers such as dental dams, during oral-genital sex to reduce the risk of sexually transmitted infections (STIs).

Question 4

When discussing the orgasmic phase of the sexual response cycle,what should the nurse include as physiological changes that affect both sexes?
Standard Text: Select all that apply.

Accepted Answer

During the orgasmic phase of the sexual response cycle, both sexes experience increased respiratory rate (option A) and involuntary muscle spasms throughout the body (option B). In addition, both sexes can experience a temporary increase in systolic blood pressure of 20-30 mm Hg above normal (option D). Option C is incorrect as the heart rate typically increases during the orgasmic phase. Option E is incorrect as diastolic blood pressure typically increases or stays the same during orgasm in both sexes.

Question 5

The nurse is conducting a health history with an older client with arthritis and heart disease.When gathering the sexual history for this client,what should the nurse ask?

Accepted Answer

The nurse should inquire about any changes in sexual functioning that might be related to the client's illness or medications. This question shows the nurse is attentive to the client's overall well-being and provides an opportunity to assess potential side effects of medication or other treatment that may impact sexual health. Asking about sexual desire or frequency may not be as relevant in this case. Contraception is also likely not relevant given the client's advanced age and menopausal status.

Question 6

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

Accepted Answer

The IT section of the PLISSIT model stands for "Intensive Therapy," which involves recommending or providing intensive therapy with a qualified sex therapist for clients who need more specialized intervention.

Question 7

The nurse is preparing to assess a client's sexual health.What will the nurse include in this assessment?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is preparing to assess a...

Question 8

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

Accepted Answer

The SS section of the PLISSIT model stands for "specific suggestions" and involves the nurse using their knowledge about how disease, medication, and other factors can impact sexuality to offer specific suggestions to the client on how to address their sexual dysfunction.

Question 9

The nurse who is teaching a client breast self-examination describes inspection of the breasts before a mirror.Which findings should the nurse tell the client should be evaluated by a health care provider?
Standard Text: Select all that apply.

Accepted Answer

Puckering of the skin, flattening of the breast from the side view, and change in shape can all be signs of a suspicious breast mass and should be evaluated by a healthcare provider. Free movement of the breast over the chest wall and symmetry of the nipples are normal findings.

Question 10

The nurse is teaching a class of young adult men and women.What self-examination schedules should the nurse instruct these participants to follow?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is teaching a class of...

Question 11

During an assessment,a client tells the nurse of a desire to wear clothing that is typically associated with the opposite sex.The nurse realizes this client is describing which gender identity?

Accepted Answer

Cross-dressing refers to the act of wearing clothing typically associated with the opposite sex, which is what the client is describing.

Question 12

The nurse is preparing educational materials to be used when instructing clients on testicular and breast self-examination.What would be applicable for both sets of instructions?

Accepted Answer

Performing palpation in the shower allows for easier detection of abnormalities due to the warm water relaxing the scrotum or breast tissue, making it easier to feel any lumps or changes.

Answer: C 
 Both testicular and breast self-examination should be performed once a week to increase the likelihood of detecting any abnormalities early.

Question 13

The nurse is preparing an educational session on the sexual response cycle.What should be included when discussing the physiological changes in females during the excitement phase?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is preparing an educational session...

Question 14

While the nurse is measuring blood pressure,the client lifts his hand and fondles the nurse's breast.What should the nurse do about this behavior?
Standard Text: Select all that apply.

Accepted Answer

The nurse should address the inappropriate behavior by moving the client's hand away, refocusing the client on appropriate behavior, telling the client to stop, and communicating that the behavior is not acceptable. Ignoring the behavior is not appropriate as it does not address the issue or set boundaries.

Question 15

The nurse is discussing the resolution phase of the sexual response cycle with a group of students in a health education class.What should be included as a physiological change that affects males only?

Accepted Answer

The refractory period is a physiological change that affects males only, during which the body will not respond to sexual stimulation. The other options are not specific to males.

Question 16

After an assessment,the nurse determines that a client has strong sexual health.What did the nurse assess in the client?
Standard Text: Select all that apply.

Accepted Answer

A strong sexual health assessment includes knowledge about sexual behavior, using a birth control method that fits one's lifestyle, and the ability to discuss sexual problems with a healthcare provider.

Question 17

The nurse is conducting a sexual health history with a client.What questions should the nurse ask during this history?
Standard Text: Select all that apply.

Accepted Answer

The nurse should ask about the client's current sexual activity, any pain experienced during sexual interaction, and any difficulties with sexual desire. Questions about erotic fantasies and personal preferences are not typically included in a sexual health history.

Quiz 40: Sexuality

After reviewing a list of prescribed medications,the nurse plans to complete a sexual history with the client.Which medications in the client's list caused the nurse to make this clinical decision? Standard Text: Select all that apply.

During a sexual assessment,a client tells the nurse about a preference for oral-genital sex.How should the nurse instruct this client?

When discussing the orgasmic phase of the sexual response cycle,what should the nurse include as physiological changes that affect both sexes? Standard Text: Select all that apply.

The nurse is conducting a health history with an older client with arthritis and heart disease.When gathering the sexual history for this client,what should the nurse ask?

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

The nurse is preparing to assess a client's sexual health.What will the nurse include in this assessment? Standard Text: Select all that apply.

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

The nurse who is teaching a client breast self-examination describes inspection of the breasts before a mirror.Which findings should the nurse tell the client should be evaluated by a health care provider? Standard Text: Select all that apply.

The nurse is teaching a class of young adult men and women.What self-examination schedules should the nurse instruct these participants to follow? Standard Text: Select all that apply.

During an assessment,a client tells the nurse of a desire to wear clothing that is typically associated with the opposite sex.The nurse realizes this client is describing which gender identity?

The nurse is preparing educational materials to be used when instructing clients on testicular and breast self-examination.What would be applicable for both sets of instructions?

The nurse is preparing an educational session on the sexual response cycle.What should be included when discussing the physiological changes in females during the excitement phase? Standard Text: Select all that apply.

While the nurse is measuring blood pressure,the client lifts his hand and fondles the nurse's breast.What should the nurse do about this behavior? Standard Text: Select all that apply.

The nurse is discussing the resolution phase of the sexual response cycle with a group of students in a health education class.What should be included as a physiological change that affects males only?

After an assessment,the nurse determines that a client has strong sexual health.What did the nurse assess in the client? Standard Text: Select all that apply.

The nurse is conducting a sexual health history with a client.What questions should the nurse ask during this history? Standard Text: Select all that apply.