ch 45 Sexuality
The nurse is preparing a talk on health issues in the LGBTQ population. Which statistic would the nurse include?
LGBTQ youth are 2 to 3 times more likely to attempt suicide.
A nurse practitioner is teaching the student about sexual health and is evaluating the student's knowledge of sexual identity. The practitioner knows that the student understands when the student says which of the following?
"Gender role behavior is the behavior a person conveys about being male or female."
The nurse knows that there are three basic charting methods in predicting ovulation in order to prevent pregnancy
Calendar method Cervical mucus method Temperature method
What is associated with the resolution phase of the male sexual response cycle?
Feelings of relaxation and fulfillment
The nurse is advising an adolescent male about sexual myths that have him concerned. Which statements describe accurate client education regarding these concerns? Select all that apply.
Nocturnal emissions are normal in men of all ages. No male or female should feel pressured into sexual activity at any age. Masturbation or self-stimulation is a natural and healthy outlet for sexual urges.
The nurse prepares to complete an exam on a 25 year old female. The client presents to the community health clinic reporting difficulty with urination. The nurse reviews the chart and sees that the client is originally from Africa. Which does the nurse suspect?
Possible complications from female genital mutilation (FGM) requiring further physical assessment
A school nurse is providing a class on sexually transmitted infections (STIs). Which statement is correct regarding STIs?
STIs are most prevalent among teenagers and young adults.
The nurse is teaching a class about sexuality at a public health clinic. After class the nurse is approached by Cathleen, a 54-year-old female, who eventually discloses to the nurse that she is having a sexual affair with a female partner. The term for an individual's preference for a partner of a particular gender is which of the following?
Sexual Orientation
The nurse is assessing the sexual health of a female client age 20 years. During the interview, the client says, "I feel that my vaginal opening constricts whenever I am about to have intercourse. I seem to have no control over it." What would the nurse use when documenting the client's report?
Vaginismus
A client tells the nurse that she and her husband have selected periodic abstinence as their choice of contraception. Which is the best method for the nurse to recommend to monitor fertility?
Symptothermal method
The nurse is discussing contraception with an adolescent client who asks the nurse: "What if I can't have an orgasm?" What is the nurse's best response?
"A mature sexual relationship does not require a man and woman to achieve simultaneous orgasm."
The nurse recommends a barrier method of contraception for a client who is concerned about the side effects of hormonal contraception. Which method might the nurse suggest?
cervical cap
In the female reproductive system, what corresponds with the male penis?
clitoris
The nurse should inform a young female client that the barrier method providing the best protection against sexually transmitted infections (STIs) is:
condoms
During a routine physical exam, a male client informs the nurse that he frequently participates in anal intercourse with his new girlfriend. The nurse discusses this practice with the client by informing him that:
condoms are recommended for anal intercourse
The nurse is caring for a client diagnosed with vaginismus. When reviewing the client's history, what would the nurse would expect to find?
past history of rape
A 17-year-old girl tells the nurse she uses tampons and asks how she can cut down on odor during her period. What is the nurse's best response?
tampon should be changed frequently
The community health nurse is aware that many factors influence a client's decision for contraception. Which of the following is the most likely reason a client would select permanent contraception?
the choice to not start a family
The nurse is speaking to a client regarding his sexual history. The client states, "I was born with a penis but I should have had a vagina." The nurse would document the client's gender identity as:
transsexual
A 16-year-old girl tells the nurse that her friend has genital warts and asks the nurse how to make sure that she does not get them. Which of the following should the nurse recommend?
get the human papillomavirus vaccine
The Surgeon General's Call To Action To Promote Sexual Health and Responsible Sexual Behavior was released in 2001. The goal of this document is to
promote general health and wellness
The nurse has provided information to a client about oral contraceptives. Which statement by the client would indicate a need for further education?
"Some oral contraceptives protect against STIs."
Parent's of a 5-year-old child inform the nurse that they are concerned about finding their child masturbating in the bathroom. What is the best response to the parents by the nurse?
"This is a normal behavior for this age group, because 5-year-olds are increasingly aware of self."
The nurse assessing an adolescent's need for further information regarding sexual health should ask which question?
"What questions or concerns do you have about your sexual health?"
Which example best supports the diagnosis of Sexual Dysfunction: Dyspareunia?
A 50-year-old woman in the process of menopause has pain and burning during intercourse.
Which assessment question is most likely to yield clinically meaningful data about a female client's sexual identity?
How do you feel as a woman?
A male client comes to the clinic because he thinks that he has syphilis. Which test would the nurse expect the client to have done?
VDRL
The nurse is providing education about sexuality to a group of college freshman. One of the terms he discusses is gender identity. Which of the following describes gender identity?
inner sense of being male or female
