Fundamentals Nursing Prep U Chapter 44 Sexuality

The nurse should inform a young female client that the barrier method providing the best protection against sexually transmitted infections (STIs) is:

condoms

When a man cannot achieve an erection, the phase of the sexual response in which the man is experiencing difficulty is:

excitement phase

The nurse prepares to discuss emergency contraception with a client who reportedly had unprotected sex the day before. What information should be covered when counseling the client? Select All That Apply

• The need to take oral contraceptives within 120 hours after intercourse. • Oral contraceptives are up to 89% effective in preventing pregnancy. • A copper intrauterine device (IUD) can be inserted five to seven days after sex.

The nurse knows that there are three basic charting methods in predicting ovulation in order to prevent pregnancy. (Select All That Apply)

• Temperature method • Cervical mucus method • Calendar method

While conducting a sexual history, the nurse asks a client about protection from sexually transmitted infections (STIs). Which question would be most appropriate for the nurse to ask?

"Have you had any sexually transmitted infections and if so, which ones?"

A nurse is teaching a sex education class to a group of teenage girls. They ask the nurse about the sexual response cycle in females. Which physiologic response does the nurse tell them is only seen in females?

loss of muscular control during orgasm causing spastic contractions

When a 19-year-old male client tells the nurse that he has never been able to achieve an erection, the nurse recognizes that the client is experiencing:

primary impotence

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

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.

• Masturbation or self-stimulation is a natural and healthy outlet for sexual urges. • No male or female should feel pressured into sexual activity at any age. • Nocturnal emissions are normal in men of all ages.

The nurse is teaching a class about sexuality at a public health clinic. After class the nurse is approached by John, a 22-year-old male, who eventually discloses to the nurse that, while he enjoys having sex with his girlfriend, he also has experienced pleasurable sex with males. The term for this behavior is which of the following?

Bisexual

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 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

In which of these situations does the nursing action NOT advocate for patient sexual needs?

The nurse ensures the patient wears a hospital gown to protect personal clothing.

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, while she is happily married, she feels like a man inside. Cathleen describes this as feeling "trapped" inside her female body. The term for this behavior is which of the following?

Transsexual

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 preparing a talk on health issues in the LGBT population. Which statistics would the nurse include?

LGBT youth are 2 to 3 times more likely to attempt suicide.

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.

After receiving information on various forms of birth control, a young couple decides to use a barrier method because they would like to try and conceive in a year or two. Which barrier method uses a rubber barrier to hold spermicide against the cervix?

A diaphragm

A female client experienced a pelvic fracture in a motor vehicle accident several months earlier and recovery has been slow. Among the challenges presented by this event is the fact that sexual activity causes a dull ache in her pelvis. Which nursing diagnosis is most appropriate for this client?

Alteration in Comfort: Pain

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."

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."

Which assessment question is most likely to yield clinically meaningful data about a female client's sexual identity?

"How do you feel about yourself as a woman?"

A nurse expresses a desire to become culturally competent in the care of females from Africa after a mission trip to the continent. Which statement by the nurse demonstrates an understanding of this population of clients?

"Infibulation is the narrowing of the vaginal opening through the creation of a covering seal."

The new community health nurse is learning to care for lesbians, gay males, bisexuals, and transgender (LGBT) individuals. Which statement indicates to the preceptor that the nurse understands the needs of this group?

"Lesbians are less likely to get preventive services for cancer."

A gerontology nurse is discussing sexual dysfunction with an older adult male client. The nurse determines that the education has been effective when the client states:

"Malnutrition may cause impotence."

A nurse reads in a client's chart that he or she has gender dysphoria. The nurse determines that the client understands the diagnosis when making what statement?

"People whose biologic sex at birth is contrary to the gender they identify with have gender dysphoria."

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."

A female client has recently had surgery for cervical cancer and asks the nurse about other ways she can have sex with her husband. Which of the following statements by the nurse is most accurate?

"Stimulation of the genitals by the mouth and tongue may be used to reach orgasm."

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?

"The tampon should be changed frequently."

A middle-aged male client is in the clinic for a routine blood pressure check. During the health history he mentions to the nurse that he is concerned that his wife is "unhappy with their love life." Which of the following question is best for the nurse to ask?

"What makes you think she is unhappy? What has happened?"

The nurse assessing an adolescent's need for further information should ask which of the following questions?

"What questions or concerns do you have about your sexual health?"

A woman reports pain with intercourse. Which client medications should the nurse check for that contribute to dyspareunia?

Antihistamines

A woman age 49 years has sought care from her primary care provider because of "intimacy problems." Upon questioning, the woman reveals that she is experiencing sexual desire, but that intercourse causes her significant pain. In the absence of sexual activity, the woman states that she does not have any significant vaginal discomfort. What would the clinician recognize that this client is most likely experiencing?

Dyspareunia

A 60-year-old female client with a history of osteoarthritis in her hip confides to the nurse that "intercourse hurts my hip." Which of the following would be the best option for the nurse to suggest?

Exploring alternate positions for intercourse

What is associated with the resolution phase of the male sexual response cycle?

Feelings of relaxation and fulfillment

The school nurse is educating a group of 5th and 6th grade girls on menstruation. One girl asks if there is a name for having her first menstrual period. The nurse replies with which of the following terms?

Menarche

After instructing the male client on the technique of a testicular self-examination, the nurse instructs the client to perform the examination how often?

Monthly

During the menstrual cycle, when does ovulation typically take place?

On day 14

A nurse is educating a male client about testicular self-examination. The nurse would encourage the client to perform the exam at which frequency?

Once a month

During hospitalization for a suicide attempt, the client informs the nurse that she does not want to return to work because her boss expects sexual favors each week before he gives her a paycheck. The client informs the nurse that she needs the job but is embarrassed that she performs these favors. The nurse informs the client that this is illegal behavior and is called what?

Quid pro quo harassment.

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 working at a family planning clinic evaluates a client's risk for complications from oral contraceptives. Which of the following places the client at highest risk?

Smokes 1 pack cigarettes per week

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 not to start a family.

The nurse caring for clients in a physician's office takes into consideration developmental stage when assessing sexuality. Which is an example of a developmentally appropriate intervention?

The nurse teaches parents of a 4-year-old that they may cause anxiety in the child by intolerance of inconsistency of sex-role behavior.

A patient calls the clinic and tells the nurse they have a foamy, greenish, and itchy vaginal discharge. The patient asks the nurse what the significance of this discharge is. What is the best response by the nurse?

The patient may have trichomoniasis.

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

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.

Which sexually transmitted infection has the following characteristics: thin, foamy, greenish vaginal discharge that causes itching of the vulva and vagina?

Trichomoniasis

The nurse is performing an assessment for a client that has human immunodeficiency virus (HIV). What data obtained by the nurse indicate that the client may have developed acquired immunodeficiency syndrome (AIDS)? Select all that apply.

• The client reports fatigue. • The client is having several episodes of diarrhea in a day. • The client reports the incidence of nightly sweating. • Lymph nodes are enlarged in the inguinal area and axillary area.

A nurse is planning strategies to address factors that affect sexual dysfunction in older adults. Which interventions would be appropriate? Select all that apply.

• Educate older adult clients, intimate partners, and family about the sexual side effects of specific medications. • Assist in attitude and value clarification about substance use, sexuality, and sexual behavior. • Encourage older adult clients to have a thorough physical evaluation by a health care provider. • Provide an open, nonjudgmental response when older clients display a need for warmth, close contact, and companionship.

A nurse is conducting a seminar for a group of young adult women about the menstrual cycle. When discussing the hormones involved during the various phases, the nurse explains that estrogen is dominant during which phases of the cycle? Select all that apply.

• Follicular phase • Proliferative phase

The nurse is discussing contraception with an adolescent patient 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."

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 term used to describe sexual changes that occur in the transition of a female from middle age to old age is:

climacteric.

The testes are responsible for producing:

testosterone and spermatozoa.

A client that is post-menopausal reports painful intercourse for the last two months. When performing an assessment of the client, what data should the nurse obtain?

the use of antihistamines, tranquilizers, or alcohol

A couple have presented to the healthcare provider for a follow up visit following the husbands uncomplicated myocardial infarction (MI) one week ago. The nurse determines that education on resuming intimate sexual contact should be discussed. What timeline regarding sexual intercourse should the nurse be sure is included in the discussion?

three months if no symptoms of chest pain

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 determines that a female client understands how to perform breast self-examination when the client states:

"The best time to perform the exam is 1 week after my period."

The nurse is justified in assessing for sexual dysfunction among male clients who are receiving which of the following?

Antihypertensive medication

A female client tells the nurse that vaginal intercourse with her partner is not as exciting as it used to be. Which of the following could the nurse teach her?

Use of Kegel exercises

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

During the orgasmic phase of the sexual response, the woman may experience:

hypertension

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

The combination of seminal fluid and spermatozoa forms:

semen

The nurse is preparing to provide education to a group of high school students on sexually transmitted infection (STI) prevention. The nurse knows that this age group often uses oral-genital stimulation as a way to prevent pregnancy. Which concept should the nurse make sure to convey to the group?

skin-to-skin contact can spread herpes and genital warts

The nurse is teaching a male adolescent how to use a condom. Which teaching points would the nurse include? (Select all that apply.)

• "If the condom does not have a nipple receptacle, leave a small space at the end for semen to collect." • "Use a condom with every act of intercourse." • "Immediately after ejaculation remove the condom and discard it."

Which statements describe sexual dysfunction in males or females? Select all that apply.

• Premature ejaculation is a condition in which a man consistently reaches ejaculation or orgasm before or soon after entering the vagina. • Retarded ejaculation refers to the man's inability to ejaculate into the vagina or delayed intravaginal ejaculation. • Vaginismus is painful intercourse. • Vulvodynia is a chronic vulvar discomfort or pain characterized by burning, stinging, irritation, or rawness of the female genitalia that interferes with sexual activity.