Nursing fundamental Chapter 46 sexuality Prep U 8

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? "Women who have multiple orgasms are promiscuous." "A mature sexual relationship does not require a man and woman to achieve simultaneous orgasm." "The larger the penis, the greater the potential for achieving orgasm." "The ability to achieve orgasm is the only indicator of a person's sexual responsiveness."

"A mature sexual relationship does not require a man and woman to achieve simultaneous orgasm."

The nurse is in the process of assessing a 24-year-old female client's sexual history. After reviewing the nurse's current notes, which additional information should the nurse prioritize for this client's assessment? Select all that apply. "Are you planning a pregnancy in the future?" "Do you have any sexual problems?" "Do you feel safe with your sexual partner?" "How do you feel about abortions?" "Have you had any abnormal Papanicolaou tests?"

"Are you planning a pregnancy in the future?" "Do you have any sexual problems?" "Do you feel safe with your sexual partner?" "Have you had any abnormal Papanicolaou tests?"

During the sexual history interview, a client tells the nurse about experiencing sexual pleasure with both female and male companions. Which sexual health topic(s) will the nurse explore with the client? Select all that apply. "Tell me how your family feels about this." "Do you share with your partners that you are bisexual?" "Describe your social support system: friends, family, organizations." "Do you experience times of depression, anxiety, or thoughts of harming yourself, and if so can you tell me about that?" "What do you use to protect yourself from sexually transmitted infections?"

"Describe your social support system: friends, family, organizations." "Do you experience times of depression, anxiety, or thoughts of harming yourself, and if so can you tell me about that?" "What do you use to protect yourself from sexually transmitted infections?"

A nurse is obtaining a health history from a middle-age client. Which question would initially be appropriate to ask? "Have you ever had testing for HIV?" "How many children do you have?" "Do you have a sexually transmitted infection?" "What is your gender identity?"

"How many children do you have?"

A nurse is conducting a health history on a 45-year-old client. The nurse is preparing to address the client's sexual history. Which statement by the nurse would be most appropriate at this time? "I am going to ask you some questions about your sexual health." "I need to determine if you are at risk for sexually transmitted infections." "Are you sexually active?" "Do you engage in safer sexual behaviors?"

"I am going to ask you some questions about your sexual health."

The female reproductive system is made up of both external and internal organs. Which are external organs in this system? Select all that apply. Mons pubis Labia majora Clitoris Skene glands Ovaries

Mons pubis Labia majora Clitoris Skene glands

A couple have presented to the healthcare provider for a follow up visit following the husband's 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? one week if no symptoms of chest pain three weeks if no symptoms of chest pain one month if no symptoms of chest pain three months if no symptoms of chest pain

three months if no symptoms of chest pain

During the plateau phase of the male sexual response, the client may experience what phenomenon? nipple erection bradycardia hypoventilation lightheadedness

nipple erection

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 oral-genital contact is safe with use of a barrier method use of public restrooms increases the risk of contracting HIV avoid multiple partners to reduce the risk of being infected

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

The nurse observes that a client shows signs of depression and often is found crying quietly in her room. Based on what the nurse is aware about violence against women what does the nurse suspect may have occurred with this client? the client is a victim of date rape the client has anxiety related to being in the hospital the client has recently suffered a personal loss the client is a victim of sexual harassment

the client is a victim of date rape

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 client's knowledge of anatomy and sexual response the use of antihistamines, tranquilizers, or alcohol the history of any sexual abuse, rape, or incest the communication pattern between the client and her partner

the use of antihistamines, tranquilizers, or alcohol

The nurse is instructing a client about the benefits of Kegel exercises. What statement made by the client about the purpose of Kegel exercises indicates that further education is required? "I am likely to have increased abdominal strength." "I know that these exercises can improve postpartum recovery." "Sexual satisfaction can improve if I perform the exercises regularly." "I know that Kegel exercises can promote good vaginal tone."

"I am likely to have increased abdominal strength."

The nurse is providing education about barrier contraceptives. Which statement by the client indicates a need for further education? "I have to wash my cervical caps after each use." "I can leave my diaphragm in for up to 72 hours." "I can insert my female condoms up to 8 hours before intercourse." "Male latex condoms when used correctly are an effective means of contraception and prevention of sexually transmitted infections."

"I can leave my diaphragm in for up to 72 hours."

An adolescent client tells the nurse that they are having intercourse with their partner. The client asks the nurse about methods to prevent pregnancy. Which statement by the nurse is accurate? "Many unintended pregnancies result from the use of less effective methods of contraception." "Periodic abstinence involves not having any sex with a partner." "Barrier methods include the vaginal sponge used in combination with an antibacterial agent." "Coitus interruptus will prevent pregnancies."

"Many unintended pregnancies result from the use of less effective methods of contraception."

A nurse reads in a client's chart that the client 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." "People who experience sexual fulfillment with a person of the opposite sex have gender dysphoria." "Gender dysphoria is a condition in which there are contradictions among chromosomal sex, internal organs, and external genital appearance." "People who find pleasure with both opposite-sex and same-sex partners have gender dysphoria."

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

An adolescent female client expresses concern to the nurse about her anatomy looking "weird down there." Which response(s) by the nurse is appropriate? Select all that apply. "Everyone is worried about how their genitals look." "You are still going through puberty and will look different soon." "Tell me more about the concerns you have about your body." "You may want to try using a mirror to better see and understand your anatomy." "Explain what you mean when you say you look's weird down there.'"

"Tell me more about the concerns you have about your body." "You may want to try using a mirror to better see and understand your anatomy." "Explain what you mean when you say you look's weird down there.'"

While teaching sexual education to a group of high school students, the nurse talks about forms of birth control and when a woman can become pregnant. Which explanation by the nurse about the chance of the woman becoming pregnant is accurate? "It is not possible to become pregnant after surgical sterilization." "It is not possible to become pregnant if exclusively breastfeeding." "The withdrawal method is widely used because it is highly effective." "The intrauterine device is a highly effective and reversible contraceptive."

"The intrauterine device is a highly effective and reversible contraceptive."

The nurse is conducting an assessment on a newly admitted 18-year-old client. When questioned about sexual preference, the client appears slightly confused and confesses to not being sure. Which is an appropriate response(s) from the nurse? Select all that apply. "What has happened to cause you to question yourself?" "Have you discussed this with your family?" "What have you done to help you try to determine this?" "What do your friends think your preference is? "What types of activity do you enjoy doing the most?"

"What has happened to cause you to question yourself?" "Have you discussed this with your family?" "What have you done to help you try to determine this?"

An infant is identified as intersex at birth. Which education provided by the nurse is accurate? "Your child has been born without genitalia." "Your child has male and female reproductive organs." "Your child has variations in the reproductive anatomy." "Your family will need to choose if you want a girl or a boy."

"Your child has variations in the reproductive anatomy."

For which client should the nurse make a referral due to the possibility of primary erectile dysfunction? 79-year-old client who says they cannot maintain an erection like when they were a younger adult 21-year-old client who discloses to the nurse that they have never been able to achieve an erection 51-year-old client who is unable to achieve an erection since starting antihypertensive therapy 40-year-old client with major depression who says that their libido is almost nonexistent

21-year-old client who discloses to the nurse that they have never been able to achieve an erection

Which client(s) will the nurse identify as being at risk for the development or presence of sexual dysfunction? Select all that apply. 25-year-old male client in traction 52-year-old male client with a history of hypertension 19-year-old male client who is still a virgin postmenopausal female client 49-year-old male client diagnosed with benign prostatic hyperplasia (BPH) 30-year-old female client experiencing premenstrual syndrome (PMS)

52-year-old male client with a history of hypertension postmenopausal female client 30-year-old female client experiencing premenstrual syndrome (PMS)

Which example best supports the nursing concern of sexual dysfunction because of dyspareunia? A client with a colostomy believes they cannot have a sexual relationship with their spouse because the spouse will be repulsed by the stoma. A 50-year-old client with a history of stroke is afraid to have sex with their spouse for fear that having sex will elevate their blood pressure. A 50-year-old client in the process of menopause has pain and burning during intercourse. A 39-year-old client with alcohol use disorder is no longer interested in having sex with their spouse.

A 50-year-old client 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 condom A cervical cap A vaginal sponge

A diaphragm

A client comes to the women's clinic and reports to the nurse that she is having a foul-smelling, thin, grayish-white vaginal discharge. What testing will the nurse prepare the client for? Nonspecific vaginitis Herpes simplex 1 Herpes simplex 2 Trichomoniasis

Biologic sex is genetically determined, while gender is a psychosocial construct.

Which of the following statements best describes the relationship between biologic sex and gender identity? Biologic sex is genetically determined, while gender is a psychosocial construct. Biologic sex and gender identity are both modifiable by surgery and medical interventions. Biologic sex is genetically determined but gender identity is chosen during adolescence. Biologic sex and gender identity are considered synonymous in nursing practice

Biologic sex is genetically determined, while gender is a psychosocial construct.

A 28-year-old male comes to the clinic for an evaluation. The client complains of a penile discharge. After completing an assessment, the nurse suspects that the client has a chlamydia infection based on which finding? Select all that apply. Painful lesion on the penis Burning on urination Swollen testes Testicular pain Painful vesicles around the genitals

Burning on urination Swollen testes Testicular pain

The nurse is meeting with a 36-year-old female client who has shared her sexual history and current concerns related to sexual dysfunction. The client shares that her partner keeps asking her to marry but she is concerned the partner will hate her when he finds out she has trouble having intercourse. Which action(s) should the nurse prioritize in developing a nursing care plan to assist this client? Select all that apply. Carefully assess the situation Assist with preventing problems Suggest coping strategies for the client to utilize Invite the partner to a joint session to discus the situation Refer the client to a mental health specialist

Carefully assess the situation Assist with preventing problems Suggest coping strategies for the client to utilize

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? Abstinence Cervical cap Norplant system Sterilization

Cervical cap

Which diagnostic test is used to diagnose a chlamydial infection? Cervical culture Pap smear Blood work Wet preparation with KOH

Cervical culture

A nurse is counseling a couple who expressed that they are having difficulty conceiving. What could the nurse consider as a cause? Changing developmental stage Having sex during ovulation Masturbating "Petting" prior to intercourse

Changing developmental stage

An adolescent, aged 15 years old, seeks medical care after getting his penis caught in the zipper of his pants. Upon examination, the nurse observes an abrasion on the shaft of the penis, which is secreting a small amount of yellow discharge. Which information will the nurse document in the medical record? Select all that apply. Chief complaint Location of injury Appearance of injured area Drainage noted Report of discomfort

Chief complaint Location of injury Appearance of injured area Drainage noted Report of discomfort

An Emergency Department nurse has a desire to become competent to care for victims of sexual assault. What type of evaluation of self does the nurse need to make in order to be competent to care for this special population of client and meet their physical and psychosocial needs? Select all that apply. Comfort with self sexual identity Knowledge of reproductive anatomy and physiology Therapeutic communication skills Ability to practice reasonable sexual expression Ability to project a subjective attitude

Comfort with self sexual identity Knowledge of reproductive anatomy and physiology Therapeutic communication skills Ability to practice reasonable sexual expression

A nurse is conducting a healthy living workshop with a group of female college students. Which information will the nurse include in the teaching plan about condoms? Condoms can protect the client from pregnancy. Condoms are used only for penises. Condoms can be rinsed and reused. Condoms are necessary when you are having sex with multiple partners.

Condoms can protect the client from pregnancy.

An adolescent female is in the community health clinic seeking contraception since becoming sexually active. The community health nurse demonstrates effective health promotion and prevention with the client when what is included in the health education teaching plan? Contraception plans prior to initiation of sexual activity. Correct use of the contraception method selected. The importance of using a barrier method to prevent risk of HIV transmission. The need for a back-up contraceptive method when using antibiotics.

Contraception plans prior to initiation of sexual activity.

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 Vaginismus Vulvodynia A sexually transmitted infection (STI)

Dyspareunia

A nurse is planning strategies to address factors that affect sexual dysfunction in older adults. Which interventions would be appropriate? Select all that apply. Teach the client that sexual intercourse and similar forms of sexual expression are considered dangerous for older adults with cardiovascular disease. Actively seek a new partner for older adult clients who have lost a spouse and are not sexually active. 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.

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.

Applying the Masters and Johnson description of sexual response, place the phases in the order in which they would occur from first to last. Click an option, hold and drag it to the desired position, or click an option to highlight it and move it up or down in the order using the arrows to the left. 1Excitement 2Plateau 3Orgasm 4Resolution

Excitement Plateau Orgasm Resolution

Applying the Masters and Johnson description of sexual response, place the phases in the order in which they would occur from first to last. Click an option, hold and drag it to the desired position, or click an option to highlight it and move it up or down in the order using the arrows to the left. 1Excitement 2Plateau 4Resolution 3Orgasm

Excitement Plateau Orgasm Resolution

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 Ovulatory phase Luteal phase Proliferative phase Secretory phase

Follicular phase Proliferative phase

Which is true regarding a person's sexual identity? Sexual orientation is the term used to denote chromosomal sexual development. Biologic sex is the inner sense a person has of being male or female. Gender identity refers to the preferred gender of a person's partner. Gender role behavior is the behavior a person conveys about being male or female.

Gender role behavior is the behavior a person conveys about being male or female.

The nurse prepares to assess a client who is presenting to the infertility clinic for her first appointment. What should the nurse include when obtaining data from the client? History of an untreated sexually transmitted infection (STI) Premenstrual symptoms Age at onset of menses Recent untreated urinary tract infection (UTI)

History of an untreated sexually transmitted infection (STI)

A client tells a nurse that her menstrual cycle has become irregular. Which does the nurse consider as a cause of the irregularity? Select all that apply. Diabetes Infection of the reproductive organs Anorexia nervosa Primary ovarian insufficiency Oral contraception taken every day year round

Infection of the reproductive organs Anorexia nervosa Primary ovarian insufficiency Oral contraception taken every day year round

The nurse is preparing a presentation on contraceptive methods. Which methods are designated highly effective? Select all that apply. Vaginal ring Injectable medroxyprogesterone Subdermal implants IUDs Transdermal patch

Injectable medroxyprogesterone Subdermal implants IUDs

The clinic nurse is explaining the action of sildenafil (Viagra) to a client. The nurse should assess his medication regimen to determine if he is taking medications that are contraindicated with Viagra. Which of the following medications is contraindicated with Viagra? Amoxicillin Nitrates Diuretics MAO inhibitors

Nitrates

A client presents to the clinic seeking the safest contraceptive method to use. The nurse reviews the client's health history and notes that the client is 26 years old, married with no children, and a smoker. Based on the client's history the nurse identifies which methods are the most appropriate for this client? (Select All That Apply) Oral Contraceptives Norplant System Implanon Depo-Provera Transdermal Contraceptive Patch

Norplant System Implanon Depo-Provera

The nurse is preparing a 15-year-old adolescent for the first gynecological examination to evaluate heavy menstruation. Which intervention by the nurse will help the client feel less anxious during the gynecological examination? Provide privacy while donning the gown. Show and explain instruments used during the examination. Tell the client the nurse will leave once the health care provider begins. Offer to remain with the client during the examination.

Offer to remain with the client during the examination.

The nurse notes a 70-year-old male client is reporting low sexual desire and a decrease in sexual satisfaction. When assessing the client's past medical history, which factor will the nurse anticipate noting? Orchiectomy Appendectomy Vasectomy Vasovasostomy

Orchiectomy

The nurse is caring for a client suspected of being infected with human papillomavirus (HPV). Which clinical manifestation observed by the nurse would correlate with this suspicion? Foul-smelling, thin, grayish white vaginal discharge Purulent discharge with reports of burning when urinating Single, painless genital lesion 10 days to 3 months after exposure Pale, soft, papillary lesions on the genitalia and perianal area

Pale, soft, papillary lesions on the genitalia and perianal area

A female client informs the nurse that her husband is concerned about her sexual response. The client reports that during stimulation her husband has noticed her clitoris disappears, and he wonders if she is enjoying the experience despite her positive responses to his stimulation. The nurse explains that building excitement and the retraction of the clitoris are normal characteristics of which stage of the sexual response cycle? Plateau phase Excitement phase Orgasm Resolution phase

Plateau phase

The nurse is working in the emergency department when a male client states, "I have been exposed to gonorrhea from a sexual partner and I think I have it." What symptoms should the nurse assess in this client that correlate with the client's suspicions of infection? Select all that apply. Purulent penile discharge Difficulty urinating Increased frequency of urination Chancre sore on the penis Vesicles around the penis

Purulent penile discharge Difficulty urinating Increased frequency of urination

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. Fetishism. Environmental harassment. Hostile environment harassment.

Quid pro quo harassment.

Which of the following statements best describes the relationship between biologic sex and gender identity? Sex is chromosomally determined, while gender is a psychosocial construct. Biologic sex and gender identity are both modifiable by surgery and medical interventions. Biologic sex is genetically determined but gender identity is chosen during adolescence. Biologic sex and gender identity are considered synonymous in nursing practice.

Sex is chromosomally determined, while gender is a psychosocial construct.

A client is trying to be understanding; however, the client is getting frustrated by the spouse's lack of sexual response. Which factor should the nurse explore to help this physiologically healthy couple create reasonable goals to improve their situation? Spouse's lack of self-esteem Client's concern for pleasure Potential undiscovered physical factors Lack of education concerning sexual activity

Spouse's lack of self-esteem

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? Temperature method Cervical mucus method Calendar method Symptothermal method

Symptothermal method

The nurse is conducting an assessment on a 42-year-old female client. The client admits to having unprotected sex with multiple individuals over the years. Based on the data collected during the assessment, which disorder should the nurse suspect this client has? Syphilis Chlamydia Gonorrhea Herpes simplex virus (HSV)

Syphilis

Traditionally, the male sexual response is thought to be broken up into three phases. Which occurrence is part of the plateau phase? A rapid erection of the penis occurs. The circumference of the penis thickens at the coronal ridge and a few drops of fluid appear at the urethral meatus. A decrease in vasocongestion occurs. The spermatic cords shorten, causing a partial elevation of both testes.

The circumference of the penis thickens at the coronal ridge and a few drops of fluid appear at the urethral meatus.

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. Genital lesions are present.

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.

The nurse is providing education about the process of fertilization to a client who is preparing to begin treatment with fertility stimulants. What statement will the nurse use to explain an aspect of fertilization? The fertilization process occurs in the outer third of the fallopian tube. Fertilization is a process that occurs in the lower portion of the cervix. An ovum can be fertilized up to 10 days after intercourse. The first 2 months after fertilization are particularly critical for the embryo.

The fertilization process occurs in the outer third of the fallopian tube.

The nurse is talking with a young victim of sexual assault in the emergency department. The client states that she wants to take emergency contraception and asks the nurse what is recommended. What is the best response by the nurse? Select all that apply. A vaginal sponge will be prescribed to be worn daily for 7 days. The health care provider will prescribe increased doses of oral contraceptives. The health care provider will order a copper IUD within 5 to 7 days of the unprotected sex. An emergency dilation and curettage (D & C) will be performed within 24 hours of unprotected sex. A vaginal ring will be inserted within 36 hours of unprotected sex. Plan B One-Step may be obtained without a prescription at a drugstore or family planning clinic.

The health care provider will prescribe increased doses of oral contraceptives. The health care provider will order a copper IUD within 5 to 7 days of the unprotected sex. Plan B One-Step may be obtained without a prescription at a drugstore or family planning clinic.

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 Over the counter availability for persons 16 years and older. 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. It is unlikely the client will become pregnant after one sexual encounter

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 takes into consideration developmental stage when assessing sexuality. Which is an example of a developmentally appropriate intervention? The nurse teaches parents of an 18-month-old infant to discourage self-manipulation of genitals. The nurse teaches parents of a 4-year-old child that they may cause anxiety in the child by intolerance of inconsistency of sex-role behavior. The nurse warns parents of 2-year-old toddler that toilet training should be initiated immediately to prevent compulsive behaviors later on. The nurse states that same-sex preference for relationships in the school-age child may be related to heterosexual or homosexual tendencies.

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

Which is true regarding the female sexual response? All females follow the same pattern of sexual response. During the excitement phase, the clitoris becomes smaller and the vagina becomes lubricated in response to vasocongestion. The plateau phase involves full elevation of the uterus and the cervix. During the refractory period, women are unable to be restimulated.

The plateau phase involves full elevation of the uterus and the cervix.

A client visits a community clinic reporting a foul-smelling vaginal discharge that is thin, foamy, and green in color; itching of vulva and vagina; and burning on urination. Which STI would the nurse suspect? Acquired immunodeficiency syndrome (AIDS) Chlamydia trachomatis Trichomonas vaginalis Neisseria gonorrhoeae

Trichomonas vaginalis

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 HPV Pap smear Wet preparation

VDRL

A client has sought care because of difficulties in achieving and maintaining an erection. The nurse's education and interventions will focus on what phase of the sexual response in which the client is experiencing difficulty? resolution phase reproductive phase excitement phase orgasmic phase

excitement phase

A nurse reads a client's chart and sees that the client may have dyspareunia. Which assessment(s) will the nurse perform? Select all that apply. history of hormonal imbalance client's ability to use vaginal lubricants during sexual act physical assessment of internal and external genitalia use of certain medications such as antihypertensives history of neurologic disorders

history of hormonal imbalance client's ability to use vaginal lubricants during sexual act physical assessment of internal and external genitalia

The nurse knows that women may choose periodic abstinence for several reasons. In order to assist the client in her choice to return to sexual activity, while preventing pregnancy, what should the nurse discuss with the client? the need for a barrier method how to chart her fertility pattern how to use a temporary contraceptive method the need for frequent pregnancy testing

how to chart her fertility pattern

During the orgasmic phase of the female sexual response, the client may experience what phenomenon? vaginal relaxation bradycardia hypoventilation hypertension

hypertension

A client presents to the client reporting vaginal bleeding, feeling sad, headaches, increased acne, and recent weight changes. What information is important for the nurse to obtain during the assessment of this client? intrauterine device (IUD) placement within past 3 months use of oral contraceptives in the past month pregnancy-related risk factors hormone imbalance caused by pregnancy

intrauterine device (IUD) placement within past 3 months

A nurse is teaching a sex education class to a group of adolescent girls. They ask the nurse about the sexual response cycle in females. Which physiologic response does the nurse tell them is only seen in girls/women? increase in heart rate nipples become hard and erect refractory period after orgasm loss of muscular control during orgasm causing twitching of the arms and legs

loss of muscular control during orgasm causing twitching of the arms and legs

A nurse is reading a journal article about the female sexual response cycle. Place the events of this cycle in the proper sequence from first to last. Use all options. Click an option, hold and drag it to the desired position, or click an option to highlight it and move it up or down in the order using the arrows to the left. 1nipple erection 2clitoral retraction 3involuntary contraction of genitals 4feelings of relaxation

nipple erection clitoral retraction involuntary contraction of genitals feelings of relaxation

The school nurse is providing health education about sexuality and reproduction to a group of young adolescents. The male sexual response is included in the teaching plan. Select three physical changes that occur during the plateau phase. rapid penile erection expulsive urethral contractions secretion of pre-ejaculatory fluid increased heart rate and blood pressure shortening of the spermatic cords nipples erect penile circumference at the coronal ridge thickens

secretion of pre-ejaculatory fluid increased heart rate and blood pressure penile circumference at the coronal ridge thickens