Pass Point Sexuality

The nurse is providing health screening for adolescent girls. Which of the following adolescent girls does the nurse identify as highest risk for an unplanned pregnancy? Select all that apply. an adolescent girl living in poverty an adolescent girl who believes in abstinence an adolescent girl with low self-esteem an adolescent girl with low educational achievement an adolescent girl dating an older boy

an adolescent girl living in poverty an adolescent girl with low self-esteem an adolescent girl with low educational achievement an adolescent girl dating an older boy

A client asks the nurse to explain the meaning of her abnormal Papanicolaou (Pap) smear result of atypical squamous cells. The nurse should tell the client that an atypical Pap smear means that what has occurred? a. abnormal viral cells were found in the smear. b. the cells could cause various conditions and help identify a problem early. c. the Pap smear alone is not very important diagnostically because there are many false-positive results. d. cancer cells were found in the smear.

b. the cells could cause various conditions and help identify a problem early.

a 20-year-old nulligravid client expresses a desire to learn more about the symptothermal method of family planning. Which information would the nurse include in the teaching plan? the male partner uses condoms for significant effectiveness. cervical mucus is carefully monitored for changes. this method has a 50% failure rate during the first year of use. couples must abstain from coitus for 5 days after the menses.

cervical mucus is carefully monitored for changes.

Two days after undergoing a modified radical mastectomy, a client tells the nurse, "Now I won't be sexually attractive to my spouse." How should the nurse respond? "I am sure your spouse loves you very much and will still find you attractive." "Can you tell me more about what your goals for a sexual relationship with your spouse are?" "There are really good reconstructions that can be performed once your surgical site is healed." "I hear you are concerned. I can arrange to speak with you and your spouse about your sexual relationship."

"Can you tell me more about what your goals for a sexual relationship with your spouse are?"

The nurse has discussed sexuality issues during the prenatal period with a primigravid client who is at 32 weeks' gestation. She has had one episode of preterm labor. The nurse determines that the client understands the instructions when she makes which statement? "I can resume sexual intercourse when the bleeding stops." "I shouldn't get sexually aroused or have any nipple stimulation." "I can resume sexual intercourse in 1 to 2 weeks." "I shouldn't have sexual intercourse until my next prenatal visit."

"I shouldn't get sexually aroused or have any nipple stimulation."

A couple informs the nurse that they have been having some "problems in the bedroom." what is the most appropriate response by the nurse? "I can refer you to a therapist." "I'd like to hear your concerns." "Let me refer you to a marriage counselor." "I need to obtain your admission history first."

"I'd like to hear your concerns."

A nurse is teaching a client about prevention of genital herpes. what statement indicates the teaching was successful? "I'll ask any future partners if they have ever been diagnosed with genital herpes." "If i find a partner with whom I remain monogamous, I won't be at risk" "I will use spermicide to prevent the virus from being transmitted to me." "I'll have sex with affected partners only when no lesions are visible."

"I'll ask any future partners if they have ever been diagnosed with genital herpes."

A 65-year-old male client with erectile dysfunction (ED) asks the nurse, "Is all this just in my head? Am I crazy?" What should the nurse tell the client? "ED is believed to by psychogenic in most cases." "More than 50% of the cases are attributed to organic causes." "Evaluation of nocturnal erections does not help differentiate psychogenic or organic causes." "ED is an uncommon problem among men older than age 65."

"More than 50% of the cases are attributed to organic causes."

After trying for a y ear to conceive, a couple consults a fertility specialist. When obtaining a history from the husband, which question should the nurse ask? "What are your dietary practices?" "What chldhood immunizations and illnesses did you have?" "What are your hobbies?" "Have you traveled outside of the continental United States?"

"What childhood immunizations and illnesses did you have?"

A client recovering from an acuter myocardial infarction makes a joke about the client's sexual function to the nurse during morning care. What action should the nurse take? Ask the client if there are questions related to sexuality the client would like to discuss. Firmly explain to the client that sexual harassment will not be tolerated. Ignore the client's comments to avoid rewarding attention-seeking behavior. Respond in a light-hearted way to reduce the tension between nurse and client.

Ask the client if there are questions related to sexuality the client would like to discuss.

A client with erectile disorder is taking sildenafil. What instructions should the nurse give the client? take the medication 8 hours before having intercourse. Use nitroglycerin if chest pains occur during intercourse. Take up to three tablets within 24 hours. Expect an erection that may last up to 4 hours.

Expect an erection that may last up to 4 hours.

During a routine physical examination, a male client informs the nurse that he frequently participates in anal intercourse with his sexual partner. What education is important for the nurse to include with health teaching? The use of lubricants is only necessary during vaginal intercourse. Anal intercourse should be avoided due to high risk for infections. The rectal mucosa is not easily damaged if anal intercourse is done with gentle insertion. The client should wear a condom during anal intercourse.

The client should wear a condom during anal intercourse.

A 49-year-old woman has sought help from her primary care provider because of "intimacy problems." Upon questioning, the woman reveals that she is experiencing sexual desire, but that intercourse causes 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

As a first step in teaching a woman with a spinal cord injury and quadriplegia about her sexual health, the nurse assesses her understanding of her current sexual functioning. Which statement by the client indicates she understands her current ability? a. "I can participate in sexual activity but might not experience orgasm." b. "I won't be able to have sexual intercourse until the urinary catheter is removed." c. "I can't have sexual intercourse because it causes hypertension, but other sexual activity is okay." d. "I should be able to participate in sexual activity, but I'll be infertile."

a. "I can participate in sexual activity but might not experience orgasm."

A depressed client has been taking a selective serotonin reuptake inhibitor (SSRI) in the evening, and is upset because he cannot perform sexually due to erectile problems. What is the nurse's best response? stop taking the drug and notify the prescriber. engage in sexual activity prior to taking the drug. monitor for low blood pressure on a daily basis. take the drug with food or 8 oz of water

engage in sexual activity prior to taking the drug.

the nurse is caring for a married client with a paraphilia disorder. what are important goals for this client? select all that apply. a. sign a contract to maintain sexual celibacy for 1 year. b. identify triggers that initiate sexual behaviors. c. attend a variety of meetings on the unit. d. participate in a family meeting before discharge. e. verbalize appropriate methods to meet sexual needs.

b, d, e identify triggers that initiate sexual behaviors. participate in a family meeting before discharge. verbalize appropriate methods to meet sexual needs.

A client experienced a pelvic fracture in a motor vehicle collision several months ago. Recovery has been slow. Among the challenges presented by this event is that sexual activity causes a dull ache in the pelvis. What client problem is the priority? self-consciousness sexual dysfunction depression pain

pain

A client with a testicular malignancy undergoes a radical orchiectomy. What should the nurse assess the client for during the immediate postoperative period? bladder spasms urine output pain nausea

pain

A client states to the nurse that she feels trapped in her male body and has recently begun to consider gender reassignment surgery. What is the priority intervention for the client? telling family and friends. participating in psychotherapy. visiting LGBTQ social venues scheduling a consultation with a surgeon

participating in psychotherapy

A 52-year-old client is scheduled for a total abdominal hysterectomy for cervical cancer. When discussing the potential impact of this procedure on the client's sexuality, how should the nurse respond to the client? a. "all women experience sexual problems with this surgical procedure. Do you have any questions?" b. "Do you anticipate any problems with sex related to your scheduled hysterectomy?" c. "Most women have concerns about their sexuality after this type of surgery. Do you have any concerns or questions?" d. "When can I schedule an appointment with you and your partner to discuss any issues either of you may have regarding sexuality?"

c. "Most women have concerns about their sexuality after this type of surgery. Do you have any concerns or questions?"

The father of a neonate diagnosed with gastroschisis tells the nurse that his wife had planned on breastfeeding the neonate. Which information should the nurse include in the preoperative teaching plan about feeding the neonate? a. the neonate will need total parenteral nutrition for nourishment. b. an iron-fortified formula will be given before surgery. c. the neonate will remain on nothing-by-mouth (NPO) status until after surgery. d. the mother may breastfeed the neonate before surgery.

c. the neonate will remain on nothing-by-mouth (NPO) status until after surgery.

a nurse is preparing a teaching plan for a male client newly prescribed atenolol. Which information is important for the nurse to teach this client? causes and treatments for erectile dysfunction control of excessive flatus management of incontinence prevention of constipation

causes and treatments for erectile dysfunction

During hospitalization for a suicide attempt, a client informs the nurse that she does not want to return to work because her boss expects sexual favors each week before he pays her. The client informs the nurse that she needs the job but is embarrassed that she performs these favors. The nurse informs the client that his is illegal behavior called quid pro quo harassment fetishism environmental harassment hostile environment harassment

quid pro quo harassment

The nurse should teach the client with erectile dysfunction (ED) to alter his lifestyle by doing which? avoiding alcohol following a low-salt diet decreasing smoking increasing attempts at sexual intercourse

avoiding alcohol

While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate's urinary meatus appears to be located on the ventral surface of the penis. The health care provider (HCP) is notified because the nurse suspects which complication? phimosis hydrocele epispadias hypospadias

hypospadias