Professional nursing- Chap. 35 EAQs

1,4,5,6

The nurse is discussing sexual issues with a patient. Which statements hold true about sexuality? Select all that apply. It is influenced by personal beliefs. It is not affected by medications in use. It is influenced by the place where one lives. Pregnancy may affect sexual interest. It may be affected by chronic respiratory disease. Ethnicity plays a role in shaping sexual values.

Syphilis Chlamydia Gonorrhea

The nurse is educating a couple about sexually transmitted infections caused by bacteria. Which sexual diseases are caused by bacteria? Select all that apply. Herpes Syphilis Chlamydia Gonorrhea Genital warts

1,4

Certain cultural groups in the United States are disproportionately affected by infectious diseases such as human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS). Which factors increase the risk for HIV and AIDS? Select all that apply. Expectations about behavior by men or women in the culture Higher percentages of lesbian, gay, bisexual, or transgender individuals in the culture Genetic predisposition to the disease in the culture Communication patterns and language practiced by the culture Varied climate in different geographic locations

Diminished vaginal lubrication

A 50-year-old woman complains of dyspareunia. Which is a possible cause of dyspareunia in the patient? Diminished sexual desire Diabetes and hypertension Diminished vaginal lubrication Increased vaginal elasticity

2,3

A 15-year-old girl states that she is having unprotected intercourse with her boyfriend. She asks for more information about birth control methods. Which information should the nurse include in patient education? Select all that apply. Condoms or diaphragms are the most effective methods. Hormonal methods are effective but do not protect against sexually transmitted infections (STIs). Barrier methods are less effective than hormonal but offer some protection against STIs. Sterilization is an effective option that the patient should consider. The rhythm method is effective for preventing pregnancy.

Tell the patient about the safe house for women

A 25-year-old patient is in the emergency department and states that she has had a cough and fever for the past 3 days. While performing a physical assessment, the nurse finds several bruises that are in various stages of healing and suspects that the patient may be a victim of sexual abuse. Which is the nurse's first action? Refer the patient to a sexual counselor. Tell the patient about the safe house for women. Ask the patient to describe how she got the bruises. Report the abuse immediately to the proper authorities.

Be tested for a sexually transmitted infection (STI) such as Chlamydia.

A 26-year-old married woman recently discovered that she is pregnant and is at her first prenatal visit. While assessing the patient, the nurse practitioner discovers that the patient has purulent vaginal discharge. The patient states, "It burns when I urinate, and I seem to have to go to the bathroom frequently." Based on these symptoms, what follow-up would the nurse practitioner likely advise for this patient? Be tested for human immunodeficiency virus (HIV). Be tested for a sexually transmitted infection (STI) such as Chlamydia. There is no need for follow-up as this is a normal sign of pregnancy. Obtain education on proper perineal hygiene

Avoid alcohol and tobacco. Have well-balanced meals and follow a regular sleep pattern. Plan sexual activities in the morning or another time when you are well rested. Communicate your concerns with your partner.

A 35-year-old woman comes to the clinic for her general health checkup. She is the mother of a 6-year-old girl. The patient expresses that she and her husband are exhausted because of their work schedules and this has affected their sexual relationship. What advice can the nurse provide to improve the couple's sexual relationship? Select all that apply. Avoid alcohol and tobacco. Do not have sexual intercourse until your workload lightens. Have well-balanced meals and follow a regular sleep pattern. Plan sexual activities in the morning or another time when you are well rested. Communicate your concerns with your partner.

It is a plastic contraceptive device that is inserted in the uterus through the cervical opening.

A 35-year-old woman comes to the clinic for her general health checkup. The patient wants information about intrauterine devices (IUDs). What information should the nurse include when teaching the patient about IUDs? It is an oral medication to be consumed regularly. It is a surgery in which fallopian tubes are ligated. It is a plastic contraceptive device that is inserted in the uterus through the cervical opening. It is a round rubber dome that is inserted in the vagina with spermicide and acts as a barrier during intercourse.

Permission Limited information Specific suggestions

A 50-year-old male patient comes for a follow-up visit a few months after a myocardial infarction. The nurse plans to interview the patient to assess his sexual health using the PLISSIT model. Which components are included in the PLISSIT model of assessment? Select all that apply. Palliation Permission Limited information Specific suggestions Intravenous therapy

Sexuality can be affected by ailments such as myocardial infarction, but the patient should return to normal soon.

A 50-year-old male patient comes for a follow-up visit a few months after a myocardial infarction. The nurse plans to interview the patient to assess his sexual health. During assessment, the patient expresses that he is not able to perform well sexually. Which explanation should the nurse give to the patient? The patient's sexuality is affected by his age and is absolutely normal. The patient must undergo surgery and extensive medication therapy to get back to normal. Sexuality can be affected by ailments such as myocardial infarction, but the patient should return to normal soon. Sexuality can be affected by ailments such as myocardial infarction, and the damage is permanent.

1, 2, 4

A 50-year-old male patient comes for a follow-up visit a few months after a myocardial infarction. The nurse plans to interview the patient to assess his sexual health. What precautions should the nurse take when assessing the patient's sexuality? Select all that apply. Ensure that the patient is comfortable discussing the issue. Ensure that the patient has privacy. Close the door or curtains of the room. Avoid talking to the patient. Hand him a questionnaire and ask him to complete it. Ask open-ended questions, such as how the patient's health problem has affected his sexual activity. Include the family members in the discussion to get more information.

Antidepressant medication may be affecting the patient's sexual functioning.

A 54-year-old male patient who is being seen for an annual physical tells the nurse that he is having difficulty sustaining an erection. The nurse reviews his health history and notes no current health problems except medical treatment for depression. What should the nurse understand about this? A personal issue such as this is best addressed by a male physician during the examination. Erectile dysfunction affects most men over the age of 50. The patient needs to be screened for sexually transmitted infections (STIs). Antidepressant medication may be affecting the patient's sexual functioning.

Condom

A couple approaches the nurse for advice on contraception. Which method suggested by the nurse does not require a health care provider's prescription? Hormonal injection Subdermal implant Condom Intrauterine device

Vasectomy

A couple does not desire to have any more children. Which contraceptive method should the nurse suggest to the couple? Skin patch Abstinence Intrauterine device Vasectomy

1,2,5

A couple wishes to prevent conception using natural contraceptive methods based on the menstrual cycle. Which factors indicate the fertile period? Select all that apply. Rhythm of the menstrual cycle Cervical mucus Urinary frequency Breast tenderness Basal body temperature

Loss or gain of 10 lbs

A female patient is advised to use a diaphragm for contraception. The nurse understands that any weight change necessitates a resizing of the diaphragm. How much change in weight would be significant? Loss or gain of 4 lbs Loss or gain of 6 lbs Loss or gain of 8 lbs Loss or gain of 10 lbs

Vasectomy

A male patient approaches the nurse for advice on permanent methods of contraception. What should the nurse suggest to the patient? Tubal ligation Vasectomy Subdermal implants Transdermal skin patches

1,2,4

A middle-aged patient is diagnosed with erectile dysfunction. Which associated conditions might the nurse find in the patient? Select all that apply. Diabetes Hypertension Anorexia Hyperlipidemia Hyperthyroidism

1,2,3,5

A new graduate nurse is working in a rehabilitation center that specializes in the care of patients with spinal cord injuries (SCIs). The new graduate knows that sexual issues are common among patients with SCIs. Which actions can enhance the nurse's comfort in discussing sexual issues with patients? Select all that apply. Clarifying personal values related to sexuality Role playing discussion of sexual concerns with another nurse Attending a conference to enhance knowledge about sexuality Avoiding a discussion of sexual concerns until after completing new nurse orientation Asking a nurse who is experienced in caring for patients with SCIs about common sexual concerns

Use water-soluble lubricants before sexual intercourse. Explore alternative, acceptable, and more satisfying sexual practices.

A patient complains of dyspareunia. She is diagnosed with sexual dysfunction related to decreased sexual desire. Which instructions should be provided to the patient? Select all that apply. Perform exercise to increase sexual desire. Use contraceptive medications and devices. Avoid the overuse of alcohol and cigarettes. Use water-soluble lubricants before sexual intercourse. Explore alternative, acceptable, and more satisfying sexual practices.

Papillomavirus infection

A patient has been diagnosed with cervical cancer. The patient is a commercial sex worker. Which infection could be responsible for this malignancy? Chlamydia infection Gonorrhea infection Herpes simplex infection Papillomavirus infection

3,4,5

A patient has opted for a diaphragm as a mode of contraception. Which advice should the nurse provide to the patient? Select all that apply. It should be used along with an intrauterine device (IUD). It should be used along with condoms. It should be refitted after pregnancy. It should be used with a contraceptive cream. It should be refitted after a significant change in weight.

2,3,4

A patient presents with decreased libido, depression, and ineffective coping. Which nursing interventions would be helpful for the patient? Select all that apply. Assess for influence of cultural beliefs. Assess the causes of ineffective coping. Help the patient to set realistic goals. Encourage the patient to express feelings. Explain to the patient about the use of condoms.

Discourage the use of alcohol and tobacco. Encourage touching and kissing. Communicate concerns and fears with the partner.

A patient presents with ineffective sexual functioning. Which strategies should the nurse suggest to enhance sexual functioning in the patient? Select all that apply. Discourage the use of pain medications. Discourage the use of alcohol and tobacco. Encourage touching and kissing. Discourage the use of pillows during sex. Communicate concerns and fears with the partner.

illicit drugs Diuretic agents Antihypertensives

A patient with heart disease asks the nurse if medications for heart disease can cause erectile dysfunction. Which drugs can cause erectile dysfunction? Select all that apply. Illicit drugs Antidiabetics Diuretic agents Antiplatelet drugs Antihypertensives

1,2,5

A woman wishes to use hormonal contraceptives. How do they work? Select all that apply. They cause thinning of the lining of the uterus. They prevent ovulation. They reduce sperm motility. They act as a spermicidal barrier. They thicken the cervical mucus.

"I prefer to use a combined method of birth control to reduce the risk of sexually transmitted infections (STIs)."

After teaching a group of young adults about contraception, the nurse concludes that there is a need for further teaching. Which statement made by a young adult supports the nurse's conclusion? "A vasectomy is a contraceptive method that is permanent." "A condom is the most effective barrier method for contraception." "I consult a health care provider before starting hormonal contraceptive therapy." "I prefer to use a combined method of birth control to reduce the risk of sexually transmitted infections (STIs)."

1,5

The nurse is educating a couple about sexually transmitted infections. Which sexual infections cannot be cured? Select all that apply. Herpes Syphilis Chlamydia Gonorrhea Human papillomavirus infection

Sores on the penis

During an interview of a 35-year-old male patient, the nurse finds that the patient has multiple sex partners and is at risk for contracting a sexually transmitted infection (STI). Which symptom should the nurse look for in the patient? Diarrhea Vomiting Pain in the testicles Sores on the penis

Request permission to discuss sexual issues.

How can a nurse establish trust and encourage patient disclosure about sexuality? Ask how often the patient has sexual intercourse. Ask the patient to disrobe in preparation for the physical assessment. Request permission to discuss sexual issues. Request specific examples of sexual practices and problems.

Difficulty walking or sitting Unusual odor in the genital area

The nurse finds that a 12-year-old girl displays physical aggression, excessive masturbation, poor school performance, and poor peer relationships. Which other findings observed in the girl indicate a history of being sexually abused? Select all that apply. Difficulty eating Difficulty walking or sitting Unusual odor in the genital area Vomiting or abdominal tenderness Fractures of the face, nose, and arms

9 to 26 years of age

The nurse is a part of a campaign on cervical cancer. The campaign involves administering the human papillomavirus (HPV) vaccine. For which age group is the HPV vaccine most effective? 20 to 50 years of age 9 to 26 years of age 20 to 30 years of age 25 to 35 years of age

1,2,3

The nurse is assessing a couple who have been unable to conceive a child for some time. Which questions should the nurse ask the couple to determine whether they should be diagnosed as infertile? Select all that apply. "What is the duration of having unprotected sex?" "Do you experience a sense of failure?" "Do you feel that your body is defective?" "Do you enjoy having sexual intercourse?" "Do you live in a city or suburban area?

Human papillomavirus (HPV) infection

The nurse is caring for a patient who is a sex worker. Against which sexually transmitted diseases can the patient be vaccinated? Human immunodeficiency virus (HIV) Herpes Chlamydia Human papillomavirus (HPV) infection

1, 5

The nurse is caring for an infertile couple and learns that the couple is suffering from chlamydia. Which statement by the nurse about chlamydia is appropriate? Select all that apply. It affects the genitourinary tract. There is no cure for this disorder. It does not cause ectopic pregnancy. The rectum is resistant to chlamydia infection. It may cause infection of the eyes and lungs in newborns.

1, 2, 4

The nurse is communicating with a gay patient. Which statements hold true for this patient group? Select all that apply. They belong to a sexual minority. They do not readily seek preventive care. They are comfortable revealing their sexual orientation. They are concerned about discrimination. They are more prone to getting sexually transmitted diseases.

1,2,5

The nurse is conducting a sexual assessment of an adolescent. Which should the nurse keep in mind when interacting with this age group? Select all that apply. Use understandable language. Check for signs of physical injuries. Keep the findings private and confidential. Use a closed and positive approach. Inform patients that answering questions is normal.

1, 3, 4

The nurse is evaluating the sexual assessment data of a patient. The nurse finds that the patient has various self-concept issues that are affecting sexual health. Which statements by the patient would indicate such self-concept issues? Select all that apply. "I am not attractive." "I am a chain smoker." "I can't accomplish my sexual desires." "The disease has made me very weak." "Overwork leaves me sleepless at nights."

Body changes Menstruation

The nurse is providing a sex education session to a group of grade-school students. Which aspect of sexual education should the nurse include in the teaching? Select all that apply. Body changes Menstruation Sexually transmitted infections Contraception Sexual relationships

"Before using the condom, I should check the package for damage or expiration." "I need to use a condom to help reduce the risk of sexually transmitted infections."

The nurse is providing education about condom use at a community clinic for older adults. Which statements demonstrate that the adults understand correct use of condoms? Select all that apply. "I can use any kind of lubricant such as lotions or baby oil." "Before using the condom, I should check the package for damage or expiration." "I need to use a condom to help reduce the risk of sexually transmitted infections." "A good place to store condoms is in the bathroom so they don't dry out." "I should not use a condom because I have a latex allergy."

"I know I'm not infected if I don't have any symptoms such as discharge or sores."

The nurse is providing education on sexually transmitted infections (STIs) to a group of adolescents. Which statement by an adolescent indicates the need for further teaching? "A vaccine is available to reduce infection from certain types of human papillomavirus." "I should be screened for an STI after I am with a new partner." "I know I'm not infected if I don't have any symptoms such as discharge or sores." "A viral infection such as herpes or human papillomavirus cannot be treated with antibiotics."

Dyspareunia Erectile dysfunction Uncontrolled hypertension Depression and guilt

The nurse is reviewing the sexual and physical examination data of a patient diagnosed with sexual dysfunction. Which signs and symptoms might the nurse anticipate finding in the assessment data? Select all that apply. Dyspareunia Erectile dysfunction Uncontrolled hypertension Depression and guilt Foul-smelling genitals

1, 2, and 3

The nurse is teaching a patient how to use a condom. Which statement by the nurse about using a condom is appropriate? Select all that apply. The air should be squeezed out of the condom. The condom should be applied when the penis is hard. The condom should be unrolled to the base of the penis. The condom should be pulled out during ejaculation. Massage oils should be used for lubrication.

Infertility and pelvic inflammatory disease

The nurse reviews the health history of a 24-year-old woman who indicates that she has had three new sexual partners since her previous examination 2 years ago. The nurse discusses the need for screening for sexually transmitted infection (STI) even though the patient denies symptoms or discomfort. Which is the most serious complication from untreated STIs in females? Genital discharge and dyspareunia Painful menstrual cycles Infertility and pelvic inflammatory disease Genital warts

It prevents fertilization.

What is the primary contraceptive action of an intrauterine device (IUD)? It prevents ovulation. It acts as a physical barrier. It prevents fertilization. It kills sperm cells.

1,2,4

When conducting a comprehensive sexual history assessment, which questions should the nurse include? Select all that apply. "To how many babies have you given birth?" "Do you know about contraception?" "Have you had a urinary tract infection?" "How many sexual partners have you ever had?" "Have you undergone a surgical removal of a kidney?"

Chlamydia

Which is the most commonly reported bacterial sexually transmitted infection (STI) in the United States? Syphilis Gonorrhea Genital herpes Chlamydia

Clarify the nurse's own personal values.

Which nursing action takes priority when working with a patient who opts for an abortion? Explain that abortion means killing a life. Clarify the nurse's own personal values. Convince the patient that abortion is a crime. Criticize the patient for the decision.

Encourage regular screenings in all sexually active individuals.

Which priority nursing intervention should be included in the plan of care based on the fact that the majority of sexually transmitted infections (STIs) have few if any symptoms? Encourage regular screenings in all sexually active individuals. Provide information about contraception options. Administer prescribed antibiotics for human papillomavirus (HPV) or genital herpes outbreaks. Ask all patients if they are experiencing any symptoms.

"Do you have sex with men, women, or both?"

Which question represents a nonjudgmental approach when gathering a sexual health history? "How do you and your wife/husband feel about intimacy?" "Do you have sex with men, women, or both?" "Are you heterosexual or homosexual?" "What is your sexual orientation?"

Second trimester

While caring for a pregnant patient who is in the first trimester of pregnancy, the nurse discusses sexual activity during pregnancy with the patient. During which trimester are pregnant women most likely to experience increased libido? First trimester Second trimester Third trimester It is unaffected during pregnancy.