Fundamentals Exam 4

Which term describes a process in which individuals or groups merge with another group and part or all of the aspects of the minority group's culture is lost to that of the majority group? Cultural assimilation Acculturation Enculturation Cultural identity

cultural assimilation

Which practices do the acts of pulling the curtain around the bed and sitting on the chair facing the patient convey to the patient who has human immunodeficiency virus (HIV) infection? respecting privacy showing tolerance overcoming prejudice preparing to listen actively advocating for the patient's needs

respecting privacy preparing to listen actively

enculturation

the process of learning culture - "Eastern parenting" (Chinese, Indian) is more likely to be authoritarian in style, which is an "adult-centered parenting style with a clear set of expectations and rules that are expected to be obeyed and achieved with no explanation. - "Western parenting" (American, European) is more likely to be authoritative in style, which is "a child-centered pattern characterized by a clear setting of rules and expectations which allows reasoning and discussion to achieve adherence to the rules"

Which information would the nurse share with the mother of a 2-year-old child about sexual development? "Exploration of body parts is normal for toddlers." "Respecting modesty is very important." "Your child should be punished for touching private parts." "If your child continues to touch the genital area, I would start to worry."

"Exploration of body parts is normal for toddlers."

Which patient statements indicate the nurse's teaching was effective for sexual health? Select all that apply. "I use petroleum jelly as a lubricant when my partner uses a condom." "I am going to have my son get a human papillomavirus (HPV) vaccination at 11." "I do not let the condom end directly touch my penis." "I never use a condom twice." "I share my antibiotics with my partner." "I get a Papanicolaou (Pap) smear to detect ovarian cancer."

"I am going to have my son get a human papillomavirus (HPV) vaccination at 11." "I do not let the condom end directly touch my penis." "I never use a condom twice."

Which patient statement would indicate the nurse needs to follow up with the patient after teaching about the diaphragm? "Spermicidal jelly should be used with the diaphragm." "I do not need additional protection from sexually transmitted diseases or infections (STDs/STIs)." "I may become pregnant despite using the diaphragm." "This is a shallow, dome-shaped cup that fits over my cervix."

"I do not need additional protection from sexually transmitted diseases or infections (STDs/STIs)."

Which patient statements would alert the nurse to possible intimate partner violence? Select all that apply. "My boyfriend doesn't like me to talk to my family." "I used to have a lot of friends." "I cannot have a checking or savings account." "My spouse says that no one else will have me." "My significant other has a low sperm count."

"My boyfriend doesn't like me to talk to my family." "I used to have a lot of friends." "I cannot have a checking or savings account." "My spouse says that no one else will have me."

Which patient statements represent physical issues that could affect sexual function? Select all that apply. "Going to work is an issue." "My partner and I have issues with control." "I can't understand why my husband would believe that nonsense." "My mother had diabetes and now I have diabetes." "I had to have one breast removed for cancer." "I'm embarrassed about my abdominal scar."

"My mother had diabetes and now I have diabetes." "I had to have one breast removed for cancer." "I'm embarrassed about my abdominal scar."

Which response would the nurse give to a mother who is concerned about what to call her 4-year-old son's penis? "You will have to talk to your pediatrician about this." "Simply refer to your son's body part as a penis." "Stop talking about it. It'll only make him talk about himself in public when he's older." "You might want to consider having a secret word to call the penis."

"Simply refer to your son's body part as a penis."

Which response would the nurse make to a patient who had unprotected sex with her partner about 4 weeks ago, is wanting to take the morning-after pill, and has a body mass index (BMI) of 22? "The morning-after pill is not appropriate for you at this time." "The morning-after pill will not be as effective because your BMI is 22." "The morning-after pill will abort a fertilized egg." "The morning-after pill is only available by prescription."

"The morning-after pill is not appropriate for you at this time."

Which question asked by the nurse indicates the discussion has reached the level of providing intensive therapy according to the PLISSIT model? "What concerns do you have related to your sexual health function?" "Many women experiencing menopause have sexual concerns. Do you?" "What do you mean by that?" "Would you like information about specialists who may be able to help?"

"Would you like information about specialists who may be able to help?"

At what age would the school nurse ensure a child has learned about sex, menses, and basic reproduction? Record answer as a whole number. years.

10

Starting after what age would the nurse teach a male to begin monthly self-testicular examinations? Record answer as a whole number. years

14

On average, the monthly menstrual cycle occurs every ____ days. Record answer as a whole number.

28

Within how many days of an assault would the sexual assault nurse examiner (SANE) perform the rape examination? Record answer as a whole number. days Use numbers only.

3

Which scenarios illustrate the process of acculturation? A family who immigrated to the United States and no longer speaks their native language A Korean child who has learned to speak English at school but still speaks Korean in the home A Chinese mother who teaches her child how to use chopsticks An American mother who teaches her child how to use chopsticks in addition to silverware when eating, after moving to China with her Chinese-American husband. A child who learns to recite the Lord's prayer from grandparents

A Korean child who has learned to speak English at school but still speaks Korean in the home An American mother who teaches her child how to use chopsticks in addition to silverware when eating, after moving to China with her Chinese-American husband.

Which protective strategy for genital herpes would the nurse teach the patient? Condoms will prevent the infection of a partner. Annual testing should be done for genital herpes. Vaccination can prevent genital herpes. Abstinence should be practiced when lesions are present.

Abstinence should be practiced when lesions are present.

Which information related to sexual health would the nurse share with the older adult female patient who expresses concern related to physical changes that occur with aging? Pregnancy prevention information Reassurance that older adults do not engage in sexual activity Adaptation techniques for physical limitations related to sexual function Referral for further evaluation, as no physical changes are expected

Adaptation techniques for physical limitations related to sexual function

Which action would the nurse take when, upon admission, the patient will not talk about the sexual assault? Immediately refer the patient to a mental health professional. Require the patient to talk about the incident. Allow the patient to avoid the issue. Tell the patient this behavior is not healthy.

Allow the patient to avoid the issue.

Which rationales for asking specific questions during a cultural assessment are accurate? Select all that apply. Allows the nurse to see the health concerns from the patient's perspective Allows the patient to maintain control during the hospital stay Helps eliminate miscommunication between the nurse and the patient Strengthens the nurse-patient relationship Leads to a shorter hospital stay

Allows the nurse to see the health concerns from the patient's perspective Helps eliminate miscommunication between the nurse and the patient Strengthens the nurse-patient relationship

Which medications would alert the nurse to inquire about erectile dysfunction (ED) in a male patient? Select all that apply. Antihistamines Antihypertensives Occasional use of marijuana Selective serotonin reuptake inhibitors Antipsychotics

Antihypertensives Antipsychotics

Which actions would the nurse take when conducting sexual health education with a patient? Select all that apply. Ask questions in a routine, matter-of-fact manner. Teach just below the patient's developmental level to ensure understanding of important concepts. Include safe sex practices only if the patient appears to be at a high risk for sexually transmitted diseases. Teach the patient about sexual health screenings such as Papanicolaou (Pap) smears, mammogram screening, testicular self-examinations, and prostate examinations. Include teaching about resources and education related to sexual health risk reduction.

Ask questions in a routine, matter-of-fact manner. Teach the patient about sexual health screenings such as Papanicolaou (Pap) smears, mammogram screening, testicular self-examinations, and prostate examinations. Include teaching about resources and education related to sexual health risk reduction.

assimilation

Assimilation is the process in which individuals or groups of individuals from one cultural group merge with another group. Most often, it is a minority group that blends in with a majority group. This merging process often causes the minority group to lose aspects of its original culture. This "melting pot" process of assimilation has been thought to be a necessary component of immigration into life in a new country.

A Korean-American nurse is wanting to expand her cultural awareness. Which experiences are likely to increase the nurse's cultural awareness? Attending a Mardi Gras parade in New Orleans Attending a Korean church service Volunteering to rock a preemie newborn of Hispanic descent in the NICU Attending a ceremony in a Spanish-speaking church Attending a French art exhibit at a local museum

Attending a Mardi Gras parade in New Orleans Attending a ceremony in a Spanish-speaking church Attending a French art exhibit at a local museum

Which reproductive structure produces small amounts of vaginal lubricant? Clitoris Epididymis Seminal vesicle Bartholin glands

Bartholin glands

Which nursing interventions would the nurse implement for a patient who was sexually abused by an ex-partner? Select all that apply. Be an active listener. Offer support. Say, "I assume you'd like to put this behind you." Provide referrals for sexual help resources as needed. Say, "I know exactly how you feel."

Be an active listener. Offer support. Provide referrals for sexual help resources as needed.

Match the characteristic of cultural competence to the action of the nurse. Called for a same-gender doctor to show respect to the culture Asked a Kurdish colleague for more information about the patient's culture Noted the differences between his culture and the patient's culture Provided the patient's culture-related data to colleagues Cultural awareness Cultural knowledge Cultural sensitivity Cultural humility Cultural proficiency

Called for a same-gender doctor to show respect to the culture - Cultural sensitivity Asked a Kurdish colleague for more information about the patient's culture - Cultural knowledge Noted the differences between his culture and the patient's culture - Cultural awareness Provided the patient's culture-related data to colleagues - Cultural proficiency

For which activities would the foreskin in an uncircumcised male be retracted? Select all that apply. Cleansing After intercourse During intercourse Getting dressed Playing sports

Cleansing During intercourse

Which actions would a sexual assault nurse examiner (SANE) take for a male victim of sexual violence? Select all that apply. Provide a place to perform self-care and personal hygiene before the physical examination. Offer the morning-after pill. Collect evidence. Establish a chain of custody. Make judgments about the nature and severity of the assault. Question if the patient is a victim.

Collect evidence. Establish a chain of custody.

Which roles would the nurse fulfill when caring for a patient with Problematic Sexual Behavior? Select all that apply. Collect health history. Inform patient of nurse-centered goals. Serve as a coordinator. Prescribe medication. Be an informed consumer of health care.

Collect health history. Serve as a coordinator

Which contraceptive method that protects against sexually transmitted diseases/infections (STDs/STIs) would the nurse discuss with participants in a sexual health class? Morning-after pill Condoms Spermicide Withdrawal

Condoms

cultural awareness

Cultural awareness is the understanding, acknowledgment, and appreciation that different cultures exist. It is a specific way of thinking that allows the individual not only to see the differences and similarities among various ethnic groups but appreciate the differences as well. For nurses to be culturally aware, they must first recognize their own ethnic and cultural beliefs and also recognize any bias (either conscious or subconscious) toward other cultures or ethnicities. This open-mindedness allows for the individual to be culturally sensitive and ultimately more understanding thus providing better nursing care. When nurses understand how a patient's culture shapes his or her life experiences, health care issues, and perception of the health care issues, it allows for better assessment of the patient's health care needs. Improved cultural awareness in nursing care allows for the development of a trusting nurse-patient relationship leading to improved medication adherence, treatment compliance, and ultimately improved health outcomes.

Which statements are true regarding the influence of culture and religion on an individual's sexuality? Select all that apply. Culture and religious beliefs influence how sexuality is expressed. Circumcision is a religious rite in the Hindu faith. Some individuals may experience guilt and resentment from cultural or religious restrictions. Religious preferences may affect choices pertaining to abortion, sterilization, and contraception. Some religions forbid all forms of sexual expression other than heterosexuality.

Culture and religious beliefs influence how sexuality is expressed. Some individuals may experience guilt and resentment from cultural or religious restrictions. Religious preferences may affect choices pertaining to abortion, sterilization, and contraception. Some religions forbid all forms of sexual expression other than heterosexuality.

Which characteristics are true of culture? Culture is shared. Culture is dynamic. Culture is static. Culture is symbolic. Culture is integrated. Culture is learned.

Culture is shared Culture is dynamic Culture is symbolic Culture is integrated Culture is learned

Which sexual health effect can be a result of phenytoin administration? Improved sexual function Decreased sexual desire Reduced vaginal lubrication Increased chance of male sterility

Decreased sexual desire

Which sexual health effects can be a result of taking selective serotonin reuptake inhibitors (SSRIs)? Select all that apply. Delayed ejaculation Absent orgasm Decreased sexual desire Decreased testosterone levels Reduced semen production

Delayed ejaculation Absent orgasm Decreased sexual desire

Which cues would the nurse recognize in a patient with the hypothesis Effective Sexual Behavior? Select all that apply. Feeling restful after sleep Desiring to attend sexual counseling Indicating desire to improve intimacy Experiencing no flashbacks of the assault Contracting no sexually transmitted diseases/infections (STDs/STIs)

Desiring to attend sexual counseling Indicating desire to improve intimacy Contracting no sexually transmitted diseases/infections (STDs/STIs)

Which action would the nurse take first when teaching a patient about contraceptive methods? Use models, as needed. Provide verbal explanations. Determine the patient's level of understanding. Demonstrate how to use the contraceptive.

Determine the patient's level of understanding.

Which action would the nurse take for a patient who cannot have sexual intercourse at this time because of a back problem? Discuss oral and manual stimulation. Suggest water-soluble vaginal lubricants. Administer erectile dysfunction medications. Provide sexually transmitted disease/infection (STD/STI) risk prevention strategies.

Discuss oral and manual stimulation.

Which actions by the nurse would be considered spiritual care interventions? Select all that apply. Encouraging the patient to practice deep breathing exercises Telling the patient that prayer helps and you want to pray with him or her Bringing a bible for the patient to read and learn about Jesus Asking if the hospital could provide a specific spiritual provider Encouraging therapeutic touch sessions such as massage

Encouraging the patient to practice deep breathing exercises Asking if the hospital could provide a specific spiritual provider Encouraging therapeutic touch sessions such as massage

When assessing a patient, the nurse asks, "What health remedies have you used to address your health issues?" Which cultural phenomenon is the nurse assessing? Communication Space Social orientation Environmental control

Environmental control

Which sexual development considerations are important in the young adult? Select all that apply. Passive sex life Gender assignment Establishment of sexual orientation Family planning and infertility issues Sharing of household and finances

Establishment of sexual orientation Family planning and infertility issues Sharing of household and finances

Which statement about ethnicity is correct? Ethnicity and culture are interchangeable. Ethnicity is not inherited. Ethnicity describes people who share common ancestry. Ethnicity cannot be chosen.

Ethnicity describes people who share common ancestry.

ethnicity

Ethnicity is the identity of a group of people who share common ancestry, customs, language, and culture. A person's ethnicity is inherited. A person's culture is a conscious choice of his or her identity related to the social and cultural heritage of a particular group of people, usually a country of origin All ethnic groups will have variations in inherited traits such as variations of skin color, hair texture or color, and eye color. As a nurse, if determining a person's ethnicity is imperative to competent care, it is important to ask which ethnicity the individual chooses to identify with and not make any assumptions based on appearance

While caring for a dying patient with stage 4 lung cancer who does not believe in God, the nurse quietly asks if she can pray for him and if he would consider following the teachings of Jesus during his last few weeks of life. Which behavior or thought process is the nurse exhibiting? Stereotyping Discrimination Ethnocentrism Enculturation

Ethnocentrism

Which situations describe how human immunodeficiency virus (HIV) is most commonly transmitted? Select all that apply. Exchange of bodily fluids during vaginal or anal sex with an HIV-positive individual Shared use of drug needles or syringes with an HIV-positive individual Caring for an HIV-positive patient Transfusion of infected blood products Oral sex with an HIV-positive individual

Exchange of bodily fluids during vaginal or anal sex with an HIV-positive individual Shared use of drug needles or syringes with an HIV-positive individual

Which statement would the nurse consider when counseling a patient who has experienced sexual violence? Family support and counseling may be beneficial. One of the nurse's roles is providing in-depth counseling. Local, state, and federal health departments have limited use in these situations. An important function of counseling is to determine whether patient behaviors may have invited sexual abuse.

Family support and counseling may be beneficial

Match the phase of human immunodeficiency virus (HIV) to its characteristic. Flu-like manifestations Decreased transmission risk Increasing number of opportunistic infections Clinical latency Acute Acquired immunodeficiency syndrome (AIDS)

Flu-like manifestations - Acute Decreased transmission risk - Clinical latency Increasing number of opportunistic infections - Acquired immunodeficiency syndrome (AIDS)

Which crisis intervention actions would the nurse take for a victim of intimate partner violence (IPV)? Select all that apply. Discuss the patient's upbringing. Focus on the present. Offer guidance on steps to take. Make sure the patient is safe. Suggest the patient think about past relationships.

Focus on the present. Offer guidance on steps to take. Make sure the patient is safe.

Which hormones stimulate the ovaries to produce additional hormones that ready the body for a potential pregnancy? Select all that apply. Gonadotropin-releasing hormone Follicle-stimulating hormone Luteinizing hormone Testosterone Estrogen Progesterone

Follicle-stimulating hormone Luteinizing hormone

Place the sequence for menstruation in the correct order. Pituitary stimulated. Estrogen and progesterone produced. Follicle-stimulating and luteinizing hormone released. Gonadotropin-releasing hormone released. Ovaries stimulated. Vagina, uterus, and breasts prepare for potential pregnancy.

Gonadotropin-releasing hormone released. Pituitary stimulated. Follicle-stimulating and luteinizing hormone released. Ovaries stimulated. Estrogen and progesterone produced. Vagina, uterus, and breasts prepare for potential pregnancy.

The nurse is performing a cultural health assessment on a patient who is of African descent. Which question would be most important to include in the cultural assessment based on the patient's ethnicity? Which is your preferred language? How do you best learn new information, verbal or written? Have you ever been told of a genetic susceptibility to a specific disease? Is physical touch acceptable from a stranger?

Have you ever been told of a genetic susceptibility to a specific disease?

Which cue is relevant regarding a patient's sexual health? Low creatinine levels High progesterone levels Elevated blood urea nitrogen levels Decreased sodium levels

High progesterone levels

Which sexually transmitted disease/infection (STD/STI) risk is reduced when the patient receives a Cervarix vaccine? Human immunodeficiency virus (HIV) Syphilis Human papillomavirus (HPV) Genital herpes

Human papillomavirus (HPV)

Which term or phrase would the nurse use to describe the procedure of placing coils into a patient's fallopian tubes? Vasectomy Tubal ligation Hysteroscopic sterilization Hormonal implant

Hysteroscopic sterilization

Which cultural issue is the patient most likely to hide from the nurse? Food preference Personal view on euthanasia Illiteracy Role in the family environment

Illiteracy

Which hypothesis would the nurse develop for a patient who has cancer of the uterus and is not intimate with her partner? Problematic Sexual Behavior Impaired Sexual Functioning Victim of Intimate Partner Violence Risk for Infertility

Impaired Sexual Functioning

Which hypothesis would the nurse select for a patient with sexual performance issues after prostate surgery who states that the partner is supportive? Problematic Sexual Behavior Impaired Sexual Functioning Risk for Infertility Relationship Problem

Impaired Sexual Functioning

Which concept does the "I" represent in the FICA Assessment Tool? Inclusion of family in medical decision making Integration in a community Importance of faith Inspiration and hope

Importance of faith

Match the solution the nurse would select based on the patient's cue. Impotence Dyspareunia Inflexibility from severe arthritis Emotional abuse from live-in partner Vaginal lubricants Safety plan Erectile dysfunction medications Physical therapy consult

Impotence - Erectile dysfunction medications Dyspareunia - Vaginal lubricants Inflexibility from severe arthritis - Physical therapy consult Emotional abuse from live-in partner - Safety plan

Which hypothesis would the nurse develop for a patient who was raped 2 weeks ago and is attending a support group for rape victims? Improved Response to Rape Trauma Effective Sexual Functioning Rape Trauma Response Problematic Sexual Behavior

Improved Response to Rape Trauma

When the nurse provides the patient, a victim of sexual violence, with information downloaded from the Centers for Disease Control and Prevention (CDC) on sexually transmitted diseases/infections (STDs/STIs), which key component of patient education is the nurse displaying? Ensuring privacy Considering the patient's personal schedule preferences Including current and factual information Limiting teaching materials to one information source

Including current and factual information

Which sexual health effect occurs in a female who has secretly been drinking alcohol in excess and has been dependent for over 8 years? Increased orgasmic dysfunction Elevated chance of sterility Improved sexual function Reduced sexual inhibitions

Increased orgasmic dysfunction

Which patient situation is an example of a lifestyle issue affecting sexual function? Is beginning to binge drink alcohol Has a history of incest Has rheumatoid arthritis Is making demands on the partner

Is beginning to binge drink alcohol

Which cues would alert the nurse to a hypothesis of Problematic Sexual Behavior? Select all that apply. Lacking a strong role model Experiencing flashbacks of rape Sending sexually explicit texts Having unprotected sexual relations Being a victim of human trafficking

Lacking a strong role model Sending sexually explicit texts Having unprotected sexual relations

Match the male reproductive structure to its description. Loose sac that contains testes, epididymis, and start of the vas deferens Produce sperm and the hormone testosterone Cone-shaped head of the penis that is covered in the foreskin at birth Made up of the body, or shaft, and the glans

Loose sac that contains testes, epididymis, and start of the vas deferens - Scrotum Produce sperm and the hormone testosterone - Testes Cone-shaped head of the penis that is covered in the foreskin at birth - Glans Made up of the body, or shaft, and the glans - Penis

Which action is priority when the clinic nurse discovers a patient is being sexually abused? Maintain confidentiality of the patient's location. Provide the patient with written referrals and resources. Complete a full physical examination immediately to document physical injuries. Move the patient into a more visible location within sight of the main desk so that staff can monitor who enters the room.

Maintain confidentiality of the patient's location.

Which actions would the nurse take for a patient who has been sexually assaulted? Select all that apply. Maintain privacy. Provide opinions. Use therapeutic communication. Offer personal advice. Acknowledge the nurse's personal biases towards sexuality.

Maintain privacy. Use therapeutic communication. Acknowledge the nurse's personal biases towards sexuality.

Which situation is an example of sexual harassment? Male supervisor continually places hand on female's leg. Female asks a male coworker out for coffee one time. Patient makes one sexual comment to the nurse. Female hugs a female coworker at a funeral.

Male supervisor continually places hand on female's leg.

Match the sexually transmitted disease to its cues. Genital warts possible; can undergo transformation to various cancers Lesions advance to rash with mucous membrane lesions; ends with CNS effects Flu-like symptoms; genital discharge; burning with urination Genital discomfort; lesions that heal within 2-4 weeks

Match the sexually transmitted disease to its cues. Genital warts possible; can undergo transformation to various cancers - Human papillomavirus Lesions advance to rash with mucous membrane lesions; ends with CNS effects - Syphilis Flu-like symptoms; genital discharge; burning with urination - Chlamydia Genital discomfort; lesions that heal within 2-4 weeks - Genital herpes

Which factors influence sexual development during middle adulthood? Select all that apply. Prostate enlarges. Menopause occurs. Empty nest may occur. Breast atrophies. Perimenopause occurs.

Menopause occurs. Empty nest may occur. Perimenopause occurs.

Which patients' physical problems would cause the nurse to consider possible sexual health alterations? Select all that apply. Middle-aged woman after a stroke 4-year old with a fever 18-year-old male who has a spinal cord injury Older adult male with chronic lung disease Young adult mother after delivering an infant

Middle-aged woman after a stroke 18-year-old male who has a spinal cord injury Older adult male with chronic lung disease Young adult mother after delivering an infant

A patient is a Jehovah's Witness and does not want a blood transfusion, but her health care provider has indicated that her life is at risk without it. According to the ICNP nursing analysis during times of spiritual distress, the nurse would expect to provide support to the patient for which need? Moral Distress Spiritual Distress Decisional Conflict Hopelessness

Moral Distress

Which interprofessional team members would likely be involved in the care of a patient with concerns related to sexual health? Select all that apply. Nurse Psychologist Laboratory technician Patient Pharmacist

Nurse Psychologist Patient Pharmacist

Which action would the nurse take for a patient who has Effective Sexual Functioning? Teach about sexual harassment. Refer to a rape support group. Suggest a fertility expert. Offer information about marriage retreats.

Offer information about marriage retreats.

Which actions by the nurse specifically incorporate culture into a nursing intervention? Select all that apply. Introducing yourself to the patient Ordering a kosher diet Assisting with activities of daily living Requesting a same-gender health care provider Requesting an interpreter

Ordering a kosher diet Requesting a same-gender health care provider Requesting an interpreter

Which role would the nurse assume when supporting the patient's decision to exclude the spouse during counseling with the patient's psychologist? Counselor Prescriber Informed teacher Patient advocate

Patient advocate

Which charting entry would the nurse use when documenting intimate partner violence (IPV)? Patient alleges husband physically hit her in her home. Patient states, "My husband physically hit me." Patient appears to have been assaulted by the spouse. Patient may have been assaulted by the spouse.

Patient states, "My husband physically hit me."

Which SMART (specific, measurable, achievable, relevant, and timely) outcomes would the nurse develop for a patient with the hypothesis Relationship Problem? Select all that apply. Patient will report an ability to achieve an erection. Patient will report a decrease in the frequency of arguments. Patient will attend individual counseling at least once every 2 weeks. Patient will state three ways to communicate with partner during a disagreement within 1 week. Patient will be provided with sexual health education every other week.

Patient will attend individual counseling at least once every 2 weeks. Patient will state three ways to communicate with partner during a disagreement within 1 week.

Which outcome would the nurse develop for a woman with vaginal dryness causing painful sex who thinks it is because of menopause and is afraid to talk to her partner about the issue? Patient will use vaginal lubricants during intercourse within 1 week. Patient will discuss her sexuality concerns with her partner within 6 months. Patient will verbalize a decrease in menopause symptoms within 1 month. The nurse will provide education to the patient about vaginal lubricant use before discharge.

Patient will use vaginal lubricants during intercourse within 1 week.

Which SMART (specific, measurable, achievable, relevant, and timely) outcome would the nurse develop for a female patient who states that she and her partner are wanting to work on the marriage as they age? Patient will discuss her sexuality concerns with her health care provider before leaving the clinic. Patient will report increased satisfaction with sexual function within 1 month. Nurse will refer the patient to a marriage counselor before leaving the clinic. Patient will verbalize resources for marriage enhancement seminars before leaving the clinic.

Patient will verbalize resources for marriage enhancement seminars before leaving the clinic.

Which SMART (specific, measurable, achievable, relevant, and timely) outcome would the nurse develop for a patient who "doesn't feel like a woman" after a hysterectomy (removal of uterus) for cancer? Patient will return to normal sexual relations with partner within 1 week. Patient will verbalize three methods to improve feelings of sexual attractiveness within 1 week. Patient will report feeling more like a female. Patient will return to modified sexual functioning based on physical limits.

Patient will verbalize three methods to improve feelings of sexual attractiveness within 1 week.

Place the patients in the order in which the nurse would prioritize their care from highest priority to lowest priority. Patient who has menopause signs and symptoms Patient with ovarian cancer who has internal bleeding Patient just admitted to the emergency department who is a rape victim Patient wanting information about marriage retreats

Patient with ovarian cancer who has internal bleeding Patient just admitted to the emergency department who is a rape victim Patient who has menopause signs and symptoms Patient wanting information about marriage retreats

Match the female reproductive structure to its description. Pear-shaped and muscular organ with the capacity to expand Two almond-size organs that produce eggs, estrogen, and progesterone Narrow ducts through which an egg travels Canal that joins the cervix to the outside of the body Uterus Ovaries Bartholin glands Fundus Vagina Fallopian tubes

Pear-shaped and muscular organ with the capacity to expand - Uterus Two almond-size organs that produce eggs, estrogen, and progesterone - Ovaries Narrow ducts through which an egg travels - Fallopian tubes Canal that joins the cervix to the outside of the body - Vagina

Which factor is primarily affecting the sexual practices of a couple when one partner wants to engage in anal intercourse but the other partner individually thinks anal sex is just "wrong"? Self-concept, ego, and body image Religion and culture Previous experiences and relationships Personal expectations and ethics

Personal expectations and ethics

Which sexual health education materials and resources created by a nurse would be appropriate for use in an outpatient clinic? Select all that apply. Posters about sexually transmitted disease/infection (STD/STI) risk reduction Information sheets summarizing common birth control methods Patient contact lists to be distributed to new patients interested in meeting other patients with similar conditions Three-dimensional models showing correct birth control device use Flyers posted in restrooms with sexual abuse helpline contact information

Posters about sexually transmitted disease/infection (STD/STI) risk reduction Information sheets summarizing common birth control methods Three-dimensional models showing correct birth control device use Flyers posted in restrooms with sexual abuse helpline contact information

Which activities would most likely be considered a way to practice spirituality? Select all that apply. Prayer Meditation Reflection Working Yoga

Prayer Meditation Reflection Yoga

Which primary topics would the nurse include in the sexual health education for adolescents? Select all that apply. Pregnancy Sexually transmitted disease/infection (STD/STI) prevention Sexual response issues Abstinence/contraception Role adjustment and sex

Pregnancy Sexually transmitted disease/infection (STD/STI) prevention Abstinence/contraception

Which factor is primarily affecting the sexual practices of a couple when one partner is having problems talking to the other partner because of a history of rape? Family values and beliefs Culture and religion Previous experiences and relationships Personal expectations and ethics

Previous experiences and relationships

Which major factors affect sexuality? Select all that apply. Previous experiences and relationships Personal expectations and ethics Culture and religion Occupation and finances Family values and beliefs

Previous experiences and relationships Personal expectations and ethics Culture and religion Family values and beliefs

Which action would the nurse place as the highest priority for an abused adult? Protect from further harm. Treat physical injuries. Offer resources for help. Document injuries.

Protect from further harm.

Which action would the nurse take when teaching a preschool-age child about sexual health? Provide simple and direct answers to sex questions. Identify body parts with nicknames. Redirect the child when questions about sex are asked. Use lengthy explanations to explain sexual matters.

Provide simple and direct answers to sex questions.

Which nursing action exemplifies cultural awareness? Learning a foreign language Asking a coworker about her religious beliefs Questioning one's own religious beliefs Maintaining and acquiring new cultural knowledge

Questioning one's own religious beliefs

Which action would the nurse take for a victim of intimate partner violence (IPV) who is declining? Notify the legal authorities. Press the patient to make a decision. Let the patient know how bad the partner is. Realize it may take several times before the patient leaves.

Realize it may take several times before the patient leaves.

Which aspects of cultural identity can be influenced by outside factors? Select all that apply. Race Religion Ethnicity Socioeconomic status Gender

Religion Socioeconomic status

Which solution would the nurse choose for a 6-year-old patient with tears and bleeding from the vagina? Confront the parents about their behavior. Report the finding following the chain of command. Do not allow the guardian in the room. Focus solely on the developmental stage of the child.

Report the finding following the chain of command.

Which action would the nurse take for a patient who is having frequent arguments with their partner? Role-play different scenarios. Provide sexually transmitted disease/infection (STD/STI) risk prevention. Offer information on reproductive anatomy. Suggest use of medications to assist with functioning.

Role-play different scenarios.

Match the prescription contraceptive method to its description. Small T-shaped device placed into the uterus Shallow, dome-shaped cup that covers the cervix Small, thimble-shaped cup that covers opening of the cervix Tablet taken on a regular basis Diaphragm Morning-after pill Intrauterine device (IUD) Oral contraceptive Vaginal ring Cervical cap

Small T-shaped device placed into the uterus - Intrauterine device (IUD) Shallow, dome-shaped cup that covers the cervix - Diaphragm Small, thimble-shaped cup that covers opening of the cervix - Cervical cap Tablet taken on a regular basis - Oral contraceptive

Which statement is true regarding gender identity and biologic sex? Gender identity refers to genitalia at birth. Biologic sex is determined by the individual. Some individuals identify as a combination of genders. Biologic sex implies sexual orientation

Some individuals identify as a combination of genders.

The nurse is caring for a newly diagnosed paraplegic patient after a car accident. The patient is angry, withdrawn, and not sleeping well. Which spiritual concept might the patient be experiencing? Spiritual distress Spiritual sensitivity Spiritual regret Spiritual adversity

Spiritual distress

Which behavior would indicate that a patient with a hypothesis of Effective Sexual Functioning is declining? States that they will continue with the same behaviors States that individual therapy is the only possible resource for improvement Attends a retreat for marriage enhancement each month Attends a support group for sexuality enrichment

States that individual therapy is the only possible resource for improvement

Which guideline would the nurse follow for a patient who is experiencing intimate partner violence (IPV)? Compel the patient to leave the situation. Confront the partner. Support the patient's choice. Place a safety plan in the patient's pocket.

Support the patient's choice.

Which initial action would the nurse take for a patient who is trying to grab the nurse's buttocks? Tell the patient to "stop." Ignore the behavior. Make a joke about the behavior. Refuse to care for the patient.

Tell the patient to "stop."

Which guideline would the nurse follow to collect evidence for a female victim of sexual violence? Douching will help the nurse gather evidence easier. The evidence must follow the proper chain of custody. The phrase alleged sexual assault should be used during evidence collection. The patient should be encouraged to clean the mouth before the evidence collection begins.

The evidence must follow the proper chain of custody.

The nurse would be aware that a patient's cultural worldview is influenced by which variables? Select all that apply. The patient is agnostic. The patient is an older adult. The patient is of male gender. The patient was raised in Italy. The patient identifies as homosexual.

The patient is agnostic. The patient is of male gender. The patient was raised in Italy. The patient identifies as homosexual.

Match the nonprescriptive contraceptive method to its description. Thin, rubber sheath that covers the penis Chemical barrier No intercourse No intercourse during fertile days Spermicide Douching Rhythm method Abstinence Withdrawal Condom

Thin, rubber sheath that covers the penis - Condom Chemical barrier - Spermicide No intercourse - Abstinence No intercourse during fertile days - Rhythm method

Which standard is the nurse upholding when a patient with a sexually transmitted disease/infection (STD/STI) says, "You must think I am an awful person" and the nurse replies, "I am here to take care of you"? Patient privacy Confidentiality Priority setting Unbiased assistance

Unbiased assistance

In which area would the nurse likely observe a hormonal implant on a female? Under the arm On the buttocks Around the cervix In the uterus

Under the arm

Which option would the nurse share with a male patient who has decided to stop having children? Vasectomy Tubal ligation Hysteroscopic sterilization Withdrawal

Vasectomy

Which hypothesis is an example of one that the nurse would develop for an actual negative sexual health problem? Risk for Infertility Victim of Sexual Assault Effective Sexual Functioning Improved Response to Rape Trauma

Victim of Sexual Assault

For which patient hypotheses would the nurse consider a SANE consult? Select all that apply. Victim of Sexual Assault Victim of Intimate Partner Violence Risk for Infertility Effective Sexual Functioning Rape Trauma Response

Victim of Sexual Assault Victim of Intimate Partner Violence Rape Trauma Response

Which finding would indicate to the nurse that the patient who has an outcome to list three examples of safe sex behaviors within 72 hours is improving? Within 3 days, stated will avoid unprotected sex acts and inappropriate touching Within 24 hours, stated will use a condom only once, limit sex partners, and avoid oil as a lubricant Within 4 days, stated will use a new condom each time, allow space at the end of the condom, and avoid anal sex Within 36 hours, states will have fewer arguments about sex and will use water-soluble vaginal lubricants

Within 24 hours, stated will use a condom only once, limit sex partners, and avoid oil as a lubricant

In which stage does the development of primary and secondary sexual characteristics occur? Toddlerhood Preschool years Adolescence Young adulthood

adolescence

Which approach would the nurse use to collect cues about a patient who has low testosterone? assure the patient that the sexual health history will be brief ask questions in a routine, matter-of fact manner use story-telling to alleviate the patient's anxiety share personal experiences to build rapport and trust

ask questions in a routine, matter-of-fact manner

Which reproductive structure is the primary organ for lactation? Breast Areola Uterus Ovary

breast

Which concept is exemplified by a Hispanic toddler who is brought to the United States and learns English but can no longer speak his native language of Spanish? cultural assimilation ritual acculturation cultural identity

cultural assimilation

Which sexual response phases comprise the male orgasm? Select all that apply. Detumescence Emission Ejaculation Erection Stimulation

emission ejaculation

Place the four phases of the female sexual response in order. Plateau Orgasm Excitement Resolution

excitement plateau orgasm resolution

In which area of the female reproductive system is the egg usually fertilized? Ovary Uterus Vagina Fallopian tubes

fallopian tubes

Which aspect of sexuality is developed during the first 3 years of life? Same-sex friendship preference Primary and secondary sex characteristics Increased modesty Gender identification

gender identification

Which cues would the nurse gather from the medical record about a patient's sexual health? Select all that apply. History of sexual abuse Laboratory results of potassium Information from patient interview Presence of fever on the graphics Patient's observation findings of sexually transmitted diseases/infections (STDs/STIs)

history of sexual abuse presence of fever on the graphics

Which multidisciplinary team members would be beneficial for the nurse to include when caring for a patient who has sexual dysfunction from an antidepressant? Select all that apply. Pharmacist Patient Sex therapist Psychologist Health care provider

pharmacist patient health care provider

Which term would the nurse use to document a male patient who explains that he has only had sexual intercourse with women, but mentions he is thinking he may also be attracted to men? Homosexual Heterosexual Bisexual Questioning

questioning

In which order would the nurse teach about the cycle of abuse to participants in a community health class? Tensions build Actual incident of abuse Relationship going well Threat of abuse builds Offsets abuse with "good" behaviors

relationship going well tensions build threat of abuse builds actual incident of abuse offsets abuse with "good" behaviors

Vaginal intercourse and celibacy are examples of which term? Gender role Sexuality Sexual function Sexual expression

sexual expression

Place the five stages of the male sexual response in order. Emission Erection Detumescence Stimulation Ejaculation

stimulation erection emission ejaculation detumescence

Which question or statement would the nurse use to therapeutically obtain information about a patient's sexual orientation? Tell me about your partner do you prefer anal sex are you sexually active are you gay

tell me about your partner

Which term describes a person who has determined their gender identity to be different from the assigned birth gender? Transgender Bisexual Homosexual Questioning

transgender

Which term describes patients who have determined their gender to be male but have female sexual organs? Bisexual Transsexual Transgender Gay

transgender

Which response would the nurse make when the patient appears shocked and asks, "Why are you asking me about sexually transmitted diseases (STDs) and infections (STIs)?" "I am concerned that you engage in risky sexual behavior and you seem likely to have had an STD/STI." "Asking about STDs/STIs is a routine part of our health history collection process." "If you have a history of STDs/STIs, I will need to use appropriate protection during your examination." "I'm sorry, I didn't mean to offend you. Let's move on to the next question."

"Asking about STDs/STIs is a routine part of our health history collection process."

The nurse is performing a spiritual assessment on a new admission and is using the FICA spiritual assessment tool to assist with the process. Which questions are specific to the FICA assessment tool? Select all that apply. "Do you consider yourself spiritual or religious?" "Do your spiritual beliefs influence your health or medical decisions?" "Are you a part of a spiritual community or church?" "Where do you find your source of hope?" "How would you like me to address your health care concerns?"

"Do you consider yourself spiritual or religious?" "Do your spiritual beliefs influence your health or medical decisions?" "Are you a part of a spiritual community or church?" "How would you like me to address your health care concerns?"

Which statement by the nurse best exhibits cultural awareness? "I am a follower of Islam, but I read the Torah to learn about Judaism." "I am not caring for that patient because the men do not respect women in their culture." "I am a Christian, and I spend quiet time every morning reading the Bible." "I believe it is a disservice to Amish children not to teach them the advances of technology."

"I am a follower of Islam, but I read the Torah to learn about Judaism."

Which statement would the nurse expect to hear from a patient who has impotence? "I have a lesion on my penis." "I can't have an erection." "I seem to ejaculate too fast." "I am having penis discharge."

"I can't have an erection."

Which statement indicates the nurse has a correct understanding of expected outcomes for sexual health? "I develop outcomes that focus on the hypothesis." "I focus more on the developmental stage than the economic status with outcomes." "I think patient education and outcomes are similar." "I believe another name for expected outcomes is solutions."

"I develop outcomes that focus on the hypothesis."

Which questions or statements made by the nurse during the sexual health history demonstrate appropriate attitudes and practices for beginning and maintaining a meaningful sexual health discussion? Select all that apply. "Even though the medical diagnosis is impotence, we do not have to talk about this issue." "We'll go through this very quickly." "Is it okay if we discuss any sexual concerns you might have?" "Why are you a lesbian?" "The issue you're referring to is known as erectile dysfunction."

"Is it okay if we discuss any sexual concerns you might have?" "The issue you're referring to is known as erectile dysfunction."

The nurse is caring for a patient of Hispanic descent who understands English but is not fluent in the language. Which action or statement by the nurse would be most appropriate when attempting to alleviate the patient's concern about an upcoming medical procedure? - Speaking loudly, explain, "The risks of an adverse event during the procedure are minimal." - "Having cold feet prior to a medical procedure is normal." - "The CRNA is very competent and experienced at putting patients to sleep." - "Would you like me to have an interpreter come to the room so I can more thoroughly answer any questions or concerns that you may have?"

- "Would you like me to have an interpreter come to the room so I can more thoroughly answer any questions or concerns that you may have?"

Which examples illustrate how culture is dynamic? - A young adult who changes political beliefs after moving away from the South - A teenager who chooses to become a Christian after attending church services with his best friend's - A college student who becomes financially conservative after taking finance classes - A grandmother who teaches a grandchild how to make homemade biscuits from a family recipe - Being proud of your country when listening to its national anthem

- A young adult who changes political beliefs after moving away from the South - A teenager who chooses to become a Christian after attending church services with his best friend's - A college student who becomes financially conservative after taking finance classes

Which details would the nurse include during a culturally appropriate nursing assessment with respect to the cultural phenomenon of communication? Select all that apply. - Preferred language - Tonal preference - Use of nonverbal communication - Proximity to others - Comfort with touch

- Preferred language - Tonal preference - Use of nonverbal communication

The nurse is caring for a Puerto Rican patient who must make a decision about whether to have surgery for an advanced-stage brain tumor. Which action or characteristic would the nurse expect to see based on the patient's ethnicity? - The patient will likely avoid eye contact with the nurse while discussing treatment options. - The patient will likely consult with the family before making a decision. - The patient may request that the nurse not tell the family of the advanced stage of the tumor. - The patient may have concerns about the possibility of a blood transfusion during the surgery.

- The patient will likely consult with the family before making a decision.

To provide culturally competent nursing care, the nurse must be aware of interactions among which cultures? Select all that apply. - The health care provider's personal culture - The patient's personal culture - The nurse's personal culture - The health care system's culture - The personal culture of the patient's significant other

- The patient's personal culture - The nurse's personal culture - The health care system's culture

Which questions would best encourage cultural competency when first encountering a patient with complaints of low back pain in the emergency department? Select all that apply. - What concerns you the most about your low back pain? - Was there a specific event that led to the pain? - Have you tried herbal remedies to help with the pain? - Have you sought treatment from an alternative health care provider? - How long has the pain been present?

- What concerns you the most about your low back pain? - Have you tried herbal remedies to help with the pain? - Have you sought treatment from an alternative health care provider?

Which questions would the nurse ask during a culturally appropriate health assessment of a patient with complaints of cough based on the 4 Cs of Culture? Select all that apply. - Who have you consulted regarding your condition? - Can you communicate clearly about your issue? - What do you think caused the cough? - How do you cope with the cough? - What is your biggest concern about the cough? - What do you call the type of cough that you have been experiencing?

- What do you think caused the cough? - How do you cope with the cough? - What is your biggest concern about the cough? - What do you call the type of cough that you have been experiencing?

culture

- culture is the way of life among a certain group of people. It is the complex whole of a society. Culture is shaped by the practices, beliefs, norms, and values that are shared by people of the same cultural association. Culture guides our choices and influences our thinking. It is not inherited. Instead, it is a dynamic, ever-changing, learned process. The art, literature, costumes, customs, language, religion, and religious rituals of a particular group of people are the reflections of culture in a society. Culture represents the unique way an individual would interpret, evaluate, and understand his or her external environment and structures how an individual perceives the world. A person's cultural worldview is shaped by his or her ethnicity, gender, sexual orientation, spiritual beliefs, geographic upbringing, education, and economic status. - According to Madeleine Leininger, the founder of transcultural nursing, culture refers to the learned, shared, transmitted values, beliefs, norms, and lifeways to a specific individual or group that guide their thinking, decisions, actions, and patterned ways of living

acculturation

Acculturation is the process that occurs when groups of individuals from two distinct cultures continuously interact and ultimately modify the original culture patterns of either one or both groups. Acculturation is most often seen as the process that occurs when an individual moves to a new country and adapts to a new way of life. These adaptations can be seen in their language, food, music, dance, and clothing style; however, they still manage to keep some aspects of their old culture.

For which reasons is it important for the nurse to have knowledge about different religious and spiritual health practices? Select all that apply. Allows understanding of rationales behind specific behaviors Improves communication between cultures Improves the patient's confidence in the nurse's skill Allows for more tailored nursing care Often improves medical treatment adherence

Allows understanding of rationales behind specific behaviors Improves communication between cultures Allows for more tailored nursing care Often improves medical treatment adherence

Match the thought or behavior that is associated with impeding cultural awareness with its description. Assuming a person who is homeless is lazy and does not want a job Assuming someone is an undocumented immigrant because they are Hispanic Refusing a patient assignment due to the ethnicity of the patient Assuming a teenager is sexually active based on choice of clothing Prejudice Discrimination Stereotyping Enculturation Ethnocentrism Generalizing

Assuming a person who is homeless is lazy and does not want a job - Generalizing Assuming someone is an undocumented immigrant because they are Hispanic - Stereotyping Refusing a patient assignment due to the ethnicity of the patient - Discrimination Assuming a teenager is sexually active based on choice of clothing - Prejudice

Which examples illustrate how nurses can increase their cultural awareness? Attending a continuing medical education conference (CME) on cultural awareness Identifying their own biases Learning about a different culture from a coworker Returning to school for a nurse practitioner degree Learning to say "hello" in a foreign language

Attending a continuing medical education conference (CME) on cultural awareness Identifying their own biases Learning about a different culture from a coworker Learning to say "hello" in a foreign language

Which statements regarding sexually transmitted diseases or infections (STDs/STIs) are true? Select all that apply. Bacteria and viruses can cause STDs/STIs. STDs/STIs can be contracted via sexual intercourse or intimate contact with an infected person. Use of condoms eliminates the risk for STD/STI transmission. STDs/STIs cannot be transmitted through oral sex. All STDs/STIs can be contracted by both males and females. NOT SURE

Bacteria and viruses can cause STDs/STIs. STDs/STIs can be contracted via sexual intercourse or intimate contact with an infected person. All STDs/STIs can be contracted by both males and females.

The nurse is performing wound care on a patient after a double mastectomy. The patient quietly asks, "Do you think my husband will still love me after he sees how I look now?" Which nursing intervention encourages open reflection by the patient? Continue performing tasks while the patient is speaking. Tell the patient you are busy but you will send a psychologist to talk with her. Be physically present and actively listen when the patient is talking. Call the hospital chaplain who also had a mastectomy to meet with the patient.

Be physically present and actively listen when the patient is talking.

The nurse is caring for a patient recently diagnosed with stage 4 breast cancer. The nurse is amazed because the patient always has a smile on her face, frequently talks about her future goals, and often states "I know God has a plan for me." Which characteristics of spirituality is the patient showing based on these behaviors? Select all that apply. Connectedness Self-transcendence Inner strength Faith and hope Meaning/purpose in life

Connectedness Inner strength Faith and hope Meaning/purpose in life

Match the term associated with spirituality with its description. Connecting to one's inner self, which allows one to connect to others Being connected to oneself, others, and a higher power An energy source that inspires motivation Peace during times of great stress Faith/hope Self-transcendence Meaning/Life purpose Connectedness Inner strength

Connecting to one's inner self, which allows one to connect to others - Self-transcendence Being connected to oneself, others, and a higher power - Connectedness An energy source that inspires motivation - Inner strength Peace during times of great stress - Faith/hope

The nurse is caring for a Native American patient, newly diagnosed with lung cancer, who smokes his own tobacco. Which strategy would the nurse implement when providing culturally competent nursing care for this patient? Cultural accommodation Cultural care restructuring Cultural negotiation Cultural maintenance

Cultural care restructuring

Which statements about culturally competent nursing care are true? Select all that apply. Cultural competence begins with cultural awareness. Cultural competence is a cognitive thought process. Cultural competence can increase health disparities. Cultural competence incorporates the patient's culture into his or her health care plan. Once cultural competence is achieved, it cannot be lost.

Cultural competence begins with cultural awareness. Cultural competence incorporates the patient's culture into his or her health care plan.

cultural identity

Cultural identity infers belonging to or identifying with a specific social group Nationality, ethnicity, religion, socioeconomic status, education, language, age, and gender are all aspects of cultural identity. - Cultural identity is dynamic and ever-changing. While certain aspects of your cultural identity cannot be changed such as age, race, and ethnicity, other aspects of cultural identity can be influenced such as geographic location, education, and recreational activities. In addition, events that occur in a person's life also help shape his or her cultural identity within a social or political context. - Cultural identity is what provides a sense of belonging to an individual. It links a person to his or her heritage, which allows the person to identify with a larger group of people. Examples of how a person would identify with a culture include but are not limited to food preferences, religious beliefs, hairstyles, and types of clothing worn. Examples of cultural identity can be anything that provides validation that a person is associated with a specific cultural group.

Which statements comply with The Joint Commission's (TJC) requirements to incorporate spiritual health into patient care? Select all that apply. Do you belong to a faith community? How often do you attend religious gatherings? Do you require a special diet because of spiritual beliefs? Do you and your spouse share the same spiritual beliefs? Do you have family members that you are close to and that live nearby?

Do you belong to a faith community? Do you require a special diet because of spiritual beliefs? Do you have family members that you are close to and that live nearby?

Which term would the nurse use for a patient who has painful intercourse from insufficient vaginal lubrication? Dyspareunia Vaginismus Anorgasmia Impotence

Dyspareunia

Which purposes are achieved by conducting a sexual health history for a patient with possible sexually transmitted diseases/infections? Provide an opportunity for patient education. Determine whether the patient falls within sexual norms. Identify the patient's sexual concerns. Provide treatment for sexual dysfunction. Highlight any high-risk sexual behaviors.

Highlight any high-risk sexual behaviors. Identify the patient's sexual concerns. Provide an opportunity for patient education.

Which cues indicate the patient is having a problem with vaginismus? Select all that apply. History of inability to have intercourse Reports trying to get pregnant for over a year States wanting to have intercourse but cannot Partner states that the penis cannot enter the vagina Laboratory results indicate a low level of CD4 count

History of inability to have intercourse States wanting to have intercourse but cannot Partner states that the penis cannot enter the vagina

Which outcomes are associated with improved cultural awareness in health care? Select all that apply. Improved patient relationships Improved financial outcomes Medication adherence Improved health outcomes Treatment compliance

Improved patient relationships Medication adherence Improved health outcomes Treatment compliance

Which activities would be recommended for nurses who wish to explore their own spirituality more thoroughly? Select all that apply. Journaling specific beliefs and thoughts Questioning why someone believes the way they do Learning from others with different beliefs Identifying which spiritual beliefs are most important Attending a spiritual service different from one's own

Journaling specific beliefs and thoughts Learning from others with different beliefs Identifying which spiritual beliefs are most important Attending a spiritual service different from one's own

Which step in the PLISSIT model is being used when the nurse states, "I would like to ask you some questions pertaining to your sexual history"? P LI SS IT

P

Match the sexual disorder to its description. Painful intercourse Decreased libido Impotence Inability to conceive Infertility Premature ejaculation Anorgasmia Erectile dysfunction Dyspareunia Low sexual desire

Painful intercourse - Dyspareunia Decreased libido - Low sexual desire Impotence - Erectile dysfunction Inability to conceive - Infertility

Which patient assessment topics are components of a sexual health history? Select all that apply. Past and current general health Exercise habits Frequency of testicular self-examination (TSE) Type of diet Medications like antidepressants or antihypertensives

Past and current general health Frequency of testicular self-examination (TSE) Medications like antidepressants or antihypertensives

A patient who has battled lung cancer for 5 years states that he has not prayed since the diagnosis because he did not believe it would help. He now wants to start praying and going to church. Which spiritual goal would be appropriate for this patient? Patient will attend church every Sunday for the next 6 weeks. Patient will speak to a spiritual counselor within 1 week of discharge. Patient will consult with family members about his desire to start attending church. Patient will start praying this afternoon.

Patient will speak to a spiritual counselor within 1 week of discharge.

Which spirituality-related outcome written by a student nurse suggests the need for additional learning? After consulting with the dietician, the patient will identify acceptable ways to blend dietary restrictions with religious customs. Patient will discuss treatment choices with a trusted confidant to explore acceptable options before beginning treatment. Patient will contact a spiritual counselor within 2 weeks of discharge. Patient will start attending church every Sunday immediately after discharge.

Patient will start attending church every Sunday immediately after discharge.

Which information about human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) would the nurse share with the patient? Select all that apply. The acute phase of HIV may last for several years. HIV infection can be cured through the use of antiretroviral therapy (ART). Patients with HIV may not have symptoms during the clinical latency phase. Lung infections are possible in the AIDS phase of the disease. Sharing towels and eating utensils is not advised.

Patients with HIV may not have symptoms during the clinical latency phase. Lung infections are possible in the AIDS phase of the disease.

Which term is represented by the "P" in the PLISSIT model? Permission Privacy Patient Problems

Permission

Which statements are true about religion? Select all that apply. Religion usually follows specific rituals or rules. Religion is linked to a defined system of worship or faith-based organization. Spirituality is viewed the same regardless of one's identified religion. Religious beliefs can affect medical decisions. People from the same religion all follow the same beliefs.

Religion usually follows specific rituals or rules. Religion is linked to a defined system of worship or faith-based organization. Religious beliefs can affect medical decisions.

Which overall sexual health goal would the nurse develop for a patient with anorgasmia? Maintain current level of sexual health. Resolve the current sexual health alteration. Provide education on sexual functioning. Prevent unwanted pregnancies.

Resolve the current sexual health alteration.

Which action by the nurse indicates cultural awareness? - Allowing for privacy when a patient with different cultural beliefs slaps his adolescent son - Speaking only to the parent instead of the teenager with cerebral palsy but no mental disabilities - Respecting the cultural request of a patient for a same-gender caregiver - Refusing to care for a patient who wants to have an abortion because it goes against your beliefs

Respecting the cultural request of a patient for a same-gender caregiver

Which aspect of cultural identity is illustrated by the Korean woman's request for seaweed soup after giving birth? Assimilation Ritual Acculturation Enculturation

Ritual Rituals are formal actions performed at special times. Eating seaweed soup after childbirth is based on the ritual/belief that seaweed promotes healing and lactation.

rituals

Rituals are formal, stylized, and repetitive actions performed in special places at special times. Rituals can be seen as routines with a symbolic meaning or value and are often associated with a specific spiritual or cultural group. These routines help members of the group work together and provide social support (Starr, 2020). Examples of rituals include religious activities, such as praying, baptizing, fasting, singing, meditating, and reading the Torah, Bible, or Koran.

For which reasons is it important to encourage the practice of spirituality when caring for patients, regardless of whether the patient follows an organized religious community? Select all that apply. Spirituality has been shown to improve treatment adherence. Spirituality has been shown to have a positive impact on health and well-being. A strong sense of spirituality can help lower anxiety levels. Spiritual people have a greater tendency to find joy in life. Spiritual people believe in God, which provides hope.

Spirituality has been shown to improve treatment adherence. Spirituality has been shown to have a positive impact on health and well-being. A strong sense of spirituality can help lower anxiety levels. Spiritual people have a greater tendency to find joy in life.

Which statements align with the concept of spirituality? Select all that apply. Spirituality is synonymous with religion. Spirituality is defined by belonging to an organized religion. Spirituality is the expression of meaning and purpose in life. Spirituality exists regardless of religious beliefs. Spirituality is a personal experience.

Spirituality is the expression of meaning and purpose in life. Spirituality exists regardless of religious beliefs. Spirituality is a personal experience.

Thoughts and behaviors impeding cultural awareness

Stereotyping Definition: An assumption or an opinion about an individual or groups of people based on common information that is specific to the ethnicity. Example: Assuming that a Hispanic patient is an undocumented immigrant without access to health insurance. Generalizing Definition: Assigning certain traits that may be common in a certain group to an individual within that group before obtaining the necessary information to see if it is applicable. Example: Assuming that a child with a history of cerebral palsy and physical abnormality is less intelligent and not able to follow age-appropriate instructions. Ethnocentrism Definition: The tendency to believe that one's own cultural norms are superior to others' cultural beliefs. Example: Providing end-of-life care to an agnostic patient and teaching your own religious values and beliefs. Discrimination Definition: Treating a person or group of people unfavorably because of a particular characteristic such as age, race, gender, or religion. Example: Purposely not taking a patient assignment because the patient is Muslim and has different religious beliefs from your own. Prejudice Definition: The process of devaluing an entire population based on preconceived beliefs or anticipating certain behaviors from someone based on the person's appearance. Example: Assuming that a teenager is sexually active based on her clothing choice or assuming that a morbidly obese patient is lazy.

The nurse is caring for a patient who is refusing an important medical treatment because of personal religious beliefs. Which action is best for the nurse to take? Talk to the patient's family about the importance of accepting the treatment. Respect the patient's right to refuse the treatment, and notify the prescribing health care provider. Explain again the risks associated with refusal of treatment. Talk to the patient about the need to incorporate the patient's beliefs into his or her care.

Talk to the patient about the need to incorporate the patient's beliefs into his or her care.

Which response would the nurse make to a patient who has experienced sexual violence? "What caused you to go with that group of guys?" "You should not have dressed that way." "This was not your fault." "Why do you still stay with your partner?"

This was not your fault

Which interventions are most appropriate when a patient speaks the predominant language but it is not his or her native language? Select all that apply. Speak louder. Use a professional interpreter. Have the child translate for the family member. Provide written materials. Limit the use of slang.

Use a professional interpreter. Provide written materials. Limit the use of slang.

The nurse is providing care for a patient with a new breast cancer diagnosis. Which question by the nurse represents the spiritual connection practice of reflection? This is a tough thing to hear. Do you know anyone who has had breast cancer? Have you told your children yet? What are your thoughts about this new diagnosis? Have you decided whether you are going to have mastectomy?

What are your thoughts about this new diagnosis?

According the Giger and Davidhizar Transcultural Assessment Model, which questions might be asked when addressing the social orientation cultural phenomenon? Select all that apply. What is your role in the family? Do you attend church regularly? What do you consider your ethnicity? Do you know of any familial diseases seen in your family? What do you enjoy doing if you have free time?

What is your role in the family? Do you attend church regularly? What do you consider your ethnicity? What do you enjoy doing if you have free time?

In which situation would the nurse develop a risk hypothesis for a patient regarding sexual health? When there is an increased potential for the patient to develop a problem When the patient has an actual problem When the patient expresses an interest in improving his or her health status When there is evidence of unsafe sexual health practices

When there is an increased potential for the patient to develop a problem

which are examples of culture a national monument the Canadian flag being of Asian-American descent grandmother and grandchild with the same eye color a US twenty-dollar bill

a national monument The Canadian flag A US twenty-dollar bill

Which action would the nurse take when a patient is embarrassed to talk about human immunodeficiency virus (HIV) symptoms? call the charge nurse to go in the room and help call a chaplain to help discuss the situation be nonjudgmental be empathetic avoid the subject

be nonjudgmental be empathetic

Which cues would the nurse observe in a patient who is a victim of human trafficking? Select all that apply. Appropriate weight for height Evidence of forced vaginal or anal entry Extremely fearful Possible drug use marks Unable to provide a history

evidence of forced vaginal or anal entry extremely fearful possible drug use marks unable to provide a history

The nurse receives a report from the emergency department about a new patient, a 25-year old pregnant Hispanic female patient who was found unresponsive at a local homeless shelter. Current vital signs are: HR 96, RR 24, and BP 135/75, and she is now alert and oriented. Which details in the report are important for the nurse to consider regarding the patient's cultural worldview? Found unresponsive 25 years of age Pregnant Found at a local homeless shelter

found at a local homeless shelter

Which patient situation would the nurse address first? Having chest pain Experiencing dyspareunia Experiencing perimenopause Having problems with erectile dysfunction

having chest pain

A 27-year-old has recently changed his beliefs on gun control after experiencing a mass shooting at a local music concert. This is an example of which concept related to culture? assimilation acculturation identity ritual

identity

five characteristics of culture

learned, shared, symbolic, integrated, dynamic