Funds Chapter 45

An infant is identified as intersex at birth. Which education provided by the nurse is accurate?

Your child has variations in the reproductive anatomy.

How would the nurse respond to a female client who says, "I do not think I have ever experienced an orgasm. Is that normal?

"A normal sexual response for women may include multiple plateaus without an orgasm as a result."

A male client presents to the clinic with reports of erectile dysfunction. Which statement by the nurse will assist in identifying the potential cause of the erectile dysfunction?

"Do you take any medications such as antihypertensives, antidepressants, or illicit drugs?"

A nurse practitioner is teaching the student about sexual health and is evaluating the student's knowledge of sexual identity. The practitioner knows that the student understands when the student says which of the following?

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

A 16-year-old girl tells the nurse that her friend has genital warts and asks the nurse how to make sure that she does not get them. Which of the following should the nurse recommend?

"Get the human papillomavirus vaccine."

A client presents to the office with concerns of low testosterone and feels it is due to a pituitary gland disorder. Which teaching would the nurse provide to educate this client on how testosterone is produced?

"Gonads are the reproductive organs of the male and are responsible for the production of testosterone and spermatozoa."

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

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

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

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

A nurse is conducting a health history on a 45-year-old client. The nurse is preparing to address the client's sexual history. Which statement by the nurse would be most appropriate at this time?

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

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

- Temperature method - Cervical mucus method - Calendar method

Applying the American Psychiatric Association description of sexual response, place the phases in the order in which they would occur from first to last.

1. Appetitive 2. Excitement 3. Orgasm 4. Resolution

The nurse is preparing a talk on health issues in the LGBTQ population. Which statistic would the nurse include?

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

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

Menarche

The nurse assessing an adolescent's need for further information regarding sexual health should ask which question?

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

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

On day 14

The nurse is preparing to counsel a couple on their sexual relationship. The nurse prepares for the session by reviewing the sexual response cycle. The nurse recalls the order of the four phases of the cycle. Place the phases in correct order as they occur. Use all options.

1. Excitement 2. Plateau 3. Orgasm 4. Resolution

The nurse is providing education about barrier contraceptives. Which statement by the client indicates a need for further education?

"I can leave my diaphragm in for up to 48 hours."

A female client presents with a report of pain and burning in the area of the vulva during intercourse. How will the nurse document the clients report of symptoms?

vulvodynia

A nurse is obtaining a health history from a middle-age client. Which question would initially be appropriate to ask?

"How many children do you have?"

Which of the following statements best describes the relationship between biologic sex and gender identity?

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

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

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

A pregnant teenager did not understand the process of fertilization. The school nurse's best explanation of fertilization is that:

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

The nurse observes that a client shows signs of depression and often is found crying quietly in her room. Based on what the nurse is aware about violence against women what does the nurse suspect may have occurred with this client?

the patient is a victim of date rape

A nurse is collecting a sexual health history from an older adult woman who is postmenopausal. Which client statement requires further education by the nurse?

"I have noticed I have less lubrication with sexual intercourse."

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

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

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

"Malnutrition may cause impotence."

A teenage female client tells the nurse that she is having intercourse with her boyfriend. The client asks the nurse about methods to prevent pregnancy. Which statement by the nurse would be most accurate?

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

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

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

The nurse has provided information to a client about oral contraceptives. Which statement by the client would indicate a need for further education?

"Some oral contraceptives protect against STIs."

The school nurse is visited by the parents of a child, aged 9 years, who express concern about the child's preference for same-sex friendships. The parents reveal that they are worried that this may be an early manifestation of homosexuality. Which information will the nurse collect from the parents prior to answering their question?

"Tell me more about what makes you feel this way."

Which response will the nurse provide to a 13-year-old female client who says to the nurse, "My parents said masturbation is wrong. Is that true?"

"Tell me more about what you know of masturbation."

While teaching sexual education to a group of high school students, the nurse talks about forms of birth control and when a woman can become pregnant. Which explanation by the nurse about the chance of the woman becoming pregnant is accurate?

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

Parent's of a 5-year-old child inform the nurse that they are concerned about finding their child masturbating in the bathroom. What is the best response to the parents by the nurse?

"This is a normal behavior for this age group, because 5-year-olds are increasingly aware of self."

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

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

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

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

An adolescent female client expresses concern to the nurse about her anatomy looking "weird down there." Which response(s) by the nurse is appropriate? Select all that apply.

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

The nurse is conducting an assessment on a newly admitted 18-year-old client. When questioned about sexual preference, the client appears slightly confused and confesses to not being sure. Which is an appropriate response(s) from the nurse? Select all that apply.

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

The nurse is performing assessments at the clinic for several women. Which client assessed by the nurse requires a referral for further reproductive or genitourinary problems? Select All That Apply

- A client that reports a lump in the breast - A client that reports burning and difficulty with urination - A client that suspects she may be pregnant - A client that has had no contact with a healthcare provider in several years

A 28-year-old male comes to the clinic for an evaluation. The client complains of a penile discharge. After completing an assessment, the nurse suspects that the client has a chlamydia infection based on which finding? Select all that apply.

- Burning on urination - Swollen testes - Testicular pain

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

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

The nurse is advising an adolescent male about sexual myths that have him concerned. Which statements describe accurate client education regarding these concerns? Select all that apply.

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

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

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

The nurse is working in the emergency department when a male client states, "I have been exposed to gonorrhea from a sexual partner and I think I have it." What symptoms should the nurse assess in this client that correlate with the client's suspicions of infection? Select all that apply.

- Purulent penile discharge - Difficulty urinating - Increased frequency of urination

A nurse is reading a journal article about the female sexual response cycle. Place the events of this cycle in the proper sequence from first to last that would demonstrate that the nurse has understood the information in the article.

1. Nipple erection 2. Clitoral retraction 3. Involuntary contraction of genitals 4. Feelings of relaxation

Which example best supports the diagnosis of Sexual Dysfunction: Dyspareunia?

A 50-year-old woman in the process of menopause has pain and burning during intercourse.

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

A diaphragm

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

Antihypertensive medication

The nurse recommends a barrier method of contraception for a client who is concerned about the side effects of hormonal contraception. Which method might the nurse suggest?

Cervical Cap

Which diagnostic test is used to diagnose a chlamydial infection?

Cervical Culture

A nurse is counseling a couple who expressed that they are having difficulty conceiving. What could the nurse consider as a cause?

Changing developmental stage

In the female reproductive system, what corresponds with the male penis?

Clitoris

A nurse is conducting a healthy living workshop with a group of female college students. Which information will the nurse include in the teaching plan about condoms?

Condoms can protect the client from pregnancy.

A female nurse is giving a complete bed bath to a young male client. The nurse notices the client has an erection. Which action will the nurse take?

Continuing Bathing the Client

An adolescent female is in the community health clinic seeking contraception since becoming sexually active. The community health nurse demonstrates effective health promotion and prevention with the client when what is included in the health education teaching plan?

Contraception plans prior to initiation of sexual activity.

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

Dyspareunia

The nurse prepares to assess a client who is presenting to the infertility clinic for her first appointment. What should the nurse include when obtaining data from the client?

History of an untreated sexually transmitted infection (STI)

A man 68 years of age comes to the clinic complaining that he is having difficulty obtaining an erection. When reviewing the client's history, what might the nurse note that contributes to impotence?

History of hypertension

The forensic nurse is caring for a client who was raped four days ago. Which of the following could the nurse teach the client is an effective contraceptive?

Insertion of a copper intrauterine device (IUD)

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

Nitrates

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

Nonspecific vaginitis

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

Quid pro quo harassment.

The nurse is preparing a 27-year-old female client for a pelvic examination and notes bruises of various stages on the arms, legs, and stomach, as well as swelling and redness in the groin. The client is reluctant to discuss it with the nurse and just brushes if off, explaining her partner likes hard sex. Which action should the nurse prioritize?

Report Intimate Partner Violence to the Authorities

The nurse is teaching a class about sexuality at a public health clinic. After class the nurse is approached by Cathleen, a 54-year-old female, who eventually discloses to the nurse that she is having a sexual affair with a female partner. The term for an individual's preference for a partner of a particular gender is which of the following?

Sexual orientation

A client is trying to be understanding; however, the client is getting frustrated by the spouse's lack of sexual response. Which factor should the nurse explore to help this physiologically healthy couple create reasonable goals to improve their situation?

Spouse's Lack of Self Esteem

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

Syphilis

Traditionally, the male sexual response is thought to be broken up into three phases. Which occurrence is part of the plateau phase?

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

The nurse is conducting an interview with a client who has a sexual concern. To obtain accurate and complete information from the client, which method will the nurse use to create a comfortable environment to encourage communication?

The nurse should demonstrate ease.

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

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

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

The patient may have trichomoniasis.

The nurse is teaching a class about sexuality at a public health clinic. After class the nurse is approached by Cathleen, a 54-year-old female, who eventually discloses to the nurse that, while she is happily married, she feels like a man inside. Cathleen describes this as feeling "trapped" inside her female body. The term for this behavior is which of the following?

Transsexual

A client visits a community clinic reporting a foul-smelling vaginal discharge that is thin, foamy, and green in color; itching of vulva and vagina; and burning on urination. Which STI would the nurse suspect?

Trichomonas vaginalis

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

Trichomoniasis

A male client comes to the clinic because he thinks that he has syphilis. Which test would the nurse expect the client to have done?

VDRL

The nurse is assessing the sexual health of a female client age 20 years. During the interview, the client says, "I feel that my vaginal opening constricts whenever I am about to have intercourse. I seem to have no control over it." What would the nurse use when documenting the client's report?

Vaginismus

During a routine physical exam, a male client informs the nurse that he frequently participates in anal intercourse with his new girlfriend. The nurse discusses this practice with the client by informing him that:

condoms are recommended for anal intercourse.

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

hypertension.

The nurse is instructing a client about the performance of Kegel exercises. What statement made by the client about the purpose of Kegel exercises indicates to the nurse that further education is required?

increased abdominal strength.

When the mother of a 2-year-old tells the pediatric nurse that the child masturbates, the nurse informs the mother that the child:

is exhibiting normal behavior.

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

loss of muscular control during orgasm causing spastic contractions

During the plateau phase of the sexual response, the man may experience:

nipple erection.

The nurse is caring for a client diagnosed with vaginismus. When reviewing the client's history, what would the nurse would expect to find?

past history of a rape

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

primary impotence.

The Surgeon General's Call To Action To Promote Sexual Health and Responsible Sexual Behavior was released in 2001. The goal of this document is to:

promote general health and wellness.

The nurse should instruct an Islamic female client who is reluctant to undergo pelvic examination from an assigned male health care provider to:

seek a female health care provider to perform the examination.