Nurs 222 Chapter 45 CoursePoint
The nurse is discussing contraception with an adolescent client who asks the nurse: "What if I can't have an orgasm?" What is the nurse's best response? 1) "Women who have multiple orgasms are promiscuous." 2) "A mature sexual relationship does not require a man and woman to achieve simultaneous orgasm." 3) "The larger the penis, the greater the potential for achieving orgasm." 4) "The ability to achieve orgasm is the only indicator of a person's sexual responsiveness."
"A mature sexual relationship does not require a man and woman to achieve simultaneous orgasm."
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? 1) "Sexual orientation is the term used to denote chromosomal sexual development." 2) "Biologic sex is the inner sense a person has of being male or female." 3) "Gender identity refers to the preferred gender of a person's partner." 4) "Gender role behavior is the behavior a person conveys about being male or female."
"Gender role behavior is the behavior a person conveys about being male or female."
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? 1) "Get the human papillomavirus vaccine." 2) "If your male partner doesn't have genital warts, you will not get them." 3) "Douching will help to prevent them." 4) "Have the Norplant system implanted in your arm."
"Get the human papillomavirus vaccine."
Which assessment question is most likely to yield clinically meaningful data about a female client's sexual identity? 1) "How do you feel about yourself as a woman?" 2) "Have you ever had any sexually transmitted infections in the past?" 3) "Are you satisfied with the quality of your relationships right now?" 4) "Do you find that your health allows you to enjoy a meaningful sex life?"
"How do you feel about yourself as a woman?"
A nurse is obtaining a health history from a middle-age client. Which question would initially be appropriate to ask? 1) "Have you ever had testing for HIV?" 2) "How many children do you have?" 3) "Do you have a sexually transmitted infection?" 4) "What is your gender identity?"
"How many children do you have?"
The nurse is providing education about barrier contraceptives. Which statement by the client indicates a need for further education? 1) "I have to wash my cervical caps after each use." 2) "I can leave my diaphragm in for up to 48 hours." 3) "I can insert my female condoms up to 8 hours before intercourse." 4) "Male latex condoms when used correctly are an effective means of contraceptive and very effective at preventing transmission of STIs."
"I can leave my diaphragm in for up to 48 hours."
A nurse expresses a desire to become culturally competent in the care of females from Africa after a mission trip to the continent. Which statement by the nurse demonstrates an understanding of this population of clients? 1) "Female genital mutilation (FGM) is a procedure that has health benefits to young women under 13." 2) "Infibulation is the narrowing of the vaginal opening through the creation of a covering seal." 3) "FGM can increase the risk of newborn deaths." 4) "FGM is usually carried out on adult women."
"Infibulation is the narrowing of the vaginal opening through the creation of a covering seal."
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: 1) "Antihypertensive medication will not affect sexual function." 2) "Malnutrition may cause impotence." 3) "I need to be able to walk a mile in order for sexual intercourse to not be dangerous." 4) "Erectile dysfunction, caused by diabetes, has no treatment."
"Malnutrition may cause impotence."
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: 1) "Antihypertensive medication will not affect sexual function." 2) "Malnutrition may cause impotence." 3) "I need to be able to walk a mile in order for sexual intercourse to not be dangerous." 4) "Erectile dysfunction, caused by diabetes, has no treatment."0
"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 mostaccurate? 1) "Many unintended pregnancies result from the use of less effective methods of contraception." 2) "Periodic abstinence involves not having any sex with a partner." 3) "Barrier methods include the vaginal sponge used in combination with an antibacterial agent." 4) "Coitus interruptus will prevent pregnancies."
"Many unintended pregnancies result from the use of less effective methods of contraception."
A nurse reads in a client's chart that he or she has gender dysphoria. The nurse determines that the client understands the diagnosis when making what statement? 1) "People whose biologic sex at birth is contrary to the gender they identify with have gender dysphoria." 2) "People who experience sexual fulfillment with a person of the opposite sex have gender dysphoria." 3) "Gender dysphoria is a condition in which there are contradictions among chromosomal sex, internal organs, and external genital appearance." 4) "People who find pleasure with both opposite-sex and sam-sex partners have gender dysphoria."
"People whose biologic sex at birth is contrary to the gender they identify with have gender dysphoria."
A female client has recently had surgery for cervical cancer and asks the nurse about other ways she can have sex with her husband. Which of the following statements by the nurse is most accurate? 1) "Complete abstinence would satisfy your sexual needs." 2) "Anal intercourse is not practiced by heterosexuals." 3) "Stimulation of the genitals by the mouth and tongue may be used to reach orgasm." 4) "Fellatio is stimulation of the female genitals."
"Stimulation of the genitals by the mouth and tongue may be used to reach orgasm."
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? 1) "This is concerning, because the child is too young to think about sex." 2) "This is a normal behavior for this age group, because 5-year-olds are increasingly aware of self." 3) "You need to be sure that you tell your child that touching is dirty." 4) "Inform the child that it is bad to touch oneself in the private areas."
"This is a normal behavior for this age group, because 5-year-olds are increasingly aware of self."
The nurse assessing an adolescent's need for further information regarding sexual health should ask which question? 1) "Are you involved in an intimate relationship at this time?" 2) "How many sexual partners have you had?" 3) "What questions or concerns do you have about your sexual health?" 4) "Have you ever been diagnosed with a sexually transmitted infection?"
"What questions or concerns do you have about your sexual health?"
The nurse is teaching a male adolescent how to use a condom. Which teaching points would the nurse include? Select all that apply. 1) "Roll the condom onto the penis before it becomes erect." 2) "If the condom does not have a nipple receptacle, leave a small space at the end for semen to collect." 3) "Use a condom with every act of intercourse." 4) "Immediately after ejaculation remove the condom and discard it." 5) "Do not use a spermicide with the condom." 6) "If using a lambskin condom, the condom may be reused a second time."
1) "If the condom does not have a nipple receptacle, leave a small space at the end for semen to collect." 2) "Use a condom with every act of intercourse." 3) "Immediately after ejaculation remove the condom and discard it."
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. 1) A larger penis allows for a more satisfying sexual experience 2) Nocturnal emissions indicate the existence of a sexual disorder 3) Nocturnal emissions are signs of a sexually transmitted infection 4) Masturbation or self-stimulation is a natural and healthy outlet for sexual urges 5) No male or female should feel pressured into sexual activity at any age 6) Nocturnal emissions are normal in men of all ages
1) Masturbation or self-stimulation is a natural and healthy outlet for sexual urges 2) No male or female should feel pressured into sexual activity at any age 3) Nocturnal emissions are normal in men of all ages
Which clients would the nurse identify that are at risk for the development or presence of sexual dysfunction? Select all that apply. 1) a 25-year-old male client in traction 2) a 52-year-old male with a history of hypertension 3) a 19-year-old male who is still a virgin 4) a postmenopausal female client 5) a 49-year-old male diagnosed with an enlarged prostate (BPH) 6) a 30-year-old female experiencing PMS
1) a 52-year-old male with a history of hypertension 2) a postmenopausal female client 3) a 30-year-old female experiencing PMS
While teaching sex education to a group of high school students, the nurse talks about forms of birth control. Which of the following could the nurse say is 100% effective if practiced correctly and consistently? 1) Abstinence 2) Oral contraceptives 3) Withdrawal prior to ejaculation 4) Condoms
Abstinence
A woman has been diagnosed with human papillomavirus (HPV) infection. When teaching the woman about this condition, the nurse would emphasize the need for screening for which type of cancer? 1) Cervical 2) Colorectal 3) Breast 4) Lung
Cervical
In the female reproductive system, what corresponds with the male penis? 1) Clitoris 2) Mons pubis 3) Skene glands 4) Urethral meatus
Clitoris
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? 1) Dyspareunia 2) Vaginismus 3) Vulvodynia 4) A sexually transmitted infection (STI)
Dyspareunia
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? 1) Past history of infection 2) History of hypertension 3) Increasing age 4) Lack of exercise
History of hypertension
During the menstrual cycle, when does ovulation typically take place? 1) On day 14 2) On day 1 of a new cycle 3) When sperm is present 4) From days 15 to 28
On day 14
The nurse prepares to complete an exam on a 25 year old female. The client presents to the community health clinic reporting difficulty with urination. The nurse reviews the chart and sees that the client is originally from Africa. Which does the nurse suspect? 1) Possible complications from female genital mutilation (FGM) requiring further physical assessment 2) An acute urinary tract infection (UTI) 3) Complications from an untreated sexually transmitted infection (STI) 4) A diagnosis of interstitial cystitis
Possible complications from female genital mutilation (FGM) requiring further physical assessment
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? 1) Quid pro quo harassment 2) Fetishism 3) Environmental harassment 4) Hostile environment harassment
Quid pro quo harassment
A school nurse is providing a class on sexually transmitted infections (STIs). Which statement is correct regarding STIs? 1) STIs are most prevalent among teenagers and young adults 2) The incidence of STIs is decreasing due to limited sex partners 3) The signs and symptoms of an STI are obvious 4) STIs disproportionately affect people with a lower socioeconomic status and education
STIs are most prevalent among teenagers and young adults
Which of the following statements best describes the relationship between biologic sex and gender identity? 1) Sex is chromosomally determined, while gender is a psychosocial construct 2) Biologic sex and gender identity are both modifiable by surgery and medical interventions 3) Biologic sex is genetically determined but gender identity is chosen during adolescence 4) Biologic sex and gender identity are considered synonymous in nursing practice
Sex is chromosomally determined, while gender is a psychosocial construct
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? 1) Transvestite 2) Sexual orientation 3) Gender role behavior 4) Transsexual
Sexual orientation
The community health nurse is aware that many factors influence a client's decision for contraception. Which of the following is the most likely reason a client would select permanent contraception? 1) The choice not to start a family 2) To reduce the risk of sexually transmitted diseases 3) The desire to have multiple sex partners 4) Religious beliefs which prevent reproduction
The choice not to start a family
Traditionally, the male sexual response is thought to be broken up into three phases. Which occurrence is part of the plateau phase? 1) A rapid erection of the penis occurs 2) The circumference of the penis thickens at the coronal ridge and a few drops of fluid appear at the urethral meatus 3) A decrease in vasocongestion occurs 4) The spermatic cords shorten, causing a partial elevation of both testes
The circumference of the penis thickens at the coronal ridge and a few drops of fluid appear at the urethral meatus
The nurse 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? 1) The nurse teaches parents of an 18-month old to discourage self-manipulation of genitals 2) 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 3) The nurse warns parents of 2-year-old that toilet training should be initiated immediately to prevent compulsive behaviors later on 4) The nurse states that same-sex preference for relationships in the school-age child may be related to heterosexual or homosexual tendencies
The nurse teaches parents of a 4-year-old 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? 1) Drainage is physiologic and normal 2) The patient may have trichomoniasis 3) Drainage is caused by vaginal dryness 4) The patient may have chlamydia
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? 1) Transvestite 2) Bisexual 3) Gender role behavior 4) Transsexual
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? 1) Acquired immunodeficiency syndrome (AIDS) 2) Chlamydia trachomatis 3) Trichomonas vaginalis 4) Neisseria gonorrhoeae
Trichomonas vaginalis
Which sexually transmitted infection has the following characteristics: thin, foamy, greenish vaginal discharge that causes itching of the vulva and vagina? 1) Nonspecific vaginitis 2) Herpes simplex 1 3) Herpes simplex 2 4) Trichomoniasis
Trichomoniasis
A female client tells the nurse that vaginal intercourse with her partner is not as exciting as it used to be. Which of the following could the nurse teach her? 1) Use of Kegel exercises 2) Use of the BETTER model 3) Voyeurism 4) Masturbation
Use of Kegel exercises
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? 1) VDRL 2) HPV 3) Pap smear 4) Wet preparation
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? 1) Vaginismus 2) Dyspareunia 3) Orgasmic dysfunction 4) Celibacy
Vaginismus
The nurse should inform a young female client that the barrier method providing the bestprotection against sexually transmitted infections (STIs) is: 1) condoms 2) a diaphragm 3) a cervical cap 4) spermicides
condoms
When a man cannot achieve an erection, the phase of the sexual response in which the man is experiencing difficulty is: 1) refractory phase 2) obligatory phase 3) excitement phase 4) orgasmic phase
excitement phase
During the orgasmic phase of the sexual response, the woman may experience: 1) vaginal relaxation 2) bradycardia 3) hypoventilation 4) hypertension
hypertension
The nurse is providing education about sexuality to a group of college freshman. One of the terms he discusses is gender identity. Which of the following describes gender identity? 1) preferred gender of the partner of an individual 2) desire to wear the clothes of the opposite sex 3) behavior conveyed about being male or female 4) inner sense of being male or female
inner sense of being male or female
The nurse is caring for a client diagnosed with vaginismus. When reviewing the client's history, what would the nurse would expect to find? 1) past history of a rape 2) past history of an STI 3) multiple vaginal births 4) the client is in the first trimester of pregnancy
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: 1) sexual identity problems 2) primary impotence 3) secondary impotence 4) ejaculatory dysfunction
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: 1) decrease fear of sexual expression 2) enhance prevention with free care 3) promote general health and wellness 4) stop sexual promiscuity in the country
promote general health and wellness
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? 1) skin-to-skin contact can spread herpes and genital warts 2) oral-genital contact is safe with use of a barrier method 3) use of public restrooms increases the risk of contracting HIV 4) avoid multiple partners to reduce the risk of being infected
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: 1) the fertilization process occurs in the outer third of the fallopian tube 2) fertilization is a process that occurs in the lower portion of the cervix 3) an ovum can be fertilized during a period of 1 week after intercourse 4) the first 2 months after fertilization is critical for the embryo
the fertilization process occurs in the outer third of the fallopian tube
The nurse is speaking to a client regarding his sexual history. The client states, "I was born with a penis but I should have had a vagina." The nurse would document the client's gender identity as: 1) transsexual 2) homosexual 3) bisexual 4) transvestite
transsexual
The term that is used to describe the female client who states that she's a man trapped in a women's body is: 1) bisexual 2) homosexual 3) heterosexual 4) transsexual
transsexual
