LEVEL 3 - HCC - SEXUALITY

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? a) "Gender role behavior is the behavior a person conveys about being male or female." b) "Gender identity refers to the preferred gender of a person's partner." c)"Sexual orientation is the term used to denote chromosomal sexual development." d) "Biologic sex is the inner sense a person has of being male or female."

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

The nurse is teaching a male adolescent how to use a condom. Which teaching points would the nurse include? Select all that apply. a) "If the condom does not have a nipple receptacle, leave a small space at the end for semen to collect." b) "Roll the condom onto the penis before it becomes erect." c) "Use a condom with every act of intercourse." d) "If using a lambskin condom, the condom may be reused a second time." e) "Immediately after ejaculation remove the condom and discard it." f) "Do not use a spermicide with the condom."

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

The nurse knows that there are three basic charting methods in predicting ovulation in order to prevent pregnancy. (Select All That Apply) a) Cervical mucus method b) Calendar method c) Temperature method d) Hormonal method

a) Cervical mucus method b) Calendar method c) Temperature method

The nurse is justified in assessing for sexual dysfunction among male clients who are receiving which of the following? a) Anthihypertensives b) Antibiotics c) Bronchodilators D) NSAIDs

a) antihypertensives Explanation: Antihypertensives are among the drugs implicated in sexual dysfunction. Antihypertensives can decrease forceful blood flow to the penis, making it difficult to achieve an erection. Antibiotics, bronchodilators, and NSAIDs do not typically have this effect.

In the female reproductive system, what corresponds with the male penis? a) clitoris b) urethral meatus c) skene glands d) mons pubis

a) 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? a) dyspareunia b) vaginismus c) vulvodynia d) a sexually transmitted infection (STI)

a) dyspareunia

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? a) transsexual b) bisexual c) transvestite d) gender role behavior

a) transsexual

A school nurse is providing a class on sexually transmitted infections (STIs). Which statement is correct regarding STIs? a) STIs disproportionately affect people with a lower socioeconomic status and education. b) STIs are more prevalent among teenagers and young adults. c) All signs and symptoms of a UTI are obvious.

b) STIs are most prevalent amount teenagers and young adults. Explanation: STIs are most prevalent among teenagers and young adults, and nearly two- thirds of all STIs occur in people younger than 25 years of age. The incidence of STIs is increasing due to multiple sex partners and sexual activity at a younger age. STIs affect men and women of all backgrounds and economic levels. Not all signs and symptoms of STI's are obvious such as HIV/AIDS. Reference:

A nurse is conducting a seminar for a group of young adult women about the menstrual cycle. When discussing the hormones involved during the various phases, the nurse explains that estrogen is dominant during which phases of the cycle? Select all that apply. a) Luteal phase b) Proliferative phase c)Secretory phase d)Ovulatory phas e) Follicular phase

b) proliferative phase e) follicular phase

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. a) drainage is physiologic and normal. b) the patient may have trichomoniasis c) drainage is caused by vaginal dryness d) the patient may have chlamydia

b) the patient may have trichomoniasis

The nurse determines that a female client understands how to perform breast self-examination when the client states: a) "I should palpate the breast in a random manner with my thumb." b) "Dimples around the nipple are normal and increase with age." c)"The best time to perform the exam is 1 week after my period." d) "I should use my whole hand to feel for lumps and only at the nipple."

c) "The best time to perform the exam is 1 week after my period."

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? a) transsexual b) gender role behavior c) sexual orientation d) transvestite

c) sexual orientation

The testes are responsible for producing: a) progesterone and sperm b) thyroxin, testosterone and cortisol c) testosterone and spermatozoa d) estrogen and testosterone

c) testosterone and spermatozoa

Which sexually transmitted infection has the following characteristics: thin, foamy, greenish vaginal discharge that causes itching of the vulva and vagina? a) nonspecific vaginitis b) herpes simplex 1 c) trichomoniasis d) herpes simplex 2

c) trichomoniasis

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? a) orgasmic dysfunction b) dyspareunia c) vaginismus d) celbacy

c) vaginismus

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? a) "People who experience sexual fulfillment with a person of the opposite sex have gender dysphoria." b) "Gender dysphoria is a condition in which there are contradictions among chromosomal sex, internal organs, and external genital appearance." c)"People whose biologic sex at birth is contrary to the gender they identify with have gender dysphoria." d)"People who find pleasure with both opposite-sex and sam-sex partners have gender dysphoria."

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

The nurse assessing an adolescent's need for further information regarding sexual health should ask which question? a) "Have you ever been diagnosed with a sexually transmitted infection?" b) "Are you involved in an intimate relationship at this time?" c)"What questions or concerns do you have about your sexual health?" d)"How many sexual partners have you had?"

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

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: a) "I need to be able to walk a mile in order for sexual intercourse to not be dangerous." b) "Malnutrition may cause impotence." c) "Erectile dysfunction, caused by diabetes, has no treatment." d) "Antihypertensive medication will not affect sexual function."

d) "Antihypertensive medication will not affect sexual function."

What is associated with the resolution phase of the male sexual response cycle? a) stimulation continues and the individual experiences: increase resp, pulse, BP, and skin flushing. b) orgasm occurs c) the body physically responds to sexual desire (erection, nipples erect, swelling of labia) d) feelings of relations and fulfillment

d) feelings of relaxation and fulfillment Explanation: The resolution phase of the sexual response cycle is associated with feelings of relaxation, fatigue, and fulfillment. The most intense pleasure of a physical nature takes place during orgasm, and the male experiences a refractory period during which he is incapable of sexual response. Blood flow to the penis returns to normal levels during the resolution phase.

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? a) past history of infection b) increasing age c) lack of exercise d) history of hypertension

d) history of hypertension

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? A) hostile environment harassment b) environmental harassment c) fetishism d) quid pro quo harassment

d) quid pro quo harassment Explanation: Quid pro quo means that something is given or withheld in exchange for something else. It generally occurs when a person in a position of authority offers either direct or indirect reward or punishment based on the granting of sexual favors. Environmental harassment and hostile environment harassment are identical situations and occur when workplace behaviors of a sexual nature create a hostile, intimidating environment that interferes with a person's work performance. Fetishism is sexual arousal with the aid of an inanimate object not generally associated with sexual activity.

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? a) "If your male partner doesn't have genital warts, you will not get them." b)"Have the Norplant system implanted in your arm." c)"Douching will help to prevent them." d)"Get the human papillomavirus vaccine."

d)"Get the human papillomavirus vaccine."