Prep U Ch 44 Sexuality

Once a month

A nurse is educating a male client about testicular self-examination. The nurse would encourage the client to perform the exam at which frequency?

is exhibiting normal behavior.

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

How do you feel about yourself as a woman?

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

Trichomoniasis

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

inner sense of being male or female

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?

seek a female health care provider to perform the examination

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

excitement phase

When a man cannot achieve an erection, the phase of the sexual response *in which the man is experiencing difficulty is*:

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

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?

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

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?

STIs are most prevalent among teenagers and young adults.

A school nurse is providing a class on sexually transmitted infections (STIs). Which statement is correct regarding STIs?

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

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?

Dyspareunia

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?

external and internal genitalia

The nurse conducting a community health promotion class on sexualty includes that a person's biological sex is determined by which of the following?

The best time to perform the exam is one week after my period.

The nurse determines that a female client understands how to perform breast self-examination when the client states:

"Some oral contraceptives protect against STIs."

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

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

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.

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

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

Smokes 1 pack of cigarettes per week

The nurse working at a family planning clinic evaluates a client's risk for complications from oral contraceptives. Which of the following places the client at highest risk?

Menarche

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?

primary impotence. (secondary impotence occurs in men who have had full erections before but are just now having difficulty, whereas primary impotence occurs in men who have not been able to achieve an erection).

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:

Abstinence

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?

Possible complications from female genital mutilation (FGM) requiring further physical assessment

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?

Insertion of copper IUD

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?

Cervical cap

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?

testosterone and spermatozoa

The testes are responsible for producing:

how to chart her fertility pattern

The nurse knows that women may choose periodic abstinence for several reasons. In order to assist the client in her choice to return to sexual activity, while preventing pregnancy, the nurse should make sure to discuss which of the following with the client?

Exploring alternate positions for intercourse

A 60-year-old female client with a history of osteoarthritis in her hip confides to the nurse that "intercourse hurts my hip." Which of the following would be the best option for the nurse to suggest?

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

The nurse assessing an adolescent's need for further information should ask which of the following questions?

promote general health and wellness

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:

transsexual

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:

Vaginismus

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?

Profuse watery vaginal discharge

The nurse is caring for a patient diagnosed with human papillomavirus (HPV). What is a symptom of this STI?

"A mature sexual relationship does not require a man and woman to achieve simultaneous orgasm."

The nurse is discussing contraception with an adolescent patient who asks the nurse: "What if I can't have an orgasm?" What is the nurse's best response?

Antihypertensive medication

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

Get the human papillomavirus vaccine.

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?

The tampon should be changed frequently.

A 17-year-old girl tells the nurse she uses tampons and asks how she can cut down on odor during her period. What is the nurse's best response?

IUD placement within the past 3 months

A 23 year old female presents with the following symptoms: bleeding, feeling sad, headaches, increased acne, and recent weight changes. The nurse knows that the following need to be reviewed with the patient.

Three months if no symptoms of chest pain.

A couple have presented to the healthcare provider for a follow up visit following the husbands myocardial infarction (MI) one week ago. The nurse knows that education on resuming intimate sexual contact should be discussed. Which of the following is correct regarding the timeline for returning to sexual intercourse?

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:

VDRL

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?

On day 14

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

clitoris

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

the use of antihistamines, tranquilizers or alcohol

The client, a post-menopausal female, has come to see her primary care provider today due to complaints of painful intercourse for the last two months. The nurse knows to include the following in the assessment?

Sexual orientation

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?

Calendar Method Cervical Mucus Method Temperature Method

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

condoms.

The nurse should inform a young female client that the barrier method providing the best protection against sexually transmitted infections (STIs) is:

feelings of relaxation and fulfillment

What is associated with the resolution phase of the male sexual response cycle?