Ch.45 PrepU
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."
During the sexual history interview, a client tells the nurse about experiencing sexual pleasure with both female and male companions. Which sexual health topic(s) will the nurse explore with the client? Select all that apply.
"Describe to me how you would handle someone verbally abusing you?" "Explain how you would deal with physical abuse." "What do you use to protect yourself from sexually transmitted infections?"
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."
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."
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."
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 sex therapist is educating nurses on methods of sexual stimulation that people use to gain satisfaction. The therapist determines that the nurses understand when what comment is made?
"One form of sexual stimulation is hugging."
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 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."
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."
The nurse is conducting a sexual history assessment of a 24-year-old female client, who casually remarks she would love to have sex with several actors. What is the best response from the nurse?
"What do you hope to accomplish by doing that?"
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?"
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
During a well-check visit of a toddler, the parent mentions that the child is exhibiting sexual behaviors. Which information on growth and development of a toddler will the nurse discuss with the parent?
Acknowledge that masturbation is normal.
Applying the American Psychiatric Association description of sexual response, place the phases in the order in which they would occur from first to last.
Appetitive Excitement Orgasm Resolution
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
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
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.
Excitement Plateau Orgasm Resolution
What is associated with the resolution phase of the male sexual response cycle?
Feelings of relaxation and fulfillment
During the menstrual cycle, when does ovulation typically take place?
On day 14
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
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.
A school nurse is providing a class on sexually transmitted infections (STIs). Which statement is correct regarding STIs?
STIs are most prevalent among teenagers and young adults.
A 19-year-old client scheduled for a vaginal exam is visibly upset and cancels the appointment when learning the clinic provider is a man. Which factor should the nurse prioritize when assisting this client?
Taught to avoid exposing herself to strangers
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 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.
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."
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."
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."
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 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
A nurse is explaining premenstrual syndrome to a female client. The client demonstrates understands when stating what may occur in the premenstrual phase?
Headache
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 nurse is preparing a talk on health issues in the lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ) population. Which statistic would the nurse include?
LGBTQ youth are more likely to attempt suicide.
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.
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 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
During the orgasmic phase of the sexual response, the woman may experience:
hypertension
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 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