scc quarter 3 nurs 113 Chapter 44: Sexuality
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?"
What is associated with the resolution phase of the male sexual response cycle?
Feelings of relaxation and fulfillment
During hospitalization for a suicide attempt, the patient 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 patient informs the nurse that she needs the job but is embarrassed that she performs these favors. The nurse informs the patient that this is illegal behavior and is called:
quid pro quo harassment.
A nurse is counseling a couple who expressed that they are having difficulty conceiving. Which of the following could the nurse consider as a cause?
Changing developmental stage
The nurse is preparing a talk on health issues in the LGBT population. Which statistics would the nurse include?
LGBT youth are 2 to 3 times more likely to attempt suicide.
What statements best describes the relationship between biologic sex and gender identity?
Sex is chromosomally determined, while gender is a psychosocial construct.
The term that is used to describe the female client who states that she's a man trapped in a women's body is
Transsexual
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 gerontology nurse is discussing sexual dysfunction with an elderly male client. The nurse sees that learning has occurred when the client states which of the following?
"Malnutrition may cause impotence."
The nurse recommends a barrier method of contraception for a patient who is concerned about the side effects of hormonal contraception. What method might the nurse suggest?
Cervical cap
The nurse conducting a community health promotion class on sexualty includes that a person's biological sex is determined by
External and internal genitalia
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
Sexual orientation
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?
Smokes 1 pack cigerettes per week
The nurse caring for patients 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 nurse reads a client's chart and sees that she may have dyspareunia. Which of the following would be priority assessments?
• History of hormonal imbalance • Client's ability to use vaginal lubricants during sexual act • Physical assessment of internal and external genitalia
Which sexually transmitted infection has the following characteristics: thin, foamy, greenish vaginal discharge that causes itching of the vulva and vagina?
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?
Use of Kegel exercises
What assessment questions is most likely to yield clinically meaningful data about a female patient's sexual identity?
"How do you feel about yourself as a woman?"
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."
The nurse is teaching a class of high school students about sexuality. After class the nurse is approached by Peggy, a 16-year-old female, who eventually discloses to the nurse that she has always had an inner sense that she was a male. The term for this is
Gender identity
sexually transmitted infection has the following characteristics: foul-smelling, thin, grayish-white vaginal discharge?
Nonspecific vaginitis
The nurse is assessing the sexual health of a 20-year-old female client. 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." Which of the following would the nurse use when documenting the client's complaint?
Vaginismus
Dyspareunia refers to
pain and burning during intercourse.
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?
The choice not to start a family.
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?
"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
"Gender role behavior is the behavior a person conveys about being male or female."
A nurse reads in a client's chart that he or she has gender dysphoria. The nurse knows that the client understands the diagnosis when he or she says
"People whose biologic sex at birth is contrary to the gender they identify with have gender dysphoria."
A nurse reads in a client's chart that he or she has gender dysphoria. The nurse knows that the client understands the diagnosis when he or she says which of the following?
"People whose biologic sex at birth is contrary to the gender they identify with have gender dysphoria."
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
A teenage female is in the community health clinic seeking contraception. The community health nurse demonstrates effective health promotion and prevention with the client when including which of the following in the health education teaching plan?
Contraception plans prior to initiation of sexual activity.
When a man cannot achieve an erection, the phase of the sexual response in which the man is experiencing difficulty is the
Excitement phase
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?
Exploring alternate positions for intercourse
The nurse is advising an adolescent male about sexual myths that have him concerned. Which statements describe accurate patient teaching regarding these concerns?
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.
During the menstrual cycle, when does ovulation typically take place?
On day 14
The nurse assessing an adolescent's need for further information should ask which of the following questions?
What questions or concerns do you have about your sexual health??
The community health nurse is preparing for a family planning clinic. The nurse knows the following factors influence contraceptive choices
• Age • Marital status • Desire for future pregnancy • Religious beliefs • Level of education
