PP: RNSG 1538 Sexuality Mastery Quiz
"I can participate in sexual activity but might not experience orgasm."
As a first step in teaching a woman with a spinal cord injury and quadriplegia about her sexual health, the nurse assesses her understanding of her current sexual functioning. Which statement by the client indicates she understands her current ability?
Anti-hypertensives.
The nurse is justified in assessing for sexual dysfunction among male clients who are taking:
has a known history of sexually transmitted disease.
The nurse is caring for a client recently diagnosed with hepatitis C. In reviewing the client's history, what information will be most helpful as the nurse develops a teaching plan? The client:
location of the possible sources of infection
What should the nurse include in a community health program designed to control sexually transmitted infections (STIs)?
Cervical mucus is carefully monitored for changes.
A 20-year-old nulligravid client expresses a desire to learn more about the symptothermal method of family planning. Which information would the nurse include in the teaching plan?
severe tenderness and swelling in the scrotum.
A 28-year-old male is diagnosed with acute epididymitis. The nurse should assess the client for:
sexually transmitted infection.
A 30-year-old client is being treated for epididymitis. Teaching for this client should include the fact that epididymitis is commonly a result of a:
Participating in psychotherapy
A 39-year-old client tells the nurse that he wants to undergo gender reassignment surgery because he feels trapped in his male body. What is the priority intervention for this client?
Dyspareunia.
A 49-year-old woman has sought help from her primary care provider because of "intimacy problems." Upon questioning, the woman reveals that she is experiencing sexual desire, but that intercourse causes 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?
more than 50% of the cases are attributed to organic causes.
A 65-year-old male client with erectile dysfunction (ED) asks the nurse, "Is all this just in my head? Am I crazy?" The best response by the nurse is based on the knowledge that:
the cells could cause various conditions and help identify a problem early.
A client asks the nurse to explain the meaning of her abnormal Papanicolaou (Pap) smear result of atypical squamous cells. The nurse should tell the client that an atypical Pap smear means that:
This is normal development
A nurse is assessing a 10-year-old girl. The girl's mother informs the nurse that she's concerned about her daughter's breasts. The nurse assesses the breasts and notes the areola and nipple protrude slightly. Which statement by the nurse is an appropriate response?
suggest referral to a sex counselor or other appropriate professional.
A nurse is assigned to care for a postoperative client with diabetes mellitus. During the assessment interview, the client reports that he's impotent and says he's concerned about the effect on his marriage. In planning this client's care, the most appropriate intervention would be to:
safe sexual practices.
College freshman are participating in a study abroad program. When teaching them about hepatitis B, the nurse should instruct the students on the need for:
The neonate will remain on nothing-by-mouth (NPO) status until after surgery.
The father of a neonate diagnosed with gastroschisis tells the nurse that his wife had planned on breastfeeding the neonate. Which information should the nurse include in the preoperative teaching plan about feeding the neonate?
"I should not get sexually aroused or have any nipple stimulation."
The nurse has discussed sexuality issues during the prenatal period with a primigravida who is at 32 weeks' gestation. She has had one episode of preterm labor. The nurse determines that the client understands the instructions when she says:
Herpes infection
The nurse is completing a sexual history on a client. The client reports a history of having a sexually transmitted infection (STI) which lies dormant in the body and can reoccur, but does not remember the name. Which STI matches the client's description?
Women with gonorrhea are usually asymptomatic.
The nurse is developing a community health education program about sexually transmitted infections. Which information about women who acquire gonorrhea should be included?
Prepare the mother for a cesarean section
The nurse is working in the labor and child birth unit when a mother with active herpes simplex virus-Type 2 (HSV-2) appears in active labor. Which adjustment in the plan of care is anticipated?
decreases the effectiveness of hormonal contraceptives.
The nurse should caution sexually active female clients taking isoniazid (INH) that the drug:
Condoms
The nurse should inform a young female client that the barrier method providing the best protection against sexually transmitted infections (STIs) is:
avoid alcohol.
The nurse should teach the client with erectile dysfunction (ED) to alter his lifestyle to:
Provide the client the opportunity to communicate concerns and needs. Utilize communication strategies that enable the client to gain some feeling of control.
What should the nurse do for a client who is receiving hormone replacement for prostate cancer? Select all that apply.
Take a mild analgesic if needed for menstrual pain.
Which instructions about activities during menstruation would the nurse include when counseling an adolescent who has just begun to menstruate?
hypospadias
While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate's urinary meatus appears to be located on the ventral surface of the penis. The health care provider (HCP) is notified because the nurse suspects which complication?
dysuria
A female client with gonorrhea informs the nurse that she has had sexual intercourse with her boyfriend and asks the nurse, "Would he have any symptoms?" The nurse responds that in men the symptoms of gonorrhea include:
"A latex condom with spermicide provides the best protection against HIV transmission during sexual intercourse."
A female client with human immunodeficiency virus (HIV) receives family-planning counseling. Which statement made by the client about safer sex practices for persons with HIV is accurate?
STIs are most prevalent among teenagers and young adults.
A school nurse is teaching a class about sexually transmitted infections (STIs). Which statement is correct regarding STIs?
The alveolar cells being to secrete colostrum.
A woman's breasts undergo anatomic and physiologic changes during pregnancy and lactation. Which of the following is true?
"Because your surgery does not involve other organs or tissues, you will likely not notice much change in your sexual performance."
A young man with early-stage testicular cancer is scheduled for a unilateral orchiectomy. The client confides to the nurse that he is concerned about what effects the surgery will have on his sexual performance. Which response by the nurse provides accurate information about sexual performance after an orchiectomy?
"I can wait up to 4 days after intercourse to start taking these to prevent pregnancy."
A client has obtained levonorgestrel as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which statement?
The client's safety should be provided in a secure and private environment.
A client is being assessed for multiple lacerations resulting from an assault by an unknown paid sexual partner. The nurse must recognize what as a priority for this client?
reducing stressful life events may decrease the incidence of herpetic outbreaks.
A client is diagnosed with genital herpes, (herpes simplex virus type 2, or HSV-2). The nurse should instruct the client that:
Transsexual.
A client reports for a preoperative appointment in preparation for surgery that will change the client's body from female to male. The client, who was born biologically female, has expressed to the nurse and physician the wish to have been born with the body of a man. What identity is the client demonstrating?
depot medroxyprogesterone acetate injection
A client wants to avoid methods of birth control that contain estrogen. Which method would be the nurse recommend?
Expect an erection that may last up to 4 hours.
A client with erectile disorder is taking sildenafil (Viagra). What instructions should the nurse give the client?
Sexual drive and libido are unchanged.
A client with testicular cancer is scheduled for a right orchiectomy. The day before surgery, the client tells the nurse that he is concerned about the effect that losing a testicle will have on his manhood. Which information about orchiectomy should form the basis for the nurse's response?
"What childhood immunizations and illnesses did you have?"
After trying for a year to conceive, a couple consults a fertility specialist. When obtaining a history from the husband, which of the following questions should the nurse ask?
show the adolescent to a private examination room.
An adolescent presents to a community clinic for treatment of vulvar lesions associated with Type 2 herpes simplex. The nurse should:
"Actually it's not true that older people always stop having sexual activity when they get older."
An elderly couple who have just relocated to a long-term care facility have been unable to obtain a shared room. A staff member at the facility states that this should not be a concern and implies that sexual activity between the couple likely ceased many years ago. How should the nurse best respond to this individual's assertion?
The nurse should explain that the client might have concerns about resuming sexual activity, but is afraid to ask.
Two female nursing assistants approach a nurse on a cardiac step-down unit to report that a client who they have cared for earlier in the week, who experienced an acute myocardial infarction, made sexual comments to them. What is the best guidance for the nurse to offer to the nursing assistants?
Warm the speculum before insertion. Expand the speculum after insertion into the vagina. View the vaginal walls as the speculum is withdrawn.
A nurse is assisting a clinician to perform a complete pelvic examination on a female client. Which of the following should be done when performing a speculum examination? Select all that apply.
should retain normal sexual drive and function.
A right orchiectomy is performed on a client with a testicular malignancy. The client expresses concerns regarding his sexuality. The nurse should base the response on the knowledge that the client:
Engage in sexual activity prior to taking the drug
A depressed client has been taking a selective serotonin reuptake inhibitor (SSRI) in the evening, and is upset because he cannot perform sexually due to erectile problems. What is the nurse's best response?
