Sexuality NCLEX questions
What are the uterus and vagina connected by?
A: Cervix B: Fallopian tubes C: Clitoris D: ovaries A: Cervix rationale the cervix is the structure at the lower portion of the uterus that connects the uterus and vagina.
A 49-year-old woman has sought care from her primary care provider because of "intimacy problems". Upon questioning, I the woman reveals that she is experiencing sexual desire, but the intercourse causes her significant pain. In the absence of sexual activity, the woman states that she does not have any significant vaginal discomfort. What should the clinician recognize that this patient is most likely experiencing?
A: Dyspareunia B: a sexually transmitted infection (STI) C: Vaginismus D: Vulvodynia A: Dyspareunia rationale Dyspareunia is painful intercourse. Vaginismus is characterized by difficult penetration rather than acute pain during intercourse, vulvodynia is associated with pain that is not limited to intercourse. And STI may or may not be contributing to the woman's problem, though most cases of dyspareunia are related to infections.
What is associated with the resolution phase of the male sexual response cycle?
A: Increased blood flow to the penis B: feelings of relaxation and fulfillment C: the ability to begin the excitement phase again D: intense physical pleasure B: Feelings of relaxation and fulfillment rationale: 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 refactory period during which he is incapable sexual response. Blood flow to the penis returns to normal levels during the resolution phase.
A 50-year-old man has a long history of type I diabetes, which poorly controlled. What does diabetes greatly increase the man's risk of experiencing?
A: Retarded ejaculation B: Premature ejaculation C: Erectile dysfunction D; Sexually-transmitted infections C; Erectile dysfunction rationale diabetes mellitus is significant risk factor for erectile dysfunction. Retarded or premature ejaculation is less likely, since these problems do not have vascular etiology. Diabetes does not behave an appreciably increased risk of developing STIs, though persons with diabetes do have an increased susceptibility to infections of all kinds.
A school nurse is providing a class on sexually-transmitted infections (STIs). Which statement is correct regarding STI's?
A: STI's are more prevalent among teenagers and young adults B: STI disproportionately affect people with a lower social economic status and education. C: the incidence of STI is decreasing due to limited sex partners D: the signs and symptoms of STI are obvious. A:STI's are more prevalent among teenagers and adults. Rationale STIs are more prevalent among teenagers and young adults, and nearly 2/3 of all STIs occur people younger than 25 years age. The incident of STI is increasing due to multiple sex partners and sexual activity at a younger age. STI affect men and women of all backgrounds and economic levels.
After receiving information on various forms of birth control, a young couple decides to use a barrier methods 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: a cervical cap B: a diaphragm C: a condom D: the vaginal sponge B: a diaphragm rationale a diaphragm in the dome shaped device made from latex rubber that mechanically prevents semen from coming in contact with the cervix, and it holds a spermicidal jelly in place against the cervix. A kind of rolls over an erect penis collects the semen after ejaculation. A cervical cap is placed over the cervix and may be left in place for up to three days. A vaginal sponge contains spermicide and of a reservoir to hold the semen.
The nurse is justified in assessing for sexual dysfunction in patients who are receiving:
A: antibiotic B: antihypertensives C: nonsteroidal anti-drugs D: bronchodilators B: antihypertensives rationale antihypertensives are among the drug implicated in sexual dysfunction. Antibiotics, bronchodilators, and NSAIDs do not typically have this effect.
A patient reports for a preoperative appointment in preparation for surgery that will change his body from a female to male. The patient has expressed to the nurse and physician that he should been born a man. What sexual orientation is the patient demonstrating?
A: bisexual B: transsexual C: homosexual D: transvestite B: transsexual rationale: A transsexual is a person of certain biological gender who has the feelings of the opposite sex, and the person is trapped within the body of the wrong sex. For many transsexuals, the solution is to change their bodies. A homosexual is one who experiences sexual fulfillment with a person of the same gender. A bisexual is a person who finds pleasure with both the opposite sex and same-sex partners. A transvestite is an individual who desires to take on the role or where the clothes of the opposite sex.
A nurse is conducting a healthy living workshop with a group of female college students. Which of the following methods of contraception should the nurse recommend as a means of preventing pregnancy and sexually transmitted infections?
A: condoms B: Intrauterine devices (IUD) C: Coitus interruptus. D: oral contraceptives A: condoms rationale Coitus interruptus, oral contraceptives, and IUD provide no protection against STIs, while condoms provide significant (but imperfect) protection against both pregnancy and STIs.
During a routine physical exam, a male patient forms the nursethat he frequently participates in anal intercourse with his new girlfriend. The nurse discusses this practice with the patient by informing the patient that:
A: condoms are recommended for anal intercourse. B: anal intercourse and be avoided C: lubricants should be avoided during anal intercourse D: the rectal mucosa is thick and Withstand vigorous activity. A: condoms are recommended for anal intercourse. Rationale Condoms are recommended for anal and vaginal intercourse to prevent sexually transmitted diseases. Care should be used to avoid injury to the delicate rectal mucosa, and lubrication is necessary for comfort.
A female patient experienced a pelvic fracture in a motor vehicle accident several months earlier and her recovery has been slow. Among the challenges presented by event is the fact that sexual activity causes a dull ache in her pelvis.What diagnosis is most important for this patient?
A: disturbed body image B: sexual dysfunction: Dyspareunia C: alteration in comfort: Pain D: altered sexuality patterns: change in sexual expression C: alteration in comfort: pain rationale The patient's change in sexual behavior is directly attributable to the pain of her injury. There is no evidence of alterations and her sexual expression or a disturbed body image. Dyspareunia involves genital, rather than skeletal, pain.
A female patient informs the nurse that her husband is concerned about her sexual response. The patient reports that during stimulation her husband has noticed her clitoris disappears, and he wonders if she is enjoying the experience despite her positive responses to his stimulation. The nurse explains that building excitement and retraction of the clitoris are normal characteristics of which stage of the sexual response cycle?
A: excitement phase B: resolution phase C: orgasm D: plateau phase D: plateau phase rationale during the plateau phase, the intensity of excitement increases but not enough to cause orgasm. The female clitoris reacts and disappears under the clitoral hood. This phase may last for 15 to 20 minutes. The excitement phase is initiated by erotic stimulation and arousal, and physiologic changes begin. Orgasm defines the climax and sexual explosion of the tension that has been building during the preceding phases. The resolution phase is the return to normal body function.
A male patient informs the urology nurse that he is embarrassed because his wife rarely has time to reach sexual satisfaction because the experiences an orgasm as soon as he enters the vagina . What is the condition best known as?
A: impotence B: erectile failure C: retarded ejaculation D: premature ejaculation Premature ejaculation rationale premature ejaculation is a condition in which a man reaches ejaculation or orgasm before or soon after entering the vagina. Erectile failure, also known as impotence, is the inability of a man to maintain an erection to the extent that he cannot have satisfactory intercourse. Retarded ejaculation refers to a man's inability to ejaculate into the vagina or delayed intravaginal ejaculation.
During the menstrual cycle, when does ovulation typically take place?
A: on day one of a new cycle B: on day 14 C: from days 15 to 28 D; when sperm is present B: on day 14 rationale ovulation generally occurs on day 14 when the mature ova ruptures from the follicle and the surface of the ovary and is swept into the fallopian tube. Monday 15 to day 28, the phase and ovaries is called the luteal phase.
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 to best respond to this individual's assertion?
A: resource as shown the nature of sexual activity changes with age but that it actually becomes more frequent. B: that's true, but it's important for us to give them the teaching they need in order to resume this part of their relationship. C: it's true that they probably stopped having sexual activity, but it's important for them to have companionship. D: actually it's not ture that older people always stop having sexual activity when they get older. D: actually it is not ture that older people always stop having sexual activity when they get older. Rationale Sexual activity need not be hindered by age. There's no evidence, however, that it becomes increasingly frequent and late adulthood.
Which of the following statements best describes the relationship between biologic sex and gender identity?
A: sex is chromosomally determined, while gender is a psychosocial construct. B: Biologics sex and gender identity are considered synonymous in nursing practice C: Biologics facts and gender identity are both modifiable by surgery and medical interventions. D: Biologic sex is genetically determined but gender identity is chosen during adolescence. A: sex is chromosomally determined, while gender is a psychosocial construct. Rationale biologic sex is the term used to denote chromosomal sexual development. Gender identity is the inner sense a person has of being male or female. As such, Biologic sex is amenable to medical intervention, but surgery and hormone therapy will not change individuals inner sense of being male or female. Gender identity is not commonly thought to be chosen or objectively selecting during adolescence.
Which of the following assessment questions is most likely to yield clinically meaningful data about a female patients sexual identity?
A: you ever had any sexually-transmitted diseases in the past? B: how do you feel about yourself as a woman? C: do you find that your health allows you to enjoy a meaningful sex life? D: are you satisfied with the quality of your relationships right now? B: how do you feel about yourself as a woman? Rationale Sexual identity is a broad concept that includes, but supersedes, sexual functioning. However, it is more specific than simply asking about the quality of relationships. Asking an open-ended question about how the patient feels about herself as a woman is likely to elicit important insights. Assessing the patient's history of STIs does not directly address her sexual identity.
The nurse should inform a young female client that the barrier method providing the best protection against STIs is:
A; Spermicides B: Condoms C: A cervical cap D: A diaphragm B: condoms rationale condoms provide effective (though imperfect) protection against STIs. Spermicides, diaphragms, and cervical cap donot provide effective protection against STIs.
A mother expressed concern because her three-year-old son is fondling his penis. The mother does not know the best approach for the child's behavior. What is the nurses response to the mother?
AA: "this is a strong sign that he is ready for toilet training" B: "you should just discourage this behavior now before it worsens as he gets older" C: "this this normal behavior for a child of his age" D: "we should obtain a urine sample to assess for an infection" C: "this is normal behavior for a child of the age" rationale children ages 1 to 3 enjoyed fondling their genitals. Punishment for genital fondling may lead to guilt and shame regarding sexual behavior later in life.
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 finorms the nurse that she needs job but is embarrassed that she performs these favors. The nurse informs the patient that is his illegal behavior and is called:
AA: environmental harassment B: fetishism C: quid pro quo harassment D: hostile environment harassment C: quid pro quo harassment rationale quid pro quo means that something is given or withheld in exchange for something else. It generally occurs with 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 the situation 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.
