Chapter 34 Practice Questions - Sexuality Flashcards
A nurse is caring for a 15 year old who in the past 6 months has had multiple male and female sexual partners. Which response by the nurse will be most effective?
a. “Sexually transmitted infections and unwanted pregnancy are a real risk. Let’s discuss what you think is the best method for protecting yourself.”
b. “Having sexual interaction with both males and females places you at higher risk for STIs. To protect yourself, you need to decide which orientation you are.”
c. “Your current friends are leading you to make poor choices. You should find new friends to hang out with.”
d. “I think it’s best to notify your parents. They know what’s best for you and can help make sure you practice safe sex.”
a. “Sexually transmitted infections and unwanted pregnancy are a real risk. Let’s discuss what you think is the best method for protecting yourself.”
A nurse is caring for a patient who expresses a desire to have an elective abortion. The nurse’s religious and ethical values are strongly opposed. How should the nurse best handle the situation?
a. Attempt to educate the patient about the consequences of abortion.
b. Refer the patient to a family planning center or another health professional.
c. Continue to care for the patient, and limit conversation as much as possible.
d. Inform the patient that, because of immoral issues, another nurse will have to care for her.
b. Refer the patient to a family planning center or another health professional.
Which patient is most in need of a nurse’s referral to adoption services?
a. A woman considering abortion for an unwanted pregnancy
b. An infertile couple religiously opposed to artificial insemination
c. A woman who suffered miscarriage during her first pregnancy
d. An infertile couple who has been attempting conception for 3 months
b. An infertile couple religiously opposed to artificial insemination
The nurse is caring for a patient who recently had unprotected sex with a partner who has been diagnosed with human immunodeficiency virus (HIV). Which response by the nurse concerning initial medical care is best?
a. “You should have your blood drawn today to see if you were infected.”
b. “If you have the virus, you will have flulike symptoms in 6 months.”
c. “Highly active antiretroviral therapy has been shown effective in slowing the disease process.”
d. “I will set you up with a support group to help you cope with dying within the next 10 years.”
c. “Highly active antiretroviral therapy has been shown effective in slowing the disease process.”
A 16-year-old male patient informs the nurse that he isn’t sure if he is homosexual because he is attracted to both genders. Which response by the nurse will help establish a trusting relationship?
a. “Don’t worry. It’s just a phase you will grow out of.”
b. “Those are abnormal impulses. You should seek therapy.”
c. “At your age, it is normal to be curious about both genders.”
d. “Having questions about sexuality is normal but if these sexual activities make you feel bad you should stop.”
c. “At your age, it is normal to be curious about both genders.”
A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after repeated failed attempts at fertility treatment. The patient tells the nurse, “I feel happier, but my sex drive is gone.” Which nursing diagnosis has the highest priority?
a. Sexual dysfunction
b. Difficulty coping
c. Risk for self-directed violence
d. Deficient knowledge about contraception
a. Sexual dysfunction
A nurse is using the PLISSIT model when caring for a patient with dyspareunia from diminished vaginal secretions. The nurse suggests using water-soluble lubricants. Which component of PLISSIT is the nurse using?
a. P
b. LI
c. SS
d. IT
c. SS
A patient who has had several sexual partners in the past month expresses a desire to use a barrier contraceptive that will protect against pregnancy and sexually transmitted infections (STIs). Which contraceptive method should the nurse recommend?
a. Condom
b. Diaphragm
c. Spermicide
d. Oral contraceptive
a. Condom
A woman who has been in a monogamous relationship for the past 6 months presents to clinic with herpes on her labia. The patient is distraught because her partner must have cheated on her. Which response by the nurse is most effective in establishing an open rapport with a patient?
a. Share a story.
b. Inform the patient that all encounters are confidential.
c. Encourage the patient to break up with her partner for cheating.
d. Tell the patient that she must be honest about every sexual experience she has had.
b. Inform the patient that all encounters are confidential.
A nurse is preparing a community class about sexually transmitted infections. Which primary group will the nurse focus on for this class?
a. Bisexual women
b. Men who have sex with men
c. Youths between the ages of 24 and 27
d. Pregnant women and their partners
b. Men who have sex with men
The nurse is leading a seminar about menopause and age-related changes. Which response from a group member indicates the nurse needs to follow up?
a. “Hormones of sexual regulation decrease with aging.”
b. “Orgasms are no longer achievable after menopause.”
c. “The excitement phase is prolonged as we age.”
d. “As men age, their erection may be less firm.”
b. “Orgasms are no longer achievable after menopause.”
A patient who had a colostomy placed 1 month ago is feeling depressed and does not want to participate in sexual activities anymore. The patient is afraid that the partner does not want sex. The patient is afraid the ostomy is physically unattractive. Which initial nursing intervention will be most effective in helping this patient resume sexual activity?
a. Inform the patient about a support group for people with colostomies.
b. Reassure the patient that lots of people resume sex the same week the colostomy is placed.
c. Teach the patient about intimate activities that can be done to incorporate the ostomy.
d. Discuss ways to adapt to new body image so the patient will be comfortable in resuming intimacy.
d. Discuss ways to adapt to new body image so the patient will be comfortable in resuming intimacy.
A mother brings her 12-year-old daughter into a clinic and asks about getting a human papillomavirus (HPV) vaccine that day. Which information will the nurse share with the mother and daughter about the HPV vaccine?
a. Protects against human immunodeficiency virus (HIV).
b. Protects against cervical cancer.
c. Protects against chlamydia.
d. Protects against pregnancy.
b. Protects against cervical cancer.
A parent asks about the human papillomavirus (HPV) vaccine. Which information will the nurse include in the teaching session?
a. It is recommended for girls 6 to 9 years old.
b. It is recommended for females ages 11 to 26.
c. It is recommended that booster injections be given.
d. It is recommended to receive four required injections.
b. It is recommended for females ages 11 to 26.
A nursing student is providing education to a group of older adults who are in an independent living retirement village. Which statement made by the nursing student requires the nurse to intervene?
a. “Avoiding alcohol use will enhance your sexual functioning.”
b. “You need to tell your partner how you feel about sex and any fears you may have.”
c. “You do not need to worry about getting a sexually transmitted infection at this point in your life.”
d. “Using pillows and taking pain medication if needed before having sexual intercourse often help alleviate pain and improve sexual functioning.”
c. “You do not need to worry about getting a sexually transmitted infection at this point in your life.”
