Sexuality and sexual wellness Flashcards

1
Q

A nurse practitioner prescribes Dilantin (phenytoin) to a 66-year-old female with a history of epilepsy. Determine a side effect of the medication that the nurse practitioner should review with the patient.

Anorgasmia

Reduced sexual response

Impaired sexual health

Enhanced sexual response

A

Impaired sexual health

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2
Q

A nurse practitioner is evaluating a patient for sexual dysfunction. Predict a condition as a risk factor for sexual dysfunction.

History of pelvic radiation from uterine cancer

History of varicella-zoster infection

History of melanoma

History of human papillomavirus

A

History of pelvic radiation from uterine cancer

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3
Q

A nurse practitioner is interviewing a new patient to obtain a sexual health history. Propose a question that the nurse practitioner should include in the interview.

Why do you care about sexual health?

Who are you having sexual activity with?

What brings you in today for a visit?

What are specific details about your sex life?

A

What brings you in today for a visit?

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4
Q

A nurse practitioner has a 45-year-old female’s subjective data to identify issues related to sexual health. Propose information about gynecological history that the nurse practitioner would want to obtain from the patient.

Number of pregnancies

Date of last colonoscopy

Vaccination history

History of eating disorders

A

Number of pregnancies

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5
Q

A nurse practitioner is evaluating a female who has a history of sexual dysfunction. Predict a possible factor for sexual dysfunction in the review of the patient’s history.

History of situational anxiety

History of general anxiety disorder

History of lupus

History of hypothyroidism

A

History of general anxiety disorder

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6
Q

A 44-year-old female patient takes a selective serotonin reuptake inhibitor (SSRI). Recommend a sexual health concern that the nurse practitioner should share with the patient.

Decreased sexual response

Increased arousal response

Increased vulvar congestion

Reduced vaginal wall elasticity

A

Decreased sexual response

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7
Q

A nurse practitioner is discussing sexual health with a 72-year-old female with a personal history of chronic renal failure. Propose an accurate statement from the nurse practitioner.

Sexual dysfunction occurs more commonly before menopause.

Chronic diseases, such as renal failure, do not impact your sexual health.

Postmenopausal women often have changes to their sexual health.

Chronic renal failure does not affect sexual health.

A

Postmenopausal women often have changes to their sexual health.

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8
Q

A nurse practitioner is reviewing sexual health with a colleague. Determine a component of health that also affects sexual health.

Relationship well-being

Emotional well-being

Occupational health

Financial well-being

A

Emotional well-being

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9
Q

A 44-year-old female patient takes a selective serotonin reuptake inhibitor (SSRI). Recommend a sexual health concern that the nurse practitioner should share with the patient.

Reduced vaginal wall elasticity

Reduced sexual well-being

Increased vulvar congestion

Increased sexual plateau phase

A

Reduced sexual well-being

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10
Q

A nurse practitioner is discussing sexual health with a 72-year-old female with a personal history of chronic renal failure. Propose an accurate statement from the nurse practitioner.

Chronic renal failure does not affect sexual health.

Chronic diseases, such as renal failure, do not impact your sexual health.

Sexual dysfunction occurs more commonly before menopause.

Having renal disease is related to sexual dysfunction.

A

Having renal disease is related to sexual dysfunction.

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11
Q

A nurse practitioner is conducting an annual visit with a female with schizophrenia and depression. Determine a concern that the nurse practitioner should address with sexual health in a female with a disability.

Forced sexual activity

Financial abuse

Lack of resources

Neglect

A

Forced sexual activity

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12
Q

A nurse practitioner is evaluating a female who has a history of sexual dysfunction. Predict a possible factor for sexual dysfunction in the review of the patient’s history.

History of lupus

Family history of obesity

History of hypothyroidism

History of sexual assault

A

History of sexual assault

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13
Q

A nurse practitioner is discussing factors that affect sexual response in women with a group of nursing students. Determine a factor that the nurse practitioner should include in the discussion.

Stress factors

Psychological factors

Internal drives

Factors associated with age and gender

A

Psychological factors

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14
Q

A nurse practitioner prescribes Dilantin (phenytoin) to a 66-year-old female with a history of epilepsy. Determine a side effect of the medication that the nurse practitioner should review with the patient.

Increased response to sexual stimulation

Increased interest in sexual activity

Sexual dysfunction

Anorgasmia

A

Sexual dysfunction

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15
Q

A nurse practitioner is evaluating a patient for sexual dysfunction. Determine a risk factor that the nurse practitioner would identify in the medical record.

History of hemiplegia

Use of condoms and spermicide for contraception

Insomnia

Menorrhagia

A

History of hemiplegia

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16
Q

A nurse practitioner is discussing sexual response with a female patient. Propose a factor that is often more related to sexual response in females compared with males.

Genital contact

Physical touch

Genital sensation

Attention to feelings and emotions

A

Attention to feelings and emotions

17
Q

A nurse practitioner is evaluating a postmenopausal patient for sexual dysfunction. Determine a symptom that the nurse practitioner will note as significant when considering sexual function.

Reduced vulvar congestion

Increased cervical blood flow

Increased vaginal elasticity

Dyspareunia

A

Dyspareunia

18
Q

A premenopausal female with functional limitations due to disability presents for an annual physical exam. Recommend a topic that the nurse practitioner should address with the patient.

Hormone assessment

Physical activity

Menopausal risk reduction

Reproductive plan

A

Reproductive plan

19
Q

A nurse practitioner is discussing the sequence of sexual responses with a female patient. Determine a sexual response that the nurse practitioner will include in the discussion.

Arousal

Dyspareunia

Satisfaction

Satiety

A

Arousal