tirdy foe nem Flashcards

1
Q

A nurse is caring for a 15-year-old who in the past 6 months has had multiple male and
female sexual partners. The nurse knows that the therapeutic statement that would be most
effective is

A

“I know you feel invincible, but STIs and unwanted pregnancy are a real risk. Let’s
discuss what you think is the best method for protecting yourself.”

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2
Q

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

Refer the patient to a family planning center or health professional.

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3
Q

Which patient is most in need of a nurse’s referral to adoption services?

A

An infertile couple religiously opposed to artificial insemination

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4
Q

The nurse is caring for a patient who recently had unprotected sex with a partner who
has HIV. The nurse informs the patient

A

“Highly active antiretroviral therapy has been shown effective in slowing the
disease process.”

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5
Q

An 18-year-old male patient informs the nurse that he isn’t sure if he is homosexual
because he is attracted to both genders. The nurse establishes a trusting relationship patient by
saying

A

“At your age, it is normal to be curious about both genders.”

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6
Q

A nurse is caring for a 35-year-old female patient who recently started taking
antidepressants after repeated 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

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7
Q

A mother brings her 4-year-old daughter to clinic. She states that she is upset because
she has caught her child masturbating. Which response by the nurse is best for calming the mother?

A

“That is a natural part of development. Your child is exploring and becoming
familiar with her body.”

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8
Q

A patient who has had several sexual partners in the past month expresses a desire to
use a contraceptive. Which contraceptive method should the nurse recommend?

A

Condom

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9
Q

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

Inform the patient that all encounters are confidential.

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10
Q

A patient admits that he knew for several months that he had an STI but did not report
it. The nurse knows that this is because many people with STIs

A

Are hesitant to admit they contracted an STI.

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11
Q

The nurse is leading a seminar about menopause and age-related changes. The nurse
knows that a patient does not fully understand the changes of aging when the patient says

A

“Orgasms are no longer achievable after menopause.”

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12
Q

A patient who had an ostomy placed 1 month ago states that he is feeling depressed
and does not want to participate in sexual activities anymore because he is afraid that his partner is
not physically attracted to him. Which nursing intervention will be most effective in helping this
patient resume sexual activity?

A

Discuss ways to adapt to new body image so the patient will be comfortable in
resuming intimacy.

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13
Q

A mother brings her 12-year-old daughter into a clinic and inquires about getting her
an HPV vaccine that day. The nurse informs the mother that the HPV vaccine

A

Requires a three-injection series to be fully effective.

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14
Q

A patient has been hospitalized from a motor vehicle accident for the past month. The
nurse notices that the patient has been becoming withdrawn and asks the patient if something is
upsetting him. The patient confides to the nurse that he wants to have sex with his spouse but is
afraid to in a hospital. How should the nurse proceed?

A

Arrange a schedule with the patient to allow for intimacy at a time when the patient
is well rested and able to participate in activity.

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15
Q

A nursing student is providing education to a group of older adults who are in an
independent living retirement village. Which of the following statements made by the nursing
student requires the nursing professor to intervene?

A

“You do not need to worry about getting a sexually transmitted infection at this
point in your life.”

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16
Q

A 12-year-old female patient complains that her periods are making her fat. Which
response by the nurse is most therapeutic?

A

“Does the weight fluctuate throughout the month, getting worse around the time of
your period?”

17
Q

A patient asks the nurse what signs and symptoms are associated with chlamydia. How
should the nurse respond?

A

The first signs that chlamydia presents are frequency and burning upon urination.

18
Q

A 15-year-old patient is concerned because her mother wants her to receive the HPV
vaccination, but the patient is unsure if she wants it. Which response by the nurse is most
therapeutic?

A

Ask the patient what concerns she may have about the vaccination.

19
Q

A male patient with diabetes who is taking medication for erectile dysfunction is
experiencing pain and discomfort related to the side effect of priapism. The nurse knows that this
patient is at greatest risk for

A

Impaired circulation due to medication.

20
Q

A 68-year-old female asks the nurse if a contraceptive is still necessary. What is the
best response by the nurse?

A

“Let’s discuss this further, what is your current level of sexual activity?”

21
Q

The patient expresses his attraction to the nurse who is caring for him. The patient asks
the nurse for her phone number. How should the nurse first attempt to handle the situation?

A

Redefine the boundaries of professionalism.

22
Q

A patient expresses concern that her partner no longer finds her attractive and is
considering having a three-way to spice up the relationship. Which response is the best option for
the nurse in this situation?

A

“Please help me understand how you are feeling about your relationship right now.”

23
Q

An older couple expresses concern because they are easily fatigued during sexual
intercourse and cannot reach climax. The nurse knows that older adults may have changes in sexual
functioning. What strategies to increase sexual stamina could the nurse offer?

A

Avoid alcohol and tobacco.

Eat well-balanced meals, and eliminate excess fats and sugars.

Plan sexual activity around a time when the couple feels rested.