Deck 19: Sexuality

Question 1

A 55-year-old male patient post-myocardial infarction (MI)queries the nurse caring for him whether he will be healthy enough for sexual activity after discharge from the hospital.The patient has been prescribed anti-hypertensives and beta-blockers.While health teaching,the nurse understands that the three phases of the four-stage model of the human sexual response cycle that are of concern for this patient include

A) excitement, plateau, and orgasmic.
B) plateau, orgasmic, and resolution.
C) excitement, orgasmic, and resolution.
D) arousal, excitement, and plateau.

Answer 1

excitement, plateau, and orgasmic.

Question 2

Preventing infection remains the most effective way of reducing the adverse consequences of sexually transmitted infections,in particular those that are not readily curable.Nurses are often able to reassure the patient enough to open dialog regarding possible exposure,testing,and treatment options.When assessing high-risk behaviors,which question specifically identifies a blood-related risk?

A) "Have you ever received donor semen, eggs, or transplanted tissue?"
B) "Have you ever exchanged sex for drugs, money, or shelter?"
C) "How do you protect yourself from HIV and sexually transmitted infections?"
D) "Have you ever injected drugs using shared equipment?"

Answer 2

"Have you ever received donor semen, eggs, or transplanted tissue?"

Question 3

A thorough assessment of sexual health includes laboratory and other diagnostic procedures.Tests are ordered at the provider's discretion based upon gender and lifestyle of the patient.A 37-year-old heterosexual African-American man has come for his annual health screening.Which test must the nurse ensure is ordered for this patient?

A) Human papilloma virus (HPV)
B) Prostate-specific antigen (PSA)
C) HIV
D) Venereal disease research laboratory (VDRL)

Answer 3

Prostate-specific antigen (PSA)

Question 4

In order to fully assess the patient and plan appropriate care including health teaching regarding sexuality,it is important for the nurse working in either a primary care or hospital setting to be cognizant that some groups of patients will have an increased risk for problems related to the concept of sexual health.Which patient is most at risk for sexual abuse?

A) A recently divorced 50-year-old woman
B) A Hispanic teenage girl
C) A 30-year-old African-American male
D) An individual with intellectual or developmental disabilities

Question 5

Primary strategies are those that are implemented in order to avoid the development of disease.These strategies can be either population-based or individually-based.As a school nurse,you are developing a curriculum for a junior human sexuality class.In order to provide the most up-to-date information,you are aware that the single most effective primary prevention strategy for preventing sexually transmitted diseases is

A) a vaccine to prevent HPV infection.
B) HIV screening.
C) education directed at high-risk behaviors.
D) the male condom.

Question 6

Sexual dysfunction is a negative consequence of human sexuality manifested by any disturbance to the psycho-physiologic changes that occur during the sexual response cycle.Which statements related to sexual dysfunction are correct? (Select all that apply.)

A) Biological factors play a more significant role than psychologic factors.
B) Sexual dysfunction is more prevalent among men than women.
C) The best predictor of sexual health is emotional well-being.
D) The patient with sexual dysfunction is at risk for anxiety and depression.
E) Sexual dysfunction remains uncommon.

Question 7

Symptoms of sexual dysfunction and altered body image often coexist with prolapse of the female reproductive organs.Nursing care requires a great deal of sensitivity,because many women are embarrassed by their condition.Your patient is a 44-year-old married woman who is complaining of painful intercourse and incontinence.Clinical evaluation reveals that the patient has a cystocele.Which treatment option is most appropriate for this patient?

A) Pelvic floor training
B) Vaginal pessaries
C) Surgical correction
D) Lifestyle changes