Deck 27: Sexuality

Question 1

A mother brings her 10-year-old daughter into a clinic and inquires about getting her a human papillomavirus (HPV)vaccine that day.What information does the nurse give the mother?

A)The HPV vaccine is safe for children over the age of 9.
B)The HPV vaccine is recommended only after a girl or woman becomes sexually active.
C)The HPV vaccine will prevent a girl or woman from ever getting cervical cancer.
D)The HPV vaccine is not currently available for 10-year-old girls.

Answer 1

The HPV vaccine is safe for children over the age of 9.

Question 2

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.
B)Symptoms of chlamydia usually affect only women.
C)Small red blisters appear first and then multiply.
D)Dementia results if chlamydia goes untreated too long.

Answer 2

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

Question 3

When conducting an education session on the use of contraceptives,the nurse informs the group that which method has the lowest initial rate of effectiveness?

A)Use of a male condom.
B)Tubal ligation.
C)Use of a female condom.
D)Use of a vaginal contraceptive ring.

Answer 3

Use of a female condom.

Question 4

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.With which statement can the nurse establish a trusting relationship with the patient?

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.Tell me about your sexual experience."

Question 5

What is an example of a quality in the critical thinking model for sexuality assessment?

A)Displaying curiosity.
B)Applying an ethic of care.
C)Accepting the sexual orientation of the patient.
D)Determining the patient's sexual concerns.

Question 6

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 makes which statement?

A)"I will no longer ovulate after menopause."
B)"Orgasms are no longer achievable after menopause."
C)"Hormones of sexual regulation such as estrogen decrease with age."
D)"As men age,their ability to sexually perform may decrease."

Question 7

An adolescent female student who is sexually active visits the office of the school nurse.The nurse knows that teaching has been effective when the student states which of the following?

A)"My boyfriend is able to withdraw before ejaculation,and that prevents me from getting pregnant."
B)"I take my temperature every morning,and when it goes down for at least two days,we have unprotected sex."
C)"We use 'foam' before each time we have sex,and I haven't gotten pregnant yet."
D)"We use a condom with a water-based lubricant."

Question 8

A patient admits that he knew for several months that he had an STI but did not report it.Why did he behave this way?

A)Many patients with STIs do not acknowledge the importance of STI testing and treatment.
B)Many patients with STIs are hesitant to admit they contracted an STI.
C)Many patients with STIs have lifestyles that subject them to repeated exposure.
D)Many patients with STIs are uncomfortable discussing sexual health issues with a same-sex health care provider.

Question 9

While teaching adolescents about chlamydia,what does the school nurse tell the group?

A)Chlamydia is a viral infection that cannot be cured.
B)Chlamydia can be treated with a full course of antibiotics.
C)Chlamydia can be contracted via bloodborne exchange.
D)Chlamydia can be prevented with the use of a spermicide.

Question 10

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

A)"A barrier such as a condom is recommended if you are unsure whether your sexual partners have been tested for STIs."
B)"No,because you have gone through menopause and can no longer become pregnant."
C)"Let's discuss this further;what is your current level of sexual activity?"
D)"Yes,as long as using a barrier does not decrease sexual performance."

Question 11

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.
B)Ineffective coping.
C)Deficient knowledge about contraception.
D)Risk for self-directed violence.

Question 12

A patient states that she is afraid that she and her husband will not be able to maintain a healthy sexual relationship now that they have a baby in the house.To assist these patients,what should the nurse know?

A)Whether they have similar parenting beliefs.
B)How long they have been married.
C)That effective communication about sexuality requires a nondiscriminatory attitude.
D)The level of knowledge the patients have regarding healthy sexual relationships.

Question 13

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)Continue to care for the patient,and limit conversation as much as possible.
B)Refer the patient to a family planning centre or health care professional.
C)Attempt to educate the patient about the consequences of abortion.
D)Inform the patient that because of moral issues,another nurse will have to care for her.

Question 14

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

A)"Avoiding alcohol use will enhance your sexual functioning."
B)"You do not need to worry about getting a sexually transmitted infection at this point in your life."
C)"You need to tell your partner how you feel about sex and any fears you may have."
D)"Using pillows and taking pain medication if needed before having sexual intercourse often helps alleviate pain associated with intercourse and improves sexual functioning."

Question 15

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 she believes her partner must have cheated on her.Which response by the nurse is most effective in establishing an open rapport with a patient?

A)Sharing an anecdote.
B)Informing the patient that all discussions with the nurse are confidential.
C)Telling the patient that she must be honest about every sexual experience she has had.
D)Asking the patient what concerns or fears she has related to the visit.

Question 16

When responding to an adolescent girl's inquiry related to emergency contraception,the nurse tells her that the most effective method is which of the following?

A)Levonorgestrel for emergency contraception (LNG-EC).
B)Ulipristal acetate for emergency contraception (UPA-EC).
C)Hormonal intrauterine device.
D)Copper intrauterine device.

Question 17

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

A)A patient 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)A couple who has been attempting conception for 3 months.

Question 18

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 which therapeutic statement would be most effective?

A)"I know you feel invincible,but STIs [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 practise safe sex."

Question 19

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)Spermicide.
B)Condom.
C)Diaphragm.
D)Oral contraceptive.

Question 20

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)Reassure the patient that lots of people resume sex the same week the ostomy is placed.
B)Inform the patient about a support group for people with ostomies.
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.

Question 21

A patient expresses concern that her partner no longer finds her attractive and is considering having three-way sex 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."
B)"If your partner truly loves you,he doesn't need to have sex with another person."
C)"Nonmonogamous sex is immoral;here is the number for the local church."
D)"Have you considered the consequences of adding a third party to a sexual relationship?"