Deck 24: Self-Concept and Sexuality

Question 1

The nurse is caring for an adolescent who feels overweight with a BMI of 16.Which nursing diagnosis is most appropriate for this patient?

A) Risk-prone health behavior related to inadequate self-efficacy
B) Noncompliance related to failure to adhere to healthy dietary plan
C) Disturbed body image related to distorted view of ideal body weight
D) Self-mutilation related to depersonalization and self-destructive behaviors

Answer 1

Disturbed body image related to distorted view of ideal body weight

Question 2

Which is the priority nursing diagnosis for an adolescent who is being bullied by peers?

A) Powerlessness related to inability to stop bullying from peers
B) Social isolation related to dysfunctional relationships with peers
C) Risk for self-directed violence related to feelings of worthlessness
D) Risk for loneliness related to inability to make supportive friendships

Answer 2

Risk for self-directed violence related to feelings of worthlessness

Question 3

The nurse is caring for an adolescent patient who dips snuff because all of his friends do it.Which self-concept need led the patient to do this?

A) Body image
B) Sexual identity
C) Cultural identity
D) Role performance

Answer 3

Cultural identity

Question 4

Which is the priority intervention for an elderly patient with the nursing diagnosis ineffective sexuality pattern related to vaginal dryness?

A) Help the patient to communicate the need for privacy for sexual activity.
B) Encourage the patient to utilize a water-based vaginal lubricant for comfort.
C) Let the patient know that vaginal dryness is a normal finding in older women.
D) Instruct the patient to void immediately after intercourse to prevent irritation.

Question 5

The nurse is caring for an adult patient who must quit working due to complications from hypertension.Which self-concept is likely to be put at risk for this patient?

A) Identity
B) Self-esteem
C) Body image
D) Role performance

Question 6

Which educational topic is the highest priority for a patient who has received a new prescription for sildenafil?

A) Condoms must be used to prevent spread of STIs even though contraception is not needed.
B) The sildenafil tablet may be split into two pieces if the patient has difficulty swallowing the tablet whole.
C) Sildenafil is most effective when the tablet is taken approximately 1 hour before sexual activity.
D) Eating a high-fat meal before taking sildenafil may reduce effectiveness of the medication.

Question 7

The nurse is caring for a young adult patient who frequently participates in sexual activities after abusing alcohol.Which is the priority nursing diagnosis for this patient?

A) Risk for sexually transmitted infection related to participation in unprotected sexual activity
B) Risk for compromised human dignity related to exposure on social media
C) Ineffective sexuality patterns related to alcohol-induced promiscuous behavior
D) Impaired social interaction related to inability to maintain satisfying relationships

Question 8

The nurse is caring for a patient with the nursing diagnosis self-mutilation related to inability to cope with ongoing sexual abuse.Which interventions will the nurse include in the patient's plan of care?

A) Teach the patient appropriate alternative outlets for anger and pain.
B) Assess and treat injuries using careful aseptic technique for wounds.
C) Report the patient's situation to the state protective services department.
D) Encourage the patient to forgive and forget in order to move on with life.
E) Perform a physical examination to check for sexually transmitted infection.

Question 9

An elderly patient with Alzheimer's disease tells the nurse that she will be baking cookies with her mommy when she gets home from school later that afternoon.Which nursing diagnosis is most appropriate for this patient?

A) Disturbed personal identity related to delusional description of self
B) Readiness for enhanced power related to desire for freedom of choices
C) Risk for loneliness related to hospitalization and separation from family
D) Chronic low self-esteem related to negative feelings about self-capabilities

Question 10

Which is the priority nursing intervention for a patient who presents to the emergency department after a sexual assault?

A) Assist the patient to take a long hot shower to relax and feel clean again.
B) Discuss the possibility of pregnancy and sexually transmitted infections.
C) Provide personal hygiene items such as shampoo and soap for the patient.
D) Stay with the patient and contact the sexual assault response (SART)team.

Question 11

The nurse is caring for a patient who has lost all sexual desire due to severe chronic illness.Which term will the nurse use to chart this assessment finding?

A) Fluid
B) Queer
C) Binary
D) Aromantic

Question 12

The nurse is caring for a patient who feels useless after chronic illness has left the patient unable to work.Which intervention will be most beneficial for this patient?

A) Tell the patient that a fulfilling life is about more than just a career.
B) Encourage the patient to participate in activities that support and help others.
C) Use reminiscence therapy to help the patient remember enjoyable activities.
D) Help the patient to start a daily journal to record and express emotions.

Question 13

The patient tells the nurse that the spouse is only interested in sexual activity when inflicting physical pain on the patient.Which is the priority nursing diagnosis for the patient?

A) Activity intolerance related to inability to fulfill spouse's sexual needs
B) Ineffective sexuality pattern related to differing sexual activity expectations
C) Risk for injury related to physical abuse from spouse during sexual activity
D) Risk for compromised human dignity related to spouse's demeaning actions

Question 14

The nurse is caring for a patient whose husband is impotent following prostate surgery.Which is the priority intervention of the nurse?

A) Stress the importance of condom use to prevent the spread of infection.
B) Encourage the patient to exercise in order to be more sexually attractive.
C) Educate the patient and spouse about normal sexual anatomy and functioning.
D) Present alternative options for sexual expression and mutual sexual gratification.

Question 15

The nurse is caring for a patient who no longer feels like a real woman after hysterectomy surgery.Which nursing diagnosis is most appropriate for this patient?

A) Situational low self-esteem related to negative perception of self after removal of reproductive organs
B) Risk for self-directed violence related to emotional distress and hormonal fluctuations
C) Anticipatory anxiety related to concerns about feelings of inadequacy during recovery from surgery
D) Deficient diversional activity related to boredom from hospitalization and need for increased rest after surgery

Question 16

Which sexual education concept is appropriate for a 3-year-old child?

A) Little boys have a penis while little girls do not.
B) Sometimes white liquid comes out of the penis.
C) The penis gets bigger when it is ready to make a baby.
D) The penis goes into the woman's body to make a baby.