Deck 22: Sexuality

Question 1

The nurse is caring for a 44-year-old married woman who is complaining of painful intercourse and incontinence due to prolapse of reproductive organs. 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

Answer 1

Surgical correction

Question 2

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.

Answer 2

The best predictor of sexual health is emotional well-being.
The patient with sexual dysfunction is at risk for anxiety and depression.

Question 3

In order to fully assess the patient and plan appropriate care including health teaching regarding sexuality the nurse should realize that 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

Answer 3

An individual with intellectual or developmental disabilities

Question 4

When assessing high-risk behaviors, which question specifically identifies a blood-related risk for a sexually transmitted infection?

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?"

Question 5

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)

Question 6

A 55-year-old male patient post-myocardial infarction (MI) asks the nurse whether he will be healthy enough for sexual activity after discharge from the hospital. The patient has been prescribed anti-hypertensives and beta-blockers. During 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 which phases?

A) Excitement, plateau, and orgasmic
B) Plateau, orgasmic, and resolution
C) Excitement, orgasmic, and resolution
D) Arousal, excitement, and plateau

Question 7

The school nurse is developing a curriculum for a junior human sexuality class. In order to provide the most up-to-date information, the nurse should be aware that which is the single most effective primary prevention strategy for preventing sexually transmitted infections (STIs)?

A) A vaccine to prevent HPV infection
B) HIV screening
C) Abstinence
D) The male condom