NUR 108 Ch 45 Sexuality

NUR 108 Ch 45 Sexuality

• The nurse is justified in assessing for sexual dysfunction among male clients who are

receiving which of the following?

Antihypertensive medication Antibiotics Bronchodilators Non-steroidal anti-inflammatory drugs (NSAIDs)

Answer Antihypertensive medication Explanation

Antihypertensives are among the drugs implicated in sexual dysfunction. Antihypertensives can decrease forceful blood flow to the penis, making it difficult to achieve an erection. Antibiotics, bronchodilators, and NSAIDs do not typically have this effect.

• The school nurse is educating a group of 5th and 6th grade girls on menstruation. One girl

asks if there is a name for having her first menstrual period. The nurse replies with which of the following terms?

Menses Menopause Menarche Follicular phase

Answer Menarche Explanation

The first menstrual period, called menarche, is experienced at about 12 years of age. Menstruation is often referred to as a woman's "period" or "menses." Menopause is the cessation of a woman's menstrual activity. In the ovaries, in a typical 28-day cycle, the phase from day 4 to 14 is called the follicular phase.

• The nurse assessing an adolescent's need for further information regarding sexual health

should ask which question?

"Are you involved in an intimate relationship at this time?" "How many sexual partners have you had?" 1 / 4

"What questions or concerns do you have about your sexual health?" "Have you ever been diagnosed with a sexually transmitted infection?"

Answer "What questions or concerns do you have about your sexual health?"

Explanation

An open-ended, nonthreatening question related to the client's need for further information should be included while obtaining a sexual history. "Are you involved in an intimate relationship at this time?" and "Have you ever been diagnosed with a sexually transmitted disease? "are closed ended questions requiring a yes or no response. Asking how many sexual partners, while open ended, is threatening and assumes that the adolescent has had multiple partners.

• A nurse practitioner is teaching the student about sexual health and is evaluating the

student's knowledge of sexual identity. The practitioner knows that the student understands when the student says which of the following?

"Sexual orientation is the term used to denote chromosomal sexual development." "Biologic sex is the inner sense a person has of being male or female." "Gender identity refers to the preferred gender of a person's partner." "Gender role behavior is the behavior a person conveys about being male or female."

Answer "Gender role behavior is the behavior a person conveys about being male or female."

Explanation

Sexual identity encompasses a person's self-identity, biologic sex, gender identity, gender role behavior or orientation, and sexual orientation or preference. Gender role behavior is the behavior a person conveys about being male or female. Biologic sex is the term used to denote chromosomal sexual development. Gender identity is the inner sense a person has of being male or female. Sexual orientation refers to the preferred gender of a person's partner.

• The nurse recommends a barrier method of contraception for a client who is concerned

about the side effects of hormonal contraception. Which method might the nurse suggest?Abstinence Cervical cap Norplant system 2 / 4

Sterilization

Answer Cervical cap

Explanation

Barrier methods of birth control help in preventing pregnancy by using a device to block sperm from fertilizing an egg. Barrier methods include the cervical cap, condom, diaphragm, and vaginal sponge used in combination with a spermicidal agent. Abstinence means having no sexual intercourse. Norplant is a hormonal method of birth control. Sterilization is a surgical method of birth control.

• A school nurse is providing a class on sexually transmitted infections (STIs). Which statement

is correct regarding STIs?

STIs are most prevalent among teenagers and young adults.The incidence of STIs is decreasing due to limited sex partners.The signs and symptoms of an STI are obvious.STIs disproportionately affect people with a lower socioeconomic status and education.

Answer STIs are most prevalent among teenagers and young adults.

Explanation

STIs are most prevalent among teenagers and young adults, and nearly two- thirds of all STIs occur in people younger than 25 years of age. The incidence of STIs is increasing due to multiple sex partners and sexual activity at a younger age. STIs affect men and women of all backgrounds and economic levels. Not all signs and symptoms of STI's are obvious such as

HIV/AIDS.

• What is associated with the resolution phase of the male sexual response cycle?

Feelings of relaxation and fulfillment Intense physical pleasure The ability to begin the excitement phase again Increased blood flow to the penis 3 / 4

Answer Feelings of relaxation and fulfillment Explanation

The resolution phase of the sexual response cycle is associated with feelings of relaxation, fatigue, and fulfillment. The most intense pleasure of a physical nature takes place during orgasm, and the male experiences a refractory period during which he is incapable of sexual response. Blood flow to the penis returns to normal levels during the resolution phase.

• An adolescent female is in the community health clinic seeking contraception since

becoming sexually active. The community health nurse demonstrates effective health promotion and prevention with the client when what is included in the health education teaching plan?

Contraception plans prior to initiation of sexual activity.Correct use of the contraception method selected.The importance of using a barrier method to prevent risk of HIV transmission.The need for a back-up contraceptive method when using antibiotics.

Answer Contraception plans prior to initiation of sexual activity.

Explanation

The prevention of unwanted pregnancy must be a conscious decision. Anyone who is unprepared for pregnancy should refrain from intercourse or obtain a contraceptive method from a healthcare provider or from the pharmacy; it is too late to think about contraception during sexual intercourse. To practice responsible sexuality, the contraceptive method must be used consistently and according to instructions.

• The nurse is preparing a talk on health issues in the LGBTQ population. Which statistic

would the nurse include?

Lesbians and bisexual females are more likely to be underweight or anorexic.LGBTQ populations have lower rates of tobacco, alcohol, and other drug use.LGBTQ youth are 2 to 3 times more likely to attempt suicide.Lesbians are more likely to get preventive services for cancer.

Answer LGBTQ youth are 2 to 3 times more likely to attempt suicide.

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