Quiz 19: Sexuality

Concepts For Nursing Practice

Nursing
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True/False
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Questions

Q1
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A 55-year-old male patient postmyocardial 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

Multiple Choice
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A) excitement, plateau, and orgasmic.
B) plateau, orgasmic, and resolution.
C) excitement, orgasmic, and resolution.
D) arousal, excitement, and plateau.
Answer:
A) excitement, plateau, and orgasmic.

Explanation:
During these three phases, heart rate, blood pressure, and respirations increase steadily, increasing stress to the heart muscle. This would be the period of greatest concern for a patient who has recently experienced an MI. The plateau and orgasmic phases may be of physiologic concern to this patient, but during the resolution phase, vital signs return to normal, and muscles relax. Arousal is not a phase in the four-stage model of the human sexual response cycle, although some researchers feel this should be added.
Q2
Free

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?

Multiple Choice
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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:
D) An individual with intellectual or developmental disabilities

Explanation:
As more of these individuals move into mainstream society, it is important that sexual health is promoted, including teaching regarding sexual norms. Otherwise these individuals are likely victims of unhealthy sexual practices or sexual abuse. In todays society, the newly unpartnered are likely to begin dating and acquire one or more new sexual partners. This group is at significant risk for exposure to sexually transmitted infections and requires health teaching related to safer sexual practices. The Hispanic teenage girl is at increased risk for unintended teen pregnancy. Adolescent pregnancy puts an undue burden on the young woman during a crucial period of growth and development. Hispanic teens experience double the rate of pregnancy of Caucasian adolescents. Major health disparities continue to exist between African-Americans and their Caucasian counterpartsin particular a significantly increased risk for human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and other sexually transmitted diseases.
Q3
Free

A thorough assessment of sexual health includes laboratory and other diagnostic procedures. Tests are ordered at the providers 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?

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

Explanation:
PSA testing is recommended annually for men at increased risk for prostate cancer. This includes men with a family history or those of African-American descent. HPV testing would likely be ordered for patients with genital warts. This might not be necessary for this patient. Tests for HIV should be ordered for patients that belong to high-risk populations, including men who have sex with men, and all pregnant women. All sexually active men and women should have a VDRL and rapid plasma reagin performed.
Q4

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

Multiple Choice
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A) a vaccine to prevent HPV infection.
B) HIV screening.
C) education directed at high-risk behaviors.
D) the male condom.
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Q5

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?

Multiple Choice
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A) Pelvic floor training
B) Vaginal pessaries
C) Surgical correction
D) Lifestyle changes
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Q6

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?

Multiple Choice
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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?
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Q7

[Multiple Response] 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.

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