Chapter 15 Sexuality

Chapter 15 Sexuality

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)A female student nurse is caring for a 4-1/2-year-old client in the pediatric unit. During the care,the child says to the student nurse, “I’m a boy. I have a penis. Do you have a penis?” What is themost appropriate response by the student nurse at this time?1)A)”No, I don’t.”B)”Did your parents teach you this?”C)”No. I’m a girl. I have a vagina.”D)”No. I’m a girl. Girls don’t have a penis.”Answer:DExplanation:A)Answer the child’s question simply and honestly. The response does not need toincluded information beyond what the child has asked; for example, stating thatthe nurse is a girl and has a vagina is more information than is needed. Just saying,”No, I don’t,” on the other hand, is too brief. Asking if the parents taught the childthis avoids the child’s question.ImplementationHealth Promotion and MaintenanceAnalysisB)Answer the child’s question simply and honestly. The response does not need toincluded information beyond what the child has asked; for example, stating thatthe nurse is a girl and has a vagina is more information than is needed. Just saying,”No, I don’t,” on the other hand, is too brief. Asking if the parents taught the childthis avoids the child’s question.ImplementationHealth Promotion and MaintenanceAnalysisC)Answer the child’s question simply and honestly. The response does not need toincluded information beyond what the child has asked; for example, stating thatthe nurse is a girl and has a vagina is more information than is needed. Just saying,”No, I don’t,” on the other hand, is too brief. Asking if the parents taught the childthis avoids the child’s question.ImplementationHealth Promotion and MaintenanceAnalysisD)Answer the child’s question simply and honestly. The response does not need toincluded information beyond what the child has asked; for example, stating thatthe nurse is a girl and has a vagina is more information than is needed. Just saying,”No, I don’t,” on the other hand, is too brief. Asking if the parents taught the childthis avoids the child’s question.ImplementationHealth Promotion and MaintenanceAnalysis1
2)A young adult male comes to the neighborhood health center because of a reddened, raised rashover much of his penis. When obtaining initial assessment information from the client, it will be ofparticular importance to ask the client if he has:2)A)Taken any new medications, especially antibiotics.B)Changed the detergent he uses for his laundry.C)Had any associated urinary symptoms or discharge.D)Used a latex condom recently.Answer:DExplanation:A)The reddened, raised rash is limited to the penis, so is most likely associated with acontact allergic response. Allergic responses to medications and detergents areusually more widespread. A raised, reddened rash on the penis is not usuallyassociated with symptoms of a urinary tract, or sexually transmitted, infection.AssessmentSafe, Effective Care Environment-Safety and Infection ControlAnalysisB)The reddened, raised rash is limited to the penis, so is most likely associated with acontact allergic response. Allergic responses to medications and detergents areusually more widespread. A raised, reddened rash on the penis is not usuallyassociated with symptoms of a urinary tract, or sexually transmitted, infection.AssessmentSafe, Effective Care Environment-Safety and Infection ControlAnalysisC)The reddened, raised rash is limited to the penis, so is most likely associated with acontact allergic response. Allergic responses to medications and detergents areusually more widespread. A raised, reddened rash on the penis is not usuallyassociated with symptoms of a urinary tract, or sexually transmitted, infection.AssessmentSafe, Effective Care Environment-Safety and Infection ControlAnalysisD)The reddened, raised rash is limited to the penis, so is most likely associated with acontact allergic response. Allergic responses to medications and detergents areusually more widespread. A raised, reddened rash on the penis is not usuallyassociated with symptoms of a urinary tract, or sexually transmitted, infection.AssessmentSafe, Effective Care Environment-Safety and Infection ControlAnalysis3)A national research study concerning sexual activity and the occurrence of sexually transmittedinfections among young adults is being conducted on several college campuses. After informedconsent has been obtained, a nurse meets with each study volunteer to complete an initialassessment of current and past sexual activity and any diagnosed sexually transmitted infections.After the assessment form is completed and as he is preparing to leave, one of the volunteers sayshe has never had a girlfriend, never had sexual intercourse, and is not really interested in having agirlfriend now. He denies any sexually transmitted infections. If the nurse chooses to comment onthe client’s statements, what is an appropriate initial comment?3)A)”Do you think you are gay?”B)”You’re still very young. Not everyone starts being sexually active and establishingrelationships in their early 20s.”C)”Are you concerned about this?”D)”What things are important to you at this time in your life?”Answer:C2
Explanation:A)Asking if the client is concerned is the least threatening and most supportiveresponse to the client’s statements, and is the only option that encourages furtherexpression from the client without putting him on the spot to identify reasons fornot having a girlfriend or being sexually active, such as asking if he thinks he isgay. Saying that not everyone starts being sexually active and establishingrelationships in their twenties blocks any further communication, and may or maynot be applicable to this client. Asking what things are important to the client,although appropriate, works better as a follow-up statement, depending uponwhat kinds of concerns (if any) the client expresses.AssessmentPsychosocial IntegrityAnalysisB)Asking if the client is concerned is the least threatening and most supportiveresponse to the client’s statements, and is the only option that encourages furtherexpression from the client without putting him on the spot to identify reasons fornot having a girlfriend or being sexually active, such as asking if he thinks he isgay. Saying that not everyone starts being sexually active and establishingrelationships in their twenties blocks any further communication, and may or maynot be applicable to this client. Asking what things are important to the client,although appropriate, works better as a follow-up statement, depending uponwhat kinds of concerns (if any) the client expresses.AssessmentPsychosocial IntegrityAnalysisC)Asking if the client is concerned is the least threatening and most supportiveresponse to the client’s statements, and is the only option that encourages furtherexpression from the client without putting him on the spot to identify reasons fornot having a girlfriend or being sexually active, such as asking if he thinks he isgay. Saying that not everyone starts being sexually active and establishingrelationships in their twenties blocks any further communication, and may or maynot be applicable to this client. Asking what things are important to the client,although appropriate, works better as a follow-up statement, depending uponwhat kinds of concerns (if any) the client expresses.AssessmentPsychosocial IntegrityAnalysisD)Asking if the client is concerned is the least threatening and most supportiveresponse to the client’s statements, and is the only option that encourages furtherexpression from the client without putting him on the spot to identify reasons fornot having a girlfriend or being sexually active, such as asking if he thinks he isgay. Saying that not everyone starts being sexually active and establishingrelationships in their twenties blocks any further communication, and may or maynot be applicable to this client. Asking what things are important to the client,although appropriate, works better as a follow-up statement, depending uponwhat kinds of concerns (if any) the client expresses.AssessmentPsychosocial IntegrityAnalysis