Fundamentals Of Nursing 3rd ed by Wilkinson Treas - Smith
Fundamentals Of Nursing 3rd ed by Wilkinson Treas - Smith
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Chapter 33. Sexual Health
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a) | “I don’t practice oral sex, because it could lead to sexually transmitted infections.” |
| b) | “I don’t have sexual intercourse because I want to remain a virgin until marriage.” |
| c) | “My boyfriend and I are practicing abstinence by engaging in shared touching.” |
| d) | “My parents are lesbians, but it has not affected my sexual orientation.” |
ANS: C
Abstinence occurs when persons refrain from any sexual activity. Shared touching or masturbation is an alternative to sexual intercourse, but is a type of sexual activity. The nurse should clarify the two concepts. STIs can be transmitted by oral sex; the orientation of a person’s parent may not impact sexual orientation, and she will lose her virginity status if she engages in sexual intercourse (penetration of the vagina). These are true statements and do not need further clarification.
Difficulty: Moderate
Nursing Process: Assessment
Client Need: Safe and Effective Care
Cognitive Level: Application
PTS: 1
| a) | “This behavior is known as a voyeuristic disorder and is perfectly normal.” |
| b) | “Are there problems in your relationship with your girlfriend?” |
| c) | “I can provide you with a referral to a sexual counselor who can help you work through these guilt feelings.” |
| d) | “Fantasy before or during sexual intercourse can add excitement to a relationship.” |
ANS: D
Voyeurism disorder occurs when a person likes to observe an unsuspecting person who is disrobing, naked, or engaged in sexual activity. The client needs to understand that engaging in fantasy can be stimulating for the relationship—it increases self-esteem and arousal. At this point, you do not have enough information to determine whether this is a situation that would require a referral.
Difficulty: Difficult
Nursing Process: Assessment
Client Need: HPM
Cognitive Level: Comprehension
PTS: 1
| a) | Desire |
| b) | Excitement |
| c) | Plateau |
| d) | Orgasm |
ANS: C
The sexual response cycle is the sequence of physiological events that occurs when a person becomes sexually aroused. A theorist named Basson identified five stages of physiological events that occur when a person becomes sexually aroused: desire, excitement, plateau, orgasm, and resolution. The third stage is plateau.
Difficulty: Moderate
Client Need: HPM
Cognitive Level: Knowledge
PTS: 1
| a) | Intersex |
| b) | Transsexual |
| c) | Transvestite |
| d) | Bisexual |
ANS: B
A bisexual person is attracted to both genders. A transvestite is also known as a cross-dresser. The client has been functioning as a male, so there is no indication that he has worn women’s clothes. Transsexual is the concept that describes people who identify with the opposite gender. Intersex is a concept that describes a person born with ambiguous sex organs.
Difficulty: Difficult
Nursing Process: Diagnosis
Client Need: PSI
Cognitive Level: Analysis
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