Chapter 34. Sexual Health

Chapter 34. Sexual Health

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____       1.   Which of the following is the most important information to collect at a women’s health examination for a 52-year-old woman?

1)

Age at first sexual encounter

2)

History of PMS

3)

Birth control method used

4)

Date of last menstrual period

 

 

ANS:       4

A 52-year-old woman may be experiencing erratic periods of perimenopause. The date of her last menstrual period will help determine her perimenopausal status and guide the discussion of physical, emotional, and sexual changes that commonly occur during a period of declining estrogen production. The nurse will need to determine her menstrual status, which also includes the length and heaviness of flow, the regularity of her cycle, and any change in symptoms associated with menstruation. The nurse will also need to assess for birth control requirements in a heterosexual or bisexual woman.

 

PTS:    1                      DIF:    Moderate        REF:    pp. 1186-1187; application item, not directly stated in text

KEY:   Nursing process: Assessment | Client need: SECE | Cognitive level: Application

 

 

 

 

____       2.   An 18-year-old high school senior comes to the local family planning clinic requesting birth control pills. When discussing sexual health with the adolescent girl, your first nursing priority would be to do which of the following?

1)

Urge the teen to practice healthful sexual behaviors.

2)

Inform her about the risk of pregnancy and STIs.

3)

Assess the teen’s knowledge of sexuality and reproduction.

4)

Provide detailed information about birth control pills.

 

ANS:       3

You cannot assume that adolescents or young adults have adequate sexual knowledge, and it is difficult for most people to admit a lack of knowledge to a professional. Therefore, when discussing sexual health with a client, the nurse must first assess the client’s knowledge and understanding of reproduction and sexuality.

 

PTS:    1                      DIF:    Difficult          REF:    p. 1177

KEY:   Nursing process: Assessment | Client need: HPM | Cognitive level: Analysis

 

 

 

____       3.   Which is the first stage of sexual arousal?

1)

Desire

2)

Excitement

3)

Stimulation

4)

Orgasm

 

 

ANS:       1

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. Desire precedes all other stages of the cycle, but sexual response does not necessarily proceed beyond desire.

 

PTS:    1                      DIF:    Moderate        REF:    pp. 1178-1179

KEY:   Nursing process: N/A | Client need: HPM | Cognitive level: Recall

 

 

 

____       4.   A 65-year-old widow is being given an annual physical exam. She states she has been dating a widowed man for 9 months and that the relationship is fulfilling in most areas. However, she is unable to have sexual relations because she feels she is “cheating” on her husband, who died 5 years ago. Her partner is very understanding, although her inability to have sexual relations is becoming a strain on their relationship. What is an appropriate nursing diagnosis for this woman?

1)

Sexual Dysfunction related to conflicted sexual orientation

2)

Ineffective Sexuality Patterns related to values conflicts

3)

Ineffective Sexuality Patterns related to impaired relationship with partner

4)

Sexual Dysfunction related to fear of the unknown

 

 

ANS:       2

The nursing diagnosis Ineffective Sexuality Patterns is used when the patient expresses concerns about her own sexuality, whereas Sexual Dysfunction is used when there is an actual change in sexual function that the patient views as unsatisfying, unrewarding, or inadequate. In this situation, the patient still views herself as being committed to her deceased husband, causing a conflict in values.

 

PTS:    1                      DIF:    Difficult          REF:    p. 1188

KEY:   Nursing process: Diagnosis | Client need: PSI | Cognitive level: Analysis

 

 

 

____       5.   You are caring for a 35-year-old man who tells you that he feels distress about being a male, and ever since he was a young child has thought of himself as a female. He describes the isolation he feels and concern about fitting in socially and at work because of these recurrent thoughts. How would you respond to your patient?

1)

Provide information about support groups and other community resources for transsexual people.

2)

Reassure him that he is normal, saying there are more people than we know who feel this way.

3)

Share with him that you personally have had thoughts like this but have coped with these thoughts.

4)

Suggest your patient seek mental healthcare for medication to help him deal with his anxiety.

 

 

ANS:       1

Those experiencing a sexual identity disorder, such as transsexualism, typically feel overwhelming cultural disapproval and isolation. The lifelong stresses associated with being transsexual penetrate nearly every aspect of life: medically, socially, and emotionally. Competent and responsive healthcare is essential, and nurses can be an especially valuable source of information and support during a time of isolation and emotional inner conflict. Reassuring the patient he is normal discounts his feelings and conveys insensitivity on the part of the nurse as well as a lack of willingness to listen openly. Genuine support and active listening are important for the transsexual person who is struggling with his gender identity. Interjecting your own experiences trivializes the patient’s experience. The nurse’s first action is to offer information rather than imply that the patient has a mental health issue requiring anti-anxiety agents.

 

PTS:    1                      DIF:    Moderate        REF:    p. 1174

KEY:   Nursing process: Interventions | Client need: PSI | Cognitive level: Application