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Questions and Answers
Which assessment findings will the nurse expect in a child for sexual abuse?
Which assessment findings will the nurse expect in a child for sexual abuse?
Which instructions will the nurse provide when teaching a patient how to use a condom?
Which instructions will the nurse provide when teaching a patient how to use a condom?
In which order will the nurse provide care for a patient with dyspareunia, starting with the first step?
In which order will the nurse provide care for a patient with dyspareunia, starting with the first step?
Which strategies to increase sexual stamina will the nurse offer to an older couple? (Select all that apply)
Which strategies to increase sexual stamina will the nurse offer to an older couple? (Select all that apply)
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What medications can affect sexual functioning?
What medications can affect sexual functioning?
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Which response by the nurse will be most effective for a 15-year-old with multiple sexual partners?
Which response by the nurse will be most effective for a 15-year-old with multiple sexual partners?
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How should the nurse handle a situation where a patient expresses a desire for an elective abortion, opposing the nurse's values?
How should the nurse handle a situation where a patient expresses a desire for an elective abortion, opposing the nurse's values?
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Which patient is most in need of a nurse's referral to adoption services?
Which patient is most in need of a nurse's referral to adoption services?
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Which response by the nurse is best for a patient who recently had unprotected sex with an HIV-positive partner?
Which response by the nurse is best for a patient who recently had unprotected sex with an HIV-positive partner?
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Which response by the nurse will help establish a trusting relationship with an 18-year-old male patient unsure about his sexual orientation?
Which response by the nurse will help establish a trusting relationship with an 18-year-old male patient unsure about his sexual orientation?
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What is the highest priority nursing diagnosis for a patient on antidepressants who reports loss of sex drive?
What is the highest priority nursing diagnosis for a patient on antidepressants who reports loss of sex drive?
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Which component of the PLISSIT model is used when suggesting water-soluble lubricants for a patient with dyspareunia?
Which component of the PLISSIT model is used when suggesting water-soluble lubricants for a patient with dyspareunia?
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Which contraceptive method should the nurse recommend for a patient with several sexual partners?
Which contraceptive method should the nurse recommend for a patient with several sexual partners?
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What is the most effective response by the nurse to establish rapport with a patient who is distraught over herpes?
What is the most effective response by the nurse to establish rapport with a patient who is distraught over herpes?
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Which primary group should the nurse focus on for a class about sexually transmitted infections?
Which primary group should the nurse focus on for a class about sexually transmitted infections?
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Which statement suggests the need for follow-up during a seminar about menopause?
Which statement suggests the need for follow-up during a seminar about menopause?
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What initial nursing intervention is most effective for a patient feeling depressed about her colostomy?
What initial nursing intervention is most effective for a patient feeling depressed about her colostomy?
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What information should the nurse share about the HPV vaccine?
What information should the nurse share about the HPV vaccine?
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Which information about the HPV vaccine should the nurse include in the teaching session?
Which information about the HPV vaccine should the nurse include in the teaching session?
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Which statement requires intervention from the nurse during a presentation to older adults about sexual health?
Which statement requires intervention from the nurse during a presentation to older adults about sexual health?
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Which patient information requires follow-up for a woman using a diaphragm?
Which patient information requires follow-up for a woman using a diaphragm?
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What is an appropriate question to ask during a sexual assessment?
What is an appropriate question to ask during a sexual assessment?
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What is a therapeutic response to a patient concerned about receiving an HPV vaccination?
What is a therapeutic response to a patient concerned about receiving an HPV vaccination?
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Study Notes
Nursing Care and Sexuality
- Adolescents engaging in risky sexual behaviors increase their risk for sexually transmitted infections (STIs) and unintended pregnancies. Nurses should provide education and options while respecting patient autonomy.
- Nurses with personal values opposing a patient's choice for elective abortion should refer the patient to another healthcare professional to ensure nonjudgmental care.
Adoption and Fertility
- Couples experiencing infertility may consider adoption if treatments are limited by ethical or financial constraints.
- Adoption discussions after miscarriage or a short attempt at conception may be premature.
HIV and Sexual Health
- Highly active antiretroviral therapy (HAART) significantly increases survival for individuals with HIV.
- HIV antibodies may not be detectable for weeks to months after exposure.
Adolescent Sexuality
- Normal curiosity about sexual orientation in adolescents should be met with understanding and support to foster open communication.
- Sexual health practices should emphasize safe sex, especially for adolescents unsure of their orientation.
Effects of Antidepressants on Sexual Function
- Antidepressants can diminish sexual desire and response; education on these side effects is crucial for patient care.
PLISSIT Model for Sexual Health
- The PLISSIT model involves providing permission, limited information, specific suggestions, and intensive therapy when appropriate in discussions about sexuality.
Contraceptive Options
- Condoms are the only contraceptive method that also protects against STIs including HIV; other methods do not provide barrier protection.
Patient Communication and Trust
- Establishing trust with patients discussing sexually transmitted infections requires ensuring confidentiality and building rapport.
Sexual Health Education
- The target audience for STI education should focus primarily on men who have sex with men due to higher incidence rates.
Menopause and Age-Related Changes
- Misconceptions about sexual functioning after menopause should be corrected. Sexual satisfaction remains possible with adjustments.
Coping with Body Image After Medical Procedures
- Addressing body image concerns first is vital when helping a patient resume sexual activity post-surgery, such as after a colostomy.
HPV Vaccination
- The HPV vaccine protects against cervical cancer and is recommended for girls aged 11 to 26, ideally before sexual activity begins.
Sexual Activity in Older Adults
- High-risk sexual encounters among older adults are on the rise; education on STIs in this demographic is necessary.
Importance of Contraceptive Instruction
- Proper use and storage instructions for condoms include avoiding heat and reusability; water-based lubricants are advisable to prevent breakage.
Care Process for Dyspareunia
- The nursing process involves assessing symptoms, developing diagnoses, setting goals, utilizing resources, and evaluating outcomes systematically.### Assessment of Sexual Health
- Older couples may experience fatigue during sexual activities, impacting their overall sexual performance and satisfaction.
- Signs include difficulty reaching climax and decreased sexual stamina.
Nursing Diagnosis
- Identify issues related to fatigue and potential barriers to sexual activity.
- Assess emotional and physical wellness of both partners involved.
Planning Goals
- Set mutual goals focusing on increasing stamina and enhancing sexual experience.
- Plans should be centered around patient safety and comfort during sexual activities.
Implementation Strategies
- Plan sexual activity for times when both partners feel rested to reduce fatigue.
- Encourage healthy practices such as a balanced diet to improve energy levels.
- Advise against the consumption of alcohol and tobacco, which can contribute to fatigue.
- Promote intimate activities like hugging and kissing that may enhance emotional closeness.
Evaluation of Outcomes
- Monitor the couple's progress regarding fatigue during sexual activity.
- Evaluate if energy levels and sexual satisfaction improve following implementation of strategies.
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Description
Test your knowledge on sexuality topics from Chapter 35 of the Fundamentals of Nursing, 9th Edition. This quiz includes multiple-choice questions that focus on effective nursing responses to sexual health concerns. Ideal for nursing students looking to enhance their understanding of important issues related to adolescent sexuality.
