Fundamentals Chapter 35 - Sexuality Quiz

Questions and Answers

Which assessment findings will the nurse expect in a child for sexual abuse?

Anxiety and depression

Panic attacks and anorexia

Many peers and no drug usage

Physical aggression and sleep disturbances (correct)

Which instructions will the nurse provide when teaching a patient how to use a condom?

Use massage oils for lubrication.

Rinse and reuse the condom if needed.

Hold onto the condom when pulling out. (correct)

Store in a warm lit space.

In which order will the nurse provide care for a patient with dyspareunia, starting with the first step?

5, 3, 1, 4, 2

4, 2, 5, 3, 1

1, 4, 2, 5, 3 (correct)

3, 1, 4, 2, 5

Which strategies to increase sexual stamina will the nurse offer to an older couple? (Select all that apply)

Avoid alcohol and tobacco. Signup and view all the answers

What medications can affect sexual functioning?

Antihypertensive, antipsychotics, antidepressants, and antianxiety medications. Signup and view all the answers

Which response by the nurse will be most effective for a 15-year-old with multiple sexual partners?

Sexually transmitted infections and unwanted pregnancy are a real risk. Let's discuss what you think is the best method for protecting yourself. Signup and view all the answers

How should the nurse handle a situation where a patient expresses a desire for an elective abortion, opposing the nurse's values?

Refer the patient to a family planning center or another health professional. Signup and view all the answers

Which patient is most in need of a nurse's referral to adoption services?

An infertile couple religiously opposed to artificial insemination Signup and view all the answers

Which response by the nurse is best for a patient who recently had unprotected sex with an HIV-positive partner?

Highly active antiretroviral therapy has been shown effective in slowing the disease process. Signup and view all the answers

Which response by the nurse will help establish a trusting relationship with an 18-year-old male patient unsure about his sexual orientation?

At your age, it is normal to be curious about both genders. Signup and view all the answers

What is the highest priority nursing diagnosis for a patient on antidepressants who reports loss of sex drive?

Sexual dysfunction Signup and view all the answers

Which component of the PLISSIT model is used when suggesting water-soluble lubricants for a patient with dyspareunia?

SS Signup and view all the answers

Which contraceptive method should the nurse recommend for a patient with several sexual partners?

Condom Signup and view all the answers

What is the most effective response by the nurse to establish rapport with a patient who is distraught over herpes?

Inform the patient that all encounters are confidential. Signup and view all the answers

Which primary group should the nurse focus on for a class about sexually transmitted infections?

Men who have sex with men Signup and view all the answers

Which statement suggests the need for follow-up during a seminar about menopause?

Orgasms are no longer achievable after menopause. Signup and view all the answers

What initial nursing intervention is most effective for a patient feeling depressed about her colostomy?

Discuss ways to adapt to new body image so the patient will be comfortable in resuming intimacy. Signup and view all the answers

What information should the nurse share about the HPV vaccine?

Protects against cervical cancer Signup and view all the answers

Which information about the HPV vaccine should the nurse include in the teaching session?

It is recommended for females ages 11 to 26. Signup and view all the answers

Which statement requires intervention from the nurse during a presentation to older adults about sexual health?

You do not need to worry about getting a sexually transmitted infection at this point in your life. Signup and view all the answers

Which patient information requires follow-up for a woman using a diaphragm?

I have lost 12 pounds on this diet. Signup and view all the answers

What is an appropriate question to ask during a sexual assessment?

Have you noticed any changes in the way you feel about yourself? Signup and view all the answers

What is a therapeutic response to a patient concerned about receiving an HPV vaccination?

Ask the patient what concerns she may have about the vaccination. Signup and view all the answers

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.

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.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

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.