Questions and Answers
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?
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)
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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?
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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.