Fundamentals Chapter 35 - Sexuality Quiz
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Fundamentals Chapter 35 - Sexuality Quiz

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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)

    <p>Avoid alcohol and tobacco.</p> Signup and view all the answers

    What medications can affect sexual functioning?

    <p>Antihypertensive, antipsychotics, antidepressants, and antianxiety medications.</p> Signup and view all the answers

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

    <p>Sexually transmitted infections and unwanted pregnancy are a real risk. Let's discuss what you think is the best method for protecting yourself.</p> 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?

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

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

    <p>An infertile couple religiously opposed to artificial insemination</p> 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?

    <p>Highly active antiretroviral therapy has been shown effective in slowing the disease process.</p> 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?

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

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

    <p>Sexual dysfunction</p> Signup and view all the answers

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

    <p>SS</p> Signup and view all the answers

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

    <p>Condom</p> 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?

    <p>Inform the patient that all encounters are confidential.</p> Signup and view all the answers

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

    <p>Men who have sex with men</p> Signup and view all the answers

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

    <p>Orgasms are no longer achievable after menopause.</p> Signup and view all the answers

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

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

    What information should the nurse share about the HPV vaccine?

    <p>Protects against cervical cancer</p> Signup and view all the answers

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

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

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

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

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

    <p>I have lost 12 pounds on this diet.</p> Signup and view all the answers

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

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

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

    <p>Ask the patient what concerns she may have about the vaccination.</p> 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.

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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.

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