NSG 4525 Self Concept and Sexuality Questions With
Complete Solutions
A community clinic is counseling a client who received a
positive test result for chlamydia. Which of the following
statements should the nurse provide?
-"This infection is treated with one dose of azithromycin."
-"If your sexual partner has no symptoms, no medication is
needed."
-"You have to avoid sexual relations for 3 days."
-"You need to return in 6 months for retesting." Correct
Answers -"This infection is treated with one dose of
azithromycin."
A single dose of azithromycin is an appropriate treatment for a
chlamydial infection. An acceptable alternative is doxycycline
twice a day for 7 days.
A community health nurse is developing a pamphlet about
breast self-examination (BSE) for a local health fair. Which of
the following instructions should the nurse indicate?
-Expect some breast dimpling or discharge with age.
-For those who have a menstrual cycle, perform a BSE every
month, 2 or 3 days before menstruation.
-Using the palm of the hand, feel for lumps using a circular
motion.
-Breasts can be examined in the shower with soapy hands.
Correct Answers -Breasts can be examined in the shower with
soapy hands.
,The nurse should encourage clients to perform a BSE or do an
extra examination while showering. This allows clients to
concentrate more easily on feeling for tissue changes.
A nurse at a family practice clinic receives a call from a client
who is prescribed oral contraceptives but forgot to take one
dose. The client reports she is in the first week of a 28-day cycle
pack. Which of the following instructions should the nurse
provide?
-"Do not have vaginal intercourse until after your next period."
-"Stop taking the pills and switch to a different contraceptive
method."
-"Take the missed dose now, then continue the medication as
ordered."
-"Take a home pregnancy test." Correct Answers -"Take the
missed dose now, then continue the medication as ordered."
The nurse should tell the client to take the missed dose
immediately, then continue with the pack as ordered. The nurse
should also tell the client to use an additional form of
contraception for 7 days.
A nurse in a clinic is caring for a female client who is exposed to
gonorrhea. Which of the following actions should the nurse
take?
-Instruct the client about preventing reinfection by using a
diaphragm.
-Tell the client to expect some joint pain.
-Obtain information about the client's recent sexual experiences.
-Collect a urine specimen from the client. Correct Answers -
Obtain information about the client's recent sexual experiences.
, The nurse should obtain information from the client about the
types of sexual exposure the client may have had in order to
thoroughly assess the client.
A nurse in a clinic is interviewing a client who has a possible
diagnosis of endometriosis. Which of the following findings in
the client's history should the nurse recognize as consistent with
a diagnosis of endometriosis?
-A history of pelvic inflammatory disease (PID).
-Abdominal bloating starting several days before menses.
-An atypical Papanicolaou smear at her last clinic visit.
-Dysmenorrhea that is unresponsive to NSAIDs. Correct
Answers -Dysmenorrhea that is unresponsive to NSAIDs.
Endometriosis is a condition in which the type of tissue that
lines the uterus implants in locations outside the uterus. This
typically causes pelvic pain around the time of the menstrual
period but can cause pain at other times in the cycle. the
discomfort is often unrelieved by the use of NSAIDs.
A nurse in a college health clinic is speaking to a group of
adolescents about toxic shock syndrome (TSS). Which of the
following should the nurse include in the teaching as increasing
the risk for contracting TSS?
-High-absorbency tampons
-Mosquito bites
-Travel to foreign countries
-Multiple sexual partners Correct Answers -High-absorbency
tampons
Complete Solutions
A community clinic is counseling a client who received a
positive test result for chlamydia. Which of the following
statements should the nurse provide?
-"This infection is treated with one dose of azithromycin."
-"If your sexual partner has no symptoms, no medication is
needed."
-"You have to avoid sexual relations for 3 days."
-"You need to return in 6 months for retesting." Correct
Answers -"This infection is treated with one dose of
azithromycin."
A single dose of azithromycin is an appropriate treatment for a
chlamydial infection. An acceptable alternative is doxycycline
twice a day for 7 days.
A community health nurse is developing a pamphlet about
breast self-examination (BSE) for a local health fair. Which of
the following instructions should the nurse indicate?
-Expect some breast dimpling or discharge with age.
-For those who have a menstrual cycle, perform a BSE every
month, 2 or 3 days before menstruation.
-Using the palm of the hand, feel for lumps using a circular
motion.
-Breasts can be examined in the shower with soapy hands.
Correct Answers -Breasts can be examined in the shower with
soapy hands.
,The nurse should encourage clients to perform a BSE or do an
extra examination while showering. This allows clients to
concentrate more easily on feeling for tissue changes.
A nurse at a family practice clinic receives a call from a client
who is prescribed oral contraceptives but forgot to take one
dose. The client reports she is in the first week of a 28-day cycle
pack. Which of the following instructions should the nurse
provide?
-"Do not have vaginal intercourse until after your next period."
-"Stop taking the pills and switch to a different contraceptive
method."
-"Take the missed dose now, then continue the medication as
ordered."
-"Take a home pregnancy test." Correct Answers -"Take the
missed dose now, then continue the medication as ordered."
The nurse should tell the client to take the missed dose
immediately, then continue with the pack as ordered. The nurse
should also tell the client to use an additional form of
contraception for 7 days.
A nurse in a clinic is caring for a female client who is exposed to
gonorrhea. Which of the following actions should the nurse
take?
-Instruct the client about preventing reinfection by using a
diaphragm.
-Tell the client to expect some joint pain.
-Obtain information about the client's recent sexual experiences.
-Collect a urine specimen from the client. Correct Answers -
Obtain information about the client's recent sexual experiences.
, The nurse should obtain information from the client about the
types of sexual exposure the client may have had in order to
thoroughly assess the client.
A nurse in a clinic is interviewing a client who has a possible
diagnosis of endometriosis. Which of the following findings in
the client's history should the nurse recognize as consistent with
a diagnosis of endometriosis?
-A history of pelvic inflammatory disease (PID).
-Abdominal bloating starting several days before menses.
-An atypical Papanicolaou smear at her last clinic visit.
-Dysmenorrhea that is unresponsive to NSAIDs. Correct
Answers -Dysmenorrhea that is unresponsive to NSAIDs.
Endometriosis is a condition in which the type of tissue that
lines the uterus implants in locations outside the uterus. This
typically causes pelvic pain around the time of the menstrual
period but can cause pain at other times in the cycle. the
discomfort is often unrelieved by the use of NSAIDs.
A nurse in a college health clinic is speaking to a group of
adolescents about toxic shock syndrome (TSS). Which of the
following should the nurse include in the teaching as increasing
the risk for contracting TSS?
-High-absorbency tampons
-Mosquito bites
-Travel to foreign countries
-Multiple sexual partners Correct Answers -High-absorbency
tampons
