NSG 4525 SELF CONCEPT AND SEXUALITY
QUESTIONS AND ANSWERS
A nurse in the ambulatory surgery center is providing discharge teaching to a client who
had dilation and curettage (D&C) following a spontaneous miscarriage. Which of the
following should be included in the teaching?
-Vaginal intercourse can be resumed after 2 weeks
-Products of conception will be present in vaginal bleeding
-Increased intake of zinc-rich foods is recommended
-Aspirin may be taken for cramps - Answers - -Vaginal intercourse can be resumed after
2 weeks
The client should avoid vaginal intercourse and the use of tampons for 2 weeks
following discharge.
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 - Answers - -High-absorbency tampons
Toxic shock syndrome, a severe disease caused by a toxin made by Staphylococcus
aureus, is characterized by shock and multiple organ dysfunction. Approximately 50% of
all cases involve menstruating women using highly absorbent tampons.
A nurse is instructing a female client about how to check basal temperature in order to
determine if the client is ovulation. The nurse would instruct the client to check her
temperature at which of the following times?
-Every morning before arising
-On days 13 to 17 of her menstrual cycle
-1 hour following intercourse
-Before going to bed every night - Answers - -Every morning before arising
To measure basal temperature, the client must take her temperature every morning at
the same exact time before getting out of bed. The client must try not to move too much,
as any activity can raise the body temperature slightly.
A nurse is providing teaching to a client who has had a total abdominal hysterectomy
and bilateral salpingo-oophorectomy for uterine cancer. Which of the following
instructions should the nurse include in the teaching?
-A Papanicolaou (Pap) test should be performed every 6 months.
-Artificial lubrication can be used to treat vaginal itching and dryness.
-Increased vaginal drainage typically occurs 5 days following surgery.
-Resume sexual intercourse in 2 to 3 weeks. - Answers - -Artificial lubrication can be
used to treat vaginal itching and dryness.
, The nurse should instruct the client that atrophic vaginal changes occur due to the loss
of estrogen postoperatively and can also cause pain and dryness during sexual
intercourse. Artificial lubricants can reduce the manifestations associated with
diminished mucous production.
A nurse is caring for a client who is considering several methods of contraception.
Which of the following methods of contraception should the nurse identify as being most
reliable?
-A male condom
-An intrauterine device (IUD)
-An oral contraceptive
-A diaphragm with spermicide. - Answers - -An intrauterine device (IUD)
An IUD is found to have a failure rate of less than 1 in 100 users, which makes it one of
the most reliable methods of contraception.
A nurse is caring for a client whose Papanicolaou (Pap) test results are abnormal.
Which of the following procedures should the nurse anticipate for this client?
-Rectovaginal palpation by the provider
-Dilation and curettage
-Human chorionic gonadotropin (hCG) test
-Colposcopy - Answers - -Colposcopy
The nurse should anticipate follow-up visit for a client who has an abnormal Pap test to
include a colposcopy and directed biopsy. The specimen obtained from endocervical
testing is examined for abnormal cells.
A nurse is caring for a postpartum client who tells the nurse that she does not want any
more children. The client asks which birth control method the nurse would recommend.
Which of the following responses should the nurse make?
-"It's your choice, of course, but birth control pills are the most reliable."
-"Your provider usually recommends a diaphragm and spermicidal cream."
-"I'd consider an intrauterine device. You won't have to worry about pregnancy."
-"Let's talk about the available options and go from there." - Answers - -"Let's talk about
the available options and go from there."
This response illustrates the therapeutic communication technique of formulating a plan
of action. It demonstrates the nurse's willingness to provide information so that the client
can make an informed choice that will meet her needs at this time.
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. - Answers - -Breasts can be
examined in the shower with soapy hands.
QUESTIONS AND ANSWERS
A nurse in the ambulatory surgery center is providing discharge teaching to a client who
had dilation and curettage (D&C) following a spontaneous miscarriage. Which of the
following should be included in the teaching?
-Vaginal intercourse can be resumed after 2 weeks
-Products of conception will be present in vaginal bleeding
-Increased intake of zinc-rich foods is recommended
-Aspirin may be taken for cramps - Answers - -Vaginal intercourse can be resumed after
2 weeks
The client should avoid vaginal intercourse and the use of tampons for 2 weeks
following discharge.
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 - Answers - -High-absorbency tampons
Toxic shock syndrome, a severe disease caused by a toxin made by Staphylococcus
aureus, is characterized by shock and multiple organ dysfunction. Approximately 50% of
all cases involve menstruating women using highly absorbent tampons.
A nurse is instructing a female client about how to check basal temperature in order to
determine if the client is ovulation. The nurse would instruct the client to check her
temperature at which of the following times?
-Every morning before arising
-On days 13 to 17 of her menstrual cycle
-1 hour following intercourse
-Before going to bed every night - Answers - -Every morning before arising
To measure basal temperature, the client must take her temperature every morning at
the same exact time before getting out of bed. The client must try not to move too much,
as any activity can raise the body temperature slightly.
A nurse is providing teaching to a client who has had a total abdominal hysterectomy
and bilateral salpingo-oophorectomy for uterine cancer. Which of the following
instructions should the nurse include in the teaching?
-A Papanicolaou (Pap) test should be performed every 6 months.
-Artificial lubrication can be used to treat vaginal itching and dryness.
-Increased vaginal drainage typically occurs 5 days following surgery.
-Resume sexual intercourse in 2 to 3 weeks. - Answers - -Artificial lubrication can be
used to treat vaginal itching and dryness.
, The nurse should instruct the client that atrophic vaginal changes occur due to the loss
of estrogen postoperatively and can also cause pain and dryness during sexual
intercourse. Artificial lubricants can reduce the manifestations associated with
diminished mucous production.
A nurse is caring for a client who is considering several methods of contraception.
Which of the following methods of contraception should the nurse identify as being most
reliable?
-A male condom
-An intrauterine device (IUD)
-An oral contraceptive
-A diaphragm with spermicide. - Answers - -An intrauterine device (IUD)
An IUD is found to have a failure rate of less than 1 in 100 users, which makes it one of
the most reliable methods of contraception.
A nurse is caring for a client whose Papanicolaou (Pap) test results are abnormal.
Which of the following procedures should the nurse anticipate for this client?
-Rectovaginal palpation by the provider
-Dilation and curettage
-Human chorionic gonadotropin (hCG) test
-Colposcopy - Answers - -Colposcopy
The nurse should anticipate follow-up visit for a client who has an abnormal Pap test to
include a colposcopy and directed biopsy. The specimen obtained from endocervical
testing is examined for abnormal cells.
A nurse is caring for a postpartum client who tells the nurse that she does not want any
more children. The client asks which birth control method the nurse would recommend.
Which of the following responses should the nurse make?
-"It's your choice, of course, but birth control pills are the most reliable."
-"Your provider usually recommends a diaphragm and spermicidal cream."
-"I'd consider an intrauterine device. You won't have to worry about pregnancy."
-"Let's talk about the available options and go from there." - Answers - -"Let's talk about
the available options and go from there."
This response illustrates the therapeutic communication technique of formulating a plan
of action. It demonstrates the nurse's willingness to provide information so that the client
can make an informed choice that will meet her needs at this time.
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. - Answers - -Breasts can be
examined in the shower with soapy hands.
