CHAPTER 24: Fundamentals of Nursing, 2nd Edition – Active Learning for Collaborative Practice by Yoost & Crawford

Fundamentals of Nursing, 2nd Edition – Active Learning for Collaborative Practice by Yoost & Crawford Chapter 24: Human Sexuality Multiple Choice Questions 1. A parent confides to the nurse that the parent's 3-year-old son seems to be touching his genitals frequently. What response by the nurse is best? A. "This is normal behavior at his age." B. "Why do you think he is doing that?" C. "Does he complain of burning with urination?" D. "I'd ignore that behavior; it's attention-seeking." Answer: A Explanation: Self-exploration of the body is a normal behavior for a 3-year-old, and the nurse should reassure the parent without unnecessary probing or dismissal. Why Other Options Are Wrong: B inappropriately shifts focus to the parent's interpretation. C introduces an unrelated medical concern. D dismisses the behavior without addressing the parent's concern. 2. The nurse learns that spermatozoa are produced in which sexual organ? A. Scrotum B. Testes C. Glans D. Prostate Answer: B Explanation: The testes are responsible for producing spermatozoa and the male hormone testosterone. Why Other Options Are Wrong: A is incorrect because the scrotum houses the testes but does not produce sperm. C and D are incorrect because the glans and prostate have other functions unrelated to sperm production. 3. The nursing student learns that the function of the hypothalamus is to do which of the following? A. Cause lactation to begin. B. Produce spermatozoa. C. Release follicle-stimulating hormone. D. Release gonadotropin-releasing hormone. Answer: D Explanation: The hypothalamus regulates the menstrual cycle by releasing gonadotropin releasing hormone (GnRH). Why Other Options Are Wrong: A is incorrect because lactation is controlled by prolactin. B is incorrect because sperm production occurs in the testes. C is incorrect because follicle stimulating hormone is released by the pituitary gland. 4. A patient states, "I just don't conform to my gender role." What does the nurse understand about this statement? A. The patient is a homosexual. B. The patient's behaviors are abnormal. C. The patient's actions differ from what is expected. D. The patient is having a gender crisis. Answer: C Explanation: Gender roles are societal expectations, and not conforming to them does not imply homosexuality, abnormality, or crisis. Why Other Options Are Wrong: A is incorrect because sexual orientation is unrelated to gender roles. B is incorrect because nonconformity is not inherently abnormal. D is incorrect because the statement does not indicate distress. 5. A patient asks the nurse to recommend a nonprescription contraceptive. What options does the nurse discuss? A. Diaphragm B. Cervical cap C. Condom D. Intrauterine device Answer: C Explanation: Condoms are the only nonprescription contraceptive option listed. Why Other Options Are Wrong: A, B, and D are incorrect because they require a prescription or medical fitting. 6. A patient has been diagnosed with a sexually transmitted disease (STD) and the patient's partner is angry, saying, "She must have cheated on me." What response by the nurse is most appropriate? A. "This infection may have been present for a long time." B. "You need to be tested for this disease too." C. "Yes, you're right; if you don't have the STD, she cheated." D. "Now, now, getting angry will not help anything." Answer: A Explanation: Some STDs can remain asymptomatic for extended periods, so the infection may not indicate recent infidelity. Why Other Options Are Wrong: B is insufficient without further context. C assumes infidelity without evidence. D dismisses the partner's emotions. 7. A nurse is working with a patient using the PLISSIT model. In the LI phase, what is an appropriate activity? A. Educate the patient on water-based lubricants. B. Ask the patient for permission to discuss sexuality. C. Instruct the patient on positions acceptable after knee replacement. D. Refer the patient and partner to a licensed therapist. Answer: A Explanation: The LI (Limited Information) phase involves providing basic information, such as the use of lubricants. Why Other Options Are Wrong: B is part of the P (Permission) phase. C is part of the SS (Specific Suggestions) phase. D is part of the IT (Intensive Therapy) phase. 8. A nurse in the emergency department wants to screen a patient for domestic violence, but the woman's partner won't leave. What action by the nurse is best? A. Ask the questions anyway. B. Tell the partner to leave. C. Go with the patient to the bathroom. D. Skip the abuse assessment. Answer: C Explanation: Moving to a private location like the bathroom ensures confidentiality for the assessment. Why Other Options Are Wrong: A risks retaliation from the partner. B may escalate tension. D neglects the nurse's duty to assess for abuse. 9. A woman complains that her partner threatens her and berates her in front of the children. She denies being in an abusive relationship or being the victim of physical violence. What action by the nurse is best? A. Tell the woman to leave the abusive partner. B. Educate the woman on forms of domestic abuse. C. Help the woman work on a physical safety plan. D. Insist the woman take written information. Answer: B Explanation: The woman needs to recognize that emotional and verbal abuse are forms of domestic violence. Why Other Options Are Wrong: A may be unsafe without the woman's readiness. C is premature if she doesn't acknowledge abuse. D could endanger her if the partner finds the materials. 10. The nurse is working with a patient who has a sexual dysfunction. What statement by the patient indicates progress toward an important goal? A. "I am beginning to enjoy sex more these days." B. "I'm glad my partner is understanding of the lack of sex." C. "I wish I didn't need these pills but I know they are important." D. "I hope one day to have a sexual partner again." Answer: A Explanation: Progress is indicated by the patient reporting increased satisfaction with sexual activity. Why Other Options Are Wrong: B, C, and D do not reflect improved sexual function or satisfaction. 11. A nurse is working with a patient after the patient had a heart attack and is using the PLISSIT model to address sexuality needs. For the SS phase, what action by the nurse is best? A. Ask the patient if he wants to discuss sexuality. B. Teach the patient positions that require less stress. C. Offer the patient a referral to a sex therapist. D. Direct the patient to speak with the doctor about sex. Answer: B Explanation: The SS (Specific Suggestions) phase involves providing practical advice, such as low-stress sexual positions. Why Other Options Are Wrong: A is part of the P (Permission) phase. C is part of the IT (Intensive Therapy) phase. D avoids the nurse's responsibility to address the topic. 12. A nurse wishes to incorporate an assessment of patient sexuality into all patient encounters but is concerned about appearing inappropriate. What action by the nurse is best? A. State, "I always ask my patients permission to discuss sexuality. Is this alright?" B. Wait for the patient to bring the subject of sexuality up to the nurse. C. Give the patient written material on sexuality, then ask if he/she has questions. D. Tell patients that if they have any sexual concerns, you would be happy to discuss them. Answer: A Explanation: A direct yet respectful approach normalizes the discussion and reduces anxiety for both parties. Why Other Options Are Wrong: B shifts responsibility to the patient. C is passive and may not engage the patient. D is vague and less effective. 13. An emergency department (ED) manager wants to improve care for victims of sexual assault. What action by the manager is best? A. Designate a private area of the ED for examinations. B. Establish a SART team for the department. C. Ask nurses to volunteer to be advocates for these patients. D. Have victims examined immediately, rather than waiting their turn. Answer: B Explanation: A Sexual Abuse Response Team (SART) provides comprehensive, evidence-based care for victims. Why Other Options Are Wrong: A, C, and D are helpful but less comprehensive than a dedicated team. 14. A nurse is caring for a victim of domestic violence. What charting by the nurse is most appropriate? A. Patient allegedly beat up by her boyfriend. B. Patient has several bruises on the legs. C. Patient states, "My boyfriend hit me with a hammer." D. Patient claims she was assaulted last night. Answer: C Explanation: Direct quotations from the patient provide objective and accurate documentation. Why Other Options Are Wrong: A and D use judgmental language ("allegedly," "claims"). B lacks detail about the bruises. 15. A patient is recovering from colostomy surgery and states, "I guess I'll never be able to have sex again ... who would want me?" What Nursing diagnosis is most important for this patient? A. Sexual dysfunction B. Ineffective sexuality pattern C. Knowledge deficit D. Ineffective coping Answer: B Explanation: The patient's concern about attractiveness and desirability aligns with "ineffective sexuality pattern." Why Other Options Are Wrong: A refers to physical dysfunction, which is not the primary issue. C and D are not supported by the patient's statement. 16. A male patient takes a medication known to cause erectile dysfunction. What action by the nurse is best? A. State, "If this medication has bad side effects, talk to your doctor." B. Ask, "Are you having any sexual problems in your life right now?" C. Give the patient written information on the side effects of the drug. D. State, "Many men have erectile dysfunction on this drug." Answer: D Explanation: Providing factual information about the medication's side effects opens the door for further discussion. Why Other Options Are Wrong: A is vague. B is too broad. C may not address the patient's literacy or engagement. 17. A school nurse is planning a sex education activity. What information from research does the nurse apply to this education? A. Sex education should be taught in high school. B. The school nurse should be the primary source of sex education. C. The method of birth control that should be presented is abstinence. D. Parents' open communication regarding sex education has a positive impact on their children. Answer: D Explanation: Research shows that parental communication about sex education positively influences children's behavior. Why Other Options Are Wrong: A is incorrect because education should start earlier. B is incorrect because parents are the primary educators. C is incorrect because comprehensive education includes multiple methods. MULTIPLE RESPONSE QUESTIONS 1. A nurse is teaching patients about their medications and implications for sexuality. Which combinations are correct? (Select all that apply.) A. Antipsychotics: erectile dysfunction B. Phenytoin: decreased desire C. Antihistamines: increased vaginal lubrication D. SSRIs: prolonged orgasm E. Marijuana: chronic use—reduced inhibitions Answer: A, B Explanation: Antipsychotics can cause erectile dysfunction, and phenytoin can reduce sexual desire and function. Why Other Options Are Wrong: C is incorrect because antihistamines decrease lubrication. D is incorrect because SSRIs delay or prevent orgasm. E is incorrect because chronic marijuana use reduces desire. 2. A nurse is planning sexuality education programs. Which topics are important to each age-group? (Select all that apply.) A. Adolescents: contraception B. Adolescents: infertility C. Young adults: conception D. Middle adulthood: sexual dysfunction E. Old age: decreased sexuality Answer: A, C, D Explanation: Adolescents need contraception education, young adults need conception information, and middle adults need guidance on sexual dysfunction. Why Other Options Are Wrong: B is incorrect because infertility is more relevant for young adults. E is incorrect because older adults can remain sexually active. 3. The student learns that which are cycles in the female sexual response cycle? (Select all that apply.) A. Excitement B. Orgasm C. Resolution D. Detumescence E. Plateau Answer: A, B, C, E Explanation: The female sexual response includes excitement, plateau, orgasm, and resolution. Why Other Options Are Wrong: D is incorrect because detumescence refers to male post-orgasm changes. 4. A nurse is uncomfortable with a patient's comments, which are sexual in nature. Which actions by the nurse are most appropriate? (Select all that apply.) A. Tell the patient to stop making sexual comments. B. Try joking with the patient to establish rapport. C. Tell the patient you are leaving and will return in a few minutes. D. Inform the patient he/she can be sued for this behavior. E. Explain to the patient how you feel about the comments. Answer: A, C, E Explanation: The nurse should set boundaries, take a break if needed, and express discomfort professionally. Why Other Options Are Wrong: B is inappropriate and could encourage the behavior. D is unprofessional and threatening. 5. The nurse has assessed a patient and determined that the patient has a sexual issue that needs to be addressed. What actions by the nurse are most appropriate? (Select all that apply.) A. Use information from multiple sources to help plan care. B. Collaborate with other health professionals to develop the plan. C. Involve the patient and significant other in the process. D. Use standard care plans to limit patient embarrassment. E. Examine one's own biases before implementing the plan. Answer: A, B, C, E Explanation: Comprehensive care involves multiple sources, collaboration, patient involvement, and self-reflection. Why Other Options Are Wrong: D is incorrect because standard plans may not address individual needs. 6. A nurse is planning an educational event on safer sex. What topics does the nurse include? (Select all that apply.) A. Proper use of condoms B. Avoidance of risky behaviors C. Need for routine examinations D. Avoidance of homosexual activity E. Symptoms of common STDs Answer: A, B, C, E Explanation: Safer sex education covers condom use, risk reduction, regular check-ups, and STD symptoms. Why Other Options Are Wrong: D is incorrect because it is judgmental and excludes LGBTQ+ individuals. 7. A nurse understands that which characteristics of family dynamics impact a patient's sexuality? (Select all that apply.) A. Religion B. Age C. Ethnicity D. Culture E. Geographic location Answer: A, B, C, D Explanation: Religion, age, ethnicity, and culture shape family dynamics and influence sexuality. Why Other Options Are Wrong: E is incorrect because geographic location is not a direct family dynamic. 8. The nurse is assessing factors that affect sexual function in patients with chronic diseases. What topics does the nurse include in the assessment? (Select all that apply.) A. Fatigue B. Medications C. Pain D. Occupation E. Physical impairment Answer: A, B, C, E Explanation: Fatigue, medications, pain, and physical impairments directly impact sexual function. Why Other Options Are Wrong: D is incorrect because occupation is unrelated to sexual function in this context.