Fundamentals of Nursing - Chapter 34:
Sexuality
The nurse is providing education on sexually transmitted infections (STIs) to a group of
adolescents. The nurse knows that further teaching is needed when one of the
adolescents states:
A. "A vaccine is available to reduce infection from certain types of human
papillomavirus."
B. "I should be screened for an STI after I am with a new partner."
C. "I know I' m not infected if I don't have any symptoms such as discharge or sores."
D. "A viral infection such as herpes or human papillomavirus cannot be treated with
antibiotics." -CORRECT ANSWER C
A 25-year-old patient is in the emergency department and states that she has had a
cough and fever for the past 3 days. While performing a physical assessment, the nurse
finds several bruises that are in various stages of healing and suspects that the patient
possibly is a victim of sexual abuse. Which of the following is the nurse's first action?
A. Refer the patient to a sexual counselor
B. Tell the patient about the safe house for women
C. Ask the patient to describe how she got the bruises
D. Report the abuse immediately to the proper authorities -CORRECT ANSWER B
A 26-year-old married woman recently discovered that she is pregnant and is at her first
prenatal visit. While assessing the patient, the woman's health nurse practitioner
discovers that she has purulent vaginal discharge. The patient states, "It burns when I
urinate, and I seem to have to go to the bathroom frequently." Based on these
symptoms, the nurse practitioner determines that further follow-up is needed because
the patient:
A. Should be tested for human immunodeficiency virus (HIV).
B. May have a sexually transmitted infection (STI) such as chlamydia.
C. Is experiencing normal signs of pregnancy.
D. Needs education on proper perineal hygiene. -CORRECT ANSWER B
A new graduate nurse is working in a rehabilitation center that specializes in the care of
patients with spinal cord injuries (SCIs). The new graduate knows that sexual issues are
common among patients with SCIs. Which of the following actions enhances the nurse's
comfort in discussing sexual issues with the patients? (Select all that apply.)
A. Clarifying personal values related to sexuality
B. Role playing discussion of sexual concerns with another nurse
C. Attending a conference to enhance knowledge about sexuality
D. Avoiding a discussion of sexual concerns until after completing new nurse orientation
-CORRECT ANSWER A, B, C
, The nurse is gathering a sexual history from a 68-year-old man in a nursing home. It is
important for the nurse to keep in mind that:
A. Older adults are usually not part of a sexual minority group.
B. Older adults sometimes do not reveal intimate details.
C. Older men and women lose their interest in sex.
D. Older adults in nursing homes do not usually participate in sexual activity. -
CORRECT ANSWER B
Certain cultural groups in the United States are disproportionately affected by diseases
such as human immunodeficiency virus (HIV) and acquired immunodeficiency
syndrome (AIDS). The nurse understands that this is most likely caused by: (Select all
that apply.)
A. Expectations about behavior by men or women in the culture.
B. Higher percentages of lesbian, gay, bisexual, or transgender individuals in the
culture.
C. Genetic predisposition to the disease in the culture
D. Communication patterns and language practiced by the culture. -CORRECT
ANSWER A, D
Since the majority of sexually transmitted infections (STIs) have few if any symptoms, it
is important for the nurse to:
A. Encourage regular screenings in all sexually active individuals.
B. Provide information about contraception options.
C. Administer prescribed antibiotics for human papillomavirus (HPV) or genital herpes
outbreaks.
D. Ask all patients if they are experiencing any symptoms. -CORRECT ANSWER A
Establishing trust and encouraging disclosure about sexuality are often facilitated if the
nurse begins by asking the patient:
A. How often he or she has sexual intercourse.
B. To disrobe in preparation for the physical assessment.
C. For permission to discuss sexual issues.
D. For specific examples of sexual practices and problems. -CORRECT ANSWER C
A 15-year-old girl states that she is having unprotected intercourse with her boyfriend.
She asks for more information about birth control methods. The nurse informs the
patient that: (Select all that apply.)
A. Condoms or diaphragms must be used with each sexual encounter.
B. Hormonal methods offer little protection against sexually transmitted infections
(STIs).
C. Barrier methods offer some protection against STIs.
D. Sterilization is an effective option that she should consider. -CORRECT ANSWER B,
C
The nurse reviews the health history of a 24-year-old woman who indicates that she has
had three new sexual partners since her previous examination 2 years ago. The nurse
Sexuality
The nurse is providing education on sexually transmitted infections (STIs) to a group of
adolescents. The nurse knows that further teaching is needed when one of the
adolescents states:
A. "A vaccine is available to reduce infection from certain types of human
papillomavirus."
B. "I should be screened for an STI after I am with a new partner."
C. "I know I' m not infected if I don't have any symptoms such as discharge or sores."
D. "A viral infection such as herpes or human papillomavirus cannot be treated with
antibiotics." -CORRECT ANSWER C
A 25-year-old patient is in the emergency department and states that she has had a
cough and fever for the past 3 days. While performing a physical assessment, the nurse
finds several bruises that are in various stages of healing and suspects that the patient
possibly is a victim of sexual abuse. Which of the following is the nurse's first action?
A. Refer the patient to a sexual counselor
B. Tell the patient about the safe house for women
C. Ask the patient to describe how she got the bruises
D. Report the abuse immediately to the proper authorities -CORRECT ANSWER B
A 26-year-old married woman recently discovered that she is pregnant and is at her first
prenatal visit. While assessing the patient, the woman's health nurse practitioner
discovers that she has purulent vaginal discharge. The patient states, "It burns when I
urinate, and I seem to have to go to the bathroom frequently." Based on these
symptoms, the nurse practitioner determines that further follow-up is needed because
the patient:
A. Should be tested for human immunodeficiency virus (HIV).
B. May have a sexually transmitted infection (STI) such as chlamydia.
C. Is experiencing normal signs of pregnancy.
D. Needs education on proper perineal hygiene. -CORRECT ANSWER B
A new graduate nurse is working in a rehabilitation center that specializes in the care of
patients with spinal cord injuries (SCIs). The new graduate knows that sexual issues are
common among patients with SCIs. Which of the following actions enhances the nurse's
comfort in discussing sexual issues with the patients? (Select all that apply.)
A. Clarifying personal values related to sexuality
B. Role playing discussion of sexual concerns with another nurse
C. Attending a conference to enhance knowledge about sexuality
D. Avoiding a discussion of sexual concerns until after completing new nurse orientation
-CORRECT ANSWER A, B, C
, The nurse is gathering a sexual history from a 68-year-old man in a nursing home. It is
important for the nurse to keep in mind that:
A. Older adults are usually not part of a sexual minority group.
B. Older adults sometimes do not reveal intimate details.
C. Older men and women lose their interest in sex.
D. Older adults in nursing homes do not usually participate in sexual activity. -
CORRECT ANSWER B
Certain cultural groups in the United States are disproportionately affected by diseases
such as human immunodeficiency virus (HIV) and acquired immunodeficiency
syndrome (AIDS). The nurse understands that this is most likely caused by: (Select all
that apply.)
A. Expectations about behavior by men or women in the culture.
B. Higher percentages of lesbian, gay, bisexual, or transgender individuals in the
culture.
C. Genetic predisposition to the disease in the culture
D. Communication patterns and language practiced by the culture. -CORRECT
ANSWER A, D
Since the majority of sexually transmitted infections (STIs) have few if any symptoms, it
is important for the nurse to:
A. Encourage regular screenings in all sexually active individuals.
B. Provide information about contraception options.
C. Administer prescribed antibiotics for human papillomavirus (HPV) or genital herpes
outbreaks.
D. Ask all patients if they are experiencing any symptoms. -CORRECT ANSWER A
Establishing trust and encouraging disclosure about sexuality are often facilitated if the
nurse begins by asking the patient:
A. How often he or she has sexual intercourse.
B. To disrobe in preparation for the physical assessment.
C. For permission to discuss sexual issues.
D. For specific examples of sexual practices and problems. -CORRECT ANSWER C
A 15-year-old girl states that she is having unprotected intercourse with her boyfriend.
She asks for more information about birth control methods. The nurse informs the
patient that: (Select all that apply.)
A. Condoms or diaphragms must be used with each sexual encounter.
B. Hormonal methods offer little protection against sexually transmitted infections
(STIs).
C. Barrier methods offer some protection against STIs.
D. Sterilization is an effective option that she should consider. -CORRECT ANSWER B,
C
The nurse reviews the health history of a 24-year-old woman who indicates that she has
had three new sexual partners since her previous examination 2 years ago. The nurse
