Chapter 33 Sexual Health

Chapter 33  Sexual Health

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. You are assessing a 16-year-old female’s knowledge of sexuality. Which of her statements indicates that she requires further teaching?
a)
“I don’t practice oral sex, because it could lead to sexually transmitted infections.”
b)
“I don’t have sexual intercourse because I want to remain a virgin until marriage.”
c)
“My boyfriend and I are practicing abstinence by engaging in shared touching.”
d)
“My parents are lesbians, but it has not affected my sexual orientation.”

ANS: C
Abstinence occurs when persons refrain from any sexual activity. Shared touching or masturbation is an alternative to sexual intercourse, but is a type of sexual activity. The nurse should clarify the two concepts. STIs can be transmitted by oral sex; the orientation of a person’s parent may not impact sexual orientation, and she will lose her virginity status if she engages in sexual intercourse (penetration of the vagina). These are true statements and do not need further clarification.

Difficulty: Moderate
Nursing Process: Assessment
Client Need: Safe and Effective Care
Cognitive Level: Application

PTS: 1

2. A client confides to you that he feels guilty because when he has intercourse with his girlfriend, he pretends that she is a certain female actress. What is your best response?
a)
“This behavior is known as a voyeuristic disorder and is perfectly normal.”
b)
“Are there problems in your relationship with your girlfriend?”
c)
“I can provide you with a referral to a sexual counselor who can help you work through these guilt feelings.”
d)
“Fantasy before or during sexual intercourse can add excitement to a relationship.”

ANS: D
Voyeurism disorder occurs when a person likes to observe an unsuspecting person who is disrobing, naked, or engaged in sexual activity. The client needs to understand that engaging in fantasy can be stimulating for the relationship—it increases self-esteem and arousal. At this point, you do not have enough information to determine whether this is a situation that would require a referral.

Difficulty: Difficult
Nursing Process: Assessment
Client Need: HPM
Cognitive Level: Comprehension

PTS: 1

3. Which is the third stage of sexual arousal?
a)
Desire
b)
Excitement
c)
Plateau
d)
Orgasm

ANS: C
The sexual response cycle is the sequence of physiological events that occurs when a person becomes sexually aroused. A theorist named Basson identified five stages of physiological events that occur when a person becomes sexually aroused: desire, excitement, plateau, orgasm, and resolution. The third stage is plateau.

Difficulty: Moderate
Client Need: HPM
Cognitive Level: Knowledge

PTS: 1

4. A 19-year-old client asks if he is normal because he has always viewed himself as a female, although he has acted like a male to please his parents. The nurse should provide the client with education on which concept?
a)
Intersex
b)
Transsexual
c)
Transvestite
d)
Bisexual

ANS: B
A bisexual person is attracted to both genders. A transvestite is also known as a cross-dresser. The client has been functioning as a male, so there is no indication that he has worn women’s clothes. Transsexual is the concept that describes people who identify with the opposite gender. Intersex is a concept that describes a person born with ambiguous sex organs.

Difficulty: Difficult
Nursing Process: Diagnosis
Client Need: PSI
Cognitive Level: Analysis

PTS: 1

5. Your 35-year-old client tells you that his boss requires him to massage her shoulders and she rubs his legs, thighs, and genitals. He further states that he does not want to upset her because he needs the job. Which statement best applies to this situation?
a)
The male is receiving sexual satisfaction from having his legs, thighs, and genitals massaged.
b)
This is an example of quid pro quo sexual harassment and should be reported to her supervisor.
c)
This is an example of hostile work environment sexual harassment and should be immediately reported to her supervisor.
d)
This is not a situation of harassment because no sexual intercourse occurred.

ANS: B
This is an example of quid pro quo sexual harassment—the employer is massaging the legs, thighs and genital areas of the employee, while making him massage her shoulders. Touching is a sexual advance. Sexual intercourse is not required in sexual harassment cases. The sexual advances in this situation are overt and there is no discussion of the client’s feelings or the work environment. Sexual harassment is about the power difference, which can negate the element of consent; thus, it is irrelevant whether the client receives sexual satisfaction. Sexual harassment should be immediately reported because it is illegal.

Difficulty: Moderate
Nursing Process: Implementation
Client Need: PSI
Cognitive Level: Application

PTS: 1