Chapter 34 Sexual Health


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Chapter 34  Sexual Health



Complete Chapter Questions And Answers

Sample Questions


Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. Which of the following is the most important information to collect at a women’s health examination for a 52-year-old woman?
Age at first sexual encounter
History of PMS
Birth control method used
Date of last menstrual period

ANS: 4
A 52-year-old woman may be experiencing erratic periods of perimenopause. The date of her last menstrual period will help determine her perimenopausal status and guide the discussion of physical, emotional, and sexual changes that commonly occur during a period of declining estrogen production. The nurse will need to determine her menstrual status, which also includes the length and heaviness of flow, the regularity of her cycle, and any change in symptoms associated with menstruation. The nurse will also need to assess for birth control requirements in a heterosexual or bisexual woman.

PTS: 1 DIF: Moderate REF: pp. 1186-1187; application item, not directly stated in text
KEY: Nursing process: Assessment | Client need: SECE | Cognitive level: Application


____ 2. An 18-year-old high school senior comes to the local family planning clinic requesting birth control pills. When discussing sexual health with the adolescent girl, your first nursing priority would be to do which of the following?
Urge the teen to practice healthful sexual behaviors.
Inform her about the risk of pregnancy and STIs.
Assess the teen’s knowledge of sexuality and reproduction.
Provide detailed information about birth control pills.

ANS: 3
You cannot assume that adolescents or young adults have adequate sexual knowledge, and it is difficult for most people to admit a lack of knowledge to a professional. Therefore, when discussing sexual health with a client, the nurse must first assess the client’s knowledge and understanding of reproduction and sexuality.

PTS: 1 DIF: Difficult REF: p. 1177
KEY: Nursing process: Assessment | Client need: HPM | Cognitive level: Analysis


____ 3. Which is the first stage of sexual arousal?

ANS: 1
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. Desire precedes all other stages of the cycle, but sexual response does not necessarily proceed beyond desire.

PTS: 1 DIF: Moderate REF: pp. 1178-1179
KEY: Nursing process: N/A | Client need: HPM | Cognitive level: Recall


____ 4. A 65-year-old widow is being given an annual physical exam. She states she has been dating a widowed man for 9 months and that the relationship is fulfilling in most areas. However, she is unable to have sexual relations because she feels she is “cheating” on her husband, who died 5 years ago. Her partner is very understanding, although her inability to have sexual relations is becoming a strain on their relationship. What is an appropriate nursing diagnosis for this woman?
Sexual Dysfunction related to conflicted sexual orientation
Ineffective Sexuality Patterns related to values conflicts
Ineffective Sexuality Patterns related to impaired relationship with partner
Sexual Dysfunction related to fear of the unknown

ANS: 2
The nursing diagnosis Ineffective Sexuality Patterns is used when the patient expresses concerns about her own sexuality, whereas Sexual Dysfunction is used when there is an actual change in sexual function that the patient views as unsatisfying, unrewarding, or inadequate. In this situation, the patient still views herself as being committed to her deceased husband, causing a conflict in values.

PTS: 1 DIF: Difficult REF: p. 1188
KEY: Nursing process: Diagnosis | Client need: PSI | Cognitive level: Analysis


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