Exam 33: Sexual Health

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The nurse is preparing education for the prepubescent female client on the menstrual cycle. Which of the following statements best explains the portion of the cycle when the ovum is released?

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B

The nurse is providing presurgical care to a patient scheduled for a total abdominal hysterectomy as treatment for cancer. The patient says, "I won't be a woman after surgery." The nurse recognizes that the patient connects having a uterus with which aspect of sexuality?

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D

The nurse is interviewing a client in the family practice clinic who has been diagnosed with pelvic inflammatory disease (PID). The client states that she uses several methods to stay clean "down there," such as occasional condom use by the partner, twice-weekly douches, and taking daily bubble baths instead of showers. Which of the following practices may have increased her likelihood of this infection?

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D

The emergency room nurse cares for a male patient experiencing an acute myocardial infarction. The patient is dressed in a bra, panties, and nightgown. Which of the following is the most accurate inference the nurse can make regarding the client's sexual expression?

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The nurse is developing a plan of care for a female client who expresses loss of interest in sexual intimacy with her husband following a total hysterectomy several months ago. The client states "I just don't have the energy to be intimate; besides I don't feel like a woman anymore because I cannot have children." What nursing diagnosis would be most appropriate for this patient?

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Which of the following are considered sexual response cycle disorders? Select all that apply.

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During an initial assessment of the client's sexual orientation, the nurse may utilize the PLISSIT model. What is the first step of this model?

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The patient tells the nurse, "My partner and I never have intercourse when I have my period because I read that it is dangerous." What statement by the nurse is most appropriate?

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The nurse has completed teaching a group of adolescents about (STIs). Which of the following statements made by one of the adolescents would indicate that the teaching has been effective?

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What are common reasons that a victim of domestic abuse might not report an incident of sexual assault? Select all that apply.

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The nurse is providing care to the menopausal client in the women's health clinic. The client states she is tired all the time, and has frequent hot flashes, and then she asks about the advantages of hormone replacement therapy (HRT). Which of the following are advantages of hormone replacement therapy? Select all that apply.

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A client confides to the nurse that he feels guilty because when he has intercourse with his girlfriend, he pretends that she is a certain female actress. What is the nurse's most appropriate response?

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The nurse is conducting a case meeting of an older client in the Alzheimer's unit. The healthcare team is assembled to discuss the family's concerns. The older client has developed a close relationship with another client in the facility. It appears that the two have become intimate recently and the family voices concerns that the client is unable to make decisions regarding this intimate relationship. Which of the following would be an appropriate nursing intervention for this client?

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The mental health nurse has assessed a male client who has repeatedly made sexual comments and advances toward other clients. The nurse recognizes these behaviors as which possible mental health disorder?

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The nurse is providing teaching to a group of prepubescent students regarding some common myths about sexuality and body functions. Which statement by the students is an indication that teaching was effective?

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The nurse is assessing a 16-year-old female client's knowledge of sexuality. Which of her statements indicates that she requires further teaching?

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The nurse is assessing the older adult client when he states that although he can achieve an erection, he is unable to achieve an orgasm. The nurse recognizes that the client may be having difficulty completing which of the following phases of sexual arousal?

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The nurse feels uncomfortable when preparing to assess a client's sexual health. Which of the following would be most important for a nurse to be able to do during the assessment?

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The nurse is providing preoperative screening for the older adult male client who is scheduled for prostate surgery due to cancer. The client states that he knows that his girlfriend will leave him now because the surgery will ruin his sex life. What statement by the nurse would be most appropriate?

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The nurse is assessing a client in the pediatric office, when and the client's parent voices concern about the new neighbor who is a convicted sex offender. She asks for advice on how to protect her child. What is the nurse's best response?

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