Exam 35: Sexuality

A patient who had a colostomy placed 1 month ago is feeling depressed and does not want to participate in sexual activities anymore. The patient is afraid that the partner does not want sex. The patient is afraid the ostomy is physically unattractive. Which initial nursing intervention will be most effective in helping this patient resume sexual activity?

A nurse is conducting a sexual assessment. Which question is appropriate for the nurse to ask?

A nurse is using the PLISSIT model when caring for a patient with dyspareunia from diminished vaginal secretions. The nurse suggests using water-soluble lubricants. Which component of PLISSIT is the nurse using?

A nurse is assessing a child for sexual abuse. Which assessment findings will the nurse expect?

An older couple expresses concern because they are easily fatigued during sexual intercourse and cannot reach climax. Which strategies to increase sexual stamina will the nurse offer? (Select all that apply.)

The nurse is caring for a patient who recently had unprotected sex with a partner who has HIV. Which response by the nurse is best?

A woman who has been in a monogamous relationship for the past 6 months presents to clinic with herpes on her labia. The patient is distraught because her partner must have cheated on her. Which response by the nurse is most effective in establishing an open rapport with a patient?

A nurse is preparing a community class about sexually transmitted infections. Which primary group will the nurse focus on for this class?

A mother brings her 12-year-old daughter into a clinic and inquires about getting a human papillomavirus (HPV) vaccine that day. Which information will the nurse share with the mother and daughter about the HPV vaccine?

A patient who has had several sexual partners in the past month expresses a desire to use a contraceptive. Which contraceptive method should the nurse recommend?

A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after repeated attempts at fertility treatment. The patient tells the nurse, "I feel happier, but my sex drive is gone." Which nursing diagnosis has the highest priority?

Which patient is most in need of a nurse's referral to adoption services?

A parent asks about the human papillomavirus (HPV) vaccine. Which information will the nurse include in the teaching session?

A nurse is caring for a 15-year-old who in the past 6 months has had multiple male and female sexual partners. Which response by the nurse will be most effective?

A nurse is caring for a patient who expresses a desire to have an elective abortion. The nurse's religious and ethical values are strongly opposed. How should the nurse best handle the situation?

A 15-year-old patient is concerned because her mother wants her to receive the human papillomavirus (HPV) vaccination, but the patient is unsure if she wants it. Which response by the nurse is most therapeutic?

The nurse is teaching a patient how to use a condom. Which instructions will the nurse provide?

A nurse is interviewing a woman who uses a diaphragm. Which information from the patient will require the nurse to follow up?

A nursing student is providing education to a group of older adults who are in an independent living retirement village. Which statement made by the nursing student requires the nurse to intervene?

A nurse is caring for a patient with dyspareunia. In which order will the nurse provide care, starting with the first step? 1) Determine which signs and symptoms of dyspareunia the patient has. 2) Mutually decide upon goals and objectives for dyspareunia. 3) Ask the patient if the dyspareunia is improving. 4) Develop a nursing diagnosis for the patient. 5) Use resources to help resolve the problem.