Review Questions
1
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The nurse is caring for a patient with a biological sex of male. What statement about the individual is accurate?
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The patient was born with a penis.
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The patient identifies as male.
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The patient has XX sex chromosomes.
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The patient is gay.
2
.
What assessment findings would the nurse anticipate for a patient diagnosed with Klinefelter syndrome?
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overgrowth of body hair
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increased breast tissue
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early menopause
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enlarged genitalia
3
.
What situation represents an individual who is cisgender?
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A biological male who identifies as female
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A male who is gender nonbinary
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An individual who is gender nonconforming
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A biological female who identifies as female
4
.
The nurse is caring for a patient who is wearing both masculine and female pieces of clothing, making it difficult for the nurse to ascertain the patient’s gender identity. What should the nurse do in order to correctly identify the patient’s gender?
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Assume the patient is female.
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Ask the patient their gender and preferred pronouns.
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Ask the patient’s family member when the patient is out of the room.
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Avoid using any gender pronouns at all.
5
.
What example describes a psychological form of sexual stimulation?
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sensual dancing
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giving a back massage
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holding hands
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watching a film
6
.
What example best exemplifies an adaptive type of sexual behavior?
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watching pornography daily
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paying for sex from sex workers
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using appropriate contraceptives
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touching a coworker when they ask not to be touched
7
.
The nurse is caring for a patient who reports that they do not always use condoms during sexual intercourse with strangers. What would the nurse document this as?
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maladaptive behavior
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infidelity
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adaptive behavior
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sexual expression
8
.
The nurse is describing the effects of masturbation to a patient. What effect would the nurse include in the teaching?
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hairy palms
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improved mood
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vision loss
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infertility
9
.
The nurse is caring for a patient who reports they can only be sexually aroused by watching other people engage in sexual activity. What term would the nurse use to document these findings?
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voyeurism
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sadism
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masochism
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sadomasochism
10
.
What characteristic related to sexual health is most likely to be seen in a young adult patient?
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beginning of puberty
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menopause
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chronic illness impacting sexual function
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establishment of sexual identity
11
.
A 55-year-old patient with a history of diabetes mellitus presents to the clinic complaining of difficulty maintaining an erection during sexual activity. Which pathophysiological mechanism is most likely contributing to his erectile dysfunction?
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increased testosterone levels leading to desensitization of penile nerves
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chronic inflammation and damage to blood vessels and nerves
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excessive release of nitric oxide causing vasoconstriction
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hyperactivity of sympathetic nervous system inhibiting sexual arousal
12
.
The nurse is caring for a patient who has recently been diagnosed with depression. The patient expresses concern about how their diagnosis may affect their sexual health and intimacy with their partner. What statement by the nurse best addresses the patient’s concerns?
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“Depression typically increases sexual desire and responsiveness, so you may notice an improvement in your sexual health.”
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“Depression usually has no impact on sexual health, so you shouldn’t worry about any changes in your sexual function.”
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“It’s common for individuals with depression to experience changes in their sexual desire and responsiveness. We can discuss coping strategies and treatment options to help manage any difficulties you may encounter.”
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“You should avoid discussing your concerns about sexual health with your partner, as it may cause unnecessary stress and strain on your relationship.”
13
.
The nurse is providing education to a group of patients about lifestyle factors that can impact sexual health. What statement accurately describes the relationship between diet and nutrition and sexual well-being?
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“Maintaining a healthy weight through proper nutrition can prevent conditions such as heart disease and diabetes, which can negatively affect sexual health.”
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“Poor nutrition has no significant impact on sexual health.”
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“Eating a diet high in saturated fats and sugars can increase libido and sexual arousal.”
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“Nutritional supplements have been shown to cure erectile dysfunction and improve sexual performance.”
14
.
The nurse is providing education to a group of adolescents about STIs. What statement by one of the adolescents indicates a need for further education?
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“I can tell I have chlamydia if I have a painful rash on my hands and feet.”
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“Flu-like symptoms can occur during an outbreak of herpes simplex virus (HSV).”
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“Genital warts are a common symptom of human papillomavirus (HPV).”
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“A chancre, which is a painless sore, is characteristic of syphilis.”
15
.
The nurse is counseling a patient diagnosed with genital herpes simplex virus (HSV). What statement by the patient indicates understanding of the teaching?
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“After I take my medication, the herpes virus is gone from my body forever.”
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“Herpes involves the development of chancres on my skin.”
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“I should avoid sexual contact during an outbreak to prevent transmission.”
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“Herpes is caused by a bacterial infection.”
16
.
How can nurses effectively recognize problems when caring for patients' sexual health?
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by solely relying on observation of physical signs or symptoms
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by conducting thorough assessments of patients' sexual health and utilizing standardized questionnaires
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by avoiding collaboration with other healthcare professionals to address complex sexual health issues
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by focusing solely on the patient's verbal communication about sexual concerns
17
.
A nurse working in a pediatric clinic suspects sexual abuse in a child based on physical signs observed during an assessment. What is the nurse's appropriate action in accordance with mandatory reporting laws?
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Refer the child to counseling services for further evaluation.
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Document the findings and inform the child's caregiver.
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Report the suspected abuse to the appropriate authorities as mandated by law.
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Conduct further assessments to confirm the suspicion before taking any action.
18
.
What would you recognize as an example of sexual assault?
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attempted rape
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making lewd jokes
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denying a promotion based on gender
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sending a nude photo