Antihypertensives are among the drugs implicated in sexual dysfunction. Antihypertensives can
decrease forceful blood flow to the penis, making it difficult to achieve an erection. Antibiotics,
bronchodilators, and NSAIDs do not typically have this effect.
2. The school nurse is educating a group of 5th and 6th grade girls on menstruation. One girl
asks if there is a name for having her first menstrual period. The nurse replies with which of the
following terms?
Menses
Menopause
Menarche
Follicular phase
Answer
Menarche
Explanation
The first menstrual period, called menarche, is experienced at about 12 years of age. Menstruation
is often referred to as a woman's "period" or "menses." Menopause is the cessation of a
woman's menstrual activity. In the ovaries, in a typical 28-day cycle, the phase from day 4 to 14
is called the follicular phase.
3. The nurse assessing an adolescent's need for further information regarding sexual health
should ask which question?
"Are you involved in an intimate relationship at this time?"
"How many sexual partners haveyou had?"
,"What questions or concerns do you have about your sexual health?"
"Have you ever been diagnosed with a sexually transmitted infection?"
Answer
"What questions or concerns do you have about your sexual health?"
Explanation
An open-ended, nonthreatening question related to the client's need for further information
should be included while obtaining a sexual history. "Are you involved in an intimate
relationship at this time?" and "Have you ever been diagnosed with a sexually transmitted
disease? "are closed ended questions requiring a yes or no response. Asking how many
sexualpartners, while open ended, is threatening and assumes that the adolescent has had
multiple partners.
4. A nurse practitioner is teaching the student about sexual health and is evaluating the
student's knowledge of sexual identity. The practitioner knows that the student understands
whenthe student says which of the following?
"Sexual orientation is the term used to denote chromosomal sexual development."
"Biologic sex is the inner sense a person has of being male or female."
"Gender identity refersto the preferred gender of a person's partner."
"Gender role behavior is the behavior a person conveys about being male or female."
Answer
"Gender role behavior is the behavior a person conveys about being male or female."
Explanation
Sexual identity encompasses a person's self-identity, biologic sex, gender identity, gender role
behavior or orientation, and sexual orientation or preference. Gender role behavior is the
behavior a person conveys about being male or female. Biologic sex is the term used to denote
chromosomal sexual development. Gender identity is the inner sense a person has of being male
or female. Sexual orientation refers to the preferred gender of a person's partner.
5. The nurse recommends a barrier method of contraception for a client who is concerned
about the side effects of hormonal contraception. Which method might the nurse suggest?
Abstinence
Cervical cap
Norplant system
,Sterilization
Answer
Cervical cap
Explanation
Barrier methods of birth control help in preventing pregnancy by using a device to block sperm
from fertilizing an egg. Barrier methods include the cervical cap, condom, diaphragm, and
vaginal sponge used in combination with a spermicidal agent. Abstinence means having no
sexual intercourse. Norplant is a hormonal method of birth control. Sterilization is a surgical
method of birth control.
6. A school nurse is providing a class on sexually transmitted infections (STIs). Which statement
is correct regarding STIs?
STIs are most prevalent among teenagers and young adults.
The incidence of STIs is decreasingdue to limited sex partners.
The signs and symptoms of an STI are obvious.
STIs disproportionately affect people with a lower socioeconomic status and education.
Answer
STIs are most prevalent among teenagers and young adults.
Explanation
STIs are most prevalent among teenagers and young adults, and nearly two- thirds of all STIs
occur in people younger than 25 years of age. The incidence of STIs is increasing due to
multiple sex partners and sexual activity at a younger age. STIs affect men and women of all
backgrounds and economic levels. Not all signs and symptoms of STI's are obvious such as
HIV/AIDS.
7. What is associated with the resolution phase of the male sexual response cycle?
Feelings of relaxation and fulfillment
Intense physical pleasure
The ability to begin the excitement phase again
Increased blood flow to the penis
, Answer
Feelings of relaxation and fulfillment
Explanation
The resolution phase of the sexual response cycle is associated with feelings of relaxation,
fatigue, and fulfillment. The most intense pleasure of a physical nature takes place during
orgasm, and the male experiences a refractory period during which he is incapable of sexual
response. Blood flow to the penis returns to normal levels during the resolution phase.
8. An adolescent female is in the community health clinic seeking contraception since
becoming sexually active. The community health nurse demonstrates effective health promotion
and prevention with the client when what is included in the health education teaching plan?
Contraception plans prior to initiation of sexual activity.
Correct use of the contraceptionmethod selected.
The importance of using a barrier method to prevent risk of HIV transmission.
The need for aback-up contraceptive method when using antibiotics.
Answer
Contraception plans prior to initiation of sexual activity.
Explanation
The prevention of unwanted pregnancy must be a conscious decision. Anyone who is unprepared
for pregnancy should refrain from intercourse or obtain a contraceptive method from a
healthcare provider or from the pharmacy; it is too late to think about contraception during
sexual intercourse. To practice responsible sexuality, the contraceptive method must be used
consistently and according to instructions.
9. The nurse is preparing a talk on health issues in the LGBTQ population. Which statistic
would the nurse include?
Lesbians and bisexual females are more likely to be underweight or anorexic.
LGBTQ populations have lower rates of tobacco, alcohol, and other drug use.
LGBTQ youth are2 to 3 times more likely to attempt suicide.
Lesbians are more likely to get preventive services for cancer.
Answer
LGBTQ youth are 2 to 3 times more likely to attempt suicide.
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