Chapter 32: Issues Related to Human Sexuality and Gender Dysphoria
Answer Section
MULTIPLE CHOICE
1. ANS: 2
Chapter: Chapter 32, Issues Related to Human Sexuality and Gender Dysphoria
Objective: Conduct a sexual history.
Page:
Heading: Adulthood > The Middle Years—40 to 65
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Sexuality
Difficulty: Moderate
Feedback
1 History of hysterectomy is not assessment data that the nurse should initially
collect.
2 The nurse should assess the client’s last menstrual cycle to determine if the
client is experiencing the onset of menopause. The average age of onset of
menopause for the
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.ecaosemin estrogen can result in multiple symptoms, including a decrease in
biological drives and sexual activity.
3 Use of birth control methods is not assessment data that the nurse should
initially collect.
4 Number of sexual partners is not assessment data that the nurse should initially
collect.
PTS: 1 CON: Sexuality
2. ANS: 1
Chapter: Chapter 32, Issues Related to Human Sexuality and Gender Dysphoria
Objective: Discuss variations in sexual orientation.
Page:
Heading: Application of the Nursing Process to Sexual Disorders > Assessment
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Sexuality
Difficulty: Moderate
Feedback
, 1 Personal feelings, attitudes, and values should be clarified and should not
interfere with acceptance of the client. The nurse must remain nonjudgmental.
Unconditional acceptance of each individual is an essential component of
compassionate nursing.
2 Just because the client is bisexual, that does not indicate childhood sexual abuse
occurred.
3 The nurse should not assume the bisexual client has an aversion to heterosexual
encounters. A diversity of sexual orientations exists among the bisexual
population. Some individuals are equally attracted to men and women, whereas
others are more attracted to one sex but also accept sexual activity with the other
sex.
4 The family’s sexual practices are not the focus at this time. The client is the
primary focus.
PTS: 1 CON: Sexuality
3. ANS: 2
Chapter: Chapter 32, Issues Related to Human Sexuality and Gender Dysphoria
Objective: Formulate nursing diagnoses, goals, and interventions for clients with sexual
dysfunctions disorders.
Page:
Heading: Application of the Nursing Process to Sexual Disorders > Diagnosis and Outcome
Identification
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Feedback
1 Risk for situational low self-esteem R/T lack of intimacy is not the priority
diagnosis. There is no data to support low self-esteem.
2 The nurse should prioritize the nursing diagnosis sexual dysfunction R/T
dysfunctional grieving. The data supports sexual dysfunction (inability to
maintain an erection) and dysfunctional grieving (isolative, insomnia, and
weight loss). The nurse should assess the client’s mood and level of energy,
because depression and fatigue can decrease desire for participation in sexual
activity.
3 Social isolation R/T low self-esteem is not the priority diagnosis. While the
client has become isolative (social isolation), there is not data to support
low self-esteem.
4 Disturbed body image R/T penile flaccidity is not the priority diagnosis. While
there is data to support penile flaccidity, there is no data to support a disturbed
body image.
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