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Chapter 028

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Potter & Perry: Fundamentals of Nursing, 7th Edition Test Bank Chapter 28: Sexuality MULTIPLE CHOICE 1. The nurse is aware that sexuality is part of growth and development. The preschooler’s interest in gender sexuality is characterized by an interest in: 1. Exploring his or her own genitalia 2. Learning how and why his or her anatomy differs from other children 3. Playing and developing friendships with children of the opposite sex 4. Spending most of his or her time with the parent of the oppo
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  Potter & Perry: Fundamentals of Nursing, 7 th  Edition Test Bank Chapter 2: !e uality#$%TP%E C'(CE 1.The nurse is aware that sexuality is part of growth and development. The preschooler’s interest in gender sexuality is characterized by an interest in:1.Exploring his or her own genitalia2.earning how and why his or her anatomy differs from other children!. laying and developing friendships with children of the opposite sex#.$pending most of his or her time with the parent of the opposite sex%&$:1The first step of gender identity development occurs as the child becomes aware of the differences of the sexes and perceives that he or she is male or female. This is characterized by an interest in his or her genitalia. This is not characteristic of the  preschool child. earning how and why his or her anatomy differs from other children would re'uire a higher level of cognitive ability. (hildren of this age)group primarily focus on their parents and family* not other children. %ccording to +reud* the preschool child identifies with the parent of the same sex and develops a complementary relationship with the parent of the opposite sex. The preschool child does not spend most of his or her time with the parent of the opposite sex.,-+:%E+:#2/0:(omprehensionT0 :&ursing rocess: Evaluation3$(:&(E45 test plan designation: $afe* Effective (are Environment2.6hile wor7ing with a male client and administering medications* the female nurse is approached sexually. The nurse should:1.8ave a male nurse assume care for this client2.-mmediately report the incident to the client’s physician!.Tell the client that his behavior is offensive and leave the room#.eview and define the limits of a professional relationship for the client%&$:# 3osby items and derived items 9 2;* 2< by 3osby* -nc.* an affiliate of Elsevier -nc.  Test an7 The nurse should convey a message of acceptance of the client* but not the inappropriate  behavior. eviewing and defining the professional relationship with the client can accomplish this. 3atching the gender of the health care wor7er with the gender of the client may be beneficial when dealing with assessment of sexual needs or sex education. 8owever* in this instance* the client needs to be informed that inappropriate sexual  behavior is unacceptable. To turn the client’s care over to a male nurse would not resolve the problem* and would convey a message of disli7e and lac7 of acceptance of the client. eporting the incident immediately to the client’s physician would not be the nurse’s bestaction. The client needs to be made aware of the problem in order to discontinue such  behavior. Telling the client his behavior is offensive and then leaving the room is not therapeutic. The client needs to be reminded of the professional relationship he shares with the nurse.,-+:%0:(omprehensionT0 :&ursing rocess: Evaluation3$(:&(E45 test plan designation: $afe* Effective (are Environment!.% client is concerned that she and her husband* now that they have a baby in the house* will be unable to maintain a healthy sexual relationship. To assist these clients* it would  be most helpful for the nurse to 7now:1.-f they share parenting beliefs2.8ow long they have been married!.8ow comfortable they are in communicating their feelings to each other #.The level of 7nowledge they have regarding healthy sexual relationships%&$:!-n response to identified concerns* the nurse may initiate discussion. =nowing of the comfort level in communicating their feelings provides an open dialogue enabling the client to tal7 freely with the nurse to address the concerns. To assist the clients in their situational change* the nurse needs to explore communication and sexual patterns of the couple. 8aving similar parenting beliefs will have less impact on their sexual relationship. To assist the couple in ad>usting to the change of becoming a family* the nurse needs to explore communication patterns of the couple. 8ow long they have been married would be less significant. The level of 7nowledge they have regarding healthy sexual relationships would not be as impacting on their sexual relationship as would their ability to discuss their feelings with one another.,-+:%E+:#2?0:(omprehensionT0 :&ursing rocess: Evaluation3$(:&(E45 test plan designation: $afe* Effective (are Environment#.The nurse* after completion of an assessment in the medical clinic of a client* the nurse documents that the client has dyspareunia based on the client’s experience of:1.,elay or absence of an orgasm2.,eficient or absent sexual desire!.-nvoluntary constriction of the vagina#.ecurrent genital pain during intercourse 3osby items and derived items 9 2;* 2< by 3osby* -nc.* an affiliate of Elsevier -nc. 2?)2  Test an7 %&$:#,yspareunia is recurrent or persistent genital pain in either a male or a female before* during* or after sexual intercourse that is not associated with vaginismus or with lac7 of lubrication. 0rgasmic disorder is the recurrent delay in* or absence of* orgasm following normal sexual excitement. 8ypoactive sexual desire disorder is the persistent or recurrentdeficiency or absence of sexual fantasies and desire for sexual activity. @aginismus is an involuntary constriction of the outer one third of the vagina that prevents penile insertion and intercourse.,-+:%E+:#!20:(omprehensionT0 :&ursing rocess: Evaluation3$(:&(E45 test plan designation: $afe* Effective (are Environment<.%n adolescent female student* who is sexually active* visits the office of the school nurse.6hich of the following statements best reflects her understanding of the effective use of contraception devicesA1.B3y boyfriend is able to withdraw before e>aculation* and that prevents me from getting pregnant.C2.B- ta7e my temperature every morningD when it goes down for at least two days* wehave unprotected sex.C!.B6e always use foam’ before each time that we have sex and as you can see - haven’t gotten pregnant yet.C#.B6e have decided that - should have a diaphragm inserted and to use contraceptive cream with each intercourse.C%&$:#-n order to be an effective contraceptive method* the diaphragm should be used with a contraceptive cream or >elly. The client is verbalizing understanding. %ny act of unprotected intercourse can result in pregnancy. The boyfriend withdrawing prior to e>aculation is not an effective contraceptive method. %ny act of unprotected intercourse can result in pregnancy. This statement is not demonstrating understanding of the basal  body temperature method of contraception. Fsing spermicidal foam alone is not recommended. The client should use a condom and foam to be more effective in  preventing pregnancy.,-+:%E+:#2;0:(omprehensionT0 :&ursing rocess: Evaluation3$(:&(E45 test plan designation: $afe* Effective (are EnvironmentG.% school nurse is responsible for teaching adolescents about sexually transmitted diseasesH$T,sI. 6hen discussing chlamydia* the nurse instructs the students that it is:1.% viral infection that cannot be cured2.Treated with a full course of antibiotics!.(ontracted via blood)borne exchange#. revented with the use of spermicidals%&$:2 3osby items and derived items 9 2;* 2< by 3osby* -nc.* an affiliate of Elsevier -nc. 2?)!  Test an7 ,iseases that are caused by bacteria and that can usually be cured with antibiotics includegonorrhea* chlamydia* syphilis* and pelvic inflammatory disease. %ll clients need to understand that antibiotics need to be ta7en for the full course of treatment. (hlamydia is caused by bacteria that can be treated* not a virus. $exually transmitted diseases* such as chlamydia* are transmitted from infected individuals to partners during intimate sexual contact. -t is not contracted via blood)borne exchange* but rather through body fluids. (hlamydia is not prevented with the use of spermicidals.,-+:%E+:#!0:(omprehensionT0 :&ursing rocess: Evaluation3$(:&(E45 test plan designation: $afe* Effective (are Environment/.% client is scheduled for cardiac surgery. The nurse is conducting a sexual history and is told that he is nervous about resuming sexual activities. The nurse uses therapeutic communication with the client when responding:1.BJou can have sexual intercourse after your surgery* but there are serious ris7s.C2.BJour partner will be nervous about resuming sexual activities* but that is only normal.C!.B,on’t worry. -n about 2 months you will be able to return to your normal sexual  patterns.C#.BJou are expressing a very normal concern* erhaps we could discuss your feelingsfurther.C%&$:#0pen communication and positive self)esteem* such as explaining that their concern is very normal and offering to discuss further are essential factors in effectively resolving concerns. Telling the client that there are serious ris7s may only worry the client more. $tating that the client’s partner will be nervous about resuming sexual activities does not focus on the client and* therefore* does not encourage the client to express his concerns. Telling the client not to worry is nontherapeutic. %t this point* not even 7nowing the outcome of the surgery* the nurse should not predict resumption of sexual activity for the client. +urthermore* this response does not encourage the client to communicate his feelings.,-+:%E+:#2/0:(omprehensionT0 :&ursing rocess: Evaluation3$(:&(E45 test plan designation: $afe* Effective (are Environment?.The nurse is teaching sexuality to a group of senior adults. 6hich of the following comments by a participant reflects that he or she has an understanding of the changes in sexuality that occur with agingA1.B$o* sexual intercourse will be more painful for my wife* and we should have sex less fre'uentlyAC2.B6e have recently seen the need to begin using a lubricant. That’s because we ma7e love less often.C!.B3y orgasms seem to not last as long* but my husband and - are probably more satisfied now than when we were younger.C 3osby items and derived items 9 2;* 2< by 3osby* -nc.* an affiliate of Elsevier -nc. 2?)#

Chapter 036

Jul 23, 2017

Chapter 037

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