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PCC Exam 2 Questions and Solutions Graded A+

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PCC Exam 2 Questions and Solutions Graded A+ A nurse is reviewing concepts related to physiological responses that occur during sexual acts. Which statement should the nurse identify as not being accurate? A: During resolution, ADH and oxytocin are released. B: Most often in males, orgasm occ...

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  • October 27, 2024
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PCC Exam 2 Questions and Solutions
Graded A+
A nurse is reviewing concepts related to physiological responses that occur during
sexual acts. Which statement should the nurse identify as not being accurate?

A: During resolution, ADH and oxytocin are released.
B: Most often in males, orgasm occurs with ejaculation.
C: Genital congestion occurs as part of a reflexive response.
D: Dopamine secretion acts as an inhibitory transmitter - answer D: Dopamine
secretion acts as an inhibitory transmitter

The general phases of sexual arousal include motivation, arousal, genital congestion,
orgasm and resolution. Dopamine secretion is considered to be an excitatory and
released during the arousal stage. Orgasm and ejaculation occur more frequently in
males. Genital congestion is under reflexive autonomic response.

The nurse is obtaining a sexual history from an adolescent patient. Which finding has
the greatest implication for this patient's care?

A: Patient denies any sexual activity.
B: Patient states that he/she uses "safe sex" practices.
C: Patient states that he/she is in a monogamous relationship.
D: Patient has been intimate with more than one person in the last year. - answer D:
Patient has been intimate with more than one person in the last year.

The Center for Disease Control (CDC) had identified the 5P's with regard to obtaining
information for a sexual history. They focus on partners, practices, protection from
infection, past history of infection, and prevention of pregnancy. An individual who has
had more than one partner within the time frame should be questioned regarding
condom use. Denial of sexual activity is part of the patient's self-disclosure. The patient
stating that he/she is in a monogamous relationship again represents self-disclosure.
Use of "safe sex" practices may need to be further explored but it does not have the
greatest implication at this point.

A 45-year-old female patient, gravida 3 para 3, presents with complaints of decreased
desire to engage in sexual activity with her husband as it is becoming more painful.
What physical assessment data should the nurse focus on?

A: Urine culture to identify potential STD.
B: Obtain vital signs as a baseline to rule out infection.
C: Prepare for a vaginal exam.

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