NUR 1510 Exam 4 Study Guide with
Questions and Correct Answers
a.
excitement, plateau, and orgasmic.
During these three phases, heart rate, blood pressure, and respirations increase
steadily, increasing stress to the heart muscle. This would be the period of greatest
concern for a patient who has recently experienced an MI. The plateau and orgasmic
phases may be of physiologic concern to this patient, but during the resolution phase,
vital signs return to normal, and muscles relax. Arousal is not a phase in the four-stage
model of the human sexual response cycle, although some researchers feel this should
be added. ✅A 55-year-old male patient post-myocardial infarction (MI) queries the
nurse caring for him whether he will be healthy enough for sexual activity after
discharge from the hospital. The patient has been prescribed anti-hypertensives and
beta-blockers. While health teaching, the nurse understands that the three phases of
the four-stage model of the human sexual response cycle that are of concern for this
patient include
a.
excitement, plateau, and orgasmic.
b.
plateau, orgasmic, and resolution.
c.
excitement, orgasmic, and resolution.
d.
arousal, excitement, and plateau.
d.
An individual with intellectual or developmental disabilities
As more of these individuals move into mainstream society, it is important that sexual
health is promoted, including teaching regarding sexual norms. Otherwise these
individuals are likely victims of unhealthy sexual practices or sexual abuse. In today's
society, the newly unpartnered are likely to begin dating and acquire one or more new
sexual partners. This group is at significant risk for exposure to sexually transmitted
infections and requires health teaching related to safer sexual practices. The Hispanic
teenage girl is at increased risk for unintended teen pregnancy. Adolescent pregnancy
puts an undue burden on the young woman during a crucial period of growth and
development. Hispanic teens experience double the rate of pregnancy of Caucasian
adolescents. Major health disparities continue to exist between African-Americans and
their Caucasian ✅In order to fully assess the patient and plan appropriate care
including health teaching regarding sexuality, it is important for the nurse working in
either a primary care or hospital setting to be cognizant that some groups of patients will
,have an increased risk for problems related to the concept of sexual health. Which
patient is most at risk for sexual abuse?
a.
A recently divorced 50-year-old woman
b.
A Hispanic teenage girl
c.
A 30-year-old African-American male
d.
An individual with intellectual or developmental disabilities
b.
Prostate-specific antigen (PSA)
PSA testing is recommended annually for men at increased risk for prostate cancer.
This includes men with a family history or those of African-American descent. HPV
testing would likely be ordered for patients with genital warts. This might not be
necessary for this patient. Tests for HIV should be ordered for patients that belong to
high-risk populations, including men who have sex with men, and all pregnant women.
All sexually active men and women should have a VDRL and rapid plasma reagin
performed. ✅A thorough assessment of sexual health includes laboratory and other
diagnostic procedures. Tests are ordered at the provider's discretion based upon
gender and lifestyle of the patient. A 37-year-old heterosexual African-American man
has come for his annual health screening. Which test must the nurse ensure is ordered
for this patient?
a.
Human papilloma virus (HPV)
b.
Prostate-specific antigen (PSA)
c.
HIV
d.
Venereal disease research laboratory (VDRL)
d.
the male condom.
When used correctly, the male condom continues to be the single most effective
method for preventing sexually transmitted diseases as well as being a very highly
effective contraceptive agent. A significant primary prevention strategy is the recent
introduction of a vaccine used to prevent cervical cancer and genital warts caused by
HPV. One of two FDA-approved vaccines should be routinely administered to 11- and
12-year-old girls and can be given up to the age of 26. HIV screening is recommended
for all sexually active teens by the Centers for Disease Control and Prevention.
Screening for existing disease is a secondary prevention strategy. By educating teens
towards behavior change related to high-risk behaviors, nurses may be able to reduce
,the risk for contracting sexually transmitted infections. ✅Primary strategies are those
that are implemented in order to avoid the development of disease. These strategies
can be either population-based or individually-based. As a school nurse, you are
developing a curriculum for a junior human sexuality class. In order to provide the most
up-to-date information, you are aware that the single most effective primary prevention
strategy for preventing sexually transmitted diseases is
a.
a vaccine to prevent HPV infection.
b.
HIV screening.
c.
education directed at high-risk behaviors.
d.
the male condom.
c.
Surgical correction
Depending on the cause, a cystocele can be readily corrected by surgery. Pelvic muscle
floor training (Kegel exercises) will most definitely help with symptoms of urinary
incontinence. This alone is not adequate treatment for this patient. Vaginal pessaries
are an excellent treatment modality for uterine prolapse. Lifestyle changes such as
weight loss, avoiding constipation, and reducing high-impact exercise, such as running,
will all help the patient with pelvic organ prolapse. Although these modalities will provide
relief, they will not correct the cystocele without surgical intervention. ✅Symptoms of
sexual dysfunction and altered body image often coexist with prolapse of the female
reproductive organs. Nursing care requires a great deal of sensitivity, because many
women are embarrassed by their condition. Your patient is a 44-year-old married
woman who is complaining of painful intercourse and incontinence. Clinical evaluation
reveals that the patient has a cystocele. Which treatment option is most appropriate for
this patient?
a.
Pelvic floor training
b.
Vaginal pessaries
c.
Surgical correction
d.
Lifestyle changes
a.
"Have you ever received donor semen, eggs, or transplanted tissue?"
Receipt of any donated organ, tissue, semen, or eggs is considered a blood-related risk.
Other blood-related risks include blood transfusion, sex with a person with hemophilia,
or sharing equipment for tattoos and body piercing. The exchange of sex for money,
, drugs, or shelter is considered a drug use-related risk. Other drug use-related risks
include having sex with a person who uses or shares, and having sex while stoned,
high, or drunk so that you cannot remember the details. By using male condoms, female
condoms, or other barriers, patient can protect themselves against sexual risk. Other
high-risk behaviors in this category include: having sex against one's will, failing to use
protection, having sex with a partner who is bisexual or gay, having anal intercourse,
and sexual activity with an increased number of partners. Sharing equipment to
✅Preventing infection remains the most effective way of reducing the adverse
consequences of sexually transmitted infections, in particular those that are not readily
curable. Nurses are often able to reassure the patient enough to open dialog regarding
possible exposure, testing, and treatment options. When assessing high-risk behaviors,
which question specifically identifies a blood-related risk?
a.
"Have you ever received donor semen, eggs, or transplanted tissue?"
b.
"Have you ever exchanged sex for drugs, money, or shelter?"
c.
"How do you protect yourself from HIV and sexually transmitted infections?"
d.
"Have you ever injected drugs using shared equipment?"
C, D
c.
The best predictor of sexual health is emotional well-being.
d.
The patient with sexual dysfunction is at risk for anxiety and depression.
The best predictor of sexual health is emotional well-being rather than the impairment of
the physical aspects of sexual arousal and function. Nurses must remain cognizant that
sexual dysfunction, regardless of the cause, is likely to result in a number of negative
consequences including anxiety, stress, and depression. Although sexual arousal may
be diminished by biological factors such as illness and hormone levels, psychologic
factors such as anxiety, mood disorders, or stress play a more significant role in sexual
health. Sexual dysfunction is more common in women, with 40 to 45% of women
reporting symptoms as opposed to 20 to 30% of men. It appears that sexual dysfunction
is very common among the general population, with rates varying from 20 to 50%.
✅Sexual dysfunction is a negative consequence of human sexuality manifested by any
disturbance to the psycho-physiologic changes that occur during the sexual response
cycle. Which statements related to sexual dysfunction are correct? (Select all that
apply.)
a.
Biological factors play a more significant role than psychologic factors.
b.
Sexual dysfunction is more prevalent among men than women.
c.
The best predictor of sexual health is emotional well-being.
