Chapter 6: Sexuality

Test Bank

Multiple Choice

1. How does the right to privacy impact a researcher studying the topic of adolescent sexuality?

A. Adolescents have the right to privacy but the researcher has the duty to report to parents to protect the adolescent from harm.

B. Adolescents do not have any privacy rights as they are minors therefore everything must be disclosed to parents.

C. Adolescents have the right to privacy only when they are disclosing sexual orientation.

D. Adolescents do not have the right to privacy on sexuality due to the sensitive nature of the subject.

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Sexual Activity During Adolescence

Difficulty Level: Medium

2. Keisha is a senior in high school. She is taking a course on interpersonal relationships. There is a unit on sexuality in this course. The teacher partnered with the local university to participate in an anonymous survey on adolescent sexuality. Because this is a sensitive topic and the students are all either 17 or 18, they can expect a reasonable ______.

A. self-identification on the survey

B. right to privacy from their parents

C. agreement to participate from their parents

D. no right to privacy from parents or the class

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Sexual Activity During Adolescence

Difficulty Level: Hard

3. Which is the topic within adolescent sexuality that is the most researched and understood?

A. sexual assault

B. gender identity

C. intercourse

D. birth rate

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Prevalence of Sexual Activity in Adolescence

Difficulty Level: Easy

4. Which is the average age most adolescents engage in sexual intercourse for the first time?

A. 14

B. 15

C. 16

D. 17

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Prevalence of Sexual Activity in Adolescence

Difficulty Level: Easy

5. Which behavior would constitute the first step in the progression of sexual behaviors in adolescence?

A. hand-holding

B. kissing

C. genital intercourse

D. oral sex

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Prevalence of Sexual Activity in Adolescence

Difficulty Level: Medium

6. Oliver, a 15-year-old boy, is a sophomore in high school. He, along with most of his peer group, has not engaged in sexual intercourse. In fact, none of his close friends are sexually active. They have all dated and participated in early sexual behaviors but not intercourse. Oliver’s experience ______.

A. is atypical of his peers in regard to high school sexual activity

B. demonstrates the decline in sexual activity during the early years of high school

C. shows how high school sexual activity remains the same from generation to generation

D. is the result of abstinence only education

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Prevalence of Sexual Activity in Adolescence

Difficulty Level: Hard

7. How is threat of violence to an individual related to sexual initiation?

A. The threat of violence is unrelated to early or late sexual initiation in adolescence.

B. The threat of violence in a community decreased the rate of early sexual initiation among adolescents.

C. Individuals who experienced a direct threat of violence were more at risk for early sexual initiation.

D. Individuals who experienced a direct threat of violence were less at risk for early sexual initiation.

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Prevalence of Sexual Activity in Adolescence

Difficulty Level: Medium

8. Initiation of sexual activity in late adolescence is associated with ______.

A. negative self-esteem

B. positive self-esteem

C. depression

D. a large number of partners

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Early Sexual Activity and Adolescent Adjustment

Difficulty Level: Easy

9. Which is an example of an outcome for early sexual activity in adolescent girls?

A. Katrina is more at risk for an STI.

B. Katrina has positive self-esteem

C. Katrina understands her sexual orientation.

D. Katrina will have PTSD.

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Early Sexual Activity and Adolescent Adjustment

Difficulty Level: Medium

10. Sophia became sexually active at 14-years-old. She has a low socioeconomic status household which puts her more at risk for early sexual initiation. She became depressed and anxious about her early sexual activity. Now that she is 18-years-old, she understands much more about sexuality, relationships, and sexual behavior. She has a long-lasting relationship and is closer now to her mother than ever. Sophia illustrates ______.

A. harsh detriments to her mental health

B. a different sexual orientation now than at 14

C. depression as she enters emerging adulthood

D. no long-lasting detriments to her mental health

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Early Sexual Activity and Adolescent Adjustment

Difficulty Level: Hard

11. Which is an example of an adolescent understanding their sexual orientation?

A. Katrina’s parents discuss the rules with her.

B. Oliver is not sure if he identifies male.

C. Sophia is exploring who she feels attracted to.

D. Miguel has just experienced an increase in height and weight.

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Sexual Orientation

Difficulty Level: Medium

12. Which is considered the most unstable sexual orientation in emerging adulthood?

A. gay

B. bisexual

C. lesbian

D. heterosexual

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Sexual Orientation

Difficulty Level: Medium

13. ______ is defined as an enduring pattern of romantic, emotional, and sexual attraction to others.

A. Sex drive

B. Transgender

C. Cisgender

D. Sexual orientation

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Sexual Orientation

Difficulty Level: Easy

14. Carter has explored his sexuality through his adolescent years. Now that he is 19-years-old, he understands that he is attracted to a same-sex partner. He wants to be able to be open and enjoy this relationship throughout his life. He did spend some time dating the opposite sex during his exploration, but that only helped him understand his sexual orientation. Carter exemplifies which sexual orientation?

A. heterosexual

B. gay

C. asexual

D. lesbian

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Sexual Orientation

Difficulty Level: Hard

15. Taylor, a 16-year-old girl, is exploring her sexual orientation. She feels attractions to both sexes but has only dated males. As she questions her identity and feelings, she realizes that her attraction to the same sex was really only to her best friend for a short time. She believes going forward that she will identify as ______.

A. heterosexual

B. lesbian

C. bisexual

D. transgender

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Sexual Orientation

Difficulty Level: Hard

16. For most gay or lesbian adolescents, ______ comes before the initiation of first sex.

A. early maturation

B. self-esteem

C. self-identification

D. parental knowledge

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Developmental Transitions in LGB Adolescents

Difficulty Level: Easy

17. How is “coming out” related to psychological health in an adolescent?

A. An adolescent met with condemnation will experience a boost in self-esteem.

B. An adolescent met with support from parents will experience distress.

C. An adolescent met with support from peers will experience anxiety.

D. An adolescent met with support from parents will experience a buffer against discrimination.

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Developmental Transitions in LGB Adolescents

Difficulty Level: Medium

18. Which is an organization that can aid students of all sexual orientations find support, education, and lower the risk of suicide?

A. World Health Organization (WHO)

B. gay-straight alliance (GSA)

C. Bem Sex Role Inventory (BMRI)

D. Sexuality Information and Education Council

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Risks and Supports for LGBT Adolescents

Difficulty Level: Easy

19. Which behavior is an example of an outcome from perceived victimization from peers for a LGB adolescent?

A. Kenneth is marching in this year’s Pride Parade.

B. Lionel knows he can take on anything.

C. Keisha always practices safe sex.

D. Carla has begun to fail most of her classes.

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Risks and Supports for LGBT Adolescents

Difficulty Level: Medium

20. When Jamal was 17-years-old, he decided to “come out” to his parents. Surprisingly, his parents were very understanding and supportive of his journey and orientation. He confided in them that he felt very discriminated against in school. He said there was nothing outright from his peers but a general feeling that he was not welcome among the other boys at school. His parents reassured him that they understood and are willing to help him in whatever capacity he needs in his life. This relationship, for Jamal, will most likely result in a ______.

A. positive adjustment

B. negative adjustment

C. positive risk taking

D. negative self-esteem

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Risks and Supports for LGBT Adolescents

Difficulty Level: Hard

21. Chin, a 16-year-old boy, has “come out” to his friends as gay. He intends to do the same to his parents soon. Since coming out, Chin has felt left out at school. Fortunately, he has found a group online that has recommended he ask his school counselor about starting a chapter of this same group to help support and educate all students about sexual minorities. Chin has decided to approach a teacher about starting a ______.

A. STI

B. WHO

C. GSA

D. HIV

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Risks and Supports for LGBT Adolescents

Difficulty Level: Hard

22. Increases in testosterone occur during puberty in ______.

A. boys

B. girls

C. both boys and girls

D. neither boys or girls

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Biological Influences

Difficulty Level: Easy

23. Biological influences, specifically testosterone, more than contextual influences are associated with sexual interests in ______.

A. boys

B. girls

C. boys and girls

D. neither

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Biological Influences

Difficulty Level: Easy

24. Which affects the amygdala during puberty?

A. rohypnol

B. testosterone

C. androgens

D. HIV

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Biological Influences

Difficulty Level: Medium

25. As Danny proceeds through adolescence and puberty, his romantic interests as well as his sexual interests have increased. After being in biology class, he knows that his level of testosterone has risen significantly which has affected his ability to process social information. He has also learned that sensation seeking is strong due to incomplete development in which part of his brain?

A. subcorticol area

B. amygdala

C. prefrontal area

D. nucleus accumbens

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Biological Influences

Difficulty Level: Hard

26. How are subcorticol responses related to sexual cognition?

A. The subcorticol regions are sensitive to androgens which advance sexual cognition in puberty.

B. The subcorticol regions are not affected by puberty and have no role in sexual cognition.

C. The subcorticol regions have developed hypothetical thinking which plays a role in information processing and sexual cognition.

D. The subcorticol regions have testosterone receptors which play a role in social information processing and sexual cognition.

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Biological Influences

Difficulty Level: Medium

27. Kumar has a very close relationship with his family. His parents are his biggest support. He also enjoys spending time with his brother. The family makes time to have at least three family meals a week with their busy schedules. They make sure to schedule family vacations and other outings. For Kumar, this family relationship will most likely result in ______.

A. later sexual initiation

B. earlier sexual initiation

C. high levels of depression

D. low levels of self-esteem

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Parents

Difficulty Level: Hard

28. Jenna is preparing to have a conversation with her daughter about sexuality. While she feels a little embarrassed having the discussion, she understands that it is very important. She also wants to make sure that her daughter understands not just the diseases and risks but also the positive side of sexuality. Jenna’s tone will most likely lead to ______.

A. further discussions about sex

B. no more discussions about sex

C. dismissal of the topic by her daughter

D. fear that her daughter is sexually active

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Parents

Difficulty Level: Hard

29. Joshua, a single dad, knows that he needs to have a discussion with his daughter about sex. He wants to make sure that she does not engage in any sexual contact until she is at least in college. He decides to scare her with pictures of diseases and negative talk about sex. Joshua’s daughter will most likely ______.

A. not have sex until after college

B. ignore her father’s tactics

C. ask her father a lot of questions

D. have a lower number of partners

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Parents

Difficulty Level: Hard

30. How is parental sex in the parent–adolescent conflict related to adolescent sexuality?

A. Decreases in parent–adolescent conflict with the same-sex parent are associated with early sexual activity.

B. Increases in parent–adolescent conflict with the same-sex parent are associated with early sexual activity.

C. Decreases in parent–adolescent conflict with the opposite sex parent are associated with late sexual activity.

D. Increases in parent–adolescent conflict with the opposite sex parent are associated with late sexual activity.

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Parents

Difficulty Level: Medium

31. Which is an example of parental behavior associated with lower rates of sexual activity in adolescents?

A. maintaining a distant relationship

B. controlling who adolescents are friends with

C. knowing where adolescents are

D. threatening intimidation

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Parents

Difficulty Level: Medium

32. When parents use psychological tactics to control adolescent sexual activity which is the fewer numbers of sexual partners among adolescents

C. adolescents engaging in risk-taking behavior

D. adolescents using contraceptives

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Parents

Difficulty Level: Medium

33. Which statement is true about parent–adolescent sexual communication?

A. The more scare tactics used in parent–adolescent sexual communication, the less the chance of sexual activity.

B. The more scare tactics used in parent–adolescent sexual communication, the greater the chance of safe sex practices.

C. The more positive parent–adolescent sexual communication, the less of a chance the adolescent will use contraceptives.

D. The more positive parent–adolescent sexual communication, the greater the chances of contraceptive use.

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Parents

Difficulty Level: Medium

34. Which kind of communication is dismissed by adolescents when parents talk about sex and sexuality?

A. a positive tone

B. pleasurable aspects

C. open communication

D. scare tactics

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Parents

Difficulty Level: Easy

35. ______ of sexual peer activity is an important predictor of sexual activity.

A. Perception

B. Experimentation

C. Abstinence

D. Discrimination

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Peers

Difficulty Level: Easy

36. What is the relationship between perception and actual behavior among adolescents in regards to sexual activity?

A. Adolescents who perceive their peers as less sexually active are more likely to be sexually active.

B. Adolescents who perceive their peers as more sexually active are more likely to be sexually active.

C. Adolescents do not pay attention to whether or not their peers are sexually active.

D. Adolescents who perceive their peers as more sexually active are less likely to be sexually active.

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Peers

Difficulty Level: Medium

37. Gabrielle has a close friend group at school. They have been friends since elementary school and all participate on the dance team together. Since becoming juniors, Gabrielle has seen each of her friends become active in relationships. She is pretty sure that all of them are having sex with their partners. Gabrielle has just started dating Adam whom she really likes a lot. Because of her peer group, Gabrielle will most likely ______.

A. engage in questioning

B. never initiate contraceptive use

C. initiate sexual activity

D. not engage in sexual activity

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Peers

Difficulty Level: Hard

38. An exosystem factor related to early sexual initiation is ______.

A. sexual orientation

B. early maturation

C. parental control

D. neighborhood disadvantage

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Neighborhood and Community

Difficulty Level: Easy

39. Jenna, a 15-year-old African American girl, comes from a pretty rough neighborhood. Most everyone just shuts their doors and ignores anything they see and hear. There is not much to do when she gets home from school in the community either. Her mother is usually still at work, just trying to earn enough money to pay their bills. She usually hangs out with a group of older adolescents down the hall in her building. This exofactor puts Jenna at risk for ______.

A. early sexual activity

B. late sexual activity

C. more hypothetical thinking

D. less hypothetical thinking

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Application

Answer Location: Neighborhood and Community

Difficulty Level: Hard

40. Which is the best predictor of contraceptive use for adolescents?

A. planning to have sex

B. access to contraceptives

C. pregnancy

D. STI

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Knowledge

Answer Location: Contraceptive Use

Difficulty Level: Easy

41. Mrs. Ramirez is teaching a sex education course this semester at her high school. She believes in adolescents using safe sex practices if they are going to engage in sexual activity. She has made sure to explain in detail how to use them and where they can be found. While she cannot provide access to them at her school, she makes sure to explain how HIV and other STI’s can be prevented. Due to this, the adolescents in Mrs. Ramirez’ class are ______.

A. more likely to dismiss the information

B. less likely to hear the information

C. more likely to use a condom

D. less likely to use a condom

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Application

Answer Location: Contraceptive Use

Difficulty Level: Hard

42. What is the relationship between parental discussions and safe sex practices?

A. Parents who do not engage in discussions about sex and contraception have adolescents who do not engage in sexual activity.

B. Parents who do not engage in discussions about sex and contraception is associated with increased contraceptive use.

C. Parents who engage in open discussion about sex and contraception is associated with decreased contraceptive use.

D. Parents who engage in open discussions about sex and contraception is associated with increased contraceptive use.

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Analysis

Answer Location: Contraceptive Use

Difficulty Level: Medium

43. Which is defined as an infection passed from one individual to another through sexual contact?

A. sexually transmitted infection

B. adrenarche

C. post-traumatic stress disorder

D. rohypnol

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Knowledge

Answer Location: Sexually Transmitted Infections

Difficulty Level: Easy

44. ______ is the most commonly diagnosed sexually transmitted infection (STI) in all people.

A. HIV

B. HPV

C. Gonorrhea

D. Chlamydia

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Knowledge

Answer Location: Sexually Transmitted Infections

Difficulty Level: Easy

45. Of the new cases of HIV/AIDS diagnosed, adolescents and emerging adults represent ______.

A. one in three

B. one in four

C. one in five

D. one in six

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Knowledge

Answer Location: Sexually Transmitted Infections

Difficulty Level: Easy

46. A scientist focused on an STI that can cause cancer is interested in ______.

A. syphilis

B. gonorrhea

C. HIV

D. HPV

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Comprehension

Answer Location: Sexually Transmitted Infections

Difficulty Level: Medium

47. Which STI is considered the most serious?

A. HIV

B. HPV

C. syphilis

D. chlamydia

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Comprehension

Answer Location: Sexually Transmitted Infections

Difficulty Level: Medium

48. Which behavior is associated with lowering adolescent birth rates?

A. Yasmine having sexual fantasies.

B. Dr. Lee administering the HPV vaccine.

C. Mrs. Ramirez instructing on safe sex practices.

D. Don pressuring Angela to go out with him.

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Comprehension

Answer Location: Adolescent Pregnancy and Parenthood

Difficulty Level: Medium

49. Which statement is true?

A. All adolescents have been vaccinated for HPV.

B. Adolescent pregnancy is a cause of high school dropout rates.

C. Sexual orientation is formed in middle adulthood.

D. Most adolescents have engaged in sexual intercourse by age 14.

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Comprehension

Answer Location: Adolescent Pregnancy and Parenthood

Difficulty Level: Medium

50. What is the relationship between HPV vaccination rates and sexual activity?

A. Health-care professionals believe the low HPV vaccination rates is due to the belief that they condone sexual activity in adolescents.

B. Health-care professionals believe that the high HPV vaccination rates is due to the belief that it condones sexual activity in adolescents.

C. Health-care professionals believe that the low HPV vaccination rates is due to the ineffectivity of the vaccine for adolescents.

D. Health-care professionals believe that the high HPV vaccination rates is due to the ineffectivity of the vaccine for adults.

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Analysis

Answer Location: Sexually Transmitted Infections

Difficulty Level: Medium

51. How are sibling relationships related to adolescent pregnancy?

A. Sibling relationships have no relation to adolescent pregnancy making it either less or more likely in occurrence.

B. An adolescent boy is more likely to engage in unprotected sex if his older sister experienced adolescent pregnancy.

C. An adolescent girl is less likely to become pregnant if her older sister experienced adolescent pregnancy.

D. An adolescent girl is more likely to become pregnant if her older sister experienced adolescent pregnancy.

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Analysis

Answer Location: Adolescent Pregnancy and Parenthood

Difficulty Level: Medium

52. How is adolescent pregnancy related to negative outcomes?

A. Adolescent pregnancy is associated with sexually transmitted infections.

B. Adolescent pregnancy is associated with discriminatory behavior.

C. Adolescent pregnancy is associated with poverty and family instability.

D. Adolescent pregnancy is associated with post-traumatic stress disorder (PTSD).

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Analysis

Answer Location: Adolescent Pregnancy and Parenthood

Difficulty Level: Medium

53. Carly’s mother had cervical cancer when she was younger which was determined to have occurred due to a sexually transmitted infection (STI). Fortunately, she was able to make sure that her daughter was given a vaccine that protected against this kind of infection. She took Carly to the doctor for the vaccine once at 11 and then again for two more rounds to complete its effectiveness. Her mother explained to her that this round of vaccination would protect her from ______.

A. HIV

B. HPV

C. gonorrhea

D. syphilis

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Application

Answer Location: Sexually Transmitted Infections

Difficulty Level: Hard

54. Jada’s older sister had a baby when she was 17 years old. Jada does not want a baby like her sister. She wants to go to college and have a career before starting her family. Growing up in a disadvantaged neighborhood has also influenced both Jada and her sister in their sexual activity. While her parents are supportive of her sister, they are also very firm and involved with Jada so that she can achieve her dreams. Jada’s parents are acting as a(n) ______.

A. buffer

B. controlling factor

C. uninvolved factor

D. stressor

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Application

Answer Location: Adolescent Pregnancy and Parenthood

Difficulty Level: Hard

55. When Tana found herself pregnant, her parents were disappointed. But that disappointment was short lived when they pulled together as a family to support and encourage Tana to finish high school and begin to attend college. Tana’s mother was especially supportive with the baby allowing Tana to learn how to take care of her baby by modeling the right behaviors. Tana’s situation has allowed her to learn to be a ______.

A. vocational parent

B. controlling parent

C. depressed parent

D. competent parent

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Application

Answer Location: Adolescent Pregnancy and Parenthood

Difficulty Level: Hard

56. Which is defined as nonconsensual sexual contact or behavior, including through use of coercive tactics such as fear, incapacitation, or physical harm?

A. sexual assault

B. casual sex

C. sexual norms

D. sexual initiation

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Knowledge

Answer Location: Sexual Coercion

Difficulty Level: Easy

57. A researcher focused on victims of sexual assault is interested in individuals ______.

A. over the age of 30

B. over the age of 25

C. under the age of 25

D. under the age of 15

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Comprehension

Answer Location: Sexual Coercion

Difficulty Level: Medium

58. Blake and Camille have been dating for awhile. Camille has been very upfront that she wants to wait to initiate sexual activity. She is not ready to have sexual intercourse. Blake has been getting very impatient with her and decides to threaten to break off the relationship if she does not have sex with him. This could be considered ______.

A. casual sex

B. sexual assault

C. sexual initiation

D. sexual norms

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Application

Answer Location: Sexual Coercion

Difficulty Level: Hard

59. Libby is going out with Bryan this evening for a second date. After dinner, they decided to go to a friend’s party. While they were there, both of them drank too much alcohol and decided to spend the night at the house. When Bryan became aggressive sexually, Libby told him no but he persisted anyway. Libby was unable to stop Bryan or walk away due to her inebriated state. The next day Libby decides not to say anything to anyone about what happened because she thinks things just got out of hand. Libby is most likely the victim of ______.

A. rohypnol

B. sexual norms

C. casual sex

D. date rape

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Application

Answer Location: Sexual Coercion

Difficulty Level: Hard

60. The debate over sexuality education is mainly between two approaches: the abstinence-only-until-marriage and ______.

A. comprehensive sex education

B. sexual norms approach

C. parental knowledge approach

D. mental health approach

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Knowledge

Answer Location: Sexuality Education

Difficulty Level: Easy

61. What does peer-reviewed research reveal about the effectiveness of abstinence-only-until-marriage programs?

A. Sexual activity initiation is delayed with abstinence-only-until-marriage programs.

B. Sexual activity initiation is not delayed with abstinence-only-until-marriage programs.

C. Abstinence-only-until-marriage programs teach about safer sex practices.

D. Abstinence-only-until-marriage programs reduce the frequency of sexual activity.

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Analysis

Answer Location: Abstinence Only Until Marriage

Difficulty Level: Medium

62. Ben is in a high school health class this semester. They are learning about harmful effects, like STI’s and psychological issues, from having sex before they are married. They are also learning about the benefits of waiting socially, physically, and emotionally. For Ben and his friends, this class has ______.

A. provided them an understanding of contraceptives

B. provided them an understanding of oral sex

C. not provided them information about safe sex

D. not provided them information about HIV

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Application

Answer Location: Abstinence Only Until Marriage

Difficulty Level: Hard

63. Which component of a comprehensive sex education approach would teach about abstinence?

A. reproductive health

B. sexual rights

C. preventing violence

D. diversity

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Knowledge

Answer Location: Comprehensive Sex Education

Difficulty Level: Easy

64. Comprehensive sex education emphasizes ______.

A. contraceptive use only

B. abstinence only

C. overall adolescent health

D. overall prevention of disease

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Knowledge

Answer Location: Comprehensive Sex Education

Difficulty Level: Easy

65. How do preventing violence and promoting sexual rights compare as components in a comprehensive sex education course?

A. These components deal with understanding intimacy.

B. These components deal with understanding sexually transmitted infections.

C. Both of these components deal with sexual orientation.

D. Both of these components stress the understanding of consent.

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Analysis

Answer Location: Comprehensive Sex Education

Difficulty Level: Medium

66. Rosa is doing her project for her health class on the difference between intimacy and sex. She is incorporating a lot of information about emotions and peer pressure. There were a lot of components of her sex education class to do the project on but Rosa chose to focus on ______.

A. promoting healthy relationships

B. promoting diversity

C. preventing violence

D. reproductive health

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Application

Answer Location: Comprehensive Sex Education

Difficulty Level: Hard

67. Zack has just finished his health class that had a unit on sexuality. In this class, he was able to understand different cultures and religious beliefs as well as safe sex practices to prevent disease. He learned the difference between intimacy and sex. Consent and myths were also covered. Zack was most likely in a(n) ______.

A. mental health only approach

B. sexual norms approach

C. abstinence-only-until-marriage approach

D. comprehensive sex education approach

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Application

Answer Location: Comprehensive Sex Education

Difficulty Level: Hard

68. Charlotte has just completed her high school health class. In this class, she learned about different sexual orientations, sexually transmitted infections, and myths dealing with sexuality. She also learned about safe sex practices to prevent disease as well as contraceptive use. She learned the difference between intimacy and sex and ways to have a healthy sex life. Charlotte was most likely in a(n) ______.

A. mental health only approach

B. sexual norms approach

C. abstinence-only-until-marriage approach

D. comprehensive sex education approach

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Application

Answer Location: Comprehensive Sex Education

Difficulty Level: Hard

69. Which would be covered in the prevention of violence unit of a comprehensive sex education program?

A. exploration of emotional intimacy

B. understanding how nonconsensual sex occurs

C. safe sex practices

D. exploration of sexual orientation

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Comprehension

Answer Location: Comprehensive Sex Education

Difficulty Level: Medium

70. Understanding advocacy and choice is an example of which component of a comprehensive sex education approach?

A. reproductive health

B. preventing violence

C. promoting sexual rights

D. diversity

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Comprehension

Answer Location: Comprehensive Sex Education

Difficulty Level: Medium

True/False

1. One barrier researcher’s face in understanding teen sexuality in LGB teens is their fear of being “outed” before they are ready to share their sexuality.

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Sexual Activity During Adolescence

Difficulty Level: Medium

2. An adolescent reared in a stressful context reduces the chance of early sexual activity and decreases sexual experience.

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Prevalence of Sexual Activity in Adolescence

Difficulty Level: Medium

3. Research has suggested that while early sexual initiation in girls prior to age 15 is a risk factor for depression, it is not long lasting.

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Early Sexual Activity and Adolescent Adjustment

Difficulty Level: Medium

4. A transgender identity signifies a sexual orientation.

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Sexual Orientation

Difficulty Level: Easy

5. LGB adolescents tend to “come out” to their parents before their peers due to the importance of the relationship.

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Developmental Transitions in LGB Adolescents

Difficulty Level: Medium

6. The change in testosterone levels in boys which comes with pubertal timing influences the timing of sexual initiation.

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Biological Influences

Difficulty Level: Easy

7. Consequences and cautionary tales from parents are the most successful tactics to discourage the initiation of sexual activity.

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Parents

Difficulty Level: Medium

8. Close friends, rather than the general peer group, have a greater influence on initiation of sexual activity for adolescents.

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Peers

Difficulty Level: Medium

9. Neighborhood disadvantage is associated with adolescent pregnancy and birth.

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Knowledge

Answer Location: Neighborhood and Community

Difficulty Level: Easy

10. Contraceptive use is low among most sexually active high school students.

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Knowledge

Answer Location: Contraceptive Use

Difficulty Level: Easy

11. Sexually transmitted infections can be caused by viruses, parasites, or bacteria which can result in sterility and life-threatening illnesses.

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Knowledge

Answer Location: Sexually Transmitted Infections

Difficulty Level: Easy

12. Girls who experience their menarche later than their peers are more at risk for adolescent pregnancy.

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Comprehension

Answer Location: Adolescent Pregnancy and Parenthood

Difficulty Level: Medium

13. Many cases of rape go unreported by adolescents and emerging adults.

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Knowledge

Answer Location: Sexual Coercion

Difficulty Level: Easy

14. Many health-care providers argue that since the abstinence-only-until-marriage approach does not teach safe sex practices this approach then threatens fundamental human rights to health information.

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Comprehension

Answer Location: Abstinence Only Until Marriage

Difficulty Level: Medium

15. The exploration of gender based violence is not part of a comprehensive sex education approach.

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Comprehension

Answer Location: Comprehensive Sex Education

Difficulty Level: Medium

Short Answer

1. How is a stressful environment related to sexual activity and sexual experience in adolescents?

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Prevalence of Sexual Activity in Adolescence

Difficulty Level: Medium

2. What is the relationship between authoritative parenting and sexual activity in adolescents?

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Early Sexual Activity and Adolescent Adjustment

Difficulty Level: Medium

3. What conclusion can be drawn from the understanding that LGBT adolescents with supportive parents after “coming out” have higher self-esteem and greater adjustment?

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Risks and Supports for LGBT Adolescents

Difficulty Level: Medium

4. How is parental behavior toward their adolescent related to sexual activity in adolescents?

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Parents

Difficulty Level: Medium

5. What is the relationship between peer behavior and sexual activity?

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Peers

Difficulty Level: Medium

6. How does the state of a community relate to early sexual activity?

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Neighborhood and Community

Difficulty Level: Medium

7. How is the parenting relationship related to safer sex practices among adolescents?

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Analysis

Answer Location: Contraceptive Use

Difficulty Level: Medium

8. Compare the risk factors for early sexual activity with those for adolescent pregnancy.

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Analysis

Answer Location: Adolescent Pregnancy and Parenthood

Difficulty Level: Medium

9. What is the relationship between the “rape myth” and the prevalence of sexual assault?

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Analysis

Answer Location: Sexual Coercion

Difficulty Level: Medium

10. Explain the research findings from abstinence-only-until-marriage programs in schools?

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Comprehension

Answer Location: Abstinence Only Until Marriage

Difficulty Level: Medium

Essay

1. Explain the process of determining sexual orientation in adolescence.

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Sexual Orientation

Difficulty Level: Medium

2. What is the relationship between school culture and LGBT victimization?

Learning Objective: 6.1: Examine patterns of sexual activity in adolescence.

Cognitive Domain: Analysis

Answer Location: Risks and Supports for LGBT Adolescents

Difficulty Level: Medium

3. Explain the role of testosterone to influence sexual activity in boys and girls.

Learning Objective: 6.2: Discuss biological and contextual influences on sexual activity in adolescence.

Cognitive Domain: Comprehension

Answer Location: Biological Influences

Difficulty Level: Medium

4. Explain the factors that help an adolescent become a competent parent. Provide an example of a situation where an adolescent can beat the odds and risks of adolescent parenthood.

Learning Objective: 6.3: Summarize risks to adolescents’ sexual health.

Cognitive Domain: Application

Answer Location: Adolescent Pregnancy and Parenthood

Difficulty Level: Hard

5. Design a comprehensive sex education course. Make sure to include all topics that would be covered in this approach.

Learning Objective: 6.4: Compare approaches to sexuality education.

Cognitive Domain: Application

Answer Location: Comprehensive Sex Education

Difficulty Level: Hard