Test Generator Questions, Chapter 40, Sexuality

Format: Multiple Choice

Chapter: 40

Client Needs: Health Promotion and Maintenance

Cognitive Level: Remember

Integrated Process: Nursing Process

Learning Objective: 7

Page and Header: Introduction, p. 1317.

1. The Surgeon General’s Call To Action To Promote Sexual Health and Responsible Sexual Behavior was released in 2001. The goal of this document is to:

A) decrease fear of sexual expression.

B) enhance prevention with free care.

C) promote general health and wellness.

D) stop sexual promiscuity in the country.

2. The testes are responsible for producing:

A) estrogen and testosterone.

B) testosterone and spermatozoa.

C) progesterone and sperm.

D) thyroxin, testosterone and cortisol.

3. The combination of seminal fluid and spermatozoa forms:

A) ovum.

B) orgasm.

C) blood.

D) semen.

4. In the female reproductive system, what corresponds with the male penis?

A) Clitoris

B) Mons pubis

C) Skene glands

D) Urethral meatus

5. In the male reproductive system, the glands that produce and store most of the seminal fluid include the seminal vesicle and the:

A) prostate.

B) glans penis.

C) gonads.

D) scrotum.

6. In the female reproductive system, the hormones estrogen and progesterone are produced by the:

A) vagina.

B) Bartholin glands.

C) Skene glands.

D) ovaries.

7. Which statement should be incorporated into the education plan developed to present instruction about the female menstrual cycle to nursing students?

A) Menses ensues when the levels of estrogen and progesterone fall.

B) The follicular phase is dominated by progesterone and testosterone.

C) Progesterone influences the growth of endometrial lining.

D) Estrogen is the dominant hormone during the luteal phase.

8. A pregnant adolescent did not understand the process of fertilization. The school nurse’s best explanation of fertilization is that:

A) the fertilization process occurs in the outer third of the fallopian tube.

B) fertilization is a process that occurs in the lower portion of the cervix.

C) an ovum can be fertilized during a period of 1 week after intercourse.

D) the first 2 months after fertilization is critical for the embryo.

9. The term that is used to describe the female client who states that she is a man trapped in a women’s body is:

A) bisexual.

B) homosexual.

C) heterosexual.

D) transsexual.

10. A child is born and is identified as intersexed. The nurse should inform the parents that:

A) the infant will not get married nor have intimate relationships.

B) the infant may eventually undergo surgery to determine gender.

C) the infant will never lead a normal life emotionally or sexually.

D) the infant will be intersexed for the remainder of his or her life.

11. When a man cannot achieve an erection, the phase of the sexual response in which the man is experiencing difficulty is:

A) refractory phase.

B) obligatory phase.

C) excitement phase.

D) orgasmic phase.

12. During the plateau phase of the sexual response, the man may experience:

A) nipple erection.

B) bradycardia.

C) hypoventilation.

D) hypotension.

13. During the orgasmic phase of the sexual response, the woman may experience:

A) vaginal relaxation.

B) bradycardia.

C) hypoventilation.

D) hypertension.

14. When the parent of a 2-year-old tells the pediatric nurse that the child masturbates, the nurse informs the parent that the child:

A) may have an identity crisis.

B) should have a physical examination.

C) needs family counseling.

D) is exhibiting normal behavior.

15. The term used to describe sexual changes that occur in the transition of a female from middle age to old age is:

A) plateau.

B) resolution.

C) menarche.

D) climacteric.

16. The nurse cares for a woman who practices Islam. The client is reluctant to undergo pelvic examination from an assigned male healthcare provider. The nurse should instruct the client to:

A) ask her husband to be present during the examination.

B) seek a female healthcare provider to perform the examination.

C) tell her to refuse to have the examination based on beliefs.

D) have the pelvic examination with another woman present.

17. When a 19-year-old male client tells the nurse that he has never been able to achieve an erection, the nurse recognizes that the client is experiencing:

A) sexual identity problems.

B) primary erectile dysfunction

C) secondary erectile dysfunction

D) ejaculatory dysfunction.

18. A woman reports pain with intercourse. For which client medications should the nurse check that contribute to dyspareunia?

A) Antihistamines

B) Calcium supplements

C) Antibiotics

D) Antihypertensives

19. A client comes to the clinic for information about contraception. When talking with the client, which would the nurse describe as a highly effective reversible method.

A) Intrauterine device (IUD)

B) Tubal ligation

C) Diaphragm

D) Oral contraceptives

20. The nurse determines that the client needs further instruction regarding Kegel exercises when the client tells the nurse that one of the benefits of the exercises is:

A) increased abdominal strength.

B) rapid postpartum recovery.

C) increased vaginal lubrication.

D) relief of constipation.

21. After instructing the male client on the performance of a testicular examination, the nurse instructs the client to perform the examination how often?

A) Monthly

B) Weekly

C) Bi-monthly

D) Bi-yearly

22. The nurse is using the PLISSIT model when discussing sexual health with a client. Which would be an appropriate comment for the SS portion of PLISSIT?

A) “If you were to use the pill, the cost of the pill will be $5.00 per month.”

B) “The typical signs and symptoms include nausea and vomiting.”

C) “Keeping sexual secrets can hurt a healthy relationship.”

D) “Some people practice birth control, while others choose not to. It is an individual choice.”

23. The nurse is caring for a client diagnosed with vaginismus. When reviewing the client’s history, what would the nurse expect to find?

A) Past history of a rape

B) Past history of a sexually transmitted infection

C) Multiple vaginal deliveries

D) In the first trimester of pregnancy

24. The nurse is preparing a presentation on contraceptive methods. Which methods are designated highly effective? Select all that apply.

A) Vaginal ring

B) Spermicide

C) Subdermal implant

D) Intrauterine device (IUD)

E) Transdermal patch

25. The nurse has provided information to a client about oral contraceptives. Which statement by the client would indicate a need for further education?

A) “Some oral contraceptives protect against sexually transmitted infections (STIs).”

B) “Hormonal oral contraceptives reduce the risk of ovarian cancer.”

C) “Oral contraceptives need to be taken on a daily basis.”

D) “Some hormonal contraceptives do not contain estrogen and rely instead on a progestin only.”

26. The nurse is providing education about barrier contraceptives. Which statement by the client indicates a need for further education?

A) “I have to wash my cervical caps after each use.”

B) “I can leave my diaphragm in for up to 48 hours.”

C) “I can insert my female condoms up to 8 hours before intercourse.”

D) “Male latex condoms when used correctly are an effective means of contraceptive and very effective at preventing transmission of sexually transmitted infections.”

27. The nurse is speaking to a client regarding the client’s sexual history. The client states, “I was born with a penis but I should have had a vagina.” The nurse would document the client’s gender identity as:

A) transsexual.

B) homosexual.

C) bisexual.

D) transvestite.

28. A female client presents with a report of pain and burning in the area of the vulva during intercourse. The nurse documents this report as:

A) vulvodynia

B) vaginismus

C) dyspareunia

D) orgasmic dysfunction

29. The nurse is assisting during a physical exam of a client. In regards to the genital exam, what steps does the nurse need to complete? Select all that apply.

A) Provide privacy.

B) Instruments should be kept cold.

C) Use careful draping of the client.

D) Use gloves during the exam.

E) Assist client into proper position.