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concepts of nursing
Sexual Health: Assess and Recognize Cues
| Question | Answer |
|---|---|
| Which step in the PLISSIT model is being used when the nurse states, “I would like to ask you some questions pertaining to your sexual history”? | P |
| Which practices do the acts of pulling the curtain around the bed and sitting on the chair facing the patient convey to the patient who has human immunodeficiency virus (HIV) infection? | Respecting privacy Preparing to listen actively |
| Which purposes are achieved by conducting a sexual health history for a patient with possible sexually transmitted diseases/infections? | Provide an opportunity for patient education. Identify the patient’s sexual concerns. Highlight any high-risk sexual behaviors. |
| Which question or statement would the nurse use to therapeutically obtain information about a patient’s sexual orientation? | “Tell me about your partner.” |
| Which action would the nurse take when a patient is embarrassed to talk about human immunodeficiency virus (HIV) symptoms? | Be nonjudgmental. Be empathetic. |
| Which approach would the nurse use to collect cues about a patient who has low testosterone? | Ask questions in a routine, matter-of-fact manner. |
| Which response would the nurse make when the patient appears shocked and asks, “Why are you asking me about sexually transmitted diseases (STDs) and infections (STIs)?” | “Asking about STDs/STIs is a routine part of our health history collection process.” |
| Which sexually transmitted disease/infection (STD/STI) risk is reduced when the patient receives a Cervarix vaccine? | Human papillomavirus (HPV) |
| Which statements regarding sexually transmitted diseases or infections (STDs/STIs) are true? | Bacteria and viruses can cause STDs/STIs. STDs/STIs can be contracted via sexual intercourse or intimate contact with an infected person All STDs/STIs can be contracted by both males and females. |
| Which protective strategy for genital herpes would the nurse teach the patient? | Abstinence should be practiced when lesions are present. |
| Which term would the nurse use for a patient who has painful intercourse from insufficient vaginal lubrication? | Dyspareunia |
| Which situations describe how human immunodeficiency virus (HIV) is most commonly transmitted? | Exchange of bodily fluids during vaginal or anal sex with an HIV-positive individual Shared use of drug needles or syringes with an HIV-positive individual |
| Which statement would the nurse expect to hear from a patient who has impotence? | “I can’t have an erection.” |
| Which cues indicate the patient is having a problem with vaginismus? | History of inability to have intercourse States wanting to have intercourse but cannot Partner states that the penis cannot enter the vagina |
| Which initial action would the nurse take for a patient who is trying to grab the nurse’s buttocks? | Tell the patient to “stop.” |
| Which cue is relevant regarding a patient’s sexual health? | High progesterone levels |
| Which cues would the nurse observe in a patient who is a victim of human trafficking? | Evidence of forced vaginal or anal entry Extremely fearful Possible drug use marks Unable to provide a history |
| Which information about human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) would the nurse share with the patient? | Patients with HIV may not have symptoms during the clinical latency phase. Lung infections are possible in the AIDS phase of the disease. |