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concepts of nursing
Sexual Health: Implement and Take Action; Evaluate
| Question | Answer |
|---|---|
| Which information related to sexual health would the nurse share with the older adult female patient who expresses concern related to physical changes that occur with aging? | Adaptation techniques for physical limitations related to sexual function |
| Which nursing interventions would the nurse implement for a patient who was sexually abused by an ex-partner? | Be an active listener. Offer support. Provide referrals for sexual help resources as needed. |
| Which actions would the nurse take when conducting sexual health education with a patient? | Ask questions in a routine, matter-of-fact manner. Teach the patient about sexual health screenings such as Papanicolaou (Pap) Include teaching about resources and education related to sexual health risk reduction. |
| At what age would the school nurse ensure a child has learned about sex, menses, and basic reproduction? Record answer as a whole number.__________ years. | 10 |
| Which action would the nurse take when teaching a preschool-age child about sexual health? | Provide simple and direct answers to sex questions. |
| Which contraceptive method that protects against sexually transmitted diseases/infections (STDs/STIs) would the nurse discuss with participants in a sexual health class? | Condoms |
| Which sexual health education materials and resources created by a nurse would be appropriate for use in an outpatient clinic? | Posters about STD/STI risk reduction Information sheets summarizing common birth control methods Three-dimensional models showing correct birth control device use Flyers posted in restrooms with sexual abuse helpline contact information |
| Which action is priority when the clinic nurse discovers a patient is being sexually abused? | Maintain confidentiality of the patient’s location. |
| nurse provides patient, a victim of sexual violence, with information downloaded from the Centers for Disease Control and Prevention (CDC) on sexually transmitted diseases/infections (STDs/STIs), which key component of patient edu is the nurse displaying? | Including current and factual information |
| Which actions would the nurse take for a patient who has been sexually assaulted? | Maintain privacy. Use therapeutic communication. Acknowledge the nurse’s personal biases towards sexuality. |
| Which response would the nurse make to a patient who had unprotected sex with her partner about 4 weeks ago, is wanting to take the morning-after pill, and has a body mass index (BMI) of 22? | “The morning-after pill is not appropriate for you at this time.” |
| Which charting entry would the nurse use when documenting intimate partner violence (IPV)? | Patient states, “My husband physically hit me.” |
| Which patient statements indicate the nurse’s teaching was effective for sexual health? | “I am going to have my son get a human papillomavirus (HPV) vaccination at 11.” “I do not let the condom end directly touch my penis.” “I never use a condom twice.” |
| Which actions would a sexual assault nurse examiner (SANE) take for a male victim of sexual violence? | Collect evidence. Establish a chain of custody. |
| Which finding would indicate to the nurse that the patient who has an outcome to list three examples of safe sex behaviors within 72 hours is improving? | Within 24 hours, stated will use a condom only once, limit sex partners, and avoid oil as a lubricant |
| Which action would the nurse take for a patient who cannot have sexual intercourse at this time because of a back problem? | Discuss oral and manual stimulation. |
| Which action would the nurse take for a patient who has Effective Sexual Functioning? | Offer information about marriage retreats. |
| Which option would the nurse share with a male patient who has decided to stop having children? | Vasectomy |
| In which order would the nurse teach about the cycle of abuse to participants in a community health class? | Relationship going well Tensions build Threat of abuse builds Actual incident of abuse Offsets abuse with “good” behaviors |
| Which crisis intervention actions would the nurse take for a victim of intimate partner violence (IPV)? | Focus on the present. Offer guidance on steps to take. Make sure the patient is safe. |
| Which action would the nurse take for a victim of intimate partner violence (IPV) who is declining? | Realize it may take several times before the patient leaves. |
| Perform on all admissions in private | Screening |
| Report child abuse | Safety |
| Limit discussions in hallways | Confidentiality |
| Use photographs with permission | Documentation |
| In which area would the nurse likely observe a hormonal implant on a female? | Under the arm |
| Which patient statement would indicate the nurse needs to follow up with the patient after teaching about the diaphragm? | “I do not need additional protection from sexually transmitted diseases or infections (STDs/STIs).” |