Chapter 34 Sexuality Fundamentals of Nursing 11th Edition (Potter & Perry) 50 NCLEX-Style Exam Questions with Detailed Rationale

1. A nurse is educating a group of adolescents about sexual health. Which topic is most important to include to promote safe practices? A) Reproductive anatomy B) Contraceptive options and STI prevention C) Stages of fetal development D) Common myths about sexuality Answer: B Rationale: Safe sexual practices, including contraception and STI prevention, are crucial for adolescent education. ________________________________________ 2. Which term best describes an individual’s self-identity in relation to gender, sexual orientation, and sexual behavior? A) Gender role B) Gender identity C) Sexuality D) Biological sex Answer: C Rationale: Sexuality encompasses identity, orientation, behavior, and the roles individuals assume in relationships. ________________________________________ 3. A patient tells the nurse, “I feel uncomfortable talking about sex with my partner.” What is the nurse’s best response? A) “That’s not something we need to discuss.” B) “It’s normal to feel that way. Would you like to talk about it?” C) “You’ll get over it eventually.” D) “That’s a personal issue.” Answer: B Rationale: A therapeutic response encourages open communication and respects the patient’s emotional experience. ________________________________________ 4. Which factor most influences sexual development in early adolescence? A) Career planning B) Parental involvement C) Hormonal changes during puberty D) Financial independence Answer: C Rationale: Puberty triggers hormonal changes that directly impact sexual development and awareness. ________________________________________ 5. A middle-aged adult expresses concerns about decreased sexual desire. What should the nurse consider first? A) It is normal and doesn’t require discussion B) This may indicate a loss of morality C) This could be related to physical or emotional health D) It’s a sign of inappropriate behavior Answer: C Rationale: Changes in sexual desire may result from physiological, psychological, or relational factors and warrant further assessment. ________________________________________ 6. Which nursing action best supports sexual health in hospitalized patients? A) Avoiding the topic of sexuality B) Encouraging open discussions about concerns C) Delegating discussion to the physician D) Focusing only on medical issues Answer: B Rationale: Nurses should provide a safe, nonjudgmental environment to support sexual health concerns. ________________________________________ 7. What is a priority nursing intervention for a patient with a newly diagnosed STI? A) Notify the patient’s partner without consent B) Teach safe sex practices and refer for counseling C) Avoid discussing the diagnosis D) Report the patient to their employer Answer: B Rationale: Education and counseling are key components of STI care to promote prevention and emotional support. ________________________________________ 8. Which of the following is an example of gender identity? A) Male or female as recorded on a birth certificate B) Individual’s emotional sense of being male, female, or both C) Assigned gender roles by society D) Preference for sexual partners Answer: B Rationale: Gender identity refers to an individual’s internal sense of their own gender. ________________________________________ 9. What nursing strategy best promotes sexual health in older adults? A) Assume they are not sexually active B) Avoid discussing sexual issues C) Provide information tailored to age-specific concerns D) Focus only on chronic illnesses Answer: C Rationale: Sexuality remains an important part of health for older adults; education should address physical and emotional changes.