Chapter 34: Sexuality
ra ra
MULTIPLE CHOICE ra
1. A nursing attendant is caring for a 15-
ra ra ra ra ra ra ra
yearold who in the past 6 months has had multiple male and female sexual partners. Which resp
ra ra ra ra ra ra ra ra ra ra ar ra ra ra ra ra
ons e by the nursing attendant will be most effective?
ra ra ra ra ra ra ra ra
a. ―Sexually transmitted infections and unwanted pregnancy are a real risk. Let’s d ar ra ra ra ra ar ra ra ar ra ar
iscuss what you think is the best method for protecting yourself.‖
ra ra ra ra ra ra ra ra ra ra
b. ―Having sexual interaction with both males and females places you at higher risk f
ra ra ra ar ra ra ra ra ra ra ra ra ar
or STIs. To protect yourself, you need to decide which orientation you are.‖
ra ra ra ra ra ra ra ra ra ra ra ra
c. ―Your current friends are leading you to make poor choices. You should find new fri
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ends to hang out with.‖ ra ra ra ra
d. ―I think it’s best to notify your parents. They know what’s best for you and can h
ra ra ra ra ra ra ra ra ar ra ra ra ra ra ra ar
elp make sure you practice safe sex.‖
ra ra ra ra ra ra
ACCURATE ra
ANSWER:-A
Some adolescents participate in risky behaviors. The nursing attendant should acknowledge
ra ra ra ra ra ra ra ra ra ra ra
this feeling to the hospital client
ra and offer education and alternatives while giving the hospi
ra ra ra ra r a ra ra ra ra ra ra ra ra
tal client the autonomy to make his or her own decisions. Adolescents who engage in sexual
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
risk behaviors experience negative health outcomes such as STIs and unintended pregnancy.
ra ra ra ra ra ra ra ra ra ra ra ra
In addition, the pattern of risktaking behavior tends to be established and continue throughout l
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ife. The nursing attendant
ra ra ra ra
should not force the hospital client to make a choice of orientation and should not pass judg
ra ra ra ra ra ra ra ra ar ra ra ra ra ra ra ra
ment on a hospital client ’s sexual orientation or social network; this would make the hospit
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
al client feel defensive and would eliminate the trust in the relationship. Involving parents is
ra ra ra ra ra ra ra ar ra ra ra ra ra ra ra
not the first line of action; parents should be notified only if the child is in a life-
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ordeath situation. ra
, DIF:Analyze (analysis) ra
OBJ:Identify hospital client risk factors in the area of sexual health. ra ra ra ra ra ra ra ra ra ra
TOP:Communication and Documentation MSC: Psychosocial Integrity ra ra ra ra
2. A nursing attendant is caring for a hospital client who expresses a desire to have an elective a
ra ra ra ra ra ra ra ra rara ra ra ra ra ra ra ra ar
bortion. The nursing attendant ’s religious and ethical values are strongly opposed. How sh
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ould the nursing attendant best handle the situation?
ra ra ra ra ra ra ra
a. Attempt to educate the hospital client about the consequences of abortion. ra ra ra ra ra ra ra ra ra ra
b. Refer the hospital client to a family planning center or another health professional.
ra ra ra ra ra ra ra ra ra ra ra ra
c. Continue to care for the hospital client , and limit conversation as much as possible. ra ra ra ra ra ra ra ra ra ra ra ra ra ra
d. Inform the hospital client that, because of immoral issues, another nursin
ra ra ra r a ra ra ra ra ra ra
g attendant will have to care for her.
ar ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
The nursing attendant must be aware of personal beliefs and values and is not required to parti
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
cipate in counseling or procedures that compromise those values. However, the hospital client
ra ra ra ra ra ra ra ra ra ra ra ra ra
is entitled to nonjudgmental care and should be referred to someone who can create a trusting
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
environment. The nursing attendant should not care for a hospital client if the quality of care ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
could be jeopardized. The nursing attendant should not attempt to push personal values onto a
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
hospital client . The nursing attendant also should not create tension by informing the hospita
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
l client that he or she does not have the same morals; this could cause the hospital client to feel
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra ra
guilty or defensive when receiving care from any health care professional.
ra ra ra ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Identify personal attitudes, beliefs, and biases related to sexuality. ra ra ra ra ra ra ra ra ar
TOP:Implementation MSC: Management of Care ra ra
3. Which hospital client is most in need of a nursing attendant ’s referral to adoption services?
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
a. A woman considering abortion for an unwanted pregnancy
ra ra ra ra ra ra ra
b. An infertile couple religiously opposed to artificial insemination
ra ra ra ra ra ra ra
c. A woman who suffered miscarriage during her first pregnancy
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d. An infertile couple who has been attempting conception for 3 months
ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
Adoption is an option for someone with infertility, especially if infertility treatments are unav
ra ra ra ra ra ra ra ra ra ra ra ra ra
ailable owing to religious or financial constraints. A hospital client who wishes to have an el
ra ra ra ra ra ra ra ra ra r a ra ra ra ra ra
ective abortion may be educated about all the possibilities, but the nursing attendant should
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
approach the hospital client in a nonjudgmental manner and should accept the hospital client
ra ra ra ra ra ra ra ra ra ra ra ra ar
’s decision. When a hospital client has recently miscarried, the nursing attendant should as
ra ra ra ra ra ra r a ra ra ra ra ra ra ra
sess the hospital client ’s feelings about the loss and should address any concerns the hospit
ra ra ra ra ra ra ra ra ra r a ra ra ra ra ra
al client may have about fertility. Infertility is the inability to conceive after 1 year of unprote
ra r a ra ra ra ra ra ra ra ra ra ra ra ra ra ra
cted intercourse; therefore, talking about adoption after one miscarriage or after only 3 month
ra ra ra ra ra ra ra ra ra ra ra ra ra
s of attempting conception would be too soon.
ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Select appropriate hospital client centered nursing interventions using clinical judgment to pro
ra ra ra ra ra ra ra ra ra ra ar
mote sexual health. ra ra
TOP:Assessment MSC: Management of Care ra ra ra
4. The nursing attendant is caring for a hospital client
ra who recently had unprotected sex ra ra ra ra ra ra ra r a ra ra ra ra ra
with a partner who has been diagnosed with human immunodeficiency virus (HIV). Whi
ra ra ra ra ra ra ra ra ra ra ra ra
, ch response by the nursing attendant concerning initial medical care is best?
ra ra a. ra ra ra ra ra ra ra ra ra
―You should have your blood drawn today to see if you were infected.‖
ra ra ra ra ra ra ar ra ra ra ra ra
b. ―If you have the virus, you will have flulike symptoms in 6 months.‖
ra ra ra ra ra ra ra ra ra ra ra ra
c. ―Highly active antiretroviral therapy has been shown effective in slowing the d ar ra ar ra ra ar ra ra ar ra ar
isease process.‖ ra
d. ―I will set you up with a support group to help you cope with dying within the next 1
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
0 years.‖ ra
ACCURATE ANSWER:-C ra
Highly active retroviral therapy increases the survival time of a person with HIV or AIDS. H
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
IV antibodies will not show up in blood work for 6 weeks to 3 months. The infection stage of
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
HIV lasts for about a month after the virus is contracted; during that time, the hospital clie
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
nt may experience flulike symptoms. A support group may be beneficial for a hospital client
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
who contracts HIV; however, it is unknown whether the hospital client has contracted H
ra ra ra ra ra ra ra ra ra ra ra r a ra ra
IV, and antiretroviral therapy has helped people live beyond the 10 years expected if HIV go
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
es untreated.
ra
DIF:Apply (application) ra
OBJ:Select appropriate hospital client - ra ra ra ra
centered nursing interventions using clinical judgment to promote sexual health. TOP:Communicati
ra ra ra ra ra ra ar ra ra ra
o n and Documentation
ra ra
MSC: Physiological Adaptation ra ra
5. A 16-
ra
yearold male hospital client informs the nursing attendant that he isn’t sure if he is homosexual b
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ecause he is attracted to both genders. Which response by the nursing attendant will help est
ra ra ra ra ra ra ra ra ra ra ra ra ar ra ra
ablish a trusting relationship? ra ra ra
a. ―Don’t worry. It’s just a phase you will grow out of.‖ ra ra ra ra ra ra ra ra ra ra
b. ―Those are abnormal impulses. You should seek therapy.‖ ra ra ra ra ra ra ar
c. ―At your age, it is normal to be curious about both genders.‖
ra ra ra ra ra ra ra ra ra ra ar
d. ―Having questions about sexuality is normal but if these sexual activities make you f ra ra ra ra ra ra ra ra ra ra ra ra ar
eel bad you should stop.‖ ra ra ra ra
ACCURATE ANSWER:-C ra
During adolescence, it is not unusual to have questions about sexuality. The hospital client w
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ill feel most comfortable discussing his sexual concerns further if the nursing attendant estab
ra ra ra ra ra ra ra ra ra ra ra ra ra
lishes that it is normal to ask questions about sexuality. The nursing attendant can then disc
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
uss in greater detail. Although it is normal for young adults to be curious about sexuality, the
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
nursing attendant should use caution in giving advice on taking sexual action. The nursing att
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
endant should promote safe sex practices. Telling the hospital client
ra not to worry dismisse
ra ra ra ra ra r a ra ra r a ra ra ra
s his concern. Telling the hospital client
ra ra that he is abnormal might offend the hospital client
ra ra ra ra r a ra ra ra ra ra ra ra ra ra
and prevent him from establishing an open relationship.
ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Explain key concepts of sexual development across the life span. TOP ra ra ra ra ra ra ra ra ra ar
:C ommunication and Documentation MSC: ra ra ra
Health Promotion and Maintenance ra ra ra
6. A nursing attendant is caring for a 35- ra ra ra ra ra ra ra
yearold female hospital client who recently started taking antidepressants after repeated fail
ra ra ra ra ra ra ra ra ra ra ra
ed a ra
ttempts at fertility treatment. The hospital client tells the nursing attendant , ―I feel happie
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ra ra
MULTIPLE CHOICE ra
1. A nursing attendant is caring for a 15-
ra ra ra ra ra ra ra
yearold who in the past 6 months has had multiple male and female sexual partners. Which resp
ra ra ra ra ra ra ra ra ra ra ar ra ra ra ra ra
ons e by the nursing attendant will be most effective?
ra ra ra ra ra ra ra ra
a. ―Sexually transmitted infections and unwanted pregnancy are a real risk. Let’s d ar ra ra ra ra ar ra ra ar ra ar
iscuss what you think is the best method for protecting yourself.‖
ra ra ra ra ra ra ra ra ra ra
b. ―Having sexual interaction with both males and females places you at higher risk f
ra ra ra ar ra ra ra ra ra ra ra ra ar
or STIs. To protect yourself, you need to decide which orientation you are.‖
ra ra ra ra ra ra ra ra ra ra ra ra
c. ―Your current friends are leading you to make poor choices. You should find new fri
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ends to hang out with.‖ ra ra ra ra
d. ―I think it’s best to notify your parents. They know what’s best for you and can h
ra ra ra ra ra ra ra ra ar ra ra ra ra ra ra ar
elp make sure you practice safe sex.‖
ra ra ra ra ra ra
ACCURATE ra
ANSWER:-A
Some adolescents participate in risky behaviors. The nursing attendant should acknowledge
ra ra ra ra ra ra ra ra ra ra ra
this feeling to the hospital client
ra and offer education and alternatives while giving the hospi
ra ra ra ra r a ra ra ra ra ra ra ra ra
tal client the autonomy to make his or her own decisions. Adolescents who engage in sexual
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
risk behaviors experience negative health outcomes such as STIs and unintended pregnancy.
ra ra ra ra ra ra ra ra ra ra ra ra
In addition, the pattern of risktaking behavior tends to be established and continue throughout l
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ife. The nursing attendant
ra ra ra ra
should not force the hospital client to make a choice of orientation and should not pass judg
ra ra ra ra ra ra ra ra ar ra ra ra ra ra ra ra
ment on a hospital client ’s sexual orientation or social network; this would make the hospit
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
al client feel defensive and would eliminate the trust in the relationship. Involving parents is
ra ra ra ra ra ra ra ar ra ra ra ra ra ra ra
not the first line of action; parents should be notified only if the child is in a life-
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ordeath situation. ra
, DIF:Analyze (analysis) ra
OBJ:Identify hospital client risk factors in the area of sexual health. ra ra ra ra ra ra ra ra ra ra
TOP:Communication and Documentation MSC: Psychosocial Integrity ra ra ra ra
2. A nursing attendant is caring for a hospital client who expresses a desire to have an elective a
ra ra ra ra ra ra ra ra rara ra ra ra ra ra ra ra ar
bortion. The nursing attendant ’s religious and ethical values are strongly opposed. How sh
ra ra ra ra ra ra ra ra ra ra ra ra ra
ould the nursing attendant best handle the situation?
ra ra ra ra ra ra ra
a. Attempt to educate the hospital client about the consequences of abortion. ra ra ra ra ra ra ra ra ra ra
b. Refer the hospital client to a family planning center or another health professional.
ra ra ra ra ra ra ra ra ra ra ra ra
c. Continue to care for the hospital client , and limit conversation as much as possible. ra ra ra ra ra ra ra ra ra ra ra ra ra ra
d. Inform the hospital client that, because of immoral issues, another nursin
ra ra ra r a ra ra ra ra ra ra
g attendant will have to care for her.
ar ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
The nursing attendant must be aware of personal beliefs and values and is not required to parti
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
cipate in counseling or procedures that compromise those values. However, the hospital client
ra ra ra ra ra ra ra ra ra ra ra ra ra
is entitled to nonjudgmental care and should be referred to someone who can create a trusting
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
environment. The nursing attendant should not care for a hospital client if the quality of care ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
could be jeopardized. The nursing attendant should not attempt to push personal values onto a
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
hospital client . The nursing attendant also should not create tension by informing the hospita
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
l client that he or she does not have the same morals; this could cause the hospital client to feel
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra ra
guilty or defensive when receiving care from any health care professional.
ra ra ra ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Identify personal attitudes, beliefs, and biases related to sexuality. ra ra ra ra ra ra ra ra ar
TOP:Implementation MSC: Management of Care ra ra
3. Which hospital client is most in need of a nursing attendant ’s referral to adoption services?
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
a. A woman considering abortion for an unwanted pregnancy
ra ra ra ra ra ra ra
b. An infertile couple religiously opposed to artificial insemination
ra ra ra ra ra ra ra
c. A woman who suffered miscarriage during her first pregnancy
ra ra ra ra ra ra ra ra
d. An infertile couple who has been attempting conception for 3 months
ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-B ra
Adoption is an option for someone with infertility, especially if infertility treatments are unav
ra ra ra ra ra ra ra ra ra ra ra ra ra
ailable owing to religious or financial constraints. A hospital client who wishes to have an el
ra ra ra ra ra ra ra ra ra r a ra ra ra ra ra
ective abortion may be educated about all the possibilities, but the nursing attendant should
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
approach the hospital client in a nonjudgmental manner and should accept the hospital client
ra ra ra ra ra ra ra ra ra ra ra ra ar
’s decision. When a hospital client has recently miscarried, the nursing attendant should as
ra ra ra ra ra ra r a ra ra ra ra ra ra ra
sess the hospital client ’s feelings about the loss and should address any concerns the hospit
ra ra ra ra ra ra ra ra ra r a ra ra ra ra ra
al client may have about fertility. Infertility is the inability to conceive after 1 year of unprote
ra r a ra ra ra ra ra ra ra ra ra ra ra ra ra ra
cted intercourse; therefore, talking about adoption after one miscarriage or after only 3 month
ra ra ra ra ra ra ra ra ra ra ra ra ra
s of attempting conception would be too soon.
ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Select appropriate hospital client centered nursing interventions using clinical judgment to pro
ra ra ra ra ra ra ra ra ra ra ar
mote sexual health. ra ra
TOP:Assessment MSC: Management of Care ra ra ra
4. The nursing attendant is caring for a hospital client
ra who recently had unprotected sex ra ra ra ra ra ra ra r a ra ra ra ra ra
with a partner who has been diagnosed with human immunodeficiency virus (HIV). Whi
ra ra ra ra ra ra ra ra ra ra ra ra
, ch response by the nursing attendant concerning initial medical care is best?
ra ra a. ra ra ra ra ra ra ra ra ra
―You should have your blood drawn today to see if you were infected.‖
ra ra ra ra ra ra ar ra ra ra ra ra
b. ―If you have the virus, you will have flulike symptoms in 6 months.‖
ra ra ra ra ra ra ra ra ra ra ra ra
c. ―Highly active antiretroviral therapy has been shown effective in slowing the d ar ra ar ra ra ar ra ra ar ra ar
isease process.‖ ra
d. ―I will set you up with a support group to help you cope with dying within the next 1
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
0 years.‖ ra
ACCURATE ANSWER:-C ra
Highly active retroviral therapy increases the survival time of a person with HIV or AIDS. H
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
IV antibodies will not show up in blood work for 6 weeks to 3 months. The infection stage of
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
HIV lasts for about a month after the virus is contracted; during that time, the hospital clie
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
nt may experience flulike symptoms. A support group may be beneficial for a hospital client
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
who contracts HIV; however, it is unknown whether the hospital client has contracted H
ra ra ra ra ra ra ra ra ra ra ra r a ra ra
IV, and antiretroviral therapy has helped people live beyond the 10 years expected if HIV go
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
es untreated.
ra
DIF:Apply (application) ra
OBJ:Select appropriate hospital client - ra ra ra ra
centered nursing interventions using clinical judgment to promote sexual health. TOP:Communicati
ra ra ra ra ra ra ar ra ra ra
o n and Documentation
ra ra
MSC: Physiological Adaptation ra ra
5. A 16-
ra
yearold male hospital client informs the nursing attendant that he isn’t sure if he is homosexual b
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ecause he is attracted to both genders. Which response by the nursing attendant will help est
ra ra ra ra ra ra ra ra ra ra ra ra ar ra ra
ablish a trusting relationship? ra ra ra
a. ―Don’t worry. It’s just a phase you will grow out of.‖ ra ra ra ra ra ra ra ra ra ra
b. ―Those are abnormal impulses. You should seek therapy.‖ ra ra ra ra ra ra ar
c. ―At your age, it is normal to be curious about both genders.‖
ra ra ra ra ra ra ra ra ra ra ar
d. ―Having questions about sexuality is normal but if these sexual activities make you f ra ra ra ra ra ra ra ra ra ra ra ra ar
eel bad you should stop.‖ ra ra ra ra
ACCURATE ANSWER:-C ra
During adolescence, it is not unusual to have questions about sexuality. The hospital client w
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ill feel most comfortable discussing his sexual concerns further if the nursing attendant estab
ra ra ra ra ra ra ra ra ra ra ra ra ra
lishes that it is normal to ask questions about sexuality. The nursing attendant can then disc
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
uss in greater detail. Although it is normal for young adults to be curious about sexuality, the
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
nursing attendant should use caution in giving advice on taking sexual action. The nursing att
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
endant should promote safe sex practices. Telling the hospital client
ra not to worry dismisse
ra ra ra ra ra r a ra ra r a ra ra ra
s his concern. Telling the hospital client
ra ra that he is abnormal might offend the hospital client
ra ra ra ra r a ra ra ra ra ra ra ra ra ra
and prevent him from establishing an open relationship.
ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Explain key concepts of sexual development across the life span. TOP ra ra ra ra ra ra ra ra ra ar
:C ommunication and Documentation MSC: ra ra ra
Health Promotion and Maintenance ra ra ra
6. A nursing attendant is caring for a 35- ra ra ra ra ra ra ra
yearold female hospital client who recently started taking antidepressants after repeated fail
ra ra ra ra ra ra ra ra ra ra ra
ed a ra
ttempts at fertility treatment. The hospital client tells the nursing attendant , ―I feel happie
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
