NURB 3040 Final Exam Questions with
Verified Correct Answers
What is sexual health?
The state of physical, emotional, mental, and social well-being in relation to sexuality.
Is sexual health merely the absence of disease?
No, it is not merely the absence of disease, dysfunction, or infirmity.
What approach is required for sexual health?
A positive and respectful approach to sexuality and sexual relationships.
What should sexual experiences be free from in terms of sexual health?
Coercion, discrimination, and violence.
Biological Sex
Assigned Sex at birth
Sexual Orientation
- Heterosexual
- LGBTQUIA+
- Homosexual
- Bisexual
- Pansexual
- Questioning
Sexual Expression
On a continuum, sexual behavior ranges from adaptive to maladaptive
Adaptive Sexual Expression Criteria
• Between 2 consenting adults
• Mutually satisfying to both
• Not psychologically or physically harmful
,• Not forced or coerced
• Conducted in private
Developmental Considerations for Sexual Expression
- Culture
- Religion
- Ethics
- Lifestyle
- Sexually Transmitted Infection
- Sexual Dysfunction
- Health State
Sexually Transmitted Infections
• Most common infectious disease in US
• Incidence rising
• Can cause other health problems
• May be asymptomatic - still contagious
• Treatment resistance
Male Sexual Dysfunction (From powerpoint)
- Erectile dysfunction
- Premature ejaculation
- Retarded/delayed ejaculation
Female Sexual Dysfunction
- Inhibited sexual desire
- Dyspareunia
- Vaginismus
- Vulvodynia
,Health States Affecting Sexuality
• Chronic pain
• Diabetes mellitus
• Cardiovascular disease
• Diseases of the joints and mobility
• Surgery and body image
• Spinal cord injuries
• Mental illness
• Medications
Types of Sexual Harassment
• Quid pro quo harassment
• Hostile environment harassment
Effects of Sexual Harassment
• Feelings of helplessness, worthlessness and guilt
• Decreased career satisfaction
• Feelings of loss of control
• Anger
• Poor job performance
Responding to Patient Advances
- Be self-aware
- Confront and provide feedback to patient
- Set limits
- Enforce stated limits
- Report and document the incident and submit to your sypervisor
Responding to Harassment from a colleague
, - Confront the behavior
- Document date and time and describe the behavior
- Consult your supervisor
- File if harassment does not stop, file a grievance with administration
- Seek legal advice if all previous efforts to stop the behavior are unsuccessful
Nurse as a Role Model
- Feel comfortable as a sexual being
- Develop knowledge about sexual topics
- Develop appropriate communication skills that promote open discussion of sexual concerns
with patients
- Identify patients with problems related to sexuality and intervene appropriately
- Practice responsible sexual expression
- Develop self-awareness regarding sexual topics
Obtaining a Sexual Health History
• Start with general, open ended questions and progress to more specific questions.
• Use language patient understands
Focused Sexual Assessment
• Reproductive history
• Hx of STI
• Hx of sexual dysfunction
• Sexual self-care behaviors
• Sexual self-concept
Physical Sexual Assessment
• Provie information about the examination
• Teach the patient
Verified Correct Answers
What is sexual health?
The state of physical, emotional, mental, and social well-being in relation to sexuality.
Is sexual health merely the absence of disease?
No, it is not merely the absence of disease, dysfunction, or infirmity.
What approach is required for sexual health?
A positive and respectful approach to sexuality and sexual relationships.
What should sexual experiences be free from in terms of sexual health?
Coercion, discrimination, and violence.
Biological Sex
Assigned Sex at birth
Sexual Orientation
- Heterosexual
- LGBTQUIA+
- Homosexual
- Bisexual
- Pansexual
- Questioning
Sexual Expression
On a continuum, sexual behavior ranges from adaptive to maladaptive
Adaptive Sexual Expression Criteria
• Between 2 consenting adults
• Mutually satisfying to both
• Not psychologically or physically harmful
,• Not forced or coerced
• Conducted in private
Developmental Considerations for Sexual Expression
- Culture
- Religion
- Ethics
- Lifestyle
- Sexually Transmitted Infection
- Sexual Dysfunction
- Health State
Sexually Transmitted Infections
• Most common infectious disease in US
• Incidence rising
• Can cause other health problems
• May be asymptomatic - still contagious
• Treatment resistance
Male Sexual Dysfunction (From powerpoint)
- Erectile dysfunction
- Premature ejaculation
- Retarded/delayed ejaculation
Female Sexual Dysfunction
- Inhibited sexual desire
- Dyspareunia
- Vaginismus
- Vulvodynia
,Health States Affecting Sexuality
• Chronic pain
• Diabetes mellitus
• Cardiovascular disease
• Diseases of the joints and mobility
• Surgery and body image
• Spinal cord injuries
• Mental illness
• Medications
Types of Sexual Harassment
• Quid pro quo harassment
• Hostile environment harassment
Effects of Sexual Harassment
• Feelings of helplessness, worthlessness and guilt
• Decreased career satisfaction
• Feelings of loss of control
• Anger
• Poor job performance
Responding to Patient Advances
- Be self-aware
- Confront and provide feedback to patient
- Set limits
- Enforce stated limits
- Report and document the incident and submit to your sypervisor
Responding to Harassment from a colleague
, - Confront the behavior
- Document date and time and describe the behavior
- Consult your supervisor
- File if harassment does not stop, file a grievance with administration
- Seek legal advice if all previous efforts to stop the behavior are unsuccessful
Nurse as a Role Model
- Feel comfortable as a sexual being
- Develop knowledge about sexual topics
- Develop appropriate communication skills that promote open discussion of sexual concerns
with patients
- Identify patients with problems related to sexuality and intervene appropriately
- Practice responsible sexual expression
- Develop self-awareness regarding sexual topics
Obtaining a Sexual Health History
• Start with general, open ended questions and progress to more specific questions.
• Use language patient understands
Focused Sexual Assessment
• Reproductive history
• Hx of STI
• Hx of sexual dysfunction
• Sexual self-care behaviors
• Sexual self-concept
Physical Sexual Assessment
• Provie information about the examination
• Teach the patient
