2025 NSG300 Exam 4 60
QUESTIONS WITH VERIFIED
ANSWERS AND RATIONALES
You are caring for an adolescent patient who underwent a gastric
banding procedure 6 months previously. She tells you, "There is
still a fat person inside of me." This type of statement illustrates
which type of stressor?
A identity stressor
B self-esteem stressor
C body image stressor
D role performance stressor
C: body image stressor
Because the patient statement reflects her looks, this would be a
body image issue. A change in the appearance, structure, or
function of a body part requires an adjustment in body image. An
individual's perception of the change and the relative importance
placed on body image affects the significance of a loss of
function or change in appearance. See page 693, section entitled
"Factors Affecting Self-Concept." Your textbook reviews each type
of stressor and Figure 33.3 gives some great examples.
,A nurse who recently graduated from nursing school is providing
discharge instructions to a patient who suffered a myocardial
infarction (MI). The nurse knows that sexual issues are common
after an MI but feels uncomfortable bringing up this topic. What is
the best way for the nurse to handle this situation? Select all that
apply.
A Instruct the patient to discuss any sexual concerns with their
partner after discharge.
B Avoid discussing the topic unless the patient brings it up.
C Ask a more experienced nurse to cover this with the patient and
learn from the example.
D Plan to attend conferences or training soon on how to discuss
such issues.
E Encourage the patient to discuss any personal concerns with
the cardiologist.
D Plan to attend conferences or training soon on how to discuss
such issues.
C Ask a more experienced nurse to cover this with the patient
and learn from the example.
,Most patients want to know how medications, treatments, and
surgical procedures influence their sexual relationship even
though they often do not ask questions. With experience nurses
recognize that most patients welcome the opportunity to talk
about their sexuality, especially when they are experiencing
difficulties. The classic PLISSIT model provides an approach that
nurses can use to assess sexuality in patients (Box 34.5).
How should you begin a sexual assessment? Ask for the client's
permission!
PLISSIT Assessment of Sexuality
Permission to discuss sexuality issues
Limited Information related to sexual health problems being
experienced
Specific Suggestions—only when the nurse is clear about the
problem
Intensive Therapy—referral to professional with advanced training
if necessary
What is one of the most common sexual problems affecting
women of all ages?
, A hyperactive sexual desire disorder
B hypoactive sexual desire disorder
C intersex variation
D erectile dysfunction
B hypoactive sexual desire disorder
One of the most common problems affecting women of all ages
is hypoactive sexual desire disorder (HSDD). Biological, organic,
or psychosocial factors can contribute to the incidence of HSDD.
Chronic medical conditions such as breast or gynecological
cancers and hormonal fluctuations, pain, or depression and
anxiety can contribute to a decreased interest in sexual intimacy
(LeVay et al., 2019).
A nurse in an outpatient setting is performing an admission
assessment on a 77-year-old woman who was suddenly widowed
3 weeks ago. During the health history the patient tells the nurse
that at times she "feels lost and isolated" and says she "does not
feel like participating in previous social or hobby activities." She
says she "just doesn't feel like her usual self." The nurse needs to
understand that which of the following most directly influences
the patient's current self-concept?
QUESTIONS WITH VERIFIED
ANSWERS AND RATIONALES
You are caring for an adolescent patient who underwent a gastric
banding procedure 6 months previously. She tells you, "There is
still a fat person inside of me." This type of statement illustrates
which type of stressor?
A identity stressor
B self-esteem stressor
C body image stressor
D role performance stressor
C: body image stressor
Because the patient statement reflects her looks, this would be a
body image issue. A change in the appearance, structure, or
function of a body part requires an adjustment in body image. An
individual's perception of the change and the relative importance
placed on body image affects the significance of a loss of
function or change in appearance. See page 693, section entitled
"Factors Affecting Self-Concept." Your textbook reviews each type
of stressor and Figure 33.3 gives some great examples.
,A nurse who recently graduated from nursing school is providing
discharge instructions to a patient who suffered a myocardial
infarction (MI). The nurse knows that sexual issues are common
after an MI but feels uncomfortable bringing up this topic. What is
the best way for the nurse to handle this situation? Select all that
apply.
A Instruct the patient to discuss any sexual concerns with their
partner after discharge.
B Avoid discussing the topic unless the patient brings it up.
C Ask a more experienced nurse to cover this with the patient and
learn from the example.
D Plan to attend conferences or training soon on how to discuss
such issues.
E Encourage the patient to discuss any personal concerns with
the cardiologist.
D Plan to attend conferences or training soon on how to discuss
such issues.
C Ask a more experienced nurse to cover this with the patient
and learn from the example.
,Most patients want to know how medications, treatments, and
surgical procedures influence their sexual relationship even
though they often do not ask questions. With experience nurses
recognize that most patients welcome the opportunity to talk
about their sexuality, especially when they are experiencing
difficulties. The classic PLISSIT model provides an approach that
nurses can use to assess sexuality in patients (Box 34.5).
How should you begin a sexual assessment? Ask for the client's
permission!
PLISSIT Assessment of Sexuality
Permission to discuss sexuality issues
Limited Information related to sexual health problems being
experienced
Specific Suggestions—only when the nurse is clear about the
problem
Intensive Therapy—referral to professional with advanced training
if necessary
What is one of the most common sexual problems affecting
women of all ages?
, A hyperactive sexual desire disorder
B hypoactive sexual desire disorder
C intersex variation
D erectile dysfunction
B hypoactive sexual desire disorder
One of the most common problems affecting women of all ages
is hypoactive sexual desire disorder (HSDD). Biological, organic,
or psychosocial factors can contribute to the incidence of HSDD.
Chronic medical conditions such as breast or gynecological
cancers and hormonal fluctuations, pain, or depression and
anxiety can contribute to a decreased interest in sexual intimacy
(LeVay et al., 2019).
A nurse in an outpatient setting is performing an admission
assessment on a 77-year-old woman who was suddenly widowed
3 weeks ago. During the health history the patient tells the nurse
that at times she "feels lost and isolated" and says she "does not
feel like participating in previous social or hobby activities." She
says she "just doesn't feel like her usual self." The nurse needs to
understand that which of the following most directly influences
the patient's current self-concept?
