Chapter 34 Sexuality-Fundamentals of Nursing

Chapter 34: Sexuality
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MULTIPLE CHOICE ra




1. A nursing attendant is caring for a 15-
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yearold who in the past 6 months has had multiple male and female sexual partners. Which resp
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ons e by the nursing attendant will be most effective?
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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.‖
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b. ―Having sexual interaction with both males and females places you at higher risk f
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or STIs. To protect yourself, you need to decide which orientation you are.‖
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c. ―Your current friends are leading you to make poor choices. You should find new fri
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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
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elp make sure you practice safe sex.‖
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ACCURATE ra



ANSWER:-A
Some adolescents participate in risky behaviors. The nursing attendant should acknowledge
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this feeling to the hospital client
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tal client the autonomy to make his or her own decisions. Adolescents who engage in sexual
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risk behaviors experience negative health outcomes such as STIs and unintended pregnancy.
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In addition, the pattern of risktaking behavior tends to be established and continue throughout l
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ife. The nursing attendant
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should not force the hospital client to make a choice of orientation and should not pass judg
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ment on a hospital client ’s sexual orientation or social network; this would make the hospit
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al client feel defensive and would eliminate the trust in the relationship. Involving parents is
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not the first line of action; parents should be notified only if the child is in a life-
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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
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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?
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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.
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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
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g attendant will have to care for her.
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ACCURATE ANSWER:-B ra



The nursing attendant must be aware of personal beliefs and values and is not required to parti
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cipate in counseling or procedures that compromise those values. However, the hospital client
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is entitled to nonjudgmental care and should be referred to someone who can create a trusting
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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
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hospital client . The nursing attendant also should not create tension by informing the hospita
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l client that he or she does not have the same morals; this could cause the hospital client to feel
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guilty or defensive when receiving care from any health care professional.
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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?
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a. A woman considering abortion for an unwanted pregnancy
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b. An infertile couple religiously opposed to artificial insemination
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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
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ACCURATE ANSWER:-B ra



Adoption is an option for someone with infertility, especially if infertility treatments are unav
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ailable owing to religious or financial constraints. A hospital client who wishes to have an el
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ective abortion may be educated about all the possibilities, but the nursing attendant should
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approach the hospital client in a nonjudgmental manner and should accept the hospital client
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’s decision. When a hospital client has recently miscarried, the nursing attendant should as
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sess the hospital client ’s feelings about the loss and should address any concerns the hospit
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al client may have about fertility. Infertility is the inability to conceive after 1 year of unprote
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cted intercourse; therefore, talking about adoption after one miscarriage or after only 3 month
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s of attempting conception would be too soon.
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DIF:Analyze (analysis) ra



OBJ:Select appropriate hospital client centered nursing interventions using clinical judgment to pro
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mote sexual health. ra ra



TOP:Assessment MSC: Management of Care ra ra ra




4. The nursing attendant is caring for a hospital client
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with a partner who has been diagnosed with human immunodeficiency virus (HIV). Whi
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, ch response by the nursing attendant concerning initial medical care is best?
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―You should have your blood drawn today to see if you were infected.‖
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b. ―If you have the virus, you will have flulike symptoms in 6 months.‖
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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
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0 years.‖ ra




ACCURATE ANSWER:-C ra



Highly active retroviral therapy increases the survival time of a person with HIV or AIDS. H
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IV antibodies will not show up in blood work for 6 weeks to 3 months. The infection stage of
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HIV lasts for about a month after the virus is contracted; during that time, the hospital clie
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nt may experience flulike symptoms. A support group may be beneficial for a hospital client
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who contracts HIV; however, it is unknown whether the hospital client has contracted H
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IV, and antiretroviral therapy has helped people live beyond the 10 years expected if HIV go
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es untreated.
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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
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o n and Documentation
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MSC: Physiological Adaptation ra ra




5. A 16-
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yearold male hospital client informs the nursing attendant that he isn’t sure if he is homosexual b
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ecause he is attracted to both genders. Which response by the nursing attendant will help est
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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.‖
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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
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ill feel most comfortable discussing his sexual concerns further if the nursing attendant estab
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lishes that it is normal to ask questions about sexuality. The nursing attendant can then disc
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uss in greater detail. Although it is normal for young adults to be curious about sexuality, the
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nursing attendant should use caution in giving advice on taking sexual action. The nursing att
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endant should promote safe sex practices. Telling the hospital client
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s his concern. Telling the hospital client
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and prevent him from establishing an open relationship.
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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
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ed a ra




ttempts at fertility treatment. The hospital client tells the nursing attendant , ―I feel happie
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