Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. Teenagers tend to engage in risky sexual behavior primaril y because they:
A. Feel invincible
B. Lack factual information
C. Emulate poor social models
D. Possess immature decision -making skills
ANS: A
Adolescents tend to think they are invincible and do not expect bad
things to happen to them. While the other options can be factors in
some teens decisions to engage in unprotected sex, the age -group
generall y lacks the insight that they are not invincible and that they
will suffer the consequences of poor decision making.
DIF: A REF: 427 OBJ: Comprehension TOP: Nursing
Process: Evaluation MSC: NC LEX test plan designation:
Safe, Effective Care Environment
2. Sexual experimentation is common among adolescents and should
primaril y be:
A. Discouraged
B. Encouraged
, C. Accepted as normal ad olescent behavior
D. Viewed as a means of determining sexual orientation
ANS: D
Adolescence is often a time when individuals explore their primary
sexual orientation. Although the behavior should not be discouraged or
encouraged, in order to avoid undo stre ss on the adolescent, the
experimentation should be viewed as an acceptable way to determine
sexual orientation.
DIF: A REF: 428 OBJ: Comprehension TOP: Nursing
Process: Evaluation MSC: NC LEX test plan designation:
Safe, Effective Care Environment
3. The nurse is discussing various sexual issues with a group of military
personnel who have experienced spinal cord injuries. Which of the
following statements best addresses the issue of alternative methods of
personal sexual gratification?
A. People do whatever works best for them and their partner.
B. You dont need anyone else to approve how you engage in sex.
C. Sex practices are private and need onl y to be discussed with your
sexual partner.
D. Any form of stimulation that is mutuall y agreed upon and satisfying
is acceptable sexual practice.
ANS: D
As sexuall y active adults develop intimate relationships, they learn
techniques of stimulation that are satisfying to both themselves and
, their sexual partners. Some adults need permission or affirmation that
alternative ways of sexual expression other than penile -vaginal
intercourse are normal. While the other options prove acceptance, they
are not as sensitive in their wording or address the issue as completel y.
DIF: C REF: 440 OBJ: Anal ysis TOP: Nursing Process:
Evaluation MSC: NC LEX test plan designation: Safe, Effective
Care Environment
4. The middle adult couple is most likel y to experience a change in their
sexual intimacy when:
A. The changes of normal aging occur
B. One or both retire from the work force
C. Chronic illness af fects sexual performance
D. The children no longer reside full time in the home
ANS: D
Children leaving home usuall y creates a change in intimate
relationships. This results in either a time of renewed intimacy between
partners or a time when formerl y intim ate partners realize that they no
longer care for each other or have common interests. While changes of
aging and chronic illness can affect performance and retirement usuall y
requires an adjustment in expectations and attitudes, these options do
not appear to have the same degree of impact on intimacy as does the
empt y nest.
DIF: C REF: 428 OBJ: Anal ysis TOP: Nursing Process:
Evaluation MSC: NC LEX test plan designation: Safe, Effective
Care Environment