Nokea
A 17-year-old college student calls the emergency department (ED) and tells the nurse they were raped by a professor. They want to come to the ED, but only if the nurse promises their parents will not be contacted. What should be the nurse's first priority?
- A. Getting the patient into a safe environment and mobilizing support for them
- B. Encouraging the student to disclose the name of the professor
- C. Ensuring the student is assessed for pregnancy, STIs, and other complications
- D. Convincing the student to tell their parents to receive their support
Correct Answer: A
Rationale: The priority is ensuring the patient's safety and support . B, C, and D are important but secondary to immediate safety.
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A nurse working in a gynecology practice screens patients for menstrual irregularities. Which patients would a nurse identify are at risk for menstrual cycle irregularities? Select all that apply.
- A. Breastfeeding mother
- B. Adolescent with anorexia
- C. Individual abstaining from sexual intercourse
- D. Patient diagnosed with pelvic inflammatory disease
- E. Patient obsessed with exercising
- F. Patient with a spinal cord injury
Correct Answer: A,B,D,E
Rationale: Risk factors include breastfeeding , anorexia , pelvic inflammatory disease , and excessive exercise . Abstinence and spinal cord injury (F) are not typically causes.
A patient who developed a pulmonary embolism (blood clot in the lung) after using oral contraceptives asks the nurse what she should do if she can no longer use 'the pill.' The nurse suggests which mechanical barrier for birth control?
- A. Diaphragm
- B. Transdermal contraceptive patch
- C. Depo-Provera
- D. Evra patch
Correct Answer: A
Rationale: The diaphragm is a mechanical barrier method, unlike the hormonal options B, C, and D, which are contraindicated due to the patient's history of pulmonary embolism.
Students enrolled in a sexuality course are discussing people who achieve sexual arousal by looking at the body of someone other than a sexual partner. How would the students correctly name this behavior?
- A. Masochism
- B. Pedophilia
- C. Voyeurism
- D. Sadism
Correct Answer: C
Rationale: Voyeurism involves arousal from observing others non-consensually. Masochism , pedophilia , and sadism describe different behaviors.
A nurse in a gynecology clinic is obtaining a health history on a patient reporting pain during sexual activity. Which assessment question would be most appropriate for a patient who is experiencing dyspareunia?
- A. Do you currently have a new partner?
- B. Have you been diagnosed with a neurologic disorder?
- C. Do you take antihypertensive medication?
- D. Do you regularly use antihistamines?
Correct Answer: D
Rationale: Antihistamines can cause vaginal dryness, contributing to dyspareunia. A, B, and C are less directly related.
A school nurse is providing sex education classes for adolescents. Which statement would the nurse include when describing normal sexual functioning?
- A. People are born with a certain amount of sexual drive, which can be depleted in later years.
- B. If you want to be a great athlete, sexual abstinence is necessary during training.
- C. A nocturnal emission (wet dream), is an indicator of a sexual disorder.
- D. It is natural for women to have as strong a desire for sex and enjoy it as much as men.
Correct Answer: D
Rationale: Women's sexual desire can be as strong as men's , supported by physiologic studies. Sexual drive does not deplete with age. Abstinence is not required for athletic performance. Nocturnal emissions are normal, not a disorder.