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A nurse in a urology practice performs sexual health assessments of male older adults. Which patients would the nurse identify as having an increased risk for erectile dysfunction? Select all that apply.
- A. Patient with a history of diabetes
- B. Patient with a new partner
- C. Patient with Parkinson disease
- D. Patient with alcoholism
- E. Patient taking antihypertensive medication
- F. Patient who is a tobacco smoker
Correct Answer: A,C,D,E
Rationale: Risk factors for erectile dysfunction include diabetes , Parkinson disease , alcoholism , and antihypertensives . A new partner may cause performance anxiety, not erectile dysfunction. Tobacco smoking (F) is a risk factor for vascular issues but not directly listed in the provided rationale.
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During a checkup in a pediatric office, the mother of a school-aged boy tells the nurse that she is worried because she has occasionally found him masturbating. She asks the nurse how she should handle this 'problem.' How would the nurse best respond to this mother's concern?
- A. Children should be taught not to masturbate because most people believe self-stimulation is wrong.
- B. Masturbation is a means of learning what a person prefers sexually; overreacting can lead the child to believe sex is bad or dirty.
- C. There are serious health risks associated with frequent masturbation, and the practice should be discouraged in children.
- D. Children who masturbate demonstrate sexual dysfunction and should be seen by a child psychologist.
Correct Answer: B
Rationale: Masturbation is a normal way to explore sexuality; overreacting can cause shame. A, C, and D are incorrect as they perpetuate myths or pathologize normal behavior.
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.
An 18-year-old presents at a women's health care clinic seeking oral contraceptives before having heterosexual intercourse for the first time. She tells the nurse she doesn't know what to expect. What accurate statements by the nurse would be helpful? Select all that apply.
- A. During the excitement phase, your breasts swell and the nipples invert.
- B. Lubrication of the vagina seeps outside of the body making stimulation more pleasurable by decreasing friction.
- C. Your clitoris enlarges and emerges slightly from the clitoral hood.
- D. The first obvious sign of arousal in your partner is an erection of the penis caused by increased blood flow.
- E. The man's scrotum noticeably elevates, thickens, and enlarges.
- F. The skin of the penis and scrotum become pale in color.
Correct Answer: B,C,D,E
Rationale: Accurate statements include B, C, D, and E. Nipples erect, not invert . The skin becomes reddish-purple, not pale (F).
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.
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.