Nokea
A nurse is providing health care for patients in a clinic located in a predominately LGBTQA+ community. Which health disparities should the nurse keep in mind when planning care for this population? Select all that apply.
- A. LGBTQA+ youth are more likely to attempt suicide.
- B. LGBTQA+ youth are more likely to be homeless.
- C. Lesbians are less likely to get preventive services for cancer.
- D. Lesbians and bisexual females are more likely to be underweight.
- E. Transgender people have a high prevalence of HIV and sexually transmitted infections.
- F. LGBTQA+ populations have low rates of tobacco, alcohol, and other drug use.
Correct Answer: A,B,C,E
Rationale: Disparities include suicide risk , homelessness , lower cancer screening , and high HIV/STI prevalence . Lesbians/bisexual females are more likely overweight . LGBTQA+ have higher substance use (F).
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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.
A school nurse is providing information for parents of teenagers regarding the human papillomavirus (HPV) and the recommended HPV vaccination. What teaching point would the nurse include?
- A. HPV causes genital warts and cervical and other cancers.
- B. HPV causes a single painless genital lesion and can lead to sterility.
- C. Fifty percent of females between ages 14 and 19 years are infected with HPV.
- D. The HPV vaccination is only recommended for the female population.
Correct Answer: A
Rationale: HPV causes genital warts and cancers . B, C, and D are incorrect: syphilis causes painless lesions, prevalence is lower, and vaccination is for both genders.
A nurse is counseling an older couple regarding sexuality. Which statement from the couple should the nurse address?
- A. We're at the age when we should consider stopping sexual activity.
- B. We need more time for sexual stimulation than we used to.
- C. If we are unable to have sex, we can still have an intimate relationship.
- D. If we change our position, we can still have sex and be more comfortable.
Correct Answer: A
Rationale: The belief that sexual activity should stop due to age is incorrect; sexual activity can continue as desired with adaptations. B, C, and D reflect accurate understanding of aging and intimacy.
A nurse is teaching parents about expected developmental aspects of sexuality in children. Which statements from parents indicate further teaching is needed? Select all that apply.
- A. When my 2-year-old son touches his genitals, I push his hand away and tell him 'No'.
- B. I should wean my infant by 4 months and encourage him to use a sippy cup.
- C. I should explain sexuality to my 9-year-old in a factual manner when they ask questions about their body.
- D. I should explain about body changes to my 11-year-old prior to them happening to alleviate their fears.
- E. I should teach my 10-year-old about contraception and ways to avoid sexually transmitted diseases.
- F. I should allow my teenager to establish their own beliefs and moral value system rather than sharing my own beliefs.
Correct Answer: A,B,E,F
Rationale: Statements A, B, E, and F indicate misunderstanding. Genital touching is normal exploration and should not be shamed. Early weaning may cause oral deprivation. Teaching contraception at age 10 is premature; age 12-13 is more appropriate. Parents should share their values (F) while allowing autonomy. C and D reflect appropriate teaching.
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.