Nokea
A parent brings their preteen daughter to the pediatric office for an annual checkup. The parent asks when they should tell the child about menses. What information will the nurse provide?
- A. You can discuss this when you are ready.
- B. It isn't necessary to discuss menstruation until age 13.
- C. Most preteens have heard about menses from their friends. There is no rush.
- D. Menses begins between ages 10 and 13 years, so now is a good time.
Correct Answer: D
Rationale: Menses typically begins between ages 10-13 , so discussing now prepares the child. A, B, and C delay education, risking confusion or fear.
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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.
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.
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 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.
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.