Nokea
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.
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A nurse is teaching patients about contraception methods. Which statement by a patient indicates a need for further teaching?
- A. Depo-Provera is not effective against sexually transmitted infections, but contraceptive protection is immediate if I get the injection on the first day of my period.
- B. The hormonal contraceptive, NuvaRing, protects against pregnancy by suppressing ovulation, thickening cervical mucus, and preventing implantation of the fertilized eggs.
- C. Abstinence is an effective method of contraception and may be used as a periodic or continuous strategy to prevent pregnancy and STIs.
- D. Withdrawal is an effective method of birth control that reduces risk for STIs.
Correct Answer: D
Rationale: Withdrawal is not effective for contraception or STI prevention, indicating a need for teaching. A, B, and C are accurate.
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 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 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.
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.