Nokea
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.
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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.
Nurses in the emergency department (ED) have received education on identification of victims of human trafficking. Which patients would the ED nurse identify may be at risk? Select all that apply.
- A. Those who work in hotels, nail salons, or home-cleaning services
- B. Those who perform agricultural or ranch work
- C. Those who show evidence of being controlled physically or psychologically
- D. Those accompanied by someone who encourages them to share their own information
- E. Those who produce identification documents (ID or passport)
- F. Those who show the loss of the sense of time or space or not do know what city or state they are in
Correct Answer: A,B,C,F
Rationale: Risk indicators include working in high-risk jobs (A, B), being controlled , and disorientation (F). Encouraging information sharing or producing ID are not typical signs.
A nurse in a gynecology practice is assessing a patient reporting vaginal discharge that 'smells bad and is green and foamy.' She also reports burning upon urination and dyspareunia. The nurse suggests the patient and partner will need treatment for which STI?
- A. Human papillomavirus (HPV)
- B. Syphilis
- C. Trichomoniasis
- D. Herpes simplex virus
Correct Answer: C
Rationale: Trichomoniasis causes green, foamy, foul-smelling discharge, burning, and dyspareunia. HPV , syphilis , and herpes present differently.
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 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.