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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.
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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.
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 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 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.
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).