10TYK. Which of the following outcomes may indicate the need for referral to a more highly skilled therapist?
1. The client verbalizes methods of modifying sexual activity according to physical limitations.
2. The client requests the phone number of a sex education support group.
3. Suggestions given by the nurse are ineffective in reaching the desired goals.
4. The client reports experimenting with new sexual activities.
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1CTC. Mr. Curry is a 50-year-old African American male with diabetes who suffered a heart attack 3 weeks ago. He is doing well and is in a cardac rehabilitation program. His diabetes is controlled with diet, and his only medications consist of a daily aspirin and an antihypertensive medication. During a routine checkup, you inquire how he is feeling and whether he is doing well on his medications. Reluctantly, he admits that he is having some sexual problems. You encourage further discussion of the matter by displaying interest and explaining that it is okay for him to share his concerns with you. Mr. Curry states that he is having some difficulty achieving erections, but is more concerned that he will have another heart attack if he engages in sexual activities.
Speculate about Mr. Curry’s reluctance to discuss his sexual concerns.
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1TYK. Clients may be unlikely to introduce the topic of sex with health care providers for which reason?
1. They assume that health care providers know little about sexual functioning.
2. Most clients have few questions or problems.
3. Female clients prefer to discuss problems with female health care providers.
4. They are too embarrassed to introduce the topic of sex.
Get Solution
2CTC. Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, “I might as well die right now because I’m not going to get well. My folks were Methodist, but I guess I’m being punished because I’m not very religious.”
What data suggest that Terry may be experiencing spiritual distress?
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2TYK. A nurse receives information that a client is transgender. Appropriate care is based on the knowledge that which of the following is most representative of this client?
1. Gonadal gender, internal organs, and external genitals are contradictory.
2. Sexual anatomy contradicts gender identity.
3. Sexual attraction is to individuals of both genders.
4. Gender identity is altered by acute psychosis.
Get Solution
3CTC. Mr. Curry is a 50-year-old African American male with diabetes who suffered a heart attack 3 weeks ago. He is doing well and is in a cardac rehabilitation program. His diabetes is controlled with diet, and his only medications consist of a daily aspirin and an antihypertensive medication. During a routine checkup, you inquire how he is feeling and whether he is doing well on his medications. Reluctantly, he admits that he is having some sexual problems. You encourage further discussion of the matter by displaying interest and explaining that it is okay for him to share his concerns with you. Mr. Curry states that he is having some difficulty achieving erections, but is more concerned that he will have another heart attack if he engages in sexual activities.
What is the relationship between health and sexual function?
Get Solution
3TYK. In conducting client teaching, the nurse bases content on knowing that which of the following is true regarding masturbation?
1. People who masturbate are psychologically disturbed.
2. Teenage masturbation interferes with academic achievement.
3. Most people do not masturbate past the teenage years.
4. Masturbation is a way people learn about their sexual response.
Get Solution
4CTC. Mr. Curry is a 50-year-old African American male with diabetes who suffered a heart attack 3 weeks ago. He is doing well and is in a cardac rehabilitation program. His diabetes is controlled with diet, and his only medications consist of a daily aspirin and an antihypertensive medication. During a routine checkup, you inquire how he is feeling and whether he is doing well on his medications. Reluctantly, he admits that he is having some sexual problems. You encourage further discussion of the matter by displaying interest and explaining that it is okay for him to share his concerns with you. Mr. Curry states that he is having some difficulty achieving erections, but is more concerned that he will have another heart attack if he engages in sexual activities.
How can you best intervene to help Mr. Curry?
Get Solution
4TYK. A male client is beginning an antidepressant medication. Which of the following should be included in the teaching?
1. “Your partner will be pleased because your sexual functioning is going to improve.”
2. “You may find that your desire for sex will decrease while on this medication.”
3. “Retrograde ejaculation is a common problem when taking antidepressants.”
4. “Your skin will probably become supersensitive to touch, so you may need to change your activity during sex.”
Get Solution
5TYK. A client who had a hysterectomy 3 days ago, says to the nurse. “I no longer feel like a real woman.” What is the best response?
1. “Don’t worry about that. The feeling will probably go away.”
2. “You should talk to your doctor about how you feel.”
3. “I don’t blame you. I would feel like half a woman also.”
4. “I hear your concern. Tell me more about your feelings.”
Get Solution
6TYK. Because a client reports having dyspareunia, it is most appropriate to ask which question?
1. “Have you talked with your partner about this discomfort?”
2. “Have you had these spasms since you became sexually active?”
3. “Do you have pain before your period begins?”
4. “Do your breasts swell large enough to need a larger bra?”
Get Solution
7TYK. Including at least some sexual health history questions would be most relevant for clients taking which category of drugs?
1. Anti-inflammatories (such as aspirin or ibuprofen)
2. Hypnotics (sleeping pills)
3. Antihypertensives (blood pressure medications)
4. Antihistamines (cold medications)
Get Solution
8TYK. A nurse informs a client who is 8 1/2 months pregnant that it is best to abstain from intercourse until after the birth of the baby. This communication is most representative of which component ofthe PLISSIT model?
1. Permission giving (P)
2. Limited information (LI)
3. Specific suggestions (SS)
4. Intensive therapy (IT)
Get Solution
9TYK. A 75-year-old male client reports decreased frequency of sexual intercourse although he does not express dissatisfaction or difficulty. He seems a little embarrassed by the discussion but is engaged and asks some questions. An appropriate nursing diagnosis would be which of the following?
1. sexual Dysfunction
2. Disturbed Body Image
3. sedentary Lifestyle
4. Readiness for Enhanced Knowledge
Get Solution
1. The client verbalizes methods of modifying sexual activity according to physical limitations.
2. The client requests the phone number of a sex education support group.
3. Suggestions given by the nurse are ineffective in reaching the desired goals.
4. The client reports experimenting with new sexual activities.
Get Solution
1CTC. Mr. Curry is a 50-year-old African American male with diabetes who suffered a heart attack 3 weeks ago. He is doing well and is in a cardac rehabilitation program. His diabetes is controlled with diet, and his only medications consist of a daily aspirin and an antihypertensive medication. During a routine checkup, you inquire how he is feeling and whether he is doing well on his medications. Reluctantly, he admits that he is having some sexual problems. You encourage further discussion of the matter by displaying interest and explaining that it is okay for him to share his concerns with you. Mr. Curry states that he is having some difficulty achieving erections, but is more concerned that he will have another heart attack if he engages in sexual activities.
Speculate about Mr. Curry’s reluctance to discuss his sexual concerns.
Get Solution
1TYK. Clients may be unlikely to introduce the topic of sex with health care providers for which reason?
1. They assume that health care providers know little about sexual functioning.
2. Most clients have few questions or problems.
3. Female clients prefer to discuss problems with female health care providers.
4. They are too embarrassed to introduce the topic of sex.
Get Solution
2CTC. Terry is a 32-year-old male who received several pints of blood following an automobile crash 10 years ago. Five years ago he was diagnosed with acquired immunodeficiency syndrome (AIDS) and is now in the hospital with pneumonia and severe diarrhea. He is very ill and very discouraged. While you are caring for Terry, he comments, “I might as well die right now because I’m not going to get well. My folks were Methodist, but I guess I’m being punished because I’m not very religious.”
What data suggest that Terry may be experiencing spiritual distress?
Get Solution
2TYK. A nurse receives information that a client is transgender. Appropriate care is based on the knowledge that which of the following is most representative of this client?
1. Gonadal gender, internal organs, and external genitals are contradictory.
2. Sexual anatomy contradicts gender identity.
3. Sexual attraction is to individuals of both genders.
4. Gender identity is altered by acute psychosis.
Get Solution
3CTC. Mr. Curry is a 50-year-old African American male with diabetes who suffered a heart attack 3 weeks ago. He is doing well and is in a cardac rehabilitation program. His diabetes is controlled with diet, and his only medications consist of a daily aspirin and an antihypertensive medication. During a routine checkup, you inquire how he is feeling and whether he is doing well on his medications. Reluctantly, he admits that he is having some sexual problems. You encourage further discussion of the matter by displaying interest and explaining that it is okay for him to share his concerns with you. Mr. Curry states that he is having some difficulty achieving erections, but is more concerned that he will have another heart attack if he engages in sexual activities.
What is the relationship between health and sexual function?
Get Solution
3TYK. In conducting client teaching, the nurse bases content on knowing that which of the following is true regarding masturbation?
1. People who masturbate are psychologically disturbed.
2. Teenage masturbation interferes with academic achievement.
3. Most people do not masturbate past the teenage years.
4. Masturbation is a way people learn about their sexual response.
Get Solution
4CTC. Mr. Curry is a 50-year-old African American male with diabetes who suffered a heart attack 3 weeks ago. He is doing well and is in a cardac rehabilitation program. His diabetes is controlled with diet, and his only medications consist of a daily aspirin and an antihypertensive medication. During a routine checkup, you inquire how he is feeling and whether he is doing well on his medications. Reluctantly, he admits that he is having some sexual problems. You encourage further discussion of the matter by displaying interest and explaining that it is okay for him to share his concerns with you. Mr. Curry states that he is having some difficulty achieving erections, but is more concerned that he will have another heart attack if he engages in sexual activities.
How can you best intervene to help Mr. Curry?
Get Solution
4TYK. A male client is beginning an antidepressant medication. Which of the following should be included in the teaching?
1. “Your partner will be pleased because your sexual functioning is going to improve.”
2. “You may find that your desire for sex will decrease while on this medication.”
3. “Retrograde ejaculation is a common problem when taking antidepressants.”
4. “Your skin will probably become supersensitive to touch, so you may need to change your activity during sex.”
Get Solution
5TYK. A client who had a hysterectomy 3 days ago, says to the nurse. “I no longer feel like a real woman.” What is the best response?
1. “Don’t worry about that. The feeling will probably go away.”
2. “You should talk to your doctor about how you feel.”
3. “I don’t blame you. I would feel like half a woman also.”
4. “I hear your concern. Tell me more about your feelings.”
Get Solution
6TYK. Because a client reports having dyspareunia, it is most appropriate to ask which question?
1. “Have you talked with your partner about this discomfort?”
2. “Have you had these spasms since you became sexually active?”
3. “Do you have pain before your period begins?”
4. “Do your breasts swell large enough to need a larger bra?”
Get Solution
7TYK. Including at least some sexual health history questions would be most relevant for clients taking which category of drugs?
1. Anti-inflammatories (such as aspirin or ibuprofen)
2. Hypnotics (sleeping pills)
3. Antihypertensives (blood pressure medications)
4. Antihistamines (cold medications)
Get Solution
8TYK. A nurse informs a client who is 8 1/2 months pregnant that it is best to abstain from intercourse until after the birth of the baby. This communication is most representative of which component ofthe PLISSIT model?
1. Permission giving (P)
2. Limited information (LI)
3. Specific suggestions (SS)
4. Intensive therapy (IT)
Get Solution
9TYK. A 75-year-old male client reports decreased frequency of sexual intercourse although he does not express dissatisfaction or difficulty. He seems a little embarrassed by the discussion but is engaged and asks some questions. An appropriate nursing diagnosis would be which of the following?
1. sexual Dysfunction
2. Disturbed Body Image
3. sedentary Lifestyle
4. Readiness for Enhanced Knowledge
Get Solution
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