Chapter 29 Sexual Health

1.You are assessing a 16-year-old female’s knowledge of sexuality. Which of her statements indicates that she requires further teaching?

a)“I don’t practice oral sex, because it could lead to sexually transmitted infections.” b)“I don’t have sexual intercourse because I want to remain a virgin until marriage.” c)“My boyfriend and I are practicing abstinence by engaging in shared touching.”

d)“My parents are lesbians, but it has not affected my sexual orientation.”

ANS: C

Abstinence occurs when persons refrain from any sexual activity. Shared touching or masturbation is an alternative to sexual intercourse, but is a type of sexual activity. The nurse should clarify the two concepts. STIs can be transmitted by oral sex; the orientation of a person’s parent may not impact sexual orientation, and she will lose her virginity status if she engages in sexual intercourse (penetration of the vagina). These are true statements and do not need further clarification.

Difficulty: Moderate

Nursing Process: Assessment

Client Need: Safe and Effective Care

Cognitive Level: Application

PTS: 1

2.A client confides to you that he feels guilty because when he has intercourse with his girlfriend, he pretends that she is a certain female actress. What is your best response? a)“This behavior is known as a voyeuristic disorder and is perfectly normal.”

b)“Are there problems in your relationship with your girlfriend?”

c)“I can provide you with a referral to a sexual counselor who can help you work through these guilt feelings.”

d)“Fantasy before or during sexual intercourse can add excitement to a relationship.”

ANS: D

Voyeurism disorder occurs when a person likes to observe an unsuspecting person who is disrobing, naked, or engaged in sexual activity. The client needs to understand that engaging in fantasy can be stimulating for the relationship—it increases self-esteem and arousal. At this point, you do not have enough information to determine whether this is a situation that would require a referral.

Difficulty: Difficult

Nursing Process: Assessment

Client Need: HPM

Cognitive Level: Comprehension

PTS: 1

3.Which is the third stage of sexual arousal?

a)Desire