Chapter 028

Potter & Perry: Fundamentals of Nursing, 7th Edition
Test Bank
Chapter 28: Sexuality
MULTIPLE CHOICE
1. The nurse is aware that sexuality is part of growth and development. The preschoolers
interest in gender sexuality is characterized by an interest in:
1. Exploring his or her own genitalia
2. Learning how and why his or her anatomy differs from other children
3. Playing and developing friendships with children of the opposite sex
4. Spending most of his or her time with the parent of the opposite sex
ANS: 1
The first step of gender identity development occurs as the child becomes aware of the
differences of the sexes and perceives that he or she is male or female. This is
characterized by an interest in his or her genitalia. This is not characteristic of the
preschool child. Learning how and why his or her anatomy differs from other children
would require a higher level of cognitive ability. Children of this age-group primarily
focus on their parents and family, not other children. According to Freud, the preschool
child identifies with the parent of the same sex and develops a complementary
relationship with the parent of the opposite sex. The preschool child does not spend most
of his or her time with the parent of the opposite sex.
DIF: A
REF: 427
OBJ: Comprehension
TOP: Nursing Process: Evaluation
MSC: NCLEX test plan designation: Safe, Effective Care Environment
2. While working with a male client and administering medications, the female nurse is
approached sexually. The nurse should:
1. Have a male nurse assume care for this client
2. Immediately report the incident to the clients physician
3. Tell the client that his behavior is offensive and leave the room
4. Review and define the limits of a professional relationship for the client
ANS: 4
Mosby items and derived items 2009, 2005 by Mosby, Inc., an affiliate of Elsevier Inc.
Test Bank
28-2
The nurse should convey a message of acceptance of the client, but not the inappropriate
behavior. Reviewing and defining the professional relationship with the client can
accomplish this. Matching the gender of the health care worker with the gender of the
client may be beneficial when dealing with assessment of sexual needs or sex education.
However, in this instance, the client needs to be informed that inappropriate sexual
behavior is unacceptable. To turn the clients care over to a male nurse would not resolve
the problem, and would convey a message of dislike and lack of acceptance of the client.
Reporting the incident immediately to the clients physician would not be the nurses best
action. The client needs to be made aware of the problem in order to discontinue such
behavior. Telling the client his behavior is offensive and then leaving the room is not
therapeutic. The client needs to be reminded of the professional relationship he shares
with the nurse.
DIF: A
OBJ: Comprehension
3. A client is concerned that she and her husband, now that they have a baby in the house,
will be unable to maintain a healthy sexual relationship. To assist these clients, it would
be most helpful for the nurse to know:
1. If they share parenting beliefs
2. How long they have been married
3. How comfortable they are in communicating their feelings to each other
4. The level of knowledge they have regarding healthy sexual relationships
ANS: 3
In response to identified concerns, the nurse may initiate discussion. Knowing of the
comfort level in communicating their feelings provides an open dialogue enabling the
client to talk freely with the nurse to address the concerns. To assist the clients in their
situational change, the nurse needs to explore communication and sexual patterns of the
couple. Having similar parenting beliefs will have less impact on their sexual
relationship. To assist the couple in adjusting to the change of becoming a family, the
nurse needs to explore communication patterns of the couple. How long they have been
married would be less significant. The level of knowledge they have regarding healthy
sexual relationships would not be as impacting on their sexual relationship as would their
ability to discuss their feelings with one another.
DIF: A
REF: 428
OBJ: Comprehension
4. The nurse, after completion of an assessment in the medical clinic of a client, the nurse
documents that the client has dyspareunia based on the clients experience of:
1. Delay or absence of an orgasm
2. Deficient or absent sexual desire
3. Involuntary constriction of the vagina
4. Recurrent genital pain during intercourse
Test Bank
28-3
ANS: 4
Dyspareunia is recurrent or persistent genital pain in either a male or a female before,
during, or after sexual intercourse that is not associated with vaginismus or with lack of
lubrication. Orgasmic disorder is the recurrent delay in, or absence of, orgasm following
normal sexual excitement. Hypoactive sexual desire disorder is the persistent or recurrent
deficiency or absence of sexual fantasies and desire for sexual activity. Vaginismus is an
involuntary constriction of the outer one third of the vagina that prevents penile insertion
and intercourse.
DIF: A
REF: 432
OBJ: Comprehension
5. An adolescent female student, who is sexually active, visits the office of the school nurse.
Which of the following statements best reflects her understanding of the effective use of
contraception devices?
1. My boyfriend is able to withdraw before ejaculation, and that prevents me from
getting pregnant.
2. I take my temperature every morning; when it goes down for at least two days, we
have unprotected sex.
3. We always use foam before each time that we have sex and as you can see I
havent gotten pregnant yet.
4. We have decided that I should have a diaphragm inserted and to use contraceptive
cream with each intercourse.
ANS: 4
In order to be an effective contraceptive method, the diaphragm should be used with a
contraceptive cream or jelly. The client is verbalizing understanding. Any act of
unprotected intercourse can result in pregnancy. The boyfriend withdrawing prior to
ejaculation is not an effective contraceptive method. Any act of unprotected intercourse
can result in pregnancy. This statement is not demonstrating understanding of the basal
body temperature method of contraception. Using spermicidal foam alone is not
recommended. The client should use a condom and foam to be more effective in
preventing pregnancy.
DIF: A
REF: 429
OBJ: Comprehension
6. A school nurse is responsible for teaching adolescents about sexually transmitted diseases
(STDs). When discussing chlamydia, the nurse instructs the students that it is:
1. A viral infection that cannot be cured
2. Treated with a full course of antibiotics
3. Contracted via blood-borne exchange
4. Prevented with the use of spermicidals
ANS: 2
Test Bank
28-4
Diseases that are caused by bacteria and that can usually be cured with antibiotics include
gonorrhea, chlamydia, syphilis, and pelvic inflammatory disease. All clients need to
understand that antibiotics need to be taken for the full course of treatment. Chlamydia is
caused by bacteria that can be treated, not a virus. Sexually transmitted diseases, such as
chlamydia, are transmitted from infected individuals to partners during intimate sexual
contact. It is not contracted via blood-borne exchange, but rather through body fluids.
Chlamydia is not prevented with the use of spermicidals.
DIF: A
REF: 430
OBJ: Comprehension
7. A client is scheduled for cardiac surgery. The nurse is conducting a sexual history and is
told that he is nervous about resuming sexual activities. The nurse uses therapeutic
communication with the client when responding:
1. You can have sexual intercourse after your surgery, but there are serious risks.
2. Your partner will be nervous about resuming sexual activities, but that is only
normal.
3. Dont worry. In about 2 months you will be able to return to your normal sexual
patterns.
4. You are expressing a very normal concern, Perhaps we could discuss your feelings
further.
ANS: 4
Open communication and positive self-esteem, such as explaining that their concern is
very normal and offering to discuss further are essential factors in effectively resolving
concerns. Telling the client that there are serious risks may only worry the client more.
Stating that the clients partner will be nervous about resuming sexual activities does not
focus on the client and, therefore, does not encourage the client to express his concerns.
Telling the client not to worry is nontherapeutic. At this point, not even knowing the
outcome of the surgery, the nurse should not predict resumption of sexual activity for the
client. Furthermore, this response does not encourage the client to communicate his
feelings.
DIF: A
REF: 427
OBJ: Comprehension
8. The nurse is teaching sexuality to a group of senior adults. Which of the following
comments by a participant reflects that he or she has an understanding of the changes in
sexuality that occur with aging?
1. So, sexual intercourse will be more painful for my wife, and we should have sex
less frequently?
2. We have recently seen the need to begin using a lubricant. Thats because we
make love less often.
3. My orgasms seem to not last as long, but my husband and I are probably more
satisfied now than when we were younger.
Test Bank
28-5
4. I understand that it is natural not to have such an interest in sex anymore. People
our age shouldnt still have those feeling.
ANS: 3
Orgasms may not last as long in the older adult as a result of aging. Older adults may feel
more sexually satisfied because they no longer have to be concerned with contraception
and are not experiencing the pressures of raising children and working. Decreased levels
of estrogen may lead to diminished vaginal lubrication and decreased vaginal elasticity,
making intercourse more painful. The couple should not be advised to have sex less
frequently, but rather to use a vaginal lubricant and allow more time for caressing. The
need to use a lubricant is not due to having sex less often, but is due to decreasing levels
of estrogen in the woman. Saying that people of a certain age shouldnt still have sexual
feelings is not a true statement. Sexual feelings in older adulthood are normal. Sexuality
and continued interest in sex throughout late life generally reflect life patterns.
DIF: A
REF: 439
OBJ: Comprehension
9. The nurse has completed an assessment on an adult male client and finds that he is having
difficulty having an erection and has less interest in sex. The nurse notes that the client
has recently started taking an antihypertensive medication. A nursing diagnosis of sexual
dysfunction related to side effects of antihypertensive is identified by the nurse. An
appropriate outcome for this client is:
1. Client will avoid taking medication before intercourse
2. Client will relate renewed interest in sex within 1 month
3. Client will be interviewed by a sexual therapist immediately
4. Client will seek out other satisfying substitute activities or hobbies
ANS: 2
An appropriate expected outcome for the nursing diagnosis of sexual dysfunction related
to side effects of antihypertensive would be client will relate renewed interest in sex
within 1 month. An appropriate goal would be client will express satisfaction with sexual
relationship with wife within 1 month. The client should not avoid taking his
antihypertensive medication before intercourse, but should be taught that there are other
blood pressure medications available that can maintain blood pressure control and that do
not negatively affect sexual function. He can then discuss this with his physician. Being
interviewed by a therapist is not an appropriate expected outcome. Seeing a sexual
therapist immediately is not necessary and may only intensify his concern. Seeking out
substitute activities or hobbies is not an appropriate expected outcome. It does not
address or resolve the problem.
DIF: A
REF: 434
OBJ: Comprehension
Test Bank
28-6
10. A 58-year-old woman asks the nurse what she can do to promote healthy physical sexual
relations. Based on the clients age, the nurse responds by saying:
1. Using a water-based lubricant may be helpful.
2. Reducing the frequency of intercourse may help you.
3. I will refer you to a sexual therapist to better assist you.
4. Continue what youve been doing. Nothing should have changed.
ANS: 1
The perimenopausal and menopausal woman may have diminished vaginal lubrication as
a result of decreased levels of estrogen, thus using a water-based lubricant may help.
Decreasing the frequency of intercourse would not promote healthy sexual relations. If a
nurse is uncomfortable discussing sexual issues with a client, then he or she should get
another nurse who is comfortable to talk with the client. A sex therapist is not necessary
in this situation. Sex therapists address more complex sexual issues. There are some
physical changes with aging that may affect sexuality. The client should be educated on
the expected changes and how to best address them.
DIF: A
REF: 428
OBJ: Comprehension
11. The nurse is putting together a presentation on the prevention of sexual abuse. She should
incorporate which of the following?
1. Abusers fit into easily identified, classic profiles.
2. Intensity is generally increased during pregnancies.
3. Sexual abuse is found primarily in lower socioeconomic groups.
4. Most of the incidents occur with strangers or unknown assailants.
ANS: 2
Sexual abuse may begin, continue, or even intensify during pregnancy. The abuser may
not fit any classic description. Sexual abuse crosses all gender, socioeconomic, age, and
ethnic groups. Most often sexual abuse is at the hands of a former intimate partner or
family member.
DIF: A
REF: 432
OBJ: Comprehension
12. To increase the tone and sensation of the pelvic floor for a female client, the nurse
teaches:
1. Kegel exercises
2. Vaginal dilation
3. Stop-start techniques
4. Sensate focus exercises
ANS: 1
Test Bank
28-7
Kegel exercises increase the tone and sensation of the pelvic floor (pubococcygeus
muscle) for the female client. Vaginal dilation will not increase the tone and sensation of
the pelvic floor. Stopping urination may help identify proper muscle contraction, but once
the muscle is identified, Kegel exercises should not be repeated during urination.
Stopping urination midstream may create a backflow of urine into the bladder,
predisposing a person to infection. Sensate focus exercises do not increase muscle tone.
DIF: A
REF: 428
OBJ: Comprehension
13. The nurse is discussing the physical changes that occur during puberty with a group of
11- to 12-year-olds. The most therapeutic statement the nurse could make directed toward
minimizing their anxiety would be:
1. Youll be fine. Everyone survives puberty.
2. Dont worry because everyone goes through the changes.
3. Dont be afraid to talk about the changes with an adult; we all know about
puberty.
4. Puberty is a normal stage of development. Remember, its simply a part of
growing up.
ANS: 3
School-age children generally have questions regarding the physical and emotional
aspects of sex. They need accurate information from home and school about changes in
their bodies and emotions during this period and what to expect as they move into
puberty. Knowledge about normal emotional and physical changes associated with
puberty will decrease anxiety as these changes begin to happen. It is of little value to tell
the child that all will be fine since that tends to send a message that you are minimizing
their concerns and so is a barrier to communication. Keeping the responses short and in
terms the child will understand is best.
DIF: C
REF: 427
OBJ: Analysis
14. Teenagers tend to engage in risky sexual behavior primarily because they:
1. Feel invincible
2. Lack factual information
3. Emulate poor social models
4. Possess immature decision-making skills
ANS: 1
Adolescents tend to think they are invincible and do not expect bad things to happen to
them. While the other options can be factors in some teens decisions to engage in
unprotected sex, the age-group generally lacks the insight that they are not invincible and
that they will suffer the consequences of poor decision making.
Test Bank
28-8
DIF: A
REF: 427
OBJ: Comprehension
15. Sexual experimentation is common among adolescents and should primarily be:
1. Discouraged
2. Encouraged
3. Accepted as normal adolescent behavior
4. Viewed as a means of determining sexual orientation
ANS: 4
Adolescence is often a time when individuals explore their primary sexual orientation.
Although the behavior should not be discouraged or encouraged, in order to avoid undo
stress on the adolescent, the experimentation should be viewed as an acceptable way to
determine sexual orientation.
DIF: A
REF: 428
OBJ: Comprehension
16. The nurse is discussing various sexual issues with a group of military personnel who have
experienced spinal cord injuries. Which of the following statements best addresses the
issue of alternative methods of personal sexual gratification?
1. People do whatever works best for them and their partner.
2. You dont need anyone else to approve how you engage in sex.
3. Sex practices are private and need only to be discussed with your sexual partner.
4. Any form of stimulation that is mutually agreed upon and satisfying is acceptable
sexual practice.
ANS: 4
As sexually active adults develop intimate relationships, they learn techniques of
stimulation that are satisfying to both themselves and their sexual partners. Some adults
need permission or affirmation that alternative ways of sexual expression other than
penile-vaginal intercourse are normal. While the other options prove acceptance, they are
not as sensitive in their wording or address the issue as completely.
DIF: C
REF: 440
OBJ: Analysis
17. The middle adult couple is most likely to experience a change in their sexual intimacy
when:
1. The changes of normal aging occur
2. One or both retire from the work force
3. Chronic illness affects sexual performance
4. The children no longer reside full time in the home
ANS: 4
Test Bank
28-9
Children leaving home usually creates a change in intimate relationships. This results in
either a time of renewed intimacy between partners or a time when formerly intimate
partners realize that they no longer care for each other or have common interests. While
changes of aging and chronic illness can affect performance and retirement usually
requires an adjustment in expectations and attitudes, these options do not appear to have
the same degree of impact on intimacy as does the empty nest.
DIF: C
REF: 428
OBJ: Analysis
18. The nurse knows that studies of sexuality in older adults have shown:
1. To be inconsistent in their overall findings
2. That this population is reluctant to discuss their sexual practices
3. That there is a decline of sexual interest and behavior among older adults
4. That older adults retain an interest in sexual function and are sexually active
ANS: 1
Studies of sexuality in older adults are limited and inconsistent in their findings. Many
studies suggest that older adults retain an interest in sexual function and are sexually
active while other studies conclude that there is a decline of sexual interest and behavior
among older adults.
DIF: A
REF: 428
OBJ: Comprehension
19. Which of the following statements made by a client concerning birth control requires
immediate correction by the nurse?
1. My partner is responsible for our birth control; he uses a condom.
2. Ive gained some weight so I should have my diaphragm refitted.
3. My husband is reluctant to have a vasectomy since it is permanent.
4. I prefer the cervical cap since I can leave it in for a longer period of time.
ANS: 1
Barrier methods include over-the-counter spermicidal products and condoms.
Spermicidal products (e.g., creams, jellies, foams, and sponges) are put into the vagina
before intercourse to create a spermicidal barrier between the uterus and ejaculated
sperm. A condom is a thin rubber sheath that fits over the penis to prevent entrance of
sperm into the vagina. Vaginal spermicides and condoms are most effective when
instructions are carefully followed; their combined use is more effective in preventing
pregnancy than the use of either one alone. While a vasectomy may be reversed, it is very
difficult and results cannot be guaranteed. The remaining options are correct.
DIF: C
REF: 429
OBJ: Analysis
Test Bank
28-10
20. Which of the following statements best educates the client regarding the transmission of
sexually transmitted diseases (STDs)?
1. Always have protected sex, and you will be safe.
2. Be careful to avoid coming into contact with a partners semen or vaginal
secretions.
3. STDs are spread from person to person by coming into contact with their sperm or
vaginal secretions.
4. STDs can be transmitted through any open sore that comes into contact with a
partners semen or vaginal secretions.
ANS: 4
Any contact with another persons body fluids or an open lesion on the skin, anus, or
genitalia can transmit an STD. The remaining options do not provide complete
information of the possible means of transmitting STDs.
DIF: C
REF: 429-430
OBJ: Analysis
21.
The most common reason for clients with sexually transmitted diseases (STDs) to remain
untreated is:
1. Embarrassment and guilt
2. Inability to access health care services
3. Lack of knowledge concerning signs and symptoms
4. Insufficient respect for the seriousness of the disease
ANS: 1
People often do not seek treatment because they are embarrassed to discuss sexual
symptoms or concerns. They are also often hesitant to talk about their sexual behavior if
they believe that it is not normal. Any sexual behavior that embarrasses the client often
hinders the detection of an STD. While the remaining options may be factors for some
individuals, they are not the most common reason for failure to seek treatment.
DIF: C
REF: 429-430
OBJ: Analysis
22. The nurse is counseling a woman who has multiple sexual partners and has recently been
diagnosed with the human papillomavirus (HPV). The importance of regularly scheduled
Pap smears is discussed primarily because:
1. This woman has a high risk for cervical cancer
2. Her sexual practices also put her at risk for HIV
3. This womans age puts her at risk for uterine cancer
4. Regular screening results in improved client outcomes
ANS: 1
Test Bank
28-11
Researchers estimate that 80% to 90% of cervical cancer cases are linked to HPV
infection. It is true that regular screenings do improve client outcomes; the purpose of the
Pap smear is directly related to cervical cancer. HPV does not increase the risk of uterine
cancer nor would it be detected by a Pap smear. While having multiple sexual partners
does increase the risk of contracting HIV, it would not be diagnosed with a Pap smear.
DIF: C
REF: 430
OBJ: Analysis
23. The nurse is interviewing a client who is concerned about the possibility of contracting
the human immunodeficiency virus (HIV) from unprotected sex with a known IV drug
user. The nurse knows that if the client is infected:
1. The clients life expectancy is 3 to 5 years
2. There are no effective treatment modalities
3. Symptoms of the disease will be assessable within the first month post exposure
4. Blood work will confirm the diagnosis 6 weeks to 3 months after the initial
exposure
ANS: 4
The primary infection stage lasts for about a month after contracting the virus. During
this time, the person often experiences flu-like symptoms. Then, the person enters the
clinical latency phase; at this time, the person has no symptoms of infection. HIV
antibodies appear in the blood about 6 weeks to 3 months following infection. If left
untreated, people who are infected with HIV will live about 10 years. The last stage,
acquired immunodeficiency syndrome (AIDS), occurs when the person begins to show
symptoms of the disease. Highly active antiretroviral therapy (HAART) has greatly
increased the survival time of persons who live with HIV/AIDS.
DIF: A
REF: 430
OBJ: Comprehension
24. Which of the following interview questions asked by the nurse is best directed at
assessing a common symptom of chlamydia?
1. Do you have any sores on your genitals (privates)?
2. Remember that a fever can be a sign of this sexually transmitted disease (STD).
3. Have you been experiencing any problems with urinating (making your water)?
4. If you notice a red rash on your perineal area (between your legs) notify your
doctor.
ANS: 3
Symptoms in women include dysuria, urinary frequency, and purulent vaginal discharge.
In men, it usually infects the urethra and causes dysuria and urethral discharge. The
remaining options suggest symptoms/signs that are not commonly associated with
chlamydia.
Test Bank
28-12
DIF: A
REF: 430
OBJ: Comprehension
25. The nurse knows that when a society or culture supports sexual abstinence outside of
marriage, it avoids providing sex education to its children because it is believed that to do
so would:
1. Erode traditional family values
2. Promote premarital sexual activity
3. Be too emotionally traumatic for both parent and child
4. Put the child at an increased risk for disease and pregnancy
ANS: 2
When a culture supports a belief in abstinence until marriage, there is usually a belief that
teaching children about sex will promote sexual activity. While the other options may
represent beliefs held by the culture as well, its primary concern appears to be sexual
activity.
DIF: A
REF: 427
OBJ: Comprehension
26. The nurse realizes that a woman who has experienced a voluntary abortion will be most
likely to experience a sense of:
1. Loss and sadness
2. Remorse and regret
3. Relief and confidence
4. Peace and contentment
ANS: 1
When a woman chooses abortion as a way of dealing with an unwanted pregnancy, the
woman, and often her partner, experiences a sense of loss, grief, and/or guilt. While
individuals may experience those emotions identified in the other options, the most
universal feelings are of loss, grief, sadness, and guilt.
DIF: A
REF: 431
OBJ: Comprehension
27. Which of the following statements best reflects the nurses understanding regarding
strong personal feelings against voluntary abortions?
1. It would be difficult, but I would try to care for the client in a professional
manner.
2. I chose not to work in areas that would require me to deal with the issue of
abortion.
3. I will need to separate my personal values in a manner so as to not appear to be
judgmental.
Test Bank
28-13
4. I would just ask another registered nurse to care for the client who is recovering
from an abortion.
ANS: 2
Nurses are entitled to their personal views and should not be forced to participate in
counseling or procedures contrary to beliefs and values. It is essential to choose
specialties or places of employment where personal values are not compromised and the
care of a client in need of health care is not jeopardized. The other options represent
impractical or unrealistic solutions to the dilemma.
DIF: C
REF: 431
OBJ: Analysis
MULTIPLE RESPONSE
1. The nurse who is discussing safe sex with a group of teenage students must realize that
safe sex practice includes: (Select all that apply.)
1. Having sex with only partners you know well
2. Willingness to resist peer pressure to have sex
3. Insisting upon the use of barrier protective devices
4. An understanding that the goal is to prevent the spread of STDs
5. Openly discussing a history of STDs (sexually transmitted diseases)
6. Not making the decision to be sexually active while using drugs or alcohol
ANS: 1, 3, 4, 5, 6
Safe sex is a term that describes responsible sexual behavior aimed at preventing the
spread of STDs, including HIV/AIDS. Responsible sexual behavior includes knowing
ones sexual partner, being able to openly discuss sexual and drug-use history with the
partner, not allowing drugs or alcohol to influence decision making, and using protective
devices.
DIF: C
REF: 431
OBJ: Analysis
2. In order to therapeutically counsel clients regarding issues related to sexuality, a nurse
should have knowledge on which of the following topics? (Select all that apply.)
1. Abortion
2. Birth control
3. Sexual techniques
4. Sexual orientation
5. Sexual development
6. Sexually transmitted diseases (STD)
ANS: 1, 2, 4, 5, 6
Test Bank
28-14
Nurses help clients achieve sexual health by having a sound scientific knowledge base
regarding sexuality. A basic understanding of sexual development, sexual orientation,
contraception, abortion, and sexually transmitted diseases (STDs) is necessary. A sex
therapist would be better suited to discuss sexual techniques with a client.
DIF: C
REF: 427
OBJ: Analysis
TOP: Nursing Process: Assessment
3. The most common characteristics shared by individuals most likely to contract a sexually
transmitted disease (STD) are that they: (Select all that apply.)
1. Use illegal drugs
2. Possess poor reading skills
3. Are economically deprived
4. Have multiple sexual partners
5. Have ineffective immune systems
6. Frequently engage in unprotected sex
ANS: 4, 6
People most likely to be infected share one key characteristic: unprotected sex with
multiple partners. Additionally, social factors such as poverty, low literacy,
discrimination, use of illegal drugs (e.g., crack cocaine, meth), incarceration, sexual
abuse, and racial segregation contribute to racial disparities in rates of STDs.
DIF: C
REF: 429
OBJ: Analysis
4. Which of the following sexually transmitted diseases (STDs) are considered curable with
antibiotic treatment? (Select all that apply.)
1. Syphilis
2. Gonorrhea
3. Chlamydia
4. Genital warts
5. Genital herpes
6. Pelvic inflammatory disease (PID)
ANS: 1, 2, 3, 6
Gonorrhea, chlamydia, syphilis, and pelvic inflammatory disease (PID) are caused by
bacteria and are usually curable with antibiotics. All clients need to understand that
antibiotics need to be taken for the full course of treatment. Genital herpes and genital
warts are viral and are not curable.
DIF: A
REF: 429-430
OBJ: Comprehension
Test Bank
28-15
5. When discussing sexually transmitted diseases (STDs) with a group of college students,
the nurse identifies which of the following as the more common signs and symptoms?
(Select all that apply.)
1. Fever
2. Joint pain
3. Genital rash
4. Anal discharge
5. Genital lesions
6. Painful urination
ANS: 1, 4, 5, 6
Common symptoms of an STD include discharge from the vagina, penis, or anus; pain
during sex or when urinating; blisters or sores in the genital area; and fever. The
remaining options are not typical signs or symptoms of STDs.
DIF: A
REF: 429-430
OBJ: Comprehension
6. Which of the following conditions should the nurse discuss as possible outcomes of
untreated chlamydia with a client newly diagnosed with the disease? (Select all that
apply.)
1. Infertility
2. Uterine cancer
3. Ectopic pregnancy
4. Neonatal complications
5. Pelvic inflammatory disease (PID)
6. Human immunodeficiency virus (HIV)
ANS: 1, 3, 4, 5
If it is not treated, chlamydia can cause PID, ectopic pregnancy, infertility, and neonatal
complications. Either uterine cancer or HIV is directly connected to chlamydia.
DIF: A
REF: 430
OBJ: Comprehension

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