Sexual Fulfillment

Every question here, with the answer

1. A 72-year-old widowed client mentions starting a new sexual relationship. Which nursing action is most appropriate?

   1. Advise the client that sexual activity lowers quality of life at this age.
   2. Change the subject to avoid embarrassing the client.
   3. Skip sexual health teaching, since older adults are rarely at risk for STIs.
   4. Include education and discussion about safe sexual practices.

   Answer: Include education and discussion about safe sexual practices.

   Older adults who are sexually active are still at risk for STIs, so their care should include education about safe sexual practices. Older adults who engage in sexual activity have a greater quality of life, and avoiding the topic is based on the misconception that they are not interested in sex.

2. A client asks the nurse whether it is true that oral sex carries no infection risk. What is the nurse's best response?

   1. Oral sex carries no risk of STIs.
   2. Both giving and receiving oral sex increase the risk of STIs.
   3. Oral sex is risky only if it happens before intercourse.
   4. Only receiving oral sex carries a risk of STIs.

   Answer: Both giving and receiving oral sex increase the risk of STIs.

   STIs can spread from mouth to genitals and from genitals to mouth, so both giving and receiving oral sex increase the risk. The other responses understate the risk or tie it incorrectly to timing.

3. An adolescent client quietly asks the nurse whether masturbation can cause infertility. What is the best response?

   1. The nurse should refer the question to a counselor without answering it.
   2. It is harmful only during adolescence.
   3. It can cause infertility if done often.
   4. It is a normal, healthy activity that does not cause harm to the body.

   Answer: It is a normal, healthy activity that does not cause harm to the body.

   Beliefs that masturbation causes blindness or infertility are myths; it is a normal, healthy activity that does not harm the body. Accurate information helps dispel stigma, so avoiding or misanswering the question is not appropriate.

4. A nurse feels uncomfortable when a client describes sexual preferences that differ from the nurse's own. Which approach best supports holistic care?

   1. Document the preferences as maladaptive.
   2. Avoid discussing sexual health with this client.
   3. Remain open-minded and nonjudgmental about the client's preferences.
   4. Tell the client which preferences are normal.

   Answer: Remain open-minded and nonjudgmental about the client's preferences.

   Remaining open-minded and nonjudgmental about sexual preferences lets nurses give more holistic care that promotes wellness and outcomes. Labeling, avoiding, or judging the client's preferences undermines care.

5. A nurse is teaching a client about adaptive, healthy sexual behaviors. Which behaviors should the nurse include? Select all that apply.

   1. Protecting self and others from STIs
   2. Respecting the sexual boundaries of self and others
   3. Being unfaithful to a committed partner
   4. Communicating sexual needs and desires with a partner
   5. Giving and obtaining consent before sexual activity

   Answer: Protecting self and others from STIs, Respecting the sexual boundaries of self and others, Communicating sexual needs and desires with a partner, Giving and obtaining consent before sexual activity

   Adaptive sexual behaviors include consent, communicating needs, respecting boundaries, protecting against STIs, using contraceptives appropriately, and comfort with one's identity. Infidelity is listed as a maladaptive sexual behavior.

6. A school nurse is reviewing examples of maladaptive sexual behaviors. Which examples fit this category? Select all that apply.

   1. Touching others in unwanted ways
   2. Developmentally inappropriate sexual behavior in a child under 12
   3. Using contraceptives appropriately
   4. Being comfortable with one's sexual orientation
   5. Excessive or inappropriate use of pornography

   Answer: Touching others in unwanted ways, Developmentally inappropriate sexual behavior in a child under 12, Excessive or inappropriate use of pornography

   Maladaptive sexual behaviors include excessive or inappropriate pornography use, infidelity, developmentally inappropriate sexual behavior in children, and unwanted touching. Appropriate contraceptive use and comfort with one's orientation are adaptive behaviors.