ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 56 : Assessment and Management of Patients With Female Physiologic Processes Questions
Question 1 of 5
The nurse is planning the sexual assessment of a new adolescent patient. The nurse should include what assessment components? Select all that apply.
Correct Answer: A,B,C
Rationale: A sexual assessment includes both subjective and objective data, such as health and sexual histories, physical examination findings, and laboratory results. Assessing interpersonal skills or understanding of menopause is not relevant to a sexual assessment for an adolescent.
Question 2 of 5
By initiating an assessment about sexual concerns what does the nurse convey to the patient? Select all that apply.
Correct Answer: A,B,D
Rationale: By initiating an assessment about sexual concerns, the nurse communicates that issues about changes or problems in sexual functioning are valid and significant health issues, that it is safe to discuss them, and that they should be addressed. Sexual issues are not portrayed as minor or highly atypical.
Question 3 of 5
The nurse is utilizing the PLISSIT model of sexual health assessment during an interaction with a new patient. According to this model, the nurse should begin with what action?
Correct Answer: C
Rationale: The PLISSIT model of sexual assessment begins with permission, where the nurse seeks the patient's consent to discuss sexual health, fostering a safe environment. This is followed by limited information, specific suggestions, and intensive therapy if needed.
Question 4 of 5
During the nurses assessment of a female patient, the patient reveals that she experienced sexual abuse when she was a young woman. What is the nurses most appropriate response to this disclosure?
Correct Answer: D
Rationale: The nurse's primary roles in response to a disclosure of past sexual abuse are to provide empathy and arrange for appropriate resources and referrals, such as counseling or support services. Promising secrecy is inappropriate as confidentiality has limits, psychotherapy is beyond the nurse's scope, and calling 911 is unnecessary for a past event.
Question 5 of 5
A 15-year-old girl is brought to the clinic by her mother to see her primary care provider. The mother states that her daughter has not started to develop sexually. The physical examination shows that the patient has no indication of secondary sexual characteristics. What diagnosis should the nurse suspect?
Correct Answer: A
Rationale: Primary amenorrhea is suspected when a young woman over 14 years has not begun menstruating and shows no secondary sexual characteristics, as described. Dyspareunia is painful intercourse, vaginal atrophy is unrelated to puberty onset, and secondary dysmenorrhea involves painful periods due to pathology, none of which fit the scenario.