1. A parent asks about the human papillomavirus (HPV) vaccine. Which information will the nurse include

in the teaching session?

a. It is recommended for girls 6 to 9 years old.

b. It is recommended for females ages 11 to 26.

c. It is recommended that booster injections be given.

d. It is recommended to receive four required injections.

ANS: B

The vaccine is safe for girls as young as 9 years old and is recommended for females ages 11 to 26 if they have

not already completed the three required injections. Booster doses currently are not recommended. The vaccine

is most effective if administered before sexual activity or exposure.

2. A nursing student is providing education to a group of older adults who are in an independent living

retirement village. Which statement made by the nursing student requires the nurse to intervene?

a. “Avoiding alcohol use will enhance your sexual functioning.”

“You need to tell your partner how you feel about sex and any fears

b. you may have.”

“You do not need to worry about getting a sexually transmitted

c. infection at this point in your life.”

“Using pillows and taking pain medication if needed before having

sexual intercourse often help alleviate pain and improve sexual

d. functioning.”

ANS: C

Research indicates many older adults are more sexuality active than previously thought and engage in high-risk

sexual encounters, resulting in a steady increase HIV and STI rates over the past 12 years. Therefore, the nurse

needs to intervene when the student tells the older adults that they are not at risk for developing an STI.

Avoiding the use of alcohol; using pillows; taking pain medications before having intercourse if needed; and

communicating thoughts, fears, and feelings about sex all enhance sexual functioning.

3. A nurse is interviewing a woman who uses a diaphragm. Which information from the patient will

require the nurse to follow up?

a. “I have lost 12 pounds on this diet.”

b. “I use the diaphragm to prevent pregnancy.”

c. “I use a contraceptive cream with my diaphragm.”

d. “I know this provides a barrier over the cervical opening.”

ANS: A

The woman needs to be refitted after a significant change in weight (10-pound gain or loss) or pregnancy. The

diaphragm is a round, rubber dome that has a flexible spring around the edge. It is used with a contraceptive

cream or jelly and is inserted in the vagina so it provides a contraceptive barrier over the cervical opening.

4. A nurse is conducting a sexual assessment. Which question is appropriate for the nurse to ask?

a. Have you noticed any changes in the way you feel about yourself?

b. What is your favorite sex position with men and with women?

c. Do you think your partner is attractive?

d. Why do you like men over women?