Biology Forums - Study Force

Prior to working with patients regarding sexual concerns, a prerequisite for providing nonjudgmental care is
 
  a. sympathy.
  b. assertiveness training.
  c. sexual self-awareness.
  d. effective communication.

Question 2

While volunteering at a homeless shelter, a nurse observes a known pedophile leaving the restroom with a small child. Select the nurse's priority action.
 
  a. Report the observation to authorities by the child abuse hotline.
  b. Protect the child without involving herself/himself with the perpetrator.
  c. Notify staff of the homeless shelter to address the situation.
  d. Continue to observe the interaction and document findings.

Question 3

An adolescent in a residential program threatens to throw a pool ball at another adolescent. Which comment by the nurse would set limits?
 
  a. You will be taken to seclusion if you throw that ball.
  b. Do not throw the ball. Put it back on the pool table.
  c. Attention everyone: We're all going to the gym.
  d. Please do not lose control of your behavior.

Question 4

A nurse presents a psychoeducational program to patients with bipolar disorder and their families. Information about signs of impending relapse of depressive episode should include
 
  a. diarrhea, thirst, and gross tremor.
  b. sleep disturbances and racing thoughts.
  c. decreased libido, anhedonia, and inertia.
  d. anorexia, excessive guilt, and aggression.

Question 5

A patient's medical record documents sexual masochism. This patient derives sexual pleasure
 
  a. from inanimate objects.
  b. by inflicting pain on a partner.
  c. when sexually humiliated by a partner.
  d. from touching a nonconsenting person.

Answer to #1

C
Only when a nurse has accepted his or her own feelings and values related to sexuality can he or she provide fully nonjudgmental care to a patient. If the nurse is uncomfortable, the patient might misinterpret discomfort as disapproval. The distracters are not prerequisites.

Answer to #2

A
In every state, nurses are mandated reporters of child abuse. The nurse is obligated legally and morally to report the incident so that proper authorities can follow up. The distracters do not fulfill the nurse's ethical or legal responsibilities.

Answer to #3

B
Setting limits uses clear, sharp statements about which behavior is not allowed and guidance for performing a behavior that is expected. The distracters represent a threat, use of restructuring (which would be inappropriate in this instance), and a direct appeal to the child's developing self-control that may be ineffective.

Answer to #4

C
Relapse symptoms are congruent with early symptoms of a depressive episode. They include decreased libido, loss of pleasure, and lack of energy. Sleeping less, experiencing racing thoughts, experiencing aggression, and having boundless energy suggest impending mania. Diarrhea, thirst, and tremor relate to lithium side effects.

Answer to #5

C
Sexual masochism is sexual pleasure derived from being humiliated, beaten, or otherwise made to suffer. The distracters refer to fetishism, sexual sadism, and frotteurism.

Thank you so much for the answer