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12. When conducting a sexual assessment with a client, Ellie, the client gets angryand says that her partner is always so selfish and is only concerned with her own sexual needs. She relates a string of recent experiences with her partner and then says, “What do you think I should do?” Which of the following would be the most appropriate response for the nurse to give?

A. “I agree that your partner is being selfish. You might consider breaking up with her.”

B. “Why don’t we schedule a follow-up appointment with you and your partner so that wecan discuss this together.”

C. “When my husband is being selfish, I just refuse to have sex with him. Maybe you should do the same.”

D. “Let me refer you to a good sex therapist I know. She is better trained to provide the kind of care you require.”

Answer: D

13. A patient reports chronic pain in the vulvar area that has persisted for 4 months. Thenurse recognizes this condition as which of the following?

A. Vulvodynia

B. Vestibulodynia

C. Dyspareunia

D. Genitopelvic pain/penetrationdisorder

Answer: A

14. A patient reports experiencing fear and anxiety just before having intercourse related to the pain she anticipates experiencing. She also reports feeling uncomfortable tension in her pelvic floor muscles during intercourse. The nurse recognizes this condition as which of the following?

A. Vulvodynia

B. Vestibulodynia

C. Dyspareunia