Chapter 35: Sexual Disorders: Management of Persons with Sexual Dysfunctions and Paraphilias

Format: Multiple Choice

Client Needs: Psychosocial Integrity

Cognitive Level: Apply

Integrated Process: Teaching/Learning

Objective: 1

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1. A group of nurses is reviewing information about sexual development. The nurses demonstrate understanding of the information when they use which description for biosexual identity?

A) Conviction of belonging to the male or female gender

B) Outward expression of gender

C) Sexual attraction to opposite, same, or both sexes

D) Anatomic and physiologic state of being male or female

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2. When describing the events associated with determining the sex of a fetus, which topic would the nurse most likely include in the discussion?

A) Genes on the Y chromosome

B) Formation of ovaries

C) Increasing testosterone levels

D) Neurochemical inhibition

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3. While a nurse is interviewing the client and obtaining a sexual history, the client states, “I’ve always wondered what is happening in my body when I become sexually aroused.” The nurse would incorporate an understanding of which control mechanism?

A) Sympathetic nervous system

B) Endocrine system

C) Parasympathetic nervous system

D) Central nervous system

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4. A nurse is preparing a client education plan about the sexual response cycle integrating the theoretical model described by Masters and Johnson. Which response would the nurse describe as occurring first?

A) Erotic feelings

B) Penile erection

C) Vaginal lubrication

D) Increased muscle tension

Page and Header: 682, Recovery-oriented Care for Persons with Female Orgasmic Disorder/Teamwork and Collaboration: Working Toward Recovery

5. A female client is diagnosed with female orgasmic disorder and is receiving treatment by a qualified sex therapist. The client and her partner are being taught sensate focus. Which action would the couple be required to do first?

A) Have sexual intercourse

B) Engage in genital touching

C) Participate in non-genital contact

D) Use masturbation

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6. A client diagnosed with erectile dysfunction is prescribed sildenafil and asks the nurse, “When should I take the medication?” Which response by the nurse would be most appropriate?

A) “You should take it every morning when you first get up.”

B) “Take it about 30 minutes to 2 hours before you have sexual activity.”

C) “You need to take it about 5 minutes before you have intercourse.”

D) “Take it at night before bedtime.”

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7. Which nursing diagnosis does a nurse identify for Ineffective Sexuality Patterns?

A) The sexual problem is causing dissatisfaction for the client.

B) The client has experienced a change in sexual functioning.

C) The client is feeling inadequacy related to the sexual problem.

D) The client believes that sexual activity is unrewarding.

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8. A client has been admitted to the inpatient psychiatric facility as part of a court-ordered program. The client was arrested numerous times over the past several months for exposing his genitals and masturbating in public in front of an elementary school. Which behavior does the nurse identity?

A) Frotteurism

B) Exhibitionism

C) Sexual masochism

D) Voyeurism

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9. A group of nurses is reviewing medications used to treat erectile dysfunction. The nurses demonstrate understanding of the information when they identify which medication as being administered by injection?

A) Tadalafil

B) Papaverine

C) Alprostadil

D) Vardenafil

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10. A nursing instructor is preparing a class discussion about sexual disorders. Which description would the instructor include when discussing gender dysphoria?

A) It typically involves same-sex identification.

B) The individual experiences a strong desire to be of the opposite gender.

C) Recurrent, intense sexual urges lead to significant distress.

D) Changes in sexual desire and response are key characteristics.

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11. After educating a group of students on sexual disorders in women, the instructor determines that the education was successful when the students identify which disorder as most common?

A) Female orgasmic disorder

B) Sexual interest/arousal disorder

C) Genito-pelvic pain/penetration disorder

D) Paraphilia

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12. A client diagnosed with an ejaculatory disorder is receiving treatment using sensate focus. The nurse understands that this treatment focuses on which objective?

A) Learning new ejaculatory control responses

B) Learning what each partner finds arousing and communicating those preferences

C) Resolving underlying issues

D) Gaining knowledge about the arousal-orgasm mechanism

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13. Which treatment is considered the treatment of choice for erectile dysfunction?

A) Microsuppository alprostadil

B) Intracavernosal pharmacotherapy

C) PDE5 inhibitors

D) Penile prosthesis

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14. During the health history, a client reports pain during sexual intercourse. Which term would the nurse use to document this report?

A) Dyspareunia

B) Anorgasmia

C) Vaginismus

D) Paraphilia

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15. A client is brought to the emergency department by law enforcement because numerous individuals on the street reported that he was exposing his naked body to them as they were walking by. The nurse interprets this as suggesting which behavior?

A) Fetishism

B) Frotteurism

C) Exhibitionism

D) Voyeurism

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16. After educating a group of students on sexual maturation, the instructor determines that the education was successful when the students identify which key term as referring to the anatomic and physiologic state of being male or female?

A) Biosexual identity

B) Gender identity

C) Sex role identity

D) Sexual orientation

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17. A nurse is preparing for a group of parents a class about sexuality and sexual behaviors in children. Which typical behavior of children between the ages of 10 and 12 years would the nurse include in the discussion?

A) Touching one’s genitals at home

B) Standing extremely close to others

C) Trying to look at persons when nude

D) Looking at nudity on television or the Internet

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18. A nurse is preparing a presentation for a local senior group about sexuality and sexual behaviors in older adults. Which topic would the nurse need to address? Select all that apply.

A) Decreased vaginal lubrication

B) Decreased amount of sperm

C) Enhanced clitoral response

D) Thickening of vaginal mucosa

E) Increased ejaculation time

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19. A nurse is reviewing the medical record of a client with a diagnosis of sexual dysfunction. Which documentation in the client’s history would the nurse identify as a possible contributing factor? Select all that apply.

A) Antihypertensive therapy

B) Diabetes

C) Peptic ulcer disease

D) Appendectomy at age 15 years

E) Infrequent alcohol use