Deck 32: Issues Related to Human Sexuality and Gender Dysphoria

Question 1

A widower reports an inability to achieve and sustain an erection. He fears intimacy, has become isolative, has insomnia, and has lost weight over the past year. Which nursing diagnosis should be a priority for this client?

A) Risk for situational low self-esteem R/T lack of intimacy
B) Sexual dysfunction R/T dysfunctional grieving
C) Social isolation R/T low self-esteem
D) Disturbed body image R/T penile flaccidity

Answer 1

Sexual dysfunction R/T dysfunctional grieving

Question 2

The nurse is teaching about paraphilic disorders. Which criteria would the nurse include to differentiate this sexual disorder from a sexual dysfunction?

A) Symptoms of sexual dysfunction have lasted for at least 6 months, whereas symptoms of a sexual disorder have lasted less than 6 months.
B) Symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms of sexual dysfunction include impairment in normal sexual response.
C) Sexual dysfunction treatment involves decreasing levels of circulating androgens, whereas treatment of sexual disorder involves increasing the level of circulating androgens.
D) Sexual dysfunction can be caused by decreased levels of circulating estrogen, whereas increased levels of circulating estrogen can cause sexual disorders.

Answer 2

Symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms of sexual dysfunction include impairment in normal sexual response.

Question 3

The client has an erectile disorder. Which medications would address this condition? (Select all that apply.)

A) Avanafil (Stendra)
B) Flibanserin (Addyi)
C) Vardenafil (Levitra)
D) Prilocaine/Lidocaine
E) Sildenafil (Viagra)

Answer 3

Avanafil (Stendra)
Vardenafil (Levitra)
Sildenafil (Viagra)

Question 4

The nurse is working with a client diagnosed with pedophilic disorder. Which client outcome is appropriate for this client?

A) The client will verbalize comfort with gender identity.
B) The client will develop strategies to prevent exposing genitalia.
C) The client will identify triggers for inappropriate behaviors.
D) The client will attend aversion therapy groups for this fetish.

Question 5

The nurse is caring for a female child with gender dysphoria. Which finding indicates improvement in the child?

A) Ruminates about inability to "fit in"
B) Is able to dress up secretively
C) Asks teachers to be addressed as "him"
D) Plays video games in room

Question 6

A newly married woman comes to a gynecology clinic reporting loss of appetite, difficulty sleeping, and extreme pain during intercourse that has affected her intimate relationship. Which initial intervention should the nurse expect a physician to implement?

A) A thorough physical, including gynecological examination
B) Referral to a sex therapist
C) Assessment of sexual history and previous satisfaction with sexual relationships
D) Referral to the recreational therapist for relaxation therapy

Question 7

____________________ is the constitution and life of an individual relative to characteristics regarding intimacy.

Question 8

The nurse is caring for a client diagnosed with gender dysphoria. Which criteria would differentiate this disorder from transvestism?

A) Clients diagnosed with transvestism dress in same gender clothing for sexual arousal, whereas clients diagnosed with gender dysphoria dress in opposite gender clothing for sexual arousal.
B) Clients diagnosed with gender dysphoria are dissatisfied with their gender, whereas clients diagnosed with transvestism are not.
C) Clients diagnosed with gender dysphoria avoid most forms of sexual intercourse, whereas clients diagnosed with transvestism do not.
D) Clients diagnosed with transvestism are attracted to the opposite sex, whereas clients diagnosed with gender dysphoria are solely attracted to the same sex.

Question 9

The nursing instructor is educating nursing students about the various categories of paraphilic disorders. Which disorders are correctly matched with expected behaviors? (Select all that apply.)

A) Exhibitionism: Mia models lingerie for a company that specializes in home parties.
B) Voyeurism: Henry is arrested for peering in a neighbor's bathroom window.
C) Frotteurism: William enjoys subway rush-hour female contact that results in arousal.
D) Pedophilia: Jacob can experience an orgasm by holding and feeling shoes.
E) Fetishism: John masturbates into his wife's silk panties.

Question 10

The nurse is teaching a client diagnosed with female sexual interest/arousal disorder about symptoms and recommended treatment of this disorder. Which information would the nurse include?

A) Lack of interest in sexual activity treated by sensate focus exercises
B) Lack of interest in sexual activity treated by medicating with tadalafil (Cialis)
C) Anorgasmia treated by vardenafil (Levitra)
D) Anorgasmia treated by systematic desensitization

Question 11

The nurse is counseling a client diagnosed with fetishism. Which criteria would differentiate this paraphilic disorder from frotteurism?

A) To derive sexual excitement, fetishism involves the use of nonliving objects, whereas frotteurism involves touching and rubbing against nonconsenting people.
B) To derive sexual excitement, frotteurism involves the use of nonliving objects, whereas fetishism involves touching and rubbing against nonconsenting people.
C) Clients diagnosed with frotteurism are heterosexual cross-dressing males, whereas clients diagnosed with fetishism are homosexual cross-dressing males.
D) Clients diagnosed with fetishism are heterosexual cross-dressing males, whereas clients diagnosed with frotteurism are homosexual cross-dressing males.

Question 12

The nurse is caring for a client diagnosed with female sexual interest/arousal disorder. What should the nurse document as an expected outcome of sensate focus exercises?

A) To initiate immediate orgasm
B) To decrease anxiety by eliminating physical touch
C) To focus on touching breasts and genitals
D) To reduce goal-oriented demands of intercourse

Question 13

The nurse is developing a plan of care for a child diagnosed with gender dysphoria. Which nursing diagnoses would be appropriate for this client? (Select all that apply.)

A) Low self-esteem R/T rejection by peers
B) Self-care deficit R/T isolative behaviors
C) Ineffective coping R/T biological factors
D) Impaired social interactions R/T socially unacceptable behaviors
E) Sexual dysfunction R/T depressed mood

Question 14

Which characteristics would a nurse identify as "normal" in the development of human sexuality for an 11-year-old child? (Select all that apply.)

A) Experiments with masturbation
B) May experience homosexual play
C) Shows little interest in the opposite sex
D) Has little concern about physical attractiveness
E) Is unlikely to want to undress in front of others

Question 15

The nurse is counseling a client diagnosed with sexual masochistic disorder. What would differentiate this paraphilic disorder from sexual sadism?

A) Symptoms of sexual masochistic disorder are chronic acts of humiliation, whereas symptoms of sexual sadistic disorder are acute.
B) Symptoms of sexual sadistic disorder are chronic acts of humiliation, whereas symptoms of sexual masochistic disorder are acute.
C) Masochistic acts can be performed alone, whereas sadistic acts must have a consenting or non-consenting partner.
D) Sadistic acts can be performed alone, whereas masochistic acts must have a consenting or nonconsenting partner.

Question 16

During an assessment interview, a female client reveals a history of bisexual orientation. Which action should the nurse initially implement when working with this client?

A) Self-assess personal attitudes toward sexuality.
B) Review client's possible childhood sexual abuse history.
C) Encourage discussion of aversion to heterosexual relationships.
D) Explore client's family history of sexual practices.

Question 17

The 52-year-old female client states, "My partner is upset because I don't enjoy sex as much as I used to." Which priority client data should the nurse initially collect?

A) History of hysterectomy
B) Date of last menstrual cycle
C) Use of birth control methods
D) Number of sexual partners