Deck 15: Challenges to Sexual Functioning

Question 1

Brad is able to maintain an erection and ejaculate during masturbation.Before his breakup with his previous partner,he was also able to maintain an erection and ejaculate during sex.He now has a new partner and has not been able to maintain an erection during sex.What is most likely the cause for his problem? 

A) He may have caught an STI from his previous partner that is causing medical problems. 
B) He may need to have his heart checked out because problems maintaining an erection are related to cardiovascular problems. 
C) He may be experiencing performance fears with his new partner or comparing their encounters to his previous partner. 
D) He may be experiencing that his penis is not the right size or shape in relation to his new partner's genitals and this is impacting his sexual satisfaction.

Answer 1

  C

Question 2

What aspect of Tantric sex do couples often report is uncomfortable at first but with practice becomes very powerful? 

A) synchronized breathing 
B) eye contact 
C) motionless sex 
D) preparing to share sexual expression

Answer 2

  B

Question 3

Erectile disorders in younger men are more likely to be psychologically based.What is most likely to be the basis of an erectile disorder in older men? 

A) psychologically 
B) physically 
C) environmentally 
D) relationally

Answer 3

  B

Question 4

What is the name for a substance that increases,or is believed to increase,a person's sexual desire? 

A) sex stimulant 
B) aphrodisiac 
C) vasodilator 
D) enhancers

Question 5

What term refers to a sexual problem that occurs after a period of normal sexual functioning? 

A) primary 
B) secondary 
C) psychological 
D) physiological

Question 6

Trent has decided to seek treatment because he has never been able to ejaculate through masturbation,even as a young boy.He thought the problem might have been from the lack of a partner,but now he has a partner and is still not able to ejaculate.What type of sexual problem would this likely be classified as? 

A) primary and situational 
B) primary and generalizable 
C) secondary and situational 
D) secondary and generalizable

Question 7

Ben enters sex therapy and shares with his therapist that he is having difficulty maintaining an erection but only during oral sex.When he is masturbating or having vaginal intercourse,he maintains his erection with no problems.How would his therapist likely classify this problem? 

A) primary 
B) secondary 
C) situational 
D) generalizable

Question 8

What has recent research found related to the use of Viagra for female sexual arousal and desire disorders? 

A) It has been found to work equally well in women and men to enhance sexual stimulation. 
B) It has been found to cause severe health complication when taken by women. 
C) It has been found to provide little benefit in the treatment of female arousal and desire problems. 
D) It has been found to have even more promising results with women than it has for men.

Question 9

How does the EROS clitoral therapy device work to treat sexual arousal and desire disorders? 

A) It increases vaginal lubrication and vasocongestion. 
B) It stimulates the clitoris to orgasm. 
C) It helps relax the genitals to allow for penetration. 
D) It provides clitoral stimulation for women who are uncomfortable with masturbation.

Question 10

Ever since giving birth to her second child,Amber is no longer able to orgasm during intercourse.She is able to orgasm during masturbation and she used to be able to orgasm through intercourse.How would her problem likely be classified? 

A) primary and situational 
B) primary and generalizable 
C) secondary and situational 
D) secondary and generalizable

Question 11

What is a man being assessed for if he is using the nocturnal penile tumescence test? 

A) premature ejaculation disorder 
B) hypoactive desire disorder 
C) erectile disorder 
D) sexual aversion disorder

Question 12

In men,which of the following is classified as a sexual arousal disorder? 

A) hypoactive sexual desire disorder 
B) orgasmic disorder 
C) premature ejaculatory disorder 
D) erectile disorder

Question 13

What hormone is primarily responsible for male sexual desire? 

A) progesterone 
B) testosterone 
C) GnRH 
D) estrogen

Question 14

If a sexual problem is classified as primary,what type of cause is it most likely to have? 

A) biological or physiological 
B) psychological 
C) a cause triggered by sexuality related trauma 
D) a cause triggered by lack of connection with a specific partner

Question 15

According to the text,why can aphrodisiacs be effective? 

A) They improve blood flow to the genitals. 
B) They make the user "high" thus eliminating sexual inhibitions. 
C) The user believes they will work. 
D) They mimic natural arousal processes within the male and female body.

Question 16

How many medications for arousal and desire disorders in women have been approved for use by Health Canada? 

A) none 
B) one 
C) two 
D) five

Question 17

What is a criticism of how the Diagnostic and Statistical Manual (DSM)classifies sexual problems? 

A) It overly emphasizes male problems. 
B) It only focuses on global sexual problems. 
C) It does not put enough emphasis on relationships, culture, and gender issues. 
D) It is too focused on psychological factors and doesn't account for physiology.

Question 18

What is the first thing that most sex therapists do when beginning treatment of most sexual problems? 

A) Ask the client to bring in his/her partner. 
B) Take a medical history. 
C) Tell the client to masturbate more frequently to get a baseline for the problem. 
D) Help the client process his/her past sexual history.

Question 19

If a woman comes to sex therapy complaining of a low or absent desire for sexual activity,what would the most appropriate diagnosis be? 

A) dyspareunia 
B) hypoactive sexual desire 
C) sexual aversion 
D) hypersexuality

Question 20

What type of sexual disorder is most difficult to treat? 

A) erectile disorder 
B) delayed ejaculation 
C) early ejaculation 
D) sexual interest/arousal disorder

Question 21

According to research done in the United States,what percentage of women report experiencing low sexual desire,decreased sexual arousal,and/or problems with reaching orgasm? 

A) 20 
B) 30 
C) 40 
D) 50

Question 22

What type of medication has been shown to be related to delayed or absent orgasm in women? 

A) antibiotics 
B) birth control pills 
C) antidepressants 
D) beta blockers

Question 23

What term refers to a persistent and sometimes painful erection? 

A) priapism 
B) anejaculation 
C) penile tumescence 
D) vasoconstriction

Question 24

Robert comes to sex therapy because for as long as he can remember he has ejaculated just moments after becoming aroused.What diagnosis would a sex therapist offer? 

A) dyspareunia 
B) retrograde ejaculation 
C) premature ejaculation 
D) erectile dysfunction

Question 25

Which statement best describes surgical treatment options and erectile disorders? 

A) There are two main types of implants: semi rigid rods that provide a permanent state of erection and inflatable devices that become firm when pumped. 
B) After prosthesis implantation, a man no longer experiences orgasm or ejaculation. 
C) Most men remain dissatisfied with their sex lives after surgical treatment for erectile disorder. 
D) Homosexual men are more likely to be satisfied with surgical treatment options as orgasm and ejaculation are not as important for their sexual satisfaction.

Question 26

What is a doctor most likely checking for if he uses a test to determine if a man is having night-time erections? 

A) If the conditions should be classified as a primary or secondary problem. 
B) If the condition is more likely to have a physiological cause versus a psychological basis. 
C) If the condition can be effectively treated with a drug like Viagra. 
D) If the condition is situational or global.

Question 27

What has been found to be the most effective treatment for female orgasmic disorder? 

A) having the couple change positions during sexual intercourse 
B) teaching a woman how to masturbate to orgasm 
C) teaching the woman's partner how to provide better clitoral stimulation 
D) having the woman go to counselling to process past sexual problems

Question 28

What are the symptoms of erectile disorder? 

A) unintentional ejaculation either during foreplay, during penetration, or soon after intercourse begins 
B) a delay or absence of orgasm following a normal phase of sexual excitement 
C) ejaculation is impossible or occurs only after strenuous efforts 
D) a persistent inability to obtain or maintain an erection sufficient for satisfactory sexual performance

Question 29

What is the most common sexual problem affecting men? 

A) hypersexuality 
B) erectile disorder 
C) priapism 
D) early (premature) ejaculation

Question 30

What treatment involves inserting a flaccid penis into a cylinder and using a pumping action to draw blood to the penis? 

A) systematic desensitization 
B) intracavernous injections 
C) vacuum constriction 
D) start-stop technique

Question 31

If the primary focus of treatment is to reduce the anxiety associated with erectile disorder,what treatment method would be most likely? 

A) sensate focus 
B) Viagra 
C) testosterone cream 
D) intracavernous injections

Question 32

Deepak lives in India and has an erectile disorder.What is he most likely to blame the erectile disorder on? 

A) genetically modified foods 
B) a curse 
C) his wife 
D) fate

Question 33

Which sexuality-based disorder currently has more treatment options than any other sexual disorder? 

A) early ejaculation 
B) erectile disorder 
C) female hyposexual desire disorder 
D) female orgasmic disorder

Question 34

Which known disorder is not listed in the DSM 5? 

A) female orgasmic disorder 
B) male sexual interest/arousal syndrome 
C) female sexual interest/arousal syndrome 
D) persistent sexual arousal syndrome

Question 35

What are common treatments for early ejaculation? 

A) a form of antidepressants (SSRIs) and the stop-start technique 
B) testosterone patches and vacuum constrictive devices 
C) intracavernous injections and sensate focus 
D) systematic desensitization and drugs such as Viagra or Cialis

Question 36

What term refers to the treatment in which the penis is gently stretched and medication to increase blood flow to the penis is introduced? 

A) sensate focus 
B) vacuum constriction 
C) intracavernous injections 
D) squeeze technique

Question 37

Even though it is easier to reach orgasm through masturbation,why do many heterosexual women report increased pleasure with vaginal intercourse over masturbation? 

A) Orgasms through vaginal intercourse tend to be more intense. 
B) Intercourse provides more intimacy and closeness. 
C) Most women prefer to delay their orgasms as long as possible for heightened pleasure. 
D) Their partners are more adept at stimulating them than they are themselves.

Question 38

According to Masters and Johnson,what is early ejaculation associated with? 

A) early sexual experiences that were rushed for fear of being caught 
B) receiving harsh punishments as a child 
C) early exposure to pornography 
D) sex with partners who have a much higher sex drive

Question 39

Bill comments to his doctor that whenever he has an orgasm,there is little or no ejaculate.What is a possible diagnosis the doctor should check out? 

A) early ejaculation 
B) retrograde ejaculation 
C) hyposexual desire disorder 
D) dyspareunia

Question 40

Danielle experiences involuntary contractions of the muscle that surrounds the entrance to the vagina.This happens when her partner is trying to penetrate her with his penis or using his fingers for stimulation,when she masturbates or uses a tampon,and during pelvic exams at the doctor's office.What is a likely diagnosis for Danielle? 

A) hypoactive sexual desire 
B) vaginismus 
C) vulvodynia 
D) dyspareunia

Question 41

John recently experienced a heart attack.What recommendation did his doctor likely give him related to sexual activity? 

A) He should avoid orgasm as it could trigger another heart attack. 
B) He should wait at least a year before returning to his pre-heart attack level of sexual activity. 
C) He should be able to return to his normal level of sexual activity as soon as he feels up to it. 
D) He can resume sexual activity but only in the man-on-bottom position.

Question 42

What sexual problem may be one of the first signs of diabetes in men? 

A) difficulty in getting an erection 
B) early ejaculation 
C) delayed ejaculation 
D) loss of sexual desire

Question 43

Women with orgasmic disorders tend to report lower levels of emotional closeness with their partners.

Question 44

It is common for both partners in a relationship to be diagnosed simultaneously with a sexual problem.

Question 45

As of 2015,there were no Health Canada-approved medications available for the treatment of female sexual arousal and desire problems.

Question 46

After prosthesis implantation,a man is still able to orgasm,ejaculate,and impregnate.

Question 47

Genital pain associated with sexual behaviour is referred to as dyspareunia.

Question 48

What chronic illness may affect sexual functioning by making men and women hypersensitive to touch? 

A) diabetes 
B) emphysema 
C) HIV/AIDS 
D) multiple sclerosis

Question 49

Only women can fake orgasms.

Question 50

Progesterone is the primary hormone responsible for sexual desire in both males and females.

Question 51

Why is it difficult to separate sexual problems from developmental disabilities? 

A) Most people with developmental disabilities have no interest in sexual contact. 
B) Factors that cause developmental disabilities also cause sexual problems. 
C) People with developmental disabilities are more likely to be sexually abused. 
D) Treatments for developmental disabilities typically reduce sexual desire.

Question 52

In cultures in which female sexual desire is not highly valued,what would be the most common treatment approach to hypoactive sexual desire disorder? 

A) The same treatment approaches that are common in North America would also be used in those cultures. 
B) Most women would be advised to no longer engage in sexual interactions. 
C) Most women would be advised to seek help from a local counsellor. 
D) Hypoactive sexual desire likely would not be viewed as a sexual problem needing treated.

Question 53

Which statement best describes spinal cord injuries and sexuality? 

A) Men with spinal cord injuries almost always experience sexuality problems whereas women rarely do. 
B) Most men who experience spinal cord injuries go on to experience normal levels of erection and orgasm. 
C) Prosthesis implantation in men with spinal cord injuries have shown high satisfaction and low complication rates. 
D) Men and women who experience spinal cord injuries typically do not retain a desire for sexual activities.

Question 54

A man who began having problems maintaining an erection six months ago after he told his parents that he was gay is experiencing a primary sexual disorder.

Question 55

Which group of women is often at increased risk for developing negative outcomes after a hysterectomy? 

A) women with a history of sexual abuse 
B) women with a history of depression 
C) women who have never given birth 
D) women who are older at the time of the hysterectomy

Question 56

What is the difference between a total hysterectomy and a radical hysterectomy? 

A) A total hysterectomy involves removal of the uterus and a radical hysterectomy involves removal of the uterus and vagina. 
B) A total hysterectomy involves removal of just the ovaries and a radical hysterectomy involves removal of the uterus. 
C) A total hysterectomy involves removal of the uterus and cervix and a radical hysterectomy involves removal of the uterus, cervix, ovaries, and surrounding tissues. 
D) A total hysterectomy involves removal of the uterus, cervix, ovaries and surrounding tissues and a radical hysterectomy involves removal of the uterus and the cervix.

Question 57

What is a common problem in male patients with cardiovascular problems? 

A) erectile disorder 
B) early ejaculation 
C) dyspareunia 
D) retrograde ejaculation

Question 58

Vince is showing disinhibition in which he sometimes masturbates in public,makes lewd comments,and makes inappropriate sexual advances.What condition is Vince likely recovering from? 

A) heart attack 
B) stroke 
C) prostate cancer 
D) alcoholism

Question 59

If a man is being treated for erectile disorder,a lack of night-time erections would be a good indicator that the underlying cause is physical.

Question 60

Patients tend to prefer the drug Cialis over Viagra because Cialis has a longer duration.

Question 61

Historically people with mental illness have been viewed as fully sexual beings with similar sexual needs to persons without mental illness.

Question 62

Many people stop taking medication to treat schizophrenia because of the sexual side effects.

Question 63

Identify two physical illnesses and explain how treatment for that illness can interfere with sexuality,both psychologically and physiologically.

Question 64

Men who have cancer do not typically experience sexual problems as a result of their illness,whereas women experience significant sexual problems related to cancer.

Question 65

Identify and define the different ejaculatory disorders and one possible treatment for each.

Question 66

Describe the overall category of sexual desire problems and differentiate how these problems are often different for men and women.

Question 67

Explain two potential treatments for female sexual arousal disorder.What are the advantages and disadvantages to each treatment method?

Question 68

Imagine you are asked to give a presentation about challenges to sexual functioning for persons with mental illness to an audience with doctors,patients,and families,what are three key points you would make to your audience.Be sure to include specific references to material from the text.

Question 69

Explain the difference between primary,secondary,generalizable,and situational sexual problems and give an example of each.

Question 70

Most men with spinal cord injuries are unable to climax or ejaculate.

Question 71

Explain three distinctly different type of treatment for erectile disorder including the advantages and disadvantages of each.

Question 72

The majority of individuals with severe mental illness are asexual.

Question 73

Discuss the common attitudes that prevail related to sexuality and overall health.Explain why the commonly used Diagnostic and Statistical Manual (DSM)is often criticized for its approach to sexual disorders.

Question 74

Define female orgasmic disorder and explain possible psychological and physical factors that might contribute to it.