Question 1

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

Accepted Answer

The most appropriate question to ask initially would be about the client's last menstrual cycle to determine if she is experiencing any hormonal changes that could be affecting her sexual desire or response. This would provide the nurse with important information to further assess the client's concerns and provide appropriate interventions. The other options may be relevant in the overall assessment, but they are not as immediate or directly related to the client's current concern.

Question 2

A nursing instructor is teaching a class on sexuality that includes information about gender dysphoria.Which statement made by a student indicates an understanding of the teaching? Select all that apply.

Accepted Answer

A,C

Question 3

According to the DSM-5,paraphilia is only labeled a paraphilic disorder when specific types of sexual fantasies or behaviors are recurrent over a period of at least ______ months.

Accepted Answer

6
six

Question 4

Jose is a healthy 54-year-old man who is the president of a hedge fund in a large metropolitan area.Jose works long hours and travels extensively for his work.He and his wife have been married for 30 years and have three grown children who do not live at home.Jose's wife notices that Jose has been distracted lately and is not as interested in sex as he used to be.The couple has not had intercourse in over 6 months,which is unusual for them since they are sexually compatible and have had an active sex life in the past.When asked about his mood,Jose states,"I have to lay-off 50 employees at work and it is just killing me.I feel so hopeless and overwhelmed.I know I'm not being a good husband to you,and this really worries me." Which short-term nursing goal is most appropriate for Jose? Select all that apply.

Accepted Answer

The most appropriate short-term nursing goals for Jose are those that address his current stressors and mental health status. Option A is appropriate because helping Jose identify stressors that may contribute to his loss of sexual desire will aid in developing strategies to address these stressors and potentially improve his sexual function. Option C is also appropriate because identifying symptoms of depression that may contribute to his loss of sexual desire could facilitate early intervention and treatment for his depression, which could improve his overall functioning and quality of life. Options B and D are not appropriate short-term goals because they focus solely on Jose's sexual activity and do not address his underlying stressors and mental health concerns.

Question 5

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

Accepted Answer

The nurse should initially self-assess their attitudes toward bisexuality to ensure they are providing unbiased and non-judgmental care to the client. This will help the nurse avoid any potential negative reactions towards the client's sexual orientation and provide a safe and supportive environment for the client to discuss their issues. Exploring the client's history of sexual abuse or family history of homosexuality/bisexuality may be appropriate later in the assessment process, but should not be the initial action taken. Encouraging discussion of aversion to heterosexual relationships may also be inappropriate, as not all individuals who identify as bisexual experience aversion to heterosexual relationships.

Question 6

Which statement regarding sexual development in late childhood is true? Select all that apply.

Accepted Answer

The answer of Which statement regarding sexual development in late...

Question 7

A newly married woman comes to a gynecology clinic reporting anorexia,insomnia,and extreme dyspareunia that have affected her intimate relationship.Which initial intervention should the nurse expect a physician to implement?

Accepted Answer

The patient's symptoms suggest a possible underlying physical condition. Therefore, a gynecological examination should be performed to rule out any physical causes for the symptoms before exploring psychological or emotional causes.

Question 8

A female client on an inpatient unit enters the day area for visiting hours dressed in a see-through blouse and wearing no undergarments.Which intervention should be the nurse's first priority?

Accepted Answer

The nurse's first priority should be to lead the client back to her room and assist her in choosing appropriate clothing. This is important to maintain the client's privacy and dignity, as well as to ensure that she is following dress code policies of the unit. Contacting the client's psychiatrist may be necessary if there are underlying issues contributing to the behavior, but addressing the immediate situation takes priority. Avoiding addressing attention-seeking behavior may reinforce the behavior, and restricting the client to her room may be unnecessarily restrictive and could potentially escalate the situation.

Question 9

When planning care for a client diagnosed with Female Sexual Arousal Disorder,what should the nurse document as an expected outcome of sensate focus exercises?

Accepted Answer

Sensate focus exercises are designed to reduce goal-oriented demands of intercourse and instead increase focus on pleasure, sensory experiences and exploration. This technique can help women with Female Sexual Arousal Disorder to relax and enjoy intimacy without worrying about achieving orgasm or fulfilling expectations.

Question 10

Which evidence-based statement regarding adolescent coitus is accurate? Select all that apply.

Accepted Answer

These statements are all accurate based on current data. However, statement D is not accurate, as studies have shown that a majority of sexually active adolescent boys do use condoms during intercourse.

Question 11

The nurse is working with a client diagnosed with Pedophilic Disorder.Which client outcome is appropriate for the nurse to expect during the first week of hospitalization?

Accepted Answer

During the first week of hospitalization, it is appropriate for the nurse to expect the client to identify triggers that lead to inappropriate behaviors. This is an important step in developing a relapse prevention plan and addressing the underlying issues contributing to the client's disorder. Verbalizing an understanding of the importance of follow-up care and attending aversion therapy groups may be appropriate goals for later in the treatment process, but it is unlikely that the client will be implementing several relapse-prevention strategies during the first week of hospitalization.

Question 12

A recently widowed client reports a fear of intimacy due to an inability to achieve and sustain an erection.He has become isolative,has difficulty sleeping,and has recently lost weight.Which correctly written nursing diagnosis should be prioritized for this client?

Accepted Answer

The client's fear of intimacy is directly related to their inability to achieve and sustain an erection, indicating sexual dysfunction. However, the underlying cause of this sexual dysfunction is related to their recent loss of their spouse, indicating a connection to dysfunctional grieving. This nursing diagnosis should be prioritized as it can have a significant impact on the client's overall quality of life, including their relationships and psychological well-being. The other nursing diagnoses listed may also apply to the client, but do not take priority over sexual dysfunction related to dysfunctional grieving.

Question 13

Ralph is a 32-year-old heterosexual man who is arrested for masturbating while hiding in his neighbors' shrubs and watching them engage in sexual activity in their outdoor hot tub.The nurse is conducting a sexual history to gain data to create Ralph's plan of care.Which questions asked by the nurse will elicit the most important patient data? Select all that apply.

Accepted Answer

The answer of Ralph is a 32-year-old heterosexual man who...

Question 14

A nursing instructor is teaching about the various categories of paraphilic disorders.Which of the following categories are correctly matched with expected behaviors? Select all that apply.

Accepted Answer

B) Voyeuristic disorder involves obtaining sexual pleasure from watching others when they are naked or engaged in sexual activity without their consent, which matches the behavior described for John.C) Frotteuristic disorder involves obtaining sexual pleasure from rubbing against a non-consenting person, typically in crowded places, which matches the behavior described for Peter.E) Fetishistic disorder involves sexual arousal from either the use of non-living objects or a highly specific focus on non-genital body parts, which matches the behavior described for Henry.

Question 15

Which of the following characteristics should the nurse identify as normal in the development of human sexuality for an 11-year-old child? Select all that apply.

Accepted Answer

The answer of Which of the following characteristics should the...

Question 16

The nurse is assessing a client diagnosed with Pedophilic Disorder.Which of the following differentiates this sexual disorder from a sexual dysfunction?

Accepted Answer

Pedophilic Disorder is categorized as a sexual disorder because it involves inappropriate sexual behavior, whereas sexual dysfunction refers to difficulties in achieving or maintaining normal sexual response. The other options regarding androgen levels are irrelevant to the differentiation between sexual disorders and sexual dysfunction.

Question 17

A client is diagnosed with Hypoactive Sexual Desire Disorder.Which of the following are recognized as treatment options?

Accepted Answer

All of the options listed are recognized as treatment options for Hypoactive Sexual Desire Disorder. Testosterone injections may be considered if the disorder is related to low testosterone levels. Couples therapy may be beneficial if there are relationship issues impacting sexual desire. Cognitive therapy may be used to address any psychological factors contributing to the disorder. A combination of these treatments may also be used.

Question 18

A client reports during his visit to the mental health clinic that he is distressed by repetitive sexual fantasies that involve humiliating his sexual partner.This would most appropriately be assessed by the nurse as which type of disorder?

Accepted Answer

Paraphilic disorders involve sexual fantasies, urges, or behaviors that involve non-consenting individuals, or involve suffering or humiliation, and cause distress or impairment to the individual or others. The client's repeated sexual fantasies involving humiliating a sexual partner would fall under this category. Obsessive-compulsive disorder involves unwanted, intrusive thoughts or obsessions that lead to compulsive behaviors in order to relieve anxiety. Erectile disorder and hypoactive sexual desire disorder both involve difficulties with sexual arousal or desire, and do not relate to the content of sexual fantasies.

Question 19

Nancy is a 42-year-old,lesbian,premenopausal woman who visits her gynecologist for an annual examination.The nurse visits with Nancy before the examination and informs her of the symptoms of menopause that she may begin to experience.Which symptoms should the nurse teach Nancy? Select all that apply.

Accepted Answer

Insomnia, heart palpitations, and depression are all common symptoms of menopause. Vaginal discharge is not typically a symptom of menopause. As a premenopausal woman, Nancy may not experience these symptoms immediately, but it is important to educate her about potential changes she may encounter.

Question 20

The nurse is counseling a client diagnosed with Gender Dysphoria.Which characteristic would differentiate this disorder from transvestic disorder?

Accepted Answer

Clients diagnosed with Gender Dysphoria experience a significant dissatisfaction with the gender they were assigned at birth, often accompanied by a desire to live and be accepted as a member of the opposite gender. In contrast, Transvestic Disorder involves cross-dressing primarily for sexual pleasure and does not necessarily involve dissatisfaction with one's assigned gender.

Quiz 30: Issues Related to Human Sexuality and Gender Dysphoria