Question 1

Contemporary cultural rejection of certain sexual behaviors is determined primarily based on sexual acts:

Accepted Answer

Sexual acts that are forced on another are considered both morally and legally unacceptable. The other options are used less often as evaluation criteria.

Question 2

The clinic nurse sees a patient with a long-standing diagnosis of pedophilia who was recently arrested and released on bail. Which perspective about pedophilia would the nurse expect from this patient?

Accepted Answer

Individuals with pedophilia frequently do not believe that their behavior is harmful to the child. Instead, they point to having provided teaching and pleasure for the child. The other options are not characteristic of the thinking of the pedophile.

Question 3

While volunteering at a homeless shelter, a nurse observes a known pedophile leaving the restroom with a small child. Select the nurse's priority action.

Accepted Answer

In every state, nurses are mandated reporters of child abuse. The nurse is obligated legally and morally to report the incident so that proper authorities can follow up. The distracters do not fulfill the nurse's ethical or legal responsibilities.

Question 4

Which characteristic fits the profile of an individual who is a pedophile?

Accepted Answer

It is known that pedophiles usually place themselves in jobs, activities, or relationships that provide easy access to children. They often become trusted by both parents and children. The other characteristics have no particular relationship to pedophilia.

Question 5

Prior to working with patients regarding sexual concerns, a prerequisite for providing nonjudgmental care is:

Accepted Answer

Only when a nurse has accepted his or her own feelings and values related to sexuality can he or she provide fully nonjudgmental care to a patient. If the nurse is uncomfortable, the patient might misinterpret discomfort as disapproval. The distracters are not prerequisites.

Question 6

Studies indicate that which child has the highest risk for being sexually victimized?

Accepted Answer

According to a study by John Jay College, the majority of victims of sexual misconduct were boys age 11 to 17.

Question 7

An adult has felt much tension since losing a home by foreclosure. This person goes to a park, feeds the birds, and then impulsively exposes himself/herself to a group of parents and children. Which intervention would have the greatest benefit for this person?

Accepted Answer

Because the individual demonstrated the exhibitionistic behavior during a period of increased stress, providing stress management would be beneficial. The other interventions may be acceptable but would not have the relevance that stress management would have.

Question 8

A school nurse uses a participative approach to teach about safety to a group of third graders. Which questions should the nurse pose to the students? Select all that apply.

Accepted Answer

Teaching about the risk of sexual misconduct is important for school-age children. Trickery, bribes, and the Internet are sources of potential danger. It would not be appropriate to ask students in a group setting if they had been inappropriately touched or which family members were trustworthy.

Question 9

The clinic nurse sees a new patient with vague sexual complaints. Select the best question for the nurse to help the patient express these concerns more clearly.

Accepted Answer

Individuals with sexual concerns may need help and support to express the problem. Approaching the subject directly is most appropriate. The patient is not concerned with the problems of other patients or the nurse's level of comfort.

Question 10

A senator develops a sexual relationship with a 20-year-old receptionist. Which adjective most likely applies to this relationship?

Accepted Answer

Relationships between powerful and less powerful persons usually have a coercive element. They are not illegal unless the less powerful person is a minor. The relationship may be harmonious and consensual in the minds of the involved parties.

Question 11

A 10-year-old boy is diagnosed with gender identity disorder. Which assessment finding would the nurse expect?

Accepted Answer

An individual with gender identity disorder feels trapped in the body of the "wrong" gender and at odds with the roles associated with that gender. A child with this diagnosis is likely to engage in play associated with the opposite gender. The other options are not age appropriate or characteristically seen in children with gender identity disorder.

Question 12

A man tells the nurse, "I have trouble maintaining an erection." This comment indicates:

Accepted Answer

In sexual erectile disorders, the individual cannot maintain the physiologic requirements for sexual intercourse. The patient's statement does not provide data to suggest one of the other options.

Question 13

A nurse cares for a man diagnosed with pedophilia. Leuprolide (Lupron Depot) was prescribed. One month later, which statement by the patient indicates that the medication is having a therapeutic effect?

Accepted Answer

Leuprolide is an antiandrogen. When testosterone is reduced, sexual desire is decreased. The statement that sexual desire has "practically disappeared" suggests that the medication is having the desired effect. The distracters are unrelated to the desired effect of this drug.

Question 14

An adult has felt much tension since losing a home by foreclosure. This person goes to a park, feeds the birds, and then impulsively exposes himself/herself to a group of parents and children. Which term applies to this behavior?

Accepted Answer

Exhibitionism is obtaining sexual pleasure from exposing one's genitalia to unsuspecting strangers. Voyeurism refers to obtaining sexual pleasure from observing people who are naked. Dyspareunia refers to painful intercourse. Sexual masochism refers to deriving sexual pleasure from being humiliated, beaten, or otherwise made to suffer.

Question 15

Paraphilia is defined as:

Accepted Answer

Paraphilias are conditions in which the sexual instinct is expressed in ways that are socially prohibited or unacceptable or are biologically undesirable. The distracters characterize other sexual behaviors.

Question 16

A man experiencing premature ejaculation tells the nurse, "I feel like such a failure. It's so awful for both me and my wife. Can you help me?" Select the nurse's best response.

Accepted Answer

The primary role of the nurse is to perform basic assessment and make appropriate referrals. The other options do not clarify the nurse's role.

Question 17

A nurse cares for a patient demonstrating paraphilia. The nurse expects the health care provider may prescribe which type of medication to reduce paraphilic behaviors?

Accepted Answer

SSRIs are reported to have a positive effect on paraphilia. The other medications are not indicated for this disorder.

Question 18

A patient approaches the nurse in the clinic waiting room and says, "I want to talk to you about a sexual matter." The nurse can best facilitate the discussion by:

Accepted Answer

A discussion of sexual concerns requires privacy. Suggesting use of office space is preferable to using the waiting room, where others cannot help but overhear sensitive material. Offering to schedule an appointment blocks communication.

Question 19

A patient's medical record documents sexual masochism. This patient derives sexual pleasure:

Accepted Answer

Sexual masochism is sexual pleasure derived from being humiliated, beaten, or otherwise made to suffer. The distracters refer to fetishism, sexual sadism, and frotteurism.

Question 20

A pedophile tells the nurse, "I feel so guilty and shameful over molesting a child. My family will be so disgusted with me. I could save them from embarrassment if I were gone." What is the nurse's priority action?

Accepted Answer

Patients who describe guilt, shame, and the idea that others would be better off without them are suicide risks. The nurse should further assess the patient's comments, document, report the data, and consider the need for suicide precautions. The other options do not fully consider the primary issue of patient safety.

Quiz 30: Sexual Disorders