Question 1

Experiencing sexual excitement from wearing the clothing of the opposite sex is defined as:

Accepted Answer

Transvestism is defined as sexual excitement derived from wearing the clothing of the opposite sex.

Question 2

The criteria for healthy or adaptive sexual response include (Select all that apply):

Accepted Answer

These are conditions of sexuality that are considered adaptive.Sexual acts that fulfill only the desire of oneself are maladaptive as they do not consider others.

Question 3

An individual's orientation,whether heterosexual,homosexual,or bisexual,is established by:

Accepted Answer

One's sexual orientation is established by late childhood.It continues to develop through adulthood.Gender is understood in early childhood.

Question 4

The end of the continuum that is marked by sexual actions harmful to self or others in some manner is known as:

Accepted Answer

As the continuum moves toward maladaptive,sexual behaviors become impaired or dysfunctional.The adaptive end of the continuum consists of satisfying sexual behaviors that respect the rights and wishes of others.The other options do not relate to the continuum.

Question 5

A 68-year-old man is being treated for an enlarged prostate.While discussing health history with the nurse,he states that he seems to be having erectile difficulties and is not sure if it is from his medical condition or the medication he is taking.Which nursing diagnosis is most appropriate?

Accepted Answer

Sexual dysfunction is a disturbance anywhere during these four stages of the sexual response cycle.The causes are often related to psychological distresses,medication or illicit drug use,and many physical conditions.Arthritis,diabetes,and chronic illness can result in various sexual dysfunctions or alterations in sexual desire.The other nursing diagnoses do not apply in this situation.

Question 6

While performing a search of an adult male's home based on suspicion of criminal activity,the police find pictures of him with young children between the ages of 5 and 10.The pictures are sexual in nature.The man is suspected of:

Accepted Answer

Pedophilia is fondling and/or other types of sexual activities with a prepubescent child (usually under age 13 years and having not yet developed secondary sex characteristics).Sexual sadism is sexual arousal achieved by inflicting pain or humiliation on someone else,and voyeurism is sexual arousal achieved by observing unsuspecting persons in the act of disrobing or engaging in sexual activity.Necrophilia deals with sexual activity with a corpse.

Question 7

The rate of pregnancy and transmission of HIV is higher in the adolescent population than the general population of sexually active adults due to the fact that adolescents:

Accepted Answer

Most adolescent girls use ineffective or no contraception at all,and most adolescent boys do not use condoms.Because of this practice,the sexually transmitted disease (including human immune deficiency virus/acquired immunodeficiency syndrome [HIV/AIDS])and pregnancy rates are higher for adolescents than the general population of sexually active adults.

Question 8

The client was injured in a work accident.He now has a fused spine and moves with difficulty.He wonders if he will ever be able to be intimate with his wife.What is the nurse's most accurate response?

Accepted Answer

Many permanently disabled persons are able to enjoy rich and satisfying sex lives with some adaptation.The other options provide inaccurate information.

Question 9

Between the ages of __________ years,the greatest amount of sexual activity with multiple partners and serial relationships occurs.

Accepted Answer

Because of the decreased age of first intercourse and the increased age of marriage,more unmarried adults are engaging in this type of sexual activity in today's society.

Question 10

A strong influence on discussion of sexual issues with clients is the nurse's or caregiver's:

Accepted Answer

The caregiver must be aware of his or her values regarding sexuality.Values are easily conveyed,often through nonverbal messages,if the caregiver is not fully aware of his or her beliefs.

Question 11

The client confides in the nurse that intercourse has been painful since she became menopausal.What is the nurse's most therapeutic response?

Accepted Answer

Many sexual dysfunctions are treatable,so clients should be referred to their physicians.Saying that the pain will pass is a nontherapeutic response that disregards the feelings of the client;asking the client if she is still sexually active makes the client feel that she is not normal;and empathizing with the client is helpful but does not address the problem.

Question 12

The caregiver has been assigned to care for Mr.X,a pedophile who is being treated for AIDS.The thought of caring for him disgusts her.The caregiver's therapeutic interactions and interventions are most likely to be:

Accepted Answer

Caregivers' values often are communicated to clients.Disapproval dampens the effectiveness of the therapeutic relationship.

Question 13

By the time they enter school,it is thought that most children identify with:

Accepted Answer

By school age,most children identify with the same-sex parent.

Question 14

A male client is transsexual and decides to become a female through major surgery and hormonal therapy.The nurse informs the client that this process may be delayed for as long as:

Accepted Answer

The process of changing one's identity is purposely delayed for up to 2 years because this transformation is irreversible.In addition to the surgery and the hormonal therapy,intense psychological counseling is part of the process.

Question 15

An image of the older adult as an asexual,unintelligent person who is not interested in sex represents:

Accepted Answer

The picture of the older adult as asexual and not interested in sex is a myth.The emphasis of the older adult's sexual expression is on companionship and intimate communication,rather than procreation as it was in adulthood.

Question 16

Children learn to label themselves according to their sex around the age of ____ year(s).

Accepted Answer

Around the age of 2 years,children learn to label themselves according to their sex.Most respond to being called "good girls" or "brave boys" by adults.

Question 17

The step in process that describes individuals who assume a homosexual lifestyle,are open about their sexuality,and give themselves permission to be who they are is identified as:

Accepted Answer

In the mid-20s and beyond,commitment is identified as the step in process and describes individuals who assume a homosexual lifestyle;state to the world that they are homosexual;and give themselves permission to be who they are.

Question 18

People who express their sexuality with members of the opposite sex are:

Accepted Answer

Persons who express their sexuality with members of the opposite sex are heterosexual.Asexual refers to a group of individuals who fall into the category of homosexual,who engage in little to no sexual activity;bisexual refers to individuals who are sexually attracted to members of both genders;and homosexual refers to individuals who prefer expression of their sexual identity with members of the same gender.

Question 19

An individual is bisexual.The belief that this individual's sexual variation is related to genetic influences is the belief held by:

Accepted Answer

Biological theorists believe that an individual's sexual variation is related to genetic influences.Behavioral theorists believe that modes of sexual expression are learned responses,and psychoanalytical theorists view modes of sexual expression other than heterosexual expression to be neurotic or psychopathic in nature and due to the Oedipus/Electra complex of childhood.Psychosocial theory is not cited as a theory on sexual orientation.

Question 20

A female client is suffering from vaginismus.The nurse is aware that this is a type of:

Accepted Answer

Vaginismus refers to the persistent involuntary contractions of muscles around the vagina when penetration is attempted;it is classified as a sexual dysfunction.Sexual dysfunction refers to any disturbance in the four stages of the sexual response cycle and/or any discomfort or pain that occurs during sexual intercourse.Paraphilia refers to a group of sexual variations that depart from society's traditional and acceptable modes of seeking sexual gratification;a psychosexual disorder is a broad reference to problems that cause distress or impaired functioning in an individual's sexual functioning;and gender identity disorder is inconsistency between an individual's biological gender and the gender with which he or she identifies.

Quiz 29: Sexual Disorders