Question 1

A patient's medical record documents sexual masochism.Which behavior supports this diagnosis?&#10;A) Arousal is possible only when masturbating with women's underwear.&#10;B) Organism is achieved by inflicting pain on a sexual partner.&#10;C) Sexual pleasure is a result of sexually humiliated by a partner.&#10;D) Arousal results from the sexual touching of a nonconsenting person.

Accepted Answer

Sexual masochism disorder is characterized by sexual arousal from being humiliated, beaten, bound, or otherwise made to suffer, either through fantasies, urges, or behaviors. Choice C, which describes sexual pleasure as a result of being sexually humiliated by a partner, aligns with the diagnostic criteria for sexual masochism.

Question 2

A man experiencing premature ejaculation tells the nurse, &#34;I feel like such a failure.It's so awful for both me and my partner.Can you help me?&#34; What is the nurse's best response?&#10;A) &#34;Sex therapy is not my specialty, but I will try to help.&#34;&#10;B) &#34;I can refer you to a practitioner with experience regarding this problem.&#34;&#10;C) &#34;Have you asked your health care provider for prescription medication?&#34;&#10;D) &#34;There are several techniques described in this pamphlet that might be helpful.&#34;

Accepted Answer

The nurse should refer the patient to a practitioner with experience with premature ejaculation. It is important to recognize when a patient's concern is outside of the nurse's expertise and to provide appropriate referrals. Options A and D may be helpful in some cases, but it is best to first refer the patient to someone with specialized knowledge in this area. Option C may not be appropriate if the patient has not yet discussed their concerns with their healthcare provider.

Question 3

When considering the definition of pedophila, which individuals are at highest risk of being sexually victimized by a 25-year-old pedophile? (Select all that apply.)&#10;A) Male, age 15&#10;B) Male, age 12&#10;C) Female, age 13&#10;D) Female, age 8&#10;E) Either gender, age 5

Accepted Answer

Pedophilia is characterized by an adult having a primary or exclusive sexual interest in prepubescent children, generally age 13 years or younger. Choices B, D, and E fall within this age range, making them at higher risk of being victimized by a pedophile.

Question 4

A pedophile receiving treatment 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?

A) Set limits on the patient's disclosures.
B) Further assess the patient's suicidality.
C) Administer a PRN medication for anxiety.
D) Explore the patient's feelings of guilt and shame.

Accepted Answer

The nurse's priority action should be to further assess the patient's suicidality, as the patient's statement indicates a potential risk for self-harm. The nurse may need to initiate a suicide risk assessment and possibly involve the interdisciplinary team to develop a safety plan to prevent harm to the patient. While setting limits on the patient's disclosures may be appropriate at times, it is not the priority action in this situation. Administering a PRN medication for anxiety may provide temporary relief, but it does not address the underlying issues of guilt and shame that the patient is experiencing. Exploring the patient's feelings of guilt and shame is important, but it is not the priority action in this situation where there is potential risk for self-harm.

Question 5

Which behavior would relevant to a potential diagnosis of Exhibitionism?&#10;A) Engaging in &#34;Peeping Tom&#34; behaviors&#10;B) Going out in public dressed as a member of the opposite gender&#10;C) Exposing one's genitalia while in a movie theater&#10;D) Engaging in strangulating behaviors to enhance sexual pleasure

Accepted Answer

Exhibitionism involves a pattern of exposing one's genitals to unsuspecting others for sexual arousal or gratification. Engaging in "Peeping Tom" behaviors (A) would be more indicative of Voyeurism. Going out in public dressed as a member of the opposite gender (B) could be indicative of Transvestic Fetishism. Engaging in strangulating behaviors to enhance sexual pleasure (D) would be more indicative of Sexual Masochism.

Question 6

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.)&#10;A) &#34;What would you do if a stranger told you to get in his or her car because your parents were hurt?&#34;&#10;B) &#34;If you were playing on the Internet, and someone invited you into a private chat room, what would you do?&#34;&#10;C) &#34;If your parents told you that your pet was hurt, would you go with them to the veterinarian?&#34;&#10;D) &#34;Has anyone ever touched you in a way that embarrassed or frightened you?&#34;&#10;E) &#34;Which members of your family can you trust?&#34;

Accepted Answer

The answer of A school nurse uses a participative approach...

Question 7

An adult who exposed himself to a group on strangers tells the nurse, "I had just lost my job and was afraid; I just did it without thinking".Which intervention would have the greatest benefit for this person?

A) Stress management
B) Problem-solving
C) Sex education
D) Social skills

Accepted Answer

Stress management is the most appropriate intervention for this person because it can help them to manage the stress that led to their behavior.

Question 8

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.&#10;A) &#34;What are your concerns and feelings about your sexuality?&#34;&#10;B) &#34;Patients are frequently embarrassed to talk about sexuality.&#34;&#10;C) &#34;Don't be embarrassed.Our conversation is completely private.&#34;&#10;D) &#34;As a clinician, I am accustomed to talking to patients about personal matters.&#34;

Accepted Answer

This question directly asks the patient about their specific concerns and feelings related to their sexuality, encouraging the patient to express themselves more clearly. The other options may offer reassurance or empathy, but do not explicitly prompt the patient to share their concerns.

Question 9

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.&#10;A) Report the observation to authorities by the child abuse hotline.&#10;B) Protect the child without interacting with the perpetrator.&#10;C) Notify staff of the homeless shelter to address the situation.&#10;D) Continue to observe the interaction and document findings.

Accepted Answer

The nurse has a legal and ethical obligation to report suspected child abuse or neglect to the appropriate authorities, which in most cases involves contacting the child abuse hotline. The nurse should not attempt to intervene directly in the situation, as this could put both the nurse and the child at risk. Additionally, notifying staff of the shelter may not be sufficient to address the situation, as they may not have the authority or resources to investigate and intervene in cases of suspected child abuse. Continuous observation and documentation of the interaction is important, but it is not a priority over reporting the suspected abuse.

Question 10

A senator develops a sexual relationship with a 20-year-old receptionist.Which adjective most likely applies to this relationship?&#10;A) Harmonious&#10;B) Consensual&#10;C) Coercive&#10;D) Illegal

Accepted Answer

Given the power dynamics involved between a senator and a receptionist, the relationship is most likely to be considered coercive due to the imbalance of power and authority.

Question 11

Contemporary cultural rejection of certain sexual behaviors is determined primarily based on what characteristic of the sexual act?&#10;A) Involving coercion rather than consent&#10;B) Associated with homosexual contacts&#10;C) Using artificial devices&#10;D) Resulting in orgasm

Accepted Answer

The answer of Contemporary cultural rejection of certain sexual behaviors...

Question 12

A man tells the nurse, &#34;I have trouble maintaining an erection.&#34; This comment indicates which possible sexual disorder?&#10;A) Erectile disorder&#10;B) Desire disorder&#10;C) Pain disorder&#10;D) Orgasm disorder

Accepted Answer

The answer of A man tells the nurse, &#34;I have...

Question 13

Which characteristic fits the profile of an individual who is a pedophile?&#10;A) Homosexual&#10;B) High self-esteem&#10;C) Seeks access to children&#10;D) Self-confident and expressive

Accepted Answer

The answer of Which characteristic fits the profile of an...

Question 14

A patient approaches the nurse in the clinic waiting room and says, &#34;I want to talk to you about a sexual matter.&#34; The nurse can best facilitate the discussion by providing which response?&#10;A) &#34;Let's go to my office.&#34;&#10;B) &#34;I want to help.Go ahead.I'm listening.&#34;&#10;C) &#34;Let's schedule an appointment with more time.&#34;&#10;D) &#34;Let's move to a private area in the waiting room.&#34;

Accepted Answer

The answer of A patient approaches the nurse in the...

Question 15

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?&#10;A) Extreme remorse for traumatizing a child to meet his or her own needs.&#10;B) Desire to be placed in jail to prevent acting on the sexual impulses.&#10;C) The belief that the child was given valuable knowledge and pleasure.&#10;D) A feeling of victimization related to genetic and environmental factors.

Accepted Answer

The answer of The clinic nurse sees a patient with...

Question 16

Prior to working with patients regarding sexual concerns, a prerequisite for providing nonjudgmental care would require what personal characteristic?&#10;A) Sympathy&#10;B) Assertiveness training&#10;C) Sexual self-awareness&#10;D) Effective communication

Accepted Answer

The answer of Prior to working with patients regarding sexual...

Question 17

A 10-year-old boy is diagnosed with gender identity disorder.Which assessment finding would the nurse expect?&#10;A) Having tea parties with dolls&#10;B) A compromised sexual response cycle&#10;C) Identifying with other boys who are athletic&#10;D) Intense urges to watch his parents having sex

Accepted Answer

The answer of A 10-year-old boy is diagnosed with gender...

Question 18

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 by decreasing libido?&#10;A) Selective serotonin reuptake inhibitor (SSRI)&#10;B) Erectile dysfunction medication&#10;C) Atypical antipsychotic&#10;D) Mood stabilizer

Accepted Answer

The answer of A nurse cares for a patient demonstrating...

Question 19

Paraphilia is defined as involving what behavior?&#10;A) Engaging in homosexual sexual behaviors&#10;B) Having difficulty maintaining a sexual arousal&#10;C) Feeling discomfort with one's biological sexual gender&#10;D) Experiencing climax only when sexual behavior is illegal

Accepted Answer

The answer of Paraphilia is defined as involving what behavior?&#10;A)...

Question 20

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

A) "I feel a lot less depressed since taking this drug."
B) "My sexual desire has practically disappeared."
C) "I can sustain an erection longer than before."
D) "There's no pain during intercourse now."

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Accepted Answer

The answer of A nurse cares for a man diagnosed...

Question 21

A nurse assesses a patient recently diagnosed with pedophilia.Which assessment findings are most likely to be identified? (Select all that apply.)&#10;A) History of childhood sexual abuse&#10;B) Antisocial personality traits&#10;C) Limbic system abnormalities&#10;D) An endocrine disorder&#10;E) Grandiosity

Accepted Answer

The answer of A nurse assesses a patient recently diagnosed...

Deck 30: Sexual Disorders