Deck 30: Issues Related to Human Sexuality and Gender Dysphoria

Question 1

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 a nurse's first priority?

A) Contact the client's psychiatrist.
B) Avoid addressing her attention-seeking behavior.
C) Lead the client back to her room and assist her to choose appropriate clothing.
D) Restrict client to room until visiting hours are over.

Answer 1

Lead the client back to her room and assist her to choose appropriate clothing.

Question 2

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 as what type of disorder?

A) Paraphilic disorder
B) Obsessive-compulsive disorder
C) Erectile disorder
D) Hypoactive sexual desire disorder

Answer 2

Paraphilic disorder

Question 3

A nurse is counseling a client diagnosed with gender dysphoria.Which characteristic would differentiate this disorder from transvestic disorder?

A) Clients diagnosed with transvestic disorder are dissatisfied with their gender, whereas clients diagnosed with gender dysphoria are not.
B) Clients diagnosed with gender dysphoria are dissatisfied with their gender, whereas clients diagnosed with transvestic disorder are not.
C) Clients diagnosed with gender dysphoria never engage in cross-dressing, whereas clients diagnosed with transvestic disorder do.
D) Clients diagnosed with transvestic disorder never engage in cross-dressing, whereas clients diagnosed with gender dysphoria do.

Answer 3

Clients diagnosed with gender dysphoria are dissatisfied with their gender, whereas clients diagnosed with transvestic disorder are not.

Question 4

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.

A) Exhibitionistic disorder: Mary models lingerie for a company that specializes in home parties.
B) Voyeuristic disorder: John is arrested for peering in a neighbor's bathroom window.
C) Frotteuristic disorder: Peter enjoys subway rush-hour female contact that results in arousal.
D) Pedophilic disorder: George can experience an orgasm by holding and feeling shoes.
E) Fetishistic disorder: Henry masturbates into his wife's silk panties.

Question 5

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 a nurse initially collect?

A) History of hysterectomy
B) Date of last menstrual cycle
C) Use of birth control methods
D) History of thought disorder

Question 6

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

A) A thorough physical to include gynecological examination
B) Referral to a sex therapist
C) Assessment of sexual history and previous satisfaction with sexual relationships
D) Referral to the recreational therapist for relaxation therapy

Question 7

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?

A) Self-assess personal attitudes toward homosexuality
B) Review client's possible childhood sexual abuse history
C) Encourage discussion of aversion to heterosexual relationships
D) Explore client's family history of homosexuality

Question 8

A client is diagnosed with hypoactive sexual desire disorder.Which of the following are recognized as treatment options?

A) Testosterone injections
B) Couples therapy
C) Cognitive therapy
D) All of the above.

Question 9

When planning care for a client diagnosed with female sexual arousal disorder,what should a nurse document as an expected outcome of sensate focus exercises?

A) To initiate immediate orgasm
B) To reduce anxiety by eliminating physical touch
C) To focus on touching breasts and genitals
D) To reduce goal-oriented demands of intercourse

Question 10

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

A) The child experiments with masturbation.
B) The child may experience homosexual play.
C) The child shows little interest in the opposite sex.
D) The child shows little concern about physical attractiveness.
E) The child is unlikely to want to undress in front of others.

Question 11

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?

A) Risk for situational low self-esteem AEB inability to achieve an erection
B) Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
C) Social isolation R/T low self-esteem AEB refusing to engage in dating activities
D) Disturbed body image R/T penile flaccidity AEB client statements

Question 12

A nurse is assessing a client diagnosed with pedophilic disorder.What would differentiate this sexual disorder from a sexual dysfunction?

A) Symptoms of sexual dysfunction include inappropriate sexual behaviors, whereas symptoms of a sexual disorder include impairment in normal sexual response.
B) Symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms of sexual dysfunction include impairment in normal sexual response.
C) Sexual dysfunction can be caused by increased levels of circulating androgens, whereas levels of circulating androgens do not affect sexual disorders.
D) Sexual disorders can be caused by decreased levels of circulating androgens, whereas levels of circulating androgens do not affect sexual dysfunction.

Question 13

A psychiatric nursing instructor is teaching about the psychological effects of the diagnosis of a sexually transmitted disease (STD).Which student statement indicates that further instruction is needed?

A) "STDs carry strong connotations of illicit sex and considerable social stigma."
B) "STDs can cause insanity."
C) "The diagnosis of HIV can generate hopelessness and helplessness."
D) "Antibiotics administered in the early stages can cure all STDs."

Question 14

A 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?

A) The client will verbalize an understanding of the importance of follow-up care.
B) The client will implement several relapse-prevention strategies.
C) The client will identify triggers that lead to inappropriate behaviors.
D) The client will attend aversion therapy groups.