Deck 16: Mental Health and the Law

Question 1

Which of the following disorders is the most common of the sexual disorders?

A) Sexual dysfunctions
B) Paraphilias
C) Gender identity disorder
D) Pedophilia

Answer 1

Sexual dysfunctions

Question 2

During one phase of the sexual response cycle, sexual excitement remains at a high but stable level and may leave the individual feeling tense, flushed, and oblivious to external stimuli or events. What is this phase referred to as?

A) Plateau phase
B) Orgasm phase
C) Refractory phase
D) Resolution phase

Answer 2

Plateau phase

Question 3

Tim and Veronica are seeking counseling because of their sexual problems. Their problem is very common among couples who seek therapy. What are Tim and Veronica most likely seeking therapy for?

A) Sexual inexperience
B) Pain during intercourse
C) Lack of sexual desire
D) Inability to achieve orgasm

Answer 3

Lack of sexual desire

Question 4

Con has noticed over the past few years that he no longer has any desire for sex. His wife, Sonia, has tried everything she can think of, including sexy lingerie, whipped cream, erotic movies, and even hiring a strip tease dancer to perform at his 50^th birthday party. He's an attentive and loving husband, comes straight home from work, and spends all of his non-working hours with Sonia, their children, and their grandchildren, so she knows he's not going elsewhere for sexual gratification. What disorder would Con likely be diagnosed with?

A) Generalized hypoactive sexual desire
B) Situational hypoactive sexual desire
C) Sexual aversion disorder
D) Hyposexual aversion disorder

Question 5

Which of the following disorders is the least common of the sexual disorders?

A) Female sexual dysfunction
B) Paraphilias
C) Gender identity disorder
D) Male sexual disorder

Question 6

Erica has overheard her mother say on numerous occasions that she dreads having sex and the very thought of having sex nauseates her. This attitude is common among people with which of the following sexual disorders?

A) Generalized sexual dysfunction disorder
B) Sexual aversion disorder
C) Situational hypoactive sexual desire disorder
D) Female aversion disorder

Question 7

Hal and Brenna have always enjoyed their sexual activities. Hal's excitement becomes so intense that he is often unaware of events around him. His skin becomes flushed and his heart beats rapidly. Hal's behaviour is typical of the plateau phase of sexual intercourse. Which phase of the sexual response cycle will Hal experience next?

A) Orgasm
B) Resolution phase
C) Arousal phase
D) Refractory period

Question 8

For many years, Charity had repressed the memory of being sexually abused by her uncle. She has one daughter, but feels sex is disgusting and animalistic and has barely had any sexual relations with her husband since her daughter was born. Which sexual disorder is Charity likely experiencing?

A) Generalized hypoactive sexual desire disorder
B) Situational hypoactive sexual desire disorder
C) Sexual aversion disorder
D) Female aversion disorder

Question 9

Which of the following is not a category of sexual disorders included in DSM-IV-TR?

A) Sexual dysfunctions
B) Paraphilias
C) Hypersexual dysfunctions
D) Gender identity disorder

Question 10

Who first recognized sexual desire disorders as a separate problem?

A) Masters and Johnson
B) Helen Singer Kaplan
C) Robert Spitzer
D) Karen Horney

Question 11

Maxine and Jules have just celebrated their 25^th anniversary. They were high school sweethearts-he was captain of the football team and she was captain of the cheerleader squad. They were voted the "Most Perfect Couple". Gradually, over the years, Maxine has lost her girlish figure and Jules has put on a "beer belly," and although they remain devoted to each other, neither finds the other sexually attractive. Jules has affairs with other women as a way to keep him happy. Maxine had a brief affair a few years ago, but felt guilty and ended it. Which of the follow disorders is Maxine and Jules likely experiencing?

A) Situational hypoactive sexual desire
B) Generalized hypoactive sexual desire
C) Sexual aversion disorder
D) Sexual dysfunction disorder

Question 12

What is the most common complaint of people who seek sex therapy?

A) Lack of sexual desire
B) Inability to experience orgasm
C) Pain or discomfort during intercourse
D) Performance anxiety

Question 13

Which of the following problems is characterized by having little desire for sex?

A) Hyposexual desire
B) Hyperactive sexual desire
C) Hypersexual desire
D) Hypoactive sexual desire

Question 14

According to the national survey in the US, which of the following problems did women endorse most in the past year?

A) Inability to reach orgasm
B) Not experiencing sex as pleasurable
C) Experiencing pain during intercourse
D) Lack of interest in sex

Question 15

When would a diagnosis of hypoactive sexual desire disorder be given?

A) When a person does not have sexual relations due to an aversion to sexual intercourse
B) When a person is unable to achieve an orgasm
C) When a person is obsessed with thoughts about sex that disrupt daily functioning
D) When a person previously enjoyed sex but lost interest despite the presence of a willing and desirable partner

Question 16

Mark and Margaret are experiencing sexual difficulties in their relationship. She tends to have a lack of lubrication during the ____________ phase and this makes her anxious. Mark is having difficulty with the rhythmic contractions during the ____________ phase.

A) Refractory; arousal
B) Arousal; orgasm
C) Orgasm; plateau
D) Pleasure; orgasm

Question 17

Which of the following statements is true concerning hypoactive sexual desire disorder?

A) Women with hypoactive sexual desire are less likely than men to report anxiety, depression, and life stress
B) Women with hypoactive sexual desire are more likely than men to report anxiety, depression, and life stress
C) Women and men with hypoactive sexual desire are equally likely to report anxiety, depression, and life stress
D) Neither men nor women with hyperactive sexual desire disorder report elevated anxiety, depression, or life stress

Question 18

Hal and Brenna have always enjoyed their sexual activities. Hal's excitement becomes so intense that he is often unaware of events around him. His skin becomes flushed and his heart beats rapidly. Hal's behaviour is typical of which phases of the sexual response cycle?

A) Plateau phase and orgasm
B) Arousal phase and plateau phase
C) Arousal phase and refractory period
D) Orgasm and refractory period

Question 19

People with sexual desire disorder can be diagnosed with which of the following disorders?

A) Hypoactive sexual desire disorder and hyperactive sexual desire disorder
B) Hypoactive sexual desire disorder and hypersexual aversion disorder
C) Hyposexual aversion disorder and sexual aversion disorder
D) Sexual aversion disorder and hypoactive sexual desire disorder

Question 20

According to the national survey in the US, which of the following problems did men endorse the most in the past year?

A) Inability to keep an erection
B) Pain during intercourse
C) Climaxing too early
D) Inability to reach orgasm

Question 21

Clay persistently ejaculates with minimal sexual stimulation before he wishes. Which of the following sexual disorders is Clay probably experiencing?

A) Premature ejaculation
B) Male orgasmic disorder
C) Anorgasmia
D) Erectile dysfunction disorder

Question 22

Which of the following disorders is characterized by recurrent inability of a woman to attain or maintain the swelling-lubrication response of sexual excitement?

A) Female dysfunction disorder
B) Female orgasmic disorder
C) Female sexual arousal disorder
D) Female sexual aversion disorder

Question 23

Which of the following disorders refers to a recurrent delay in or absence of orgasm following the excitement phase of the sexual response cycle?

A) Dsypareunia
B) Premature ejaculation
C) Orgasmic disorder
D) Sexual aversion disorder

Question 24

There are three components to determining whether a man has premature ejaculation. The first is the behavioural component, which is the subjective sense of ejaculating too quickly. The second is the affective component, which consists of worries or concerns about the latency of ejaculation. The third is the efficacy component. What does the efficacy component refer to?

A) The feeling of having little control over the timing of ejaculation
B) The feeling that one's partner is more dominant during sexual activity
C) The perception of guilt over engaging in sexual activity
D) The lack of confidence in one's sexual performance

Question 25

Which sexual dysfunction is commonly known as impotence?

A) Male erectile disorder
B) Premature ejaculation disorder
C) Sexual aversion disorder
D) Generalized sexual dysfunction disorder

Question 26

What is male erectile disorder commonly referred to as?

A) Premature ejaculation
B) Impotence
C) Performance anxiety
D) Erectile problems

Question 27

An individual who does not experience the normal physiological changes that make up the excitement or arousal phase of the sexual response cycle is probably experiencing which of the following sexual disorders?

A) Sexual aversion disorder
B) Sexual arousal disorder
C) Generalized sexual aversion disorder
D) Generalized sexual arousal disorder

Question 28

Claudia finds that she is able to become sexually aroused, but is unable to move past that stage during sexual activity. Which of the following sexual problems is Claudia likely experiencing?

A) Sexual desire disorder
B) Anorgasmia
C) Sexual arousal disorder
D) Hypoactive sexual drive

Question 29

Which of the following statements is true concerning sexual arousal disorder?

A) Female sexual arousal disorder is characterized by feelings of disgust associated with sexual intercourse
B) In female sexual arousal disorder, the individual has a recurrent inability to be stimulated by her partner during foreplay
C) Female sexual arousal disorder involves a recurrent inability to attain or maintain the swelling-lubrication response of sexual excitement
D) An individual with female sexual arousal disorder has a recurrent inability to feel passion towards her partner

Question 30

Which of the following disorders are specific to men?

A) Impotence and anorgasmia
B) Anorgasmia and premature ejaculation
C) Premature ejaculation and impotence
D) Impotence and myotonia

Question 31

Approximately what percentage of men has significant trouble in delaying ejaculation at will?

A) 10 to 20%
B) 5 to 10%
C) 30 to 40%
D) 50 to 60%

Question 32

Ethan has been having trouble attaining an erection lately. He had no difficulty in the past and he can't figure out the cause. He has become concerned and seeks medical attention. Which of the following sexual disorders will Ethan most likely be diagnosed with?

A) Lifelong male erectile disorder
B) Temporary male erectile disorder
C) Acquired male erectile disorder
D) Chronic male erectile disorder

Question 33

Which of the following terms refers to pain during sexual intercourse?

A) Dyspareunia
B) Vaginismus
C) Myotonia
D) Anorgasmia

Question 34

Women who experience a recurrent delay in or the complete absence of orgasm after having reached the excitement stage of the sexual response cycle is exhibiting which of the following sexual disorders?

A) Premature anorgasmia
B) Acute anorgasmia
C) Anorgasmia
D) Latent anorgasmia

Question 35

Which of the following disorders are specific to women?

A) Vaginismus and anorgasmia
B) Anorgasmia and dyspareunia
C) Dyspareunia and impotence
D) Impotence and vaginismus

Question 36

Beulah has been experiencing sexual difficulties. She finds that she is not attaining the lubrication needed for sexual intercourse. Which of the following disorders is Beulah likely experiencing?

A) Sexual arousal disorder
B) Female orgasmic disorder
C) Hyposexual desire disorder
D) Female excitement disorder

Question 37

Al's young wife has been complaining about their sexual interactions. She feels he is experiencing difficulty controlling his orgasms. Like many young men, which of the following problems is Al likely experiencing?

A) Sexual aversion disorder
B) Impotence
C) Premature ejaculation
D) Hypersexual arousal

Question 38

What is the most common form of orgasmic disorder in men?

A) Premature ejaculation
B) Male orgasmic disorder
C) Male erectile dysfunction
D) Male sexual aversion disorder

Question 39

Which of the following sexual disorders is characterized by the inability of a man to attain or maintain an erection until the completion of sexual activity?

A) Premature ejaculation disorder
B) Male orgasmic disorder
C) Male sexual arousal disorder
D) Male erectile disorder

Question 40

Which of the following are classified as sexual pain disorders?

A) Myotonia and vaginismus
B) Vaginismus and dyspareunia
C) Dyspareunia and vasocongestion
D) Vasocongestion and myotonia

Question 41

Which of the following medical conditions is one of the most common biological contributors to sexual dysfunction?

A) Sexually transmitted diseases
B) Diabetes
C) Hypertension
D) Multiple sclerosis

Question 42

Emma finds clitoral stimulation to be very pleasurable and is able to experience orgasm. Therefore, she finds it frustrating that she is unable to experience vaginal orgasm because the muscles of her vagina contract involuntarily when the penis is inserted. Which of the following disorders would Emily likely be diagnosed with?

A) Dyspareunia
B) Hyperstimulation
C) Anorgasmia
D) Vaginismus

Question 43

What is meant by the term "spectatoring"?

A) Voyeurs watching people engaged in sex without the people's consent or awareness
B) Exhibitionists revealing themselves to a large group of people
C) Individuals closely monitoring their own behaviours and feelings while engaging in sexual relations
D) Parents allowing their children to watch them engage in sexual intercourse

Question 44

Tobiah has been having trouble with his sexual performance. He now finds himself worrying before and during sex, which seems to exacerbate his problems. Which of the following explanations might be most appropriate?

A) Premature ejaculation
B) Performance anxiety
C) Relationship problems
D) Biological factors

Question 45

Albert has a history of alcohol dependence and abuse. He has recently begun to have difficulty experiencing pleasure and sustaining an erection. What will Albert's care provider likely diagnose his sexual dysfunction as?

A) Substance abuse-related disorder
B) Substance-induced disorder
C) Substance abuse sexual dysfunction
D) Substance-induced sexual dysfunction

Question 46

Robert has been experiencing a sexual dysfunction and is seeking medical treatment. Which of the following causes would be the least likely explanation for his problems?

A) High levels of testosterone
B) Diabetes
C) Cardiovascular disease
D) Low levels of estrogen and prolactin

Question 47

Fred and Jennifer are having marital difficulties. He says that her negative attitude toward sex is frustrating. Jennifer admits that she goes overboard sometimes, but can't seem to change the way she thinks about sex. All of the following may contribute to Jennifer's negative view concerning sexual intercourse except _________.

A) The quality of their parental relationship
B) The quality of their relationship
C) Poor body image
D) Sense of shame about sex

Question 48

Which of the following statements is true concerning vaginismus?

A) It is common in men and relatively uncommon in women
B) In some individuals, even the anticipation of intercourse can result in vaginismus
C) It involves contractions of penile muscles for men
D) It occurs in sexual situations, but not during medical examinations

Question 49

Rose anxiously attends to her reactions and performance during sex by checking her position, rhythm, and breathing. Which of the following terms describes Rose's behaviours?

A) Disinterest
B) Spectatoring
C) Onlooking
D) Monitoring

Question 50

McCarty suggests that with experience and maturity most males gain ejaculatory control by all of the following processes, except:

A) Regular rhythm of being sexual
B) Goal-oriented foreplay
C) Greater intimacy
D) Increased comfort and practice

Question 51

Which of the following attitudes appears to affect young and middle-aged adults' sexual performance?

A) Sexual frustration
B) Performance anxiety
C) Creativity
D) Endurance

Question 52

Which of the following is not typically associated with vaginal dryness or irritation in women who experience sexual pain?

A) Inconsistent hormone levels
B) Radiation therapy
C) Vaginal infections
D) Antihistamines

Question 53

Ralph visited his primary care physician. His chief complaint was sexual dysfunction. He complained about having low sexual drive, arousal, enjoyment, and satisfaction. Why was Ralph's decision to visit his primary care physician a wise decision?

A) Psychologists generally have little knowledge of the biological factors associated with sexual dysfunction
B) Many medical illnesses can cause problems in sexual functioning in both men and women
C) Primary care physicians can prescribe medications to fix sexual disorders
D) Primary care physicians have a greater understanding of sexual dysfunction than do mental health professionals

Question 54

Which of the following statements is true concerning hormones and sexual dysfunctions?

A) High levels of testosterone and low levels of estrogen and prolactin can cause sexual dysfunction in men
B) High levels of testosterone and low levels of estrogen and prolactin can cause sexual dysfunction in women
C) Low levels of testosterone and high levels of estrogen and prolactin can cause sexual dysfunction in men
D) Low levels of testosterone and high levels of estrogen and prolactin can cause sexual dysfunction in women

Question 55

"What if I can't get an erection? I'll die of embarrassment" is an attitude that will most likely lead to which of the following problems?

A) Performance expectations
B) Premature ejaculation
C) Performance anxiety
D) Depression and avoidance

Question 56

Which of the following is not an interpersonal problem associated with sexual dysfunction?

A) Conflicts between the partners about their sexual activity
B) Lack of communication between partners
C) An imbalance of power in the relationship
D) Concerns over the immorality of the sex act

Question 57

Which of the following medical conditions is not associated with painful sex in men?

A) Urinary tract infections
B) Endometriosis
C) Genital tract infections
D) Peyronie's disease

Question 58

Which of the following statements is true concerning dyspareunia?

A) Dyspareunia is more common in women than in men
B) Dyspareunia refers to uterine pain for women and penile pain for men
C) Dyspareunia refers to pain from deep penile thrusting
D) Dyspareunia is the primary disorder for men who experience pain during penetration

Question 59

Other psychological disorders have been known to cause sexual dysfunction. Which of the following has not been associated with a loss of sexual functioning?

A) Generalized anxiety disorder
B) Major depression
C) Panic disorder
D) Histrionic personality disorder

Question 60

What is Peyronie's disease?

A) A rare condition found in women with uterine cancer
B) A rare condition found in men that can cause pain during sex
C) A rare condition found in women that can cause pain during sex
D) A rare condition found in men with colon cancer

Question 61

Which of the following is not a contributing factor to sexual dysfunction?

A) Relationship problems
B) Exposure to environmental toxins
C) Attitudes and cognitions
D) Parental conflicts

Question 62

Ding Yong has been taught that the loss of semen can be detrimental to his health. This idea is not accepted in traditional western cultures, but is prevalent in which of the following cultures?

A) Chinese and Japanese cultures
B) Japanese and Iranian cultures
C) Iranian and Indian cultures
D) Indian and Chinese cultures

Question 63

A depersonalization syndrome thought to result from semen loss has been reported by several Asian cultures. Which of the following disorders involves acute anxiety, a feeling of panic and impending death, and a delusion that the penis is shrinking into the body and disappearing?

A) Koro
B) Amok
C) Ataque de nervios
D) Sasaki

Question 64

Women who have been raped are more likely to experience which of the following sexual problems?

A) Sexual aversion disorder and hypoactive sexual desire disorder
B) Substance-induced sexual dysfunction and sexual aversion disorder
C) Orgasmic disorder and hypoactive sexual desire disorder
D) Hypoactive sexual desire disorder and substance-induced sexual dysfunction disorder

Question 65

Rodney is experiencing premature ejaculation and his primary care physician has suggested several antidepressants that may be helpful. Which of the following is Rodney's physician least likely to prescribe?

A) Anafranil
B) Zoloft
C) Prozac
D) Effexor

Question 66

Why is couples therapy especially useful in the treatment of sexual disorders?

A) To teach couples about anatomy and physiology
B) To help couples identify incongruities between partners' expectations for sexual encounters
C) To help couples solve problems in their relationship that interfere with sexual enjoyment
D) To help the partners adjust their expectations for the relationship

Question 67

Jeffery has a history of dysthymic disorder. He has been taking medication periodically for several years. During the last six months, he has been taking his medication more consistently and has been experiencing low sexual arousal and erectile problems. His friends have suggested that his sexual dysfunction is probably a side effect of his medication. If this is true, what type of antidepressant is Jeffrey most likely taking?

A) Tricyclics
B) SSRIs
C) MAOIs
D) Buspirone

Question 68

Which of the following statements is true concerning the treatment of sexual dysfunction?

A) Patients who are troubled by sexual dysfunction are generally referred to mental health services for treatment
B) Patients who are troubled by sexual dysfunction are usually offered psychotherapy and medication
C) Most people who are troubled by sexual dysfunction receive no treatment and the problem becomes worse
D) Most people who are trouble by sexual dysfunction receive only medication and no psychological services

Question 69

Women who consider hormone replacement therapy to increase sexual desire should be warned that the therapy could lead to which of the following problems?

A) Overly promiscuous behaviour
B) Masculinizing effects such as chest hair or voice changes
C) Binge-eating behaviours
D) Physical aggression and agitation

Question 70

According to surveys conducted in the United States, which of the following statements is true?

A) Less educated and poor men and women tend to experience more sexual dysfunctions
B) Less educated and poor men, and more educated and middle class women tend to experience more sexual dysfunctions
C) College educated and middle-class men, and less educated and poor women tend to experience more sexual dysfunctions
D) College educated and middle-class men and women tend to experience more sexual dysfunctions

Question 71

Emmanuel has been experiencing low sexual desire and functioning. His father gave him yohime, the bark from the yohimbe tree to chew. Where is Emmanuel most likely from?

A) Africa
B) Asia
C) South America
D) North America

Question 72

Gideon has been experiencing impotence. His doctor recommended the most popular form of treatment for this problem. What form of treatment did his doctor most likely recommend?

A) A prosthetic device
B) A hydraulic inflatable device
C) Hormone replacement therapy
D) Viagra medication

Question 73

Which statement is false concerning psychotherapy for sexual dysfunction?

A) Individual psychotherapy is the preferred modality since it allows the person with the dysfunction to work on it in a supportive context without embarrassment
B) Cognitive-behavioural therapies address attitudes and scripts that interfere with a person's sexual functioning
C) Psychodynamic therapies explore childhood experiences that contributed to a person's negative attitudes toward sex
D) Behavioural therapies teach clients new sexual skills to practice between sessions

Question 74

In Ponui's culture, there is no word for erection problems in men. The assumption is that he must not desire sex if he cannot achieve an erection. Where is Ponui most likely from?

A) Japan
B) Polynesia
C) Africa
D) India

Question 75

Which of the following is the most popular treatment for male erectile disorder?

A) Serax
B) Viagra
C) Luvox
D) Turnial

Question 76

Lacy has become frustrated with her sexual experiences. She read in a magazine that couples who have been together for a while tend to abandon their seduction rituals. What would be the best way for Lacy to explain to her husband about seduction rituals?

A) Lacy should insist that he read the magazine article and modify his behaviour accordingly
B) Lacy should create an activity that aroused both their sexual interests in the past
C) Lacy should insist that her husband see a medical professional
D) Lacy should challenge her husband's current attitude about their sexual relationship by offering new interpretations

Question 77

Which of the following is not a reason why men and women of lower socio-economic status may experience more sexual dysfunction and less sexual pleasure?

A) Greater psychological stress
B) Worse physical health
C) Less knowledge about their bodies
D) Enmeshed family systems

Question 78

According to a multinational, double-blind, placebo controlled study examining the effects of sildenafil for women with sexual arousal disorder, which of the following findings is true?

A) Sildenafil caused significant reversals of premenopausal and postmenopausal women's sexual problems
B) Sildenafil did not reverse premenopausal and postmenopausal women's sexual problems
C) Sildenafil worsened premenopausal women's sexual problems but no demonstrable effects on postmenopausal women's sexual problems
D) Sildenafil did not reverse premenopausal women's sexual problems but reversed postmenopausal women's sexual problems

Question 79

All of the following may contribute to older adults' sexual problems, except:

A) Loss of lifelong spouse
B) Strenuous exercise
C) Discomfort with one's own aging
D) Loss of other family and friends

Question 80

Luke and Tracy have started therapy for their marital difficulties. Luke was reluctant to discuss their sex life with a "total stranger." Tracy insists that the therapist will be able to help them. The therapist will probably began their session by doing all of the following, except:

A) Helping the couple discover experiences, thoughts, and feelings that are contributing to their sexual problem
B) Encouraging the couple to avoid sensitive areas concerning their sexual behaviour especially during intimate moments
C) Assessing Luke and Tracy's attitudes concerning sex
D) Gathering a personal case history of Luke and Tracy