Deck 30: Issues Related to Human Sexuality and Gender Dysphoria

Question 1

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 the nurse initially collect first?

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

Answer 1

Date of last menstrual cycle

Question 2

A nursing instructor is teaching a class on sexuality that includes information about gender dysphoria.Which statement made by a student indicates an understanding of the teaching? Select all that apply.

A)"Gender identity does not dictate to whom one is attracted."
B)"Transgender is caused by an increase in female hormones."
C)"The majority of transgender individuals are men who wish to reassign to female gender."
D)"Impaired family dynamics lead to gender dysphoria."

Answer 2

"Gender identity does not dictate to whom one is attracted."
"The majority of transgender individuals are men who wish to reassign to female gender."

Question 3

According to the DSM-5,paraphilia is only labeled a paraphilic disorder when specific types of sexual fantasies or behaviors are recurrent over a period of at least ______ months.

Answer 3

6
six

Question 4

Jose is a healthy 54-year-old man who is the president of a hedge fund in a large metropolitan area.Jose works long hours and travels extensively for his work.He and his wife have been married for 30 years and have three grown children who do not live at home.Jose's wife notices that Jose has been distracted lately and is not as interested in sex as he used to be.The couple has not had intercourse in over 6 months,which is unusual for them since they are sexually compatible and have had an active sex life in the past.When asked about his mood,Jose states,"I have to lay-off 50 employees at work and it is just killing me.I feel so hopeless and overwhelmed.I know I'm not being a good husband to you,and this really worries me." Which short-term nursing goal is most appropriate for Jose? Select all that apply.

A)Jose will identify stressors that may contribute to loss of sexual desire within 1 week.
B)Jose will resume sexual activity at a level satisfactory to self and partner within 6 months.
C)Jose will identify three symptoms of depression that may contribute to loss of sexual desire within 2 weeks.
D)Jose will verbalize willingness to seek professional assistance from a sex therapist to learn alternative ways of achieving sexual satisfaction within 2 months.

Question 5

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 bisexuality.
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 and bisexuality.

Question 6

Which statement regarding sexual development in late childhood is true? Select all that apply.

A)Children in this age group engage in both heterosexual and homosexual play.
B)Girls at this age become interested in menstruation,pregnancy,and birth.
C)Children this age become self-conscious about their bodies.
D)Children this age engage in touching and kissing that mirrors behavior of their parents.
E)At this age,children understand their gender.

Question 7

A newly married woman comes to a gynecology clinic reporting anorexia,insomnia,and extreme dyspareunia that have affected her intimate relationship.Which 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 8

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 the 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 in choosing appropriate clothing.
D)Restrict the client to her room until visiting hours are over.

Question 9

When planning care for a client diagnosed with Female Sexual Arousal Disorder,what should the 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 evidence-based statement regarding adolescent coitus is accurate? Select all that apply.

A)More adolescents are engaging in premarital intercourse.
B)The incidence of premarital intercourse for girls has increased.
C)The average age of first intercourse has decreased.
D)The majority of adolescent boys do not use condoms during intercourse.

Question 11

The 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.

Question 12

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 13

Ralph is a 32-year-old heterosexual man who is arrested for masturbating while hiding in his neighbors' shrubs and watching them engage in sexual activity in their outdoor hot tub.The nurse is conducting a sexual history to gain data to create Ralph's plan of care.Which questions asked by the nurse will elicit the most important patient data? Select all that apply.

A)"Who are your closest friends and how much time do you spend with them?"
B)"Are you able to become sexually aroused when interacting with an attractive woman?"
C)"What is your gender and how would you describe your feelings about your gender?"
D)"How much time do you spend on the Internet looking at child pornography?"

Question 14

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 15

Which of the following characteristics should the 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 16

The nurse is assessing a client diagnosed with Pedophilic Disorder.Which of the following differentiates 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 17

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 18

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 by the nurse as which type of disorder?

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

Question 19

Nancy is a 42-year-old,lesbian,premenopausal woman who visits her gynecologist for an annual examination.The nurse visits with Nancy before the examination and informs her of the symptoms of menopause that she may begin to experience.Which symptoms should the nurse teach Nancy? Select all that apply.

A)Insomnia
B)Heart palpitations
C)Depression
D)Vaginal discharge

Question 20

The 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.

Question 21

_____________ _____________ involves recurrent and intense sexual arousal from the use of either inanimate objects or specific nongenital body part(s).

Question 22

Dashawn likes to ride a crowded subway train and brush up against an unsuspecting woman and fondle her breasts with his hands to derive sexual pleasure.Dashawn has _____________ disorder.