Deck 25: Sexual Responses and Sexual Disorders

Question 1

Which statement made by a patient shows a correct understanding of human sexuality?

A) "Oral intercourse is dangerous."
B) "Sex during menstruation should be avoided."
C) "Advanced age is not by itself a deterrent to sexual function."
D) "Alcohol ingestion enhances sexual pleasure and performance."

Answer 1

"Advanced age is not by itself a deterrent to sexual function."

Question 2

Which classification of drugs has the greatest potential for causing sexual dysfunction?

A) Diuretics
B) Antihypertensives
C) Appetite suppressants
D) Gastrointestinal (GI) antiinflammatory agents

Answer 2

Antihypertensives

Question 3

A couple come to the clinic for treatment of sexual dysfunction.A therapist obtains a detailed sexual history and decides to employ the Masters and Johnson model of therapy.The nurse expects that treatment planning will include:

A) examination of performance failures.
B) enhancing mutual feelings of warmth.
C) exploring the couple's early sexual experiences.
D) delving into the early growth and development of each person.

Answer 3

enhancing mutual feelings of warmth.

Question 4

Which nursing diagnosis could be applied to both a patient who is upset that she has developed vaginismus associated with fear of pregnancy as well as a patient with diabetes who is concerned that he cannot attain an erection?

A) Sexual dysfunction
B) Sexual arousal disorder
C) Sexual aversion disorder
D) Ineffective sexuality pattern

Question 5

A nurse requests that a patient assignment be changed,saying,"I learned in school that homosexuality is not an illness and I want to be therapeutic,but every time I see my patient with a same-sex partner,I think it's a sickness!" The nurse is experiencing which stage of the self-awareness process?

A) Anger
B) Anxiety
C) Choosing values
D) Cognitive dissonance

Question 6

A patient is seeking help after being diagnosed with hypertension.A nurse plans to include questions about sexual health in the assessment.Which question would be most effective to introduce this topic?

A) "Which elements of sexual dysfunction have you noticed since your diagnosis of hypertension?"
B) "I assume your hypertension hasn't caused you any significant problems with sex, has it?"
C) "How are you and your partner getting along sexually since you've developed hypertension?"
D) "Can you identify any changes in your sexual activity since you learned about your hypertension?"

Question 7

A nurse assesses a patient who reports that she is unable to have intercourse because of involuntary contractions at the vaginal opening.The nurse can correctly assess this as:

A) vaginismus.
B) dyspareunia.
C) arousal disorder.
D) orgasmic dysfunction.

Question 8

What is the rationale for seeking information about the effects of prescribed medications on a patient's sexual function?

A) Sexual dysfunction may result from use of prescription medications.
B) The question eases the transition to questioning about sexual practices.
C) Patients are more comfortable talking about medications than about sex.
D) The question provides an opening to question about nonprescription drug use.

Question 9

A person states,"I feel as though I'm really a woman trapped in this male body." This type of statement is characteristically expressed by someone who is a:

A) transsexual.
B) transvestite.
C) pedophile.
D) homosexual.

Question 10

A nurse caring for an attractive patient of similar age and background begins fantasizing about having a social and sexual relationship with the patient.The most effective means of dealing with these feelings is to:

A) make a personal promise to not act on the feelings.
B) limit contact with the patient to include only care.
C) ask to change patient assignments immediately.
D) seek advice from an experienced peer.

Question 11

A patient is hospitalized for an acute episode of schizophrenia.A nurse finds the patient in the lounge nude and telling everyone,"I am the body beautiful." The most appropriate intervention for the nurse would be to:

A) tell the patient to put on clothes immediately and to not undress in public again.
B) take the patient back to the assigned room and then assist the patient with getting appropriately dressed.
C) ignore the behavior and share with the other patients that the patient has no control over it.
D) seclude the patient until control can be regained and clearly define why the behavior is unacceptable.

Question 12

When a patient tells a nurse,"I think I'm impotent," which response by the nurse would be most therapeutic?

A) "That must be very scary for you."
B) "How is your overall health?"
C) "What medications are you currently taking?"
D) "Please tell me what you mean by 'impotent.'"

Question 13

What factor is most important during evaluation of effectiveness of sexual counseling or intervention?

A) Patient satisfaction with treatment
B) Patient reduction in use of fantasy
C) Nursing involvement in forming the sex education plan
D) Patient agreement with the moral norms of the community

Question 14

The best expected outcome for a patient with maladaptive sexual response is,"The patient will

A) identify sexual questions and problems."
B) implement one new behavior to improve sexual functioning."
C) state comfort and satisfaction with gender identity and sexual orientation."
D) achieve a mutually acceptable level of sexual response with a consenting partner."

Question 15

A nurse shares with a mentor,"When my patient brought up the subject of resuming sexual relations after surgery,I felt flustered.While I realized I wasn't letting the patient express concerns,I couldn't stop monopolizing the conversation." The nurse describes experiencing the stage of the self-awareness process called:

A) anger.
B) action.
C) anxiety.
D) cognitive dissonance.

Question 16

A nurse consults with local elementary and secondary school teachers about implementing strategies to reinforce the concept of "say no to unwanted sexual advances." The most helpful method the nurse can suggest is:

A) pretesting for accurate sexual knowledge.
B) explaining why saying "no" is appropriate for teens.
C) role playing assertive behavior in potentially difficult sexual situations.
D) brainstorming examples of behaviors that will promote good sexual health.

Question 17

Parents are upset after learning that their child is homosexual.They ask the nurse,"What causes homosexuality; was it something we did?" The nurse responds best when stating:

A) "The cause of homosexuality has not been determined as of yet."
B) "It's thought that homosexuality is transmitted via the X chromosome."
C) "Many people consider homosexuality to be an expression of normal sexual behavior."
D) "You sound as though you are expressing concern about both your child and yourself."

Question 18

A patient hospitalized for depression will be discharged tomorrow.The patient asks a nurse,"Could the two of us meet for coffee away from the hospital sometime?" The most therapeutic response by the nurse would be:

A) "That sounds nice, but I'm already in a romantic relationship with someone."
B) "The hospital has a policy that does not allow professional staff to date patients."
C) "I guess there would be no harm in meeting for coffee, if we know in advance that we're meeting just as friends."
D) "We've developed a positive working relationship, and meeting socially would have a negative impact on that relationship."

Question 19

A patient with a new colostomy tells a nurse,"This surgery is the end of my sex life." This statement should lead the nurse to take the initial step of:

A) making a referral to an ostomy self-help group.
B) bringing the patient's partner into the discussion.
C) helping the patient fully express fears and feelings.
D) reframing the effect of illness on the patient's sexual functioning.

Question 20

A patient being treated for cellulitis tells a nurse,"I feel like you and I should get romantic tonight.What do you say to closing the door and crawling into bed with me?" The nurse should respond by saying:

A) "Stop joking around. You've got to be kidding."
B) "Now that you've gotten my attention, tell me what you really need."
C) "Sex is not part of our relationship. Your comment makes me uncomfortable."
D) "I wonder what I did to make you think I would be willing to have sex with you."

Question 21

A couple reports having rare-to-occasional variations in their sexual response patterns.The nurse should conclude that this couple has:

A) no medically diagnosed health problem.
B) behaviors in accordance with sexual dysfunction.
C) engaged in sexual perversion or deviations regularly.
D) at least one partner who experiences a gender identity disorder.

Question 22

A patient with a sexual response disorder reports hypersexuality.During the interview,a nurse should inquire about a history of which psychiatric disorder?

A) Mania
B) Depression
C) Personality disorder
D) Obsessive-compulsive disorder

Question 23

A patient with gender identity disorder (gender dysphoria) tells a nurse about a wish to undergo a "sex change operation." Which statement correctly reflects one prerequisite for sexual reassignment surgery?

A) The patient must be of legal age.
B) At least three clinicians must agree that the reassignment is appropriate.
C) The patient must live in the role of the preferred gender for at least 6 months.
D) The patient must undergo approximately 5 years of psychotherapy after surgery.