Deck 30: Sexual Disorders

Question 1

Contemporary cultural rejection of certain sexual behaviors is determined primarily based on sexual acts:

A) involving coercion rather than consent.
B) associated with homosexual contacts.
C) using artificial devices.
D) resulting in orgasm.

Answer 1

involving coercion rather than consent.

Question 2

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?

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

Answer 2

The belief that the child was given valuable knowledge and pleasure.

Question 3

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.

A) Report the observation to authorities by the child abuse hotline.
B) Protect the child without involving herself/himself with the perpetrator.
C) Notify staff of the homeless shelter to address the situation.
D) Continue to observe the interaction and document findings.

Answer 3

Report the observation to authorities by the child abuse hotline.

Question 4

Which characteristic fits the profile of an individual who is a pedophile?

A) Homosexual
B) High self-esteem
C) Seeks access to children
D) Self-confident and expressive

Question 5

Prior to working with patients regarding sexual concerns, a prerequisite for providing nonjudgmental care is:

A) sympathy.
B) assertiveness training.
C) sexual self-awareness.
D) effective communication.

Question 6

Studies indicate that which child has the highest risk for being sexually victimized?

A) Boy, age 19
B) Boy, age 13
C) Girl, age 17
D) Girl, age 5

Question 7

An adult has felt much tension since losing a home by foreclosure. This person goes to a park, feeds the birds, and then impulsively exposes himself/herself to a group of parents and children. Which intervention would have the greatest benefit for this person?

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

Question 8

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.

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

Question 9

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.

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

Question 10

A senator develops a sexual relationship with a 20-year-old receptionist. Which adjective most likely applies to this relationship?

A) Harmonious
B) Consensual
C) Coercive
D) Illegal

Question 11

A 10-year-old boy is diagnosed with gender identity disorder. Which assessment finding would the nurse expect?

A) Having tea parties with dolls
B) A compromised sexual response cycle
C) Identifying with other boys who are athletic
D) Intense urges to watch his parents having sex

Question 12

A man tells the nurse, "I have trouble maintaining an erection." This comment indicates:

A) a sexual erectile disorder.
B) a sexual desire disorder.
C) a sexual pain disorder.
D) an orgasm disorder.

Question 13

A nurse cares for a man diagnosed with pedophilia. Leuprolide (Lupron Depot) 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."

Question 14

An adult has felt much tension since losing a home by foreclosure. This person goes to a park, feeds the birds, and then impulsively exposes himself/herself to a group of parents and children. Which term applies to this behavior?

A) Voyeurism
B) Dyspareunia
C) Exhibitionism
D) Sexual masochism

Question 15

Paraphilia is defined as:

A)any homosexual act.
B)inhibition of the sexual response cycle.
C)discomfort with one's biologic gender.
D)an intense sexual urge with an abnormal focus.

Question 16

A man experiencing premature ejaculation tells the nurse, "I feel like such a failure. It's so awful for both me and my wife. Can you help me?" Select the nurse's best response.

A) "Sex therapy is not my specialty, but I will try to help."
B) "I can refer you to a practitioner who can help you with this problem."
C) "Have you asked your health care provider for prescription medication?"
D) "There are several techniques described in this pamphlet that might be helpful."

Question 17

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?

A) Selective serotonin reuptake inhibitor (SSRI)
B) Erectile dysfunction medication
C) Atypical antipsychotic
D) Mood stabilizer

Question 18

A patient approaches the nurse in the clinic waiting room and says, "I want to talk to you about a sexual matter." The nurse can best facilitate the discussion by:

A) saying, "Let's go to my office."
B) responding, "I want to help. Go ahead. I'm listening."
C) telling the patient, "Let's schedule another appointment."
D) offering to sit in a corner of the waiting room with the patient.

Question 19

A patient's medical record documents sexual masochism. This patient derives sexual pleasure:

A) from inanimate objects.
B) by inflicting pain on a partner.
C) when sexually humiliated by a partner.
D) from touching a nonconsenting person.

Question 20

A pedophile 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.

Question 21

A nurse assesses a patient recently diagnosed with pedophilia. Which findings are most likely? Select all that apply.

A) History of childhood sexual abuse
B) Antisocial personality traits
C) Limbic system abnormalities
D) An endocrine disorder
E) Grandiosity