Question 1

A widower reports an inability to achieve and sustain an erection. He fears intimacy, has become isolative, has insomnia, and has lost weight over the past year. Which nursing diagnosis should be a priority for this client?

Accepted Answer

The client's inability to achieve and sustain an erection, along with his other symptoms, suggest that he is likely experiencing sexual dysfunction related to his grief over his wife's death. While the other options bring up valid concerns, sexual dysfunction related to dysfunctional grieving should be the priority in this situation.

Question 2

The nurse is teaching about paraphilic disorders. Which criteria would the nurse include to differentiate this sexual disorder from a sexual dysfunction?

Accepted Answer

Paraphilic disorders are characterized by recurrent, intense sexual fantasies, urges, or behaviors that involve nonhuman objects, children, or nonconsenting adults, whereas sexual dysfunctions are defined as impairment in normal sexual response.

Question 3

The client has an erectile disorder. Which medications would address this condition? (Select all that apply.)

Accepted Answer

Avanafil, vardenafil, and sildenafil are all medications used to treat erectile dysfunction by increasing blood flow to the penis. Flibanserin is used to treat hypoactive sexual desire disorder in women, while prilocaine/lidocaine is a local anesthetic cream used to desensitize the penis during sexual activity.

Question 4

The nurse is working with a client diagnosed with pedophilic disorder. Which client outcome is appropriate for this client?

Accepted Answer

Of the options presented, identifying triggers for inappropriate behaviors is the most appropriate outcome for a client with pedophilic disorder. This outcome focuses on helping the client increase their awareness of factors that contribute to their inappropriate behaviors, which is an important step in managing and controlling those behaviors. The other options are not specific to the needs of a client with pedophilic disorder.

Question 5

The nurse is caring for a female child with gender dysphoria. Which finding indicates improvement in the child?

Accepted Answer

Asking to be addressed as the preferred gender is a sign of improvement and displays the child's willingness to express their gender identity. The other options do not necessarily indicate improvement and may even suggest continued struggles with gender dysphoria.

Question 6

A newly married woman comes to a gynecology clinic reporting loss of appetite, difficulty sleeping, and extreme pain during intercourse that has affected her intimate relationship. Which initial intervention should the nurse expect a physician to implement?

Accepted Answer

The woman's symptoms suggest a possible medical cause, and a thorough physical examination, including a gynecological exam, is necessary to rule out any underlying conditions or infections that could be contributing to her symptoms. Referral to a sex therapist or recreational therapist may be appropriate at a later stage, but a physical exam should be the initial intervention. Assessment of sexual history and previous satisfaction with sexual relationships may also be important but should be done together with the physical examination.

Question 7

____________________ is the constitution and life of an individual relative to characteristics regarding intimacy.

Accepted Answer

The answer of ____________________ is the constitution and life of...

Question 8

The nurse is caring for a client diagnosed with gender dysphoria. Which criteria would differentiate this disorder from transvestism?

Accepted Answer

Gender dysphoria is characterized by dissatisfaction with one's biological gender and a desire to live as the opposite gender. This condition is not primarily a sexual fetish, as is the case with transvestism. Clients with transvestism dress in clothing of the opposite gender for the purpose of sexual arousal, but they are not typically dissatisfied with their biological gender.

Question 9

The nursing instructor is educating nursing students about the various categories of paraphilic disorders. Which disorders are correctly matched with expected behaviors? (Select all that apply.)

Accepted Answer

Exhibitionism involves exposing oneself to an unsuspecting person for the purpose of sexual arousal, so option A is incorrect. Voyeurism involves observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity, so option B is correct. Frotteurism involves touching or rubbing against a non-consenting person, often in crowded public places, for sexual arousal, so option C is correct. Pedophilia involves sexual attraction to prepubescent children, not shoes, so option D is incorrect. Fetishism involves sexual arousal from a non-human object or specific body part, so option E is correct.

Question 10

The nurse is teaching a client diagnosed with female sexual interest/arousal disorder about symptoms and recommended treatment of this disorder. Which information would the nurse include?

Accepted Answer

Female sexual interest/arousal disorder is characterized by a lack of interest in sexual activity. Treatment often includes sensate focus exercises, which involve gradually increasing physical touch and intimacy with a partner in a non-sexual manner to increase relaxation and arousal. Options B, C, and D all refer to treatments for anorgasmia, a separate sexual disorder.

Question 11

The nurse is counseling a client diagnosed with fetishism. Which criteria would differentiate this paraphilic disorder from frotteurism?

Accepted Answer

Fetishism involves the use of nonliving objects for sexual excitement, whereas frotteurism involves touching and rubbing against nonconsenting people. The other answer options are incorrect and do not accurately differentiate between the two disorders.

Question 12

The nurse is caring for a client diagnosed with female sexual interest/arousal disorder. What should the nurse document as an expected outcome of sensate focus exercises?

Accepted Answer

Sensate focus exercises are used to reduce goal-oriented demands of intercourse and help the individual focus on the sensations and pleasure associated with sexual activity. It does not focus solely on touching breasts and genitals or initiating immediate orgasm, and may involve physical touch to reduce anxiety rather than eliminating it completely.

Question 13

The nurse is developing a plan of care for a child diagnosed with gender dysphoria. Which nursing diagnoses would be appropriate for this client? (Select all that apply.)

Accepted Answer

Low self-esteem can be related to rejection by peers due to gender dysphoria. Ineffective coping may be related to the stress of biological factors and societal expectations. Impaired social interactions can occur due to behaviors that are not socially accepted, which may be experienced by individuals with gender dysphoria.

Question 14

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

Accepted Answer

At 11 years old, children may begin experimenting with masturbation (A) and may engage in homosexual play as a part of exploring their sexuality (B). They are also likely to become more private and may not want to undress in front of others (E).

Question 15

The nurse is counseling a client diagnosed with sexual masochistic disorder. What would differentiate this paraphilic disorder from sexual sadism?

Accepted Answer

Masochistic acts can be performed alone, whereas sadistic acts must have a consenting or non-consenting partner. This is the main differentiation between sexual masochistic disorder and sexual sadism. In sexual masochistic disorder, the individual experiences sexual arousal or gratification from being humiliated, beaten, bound, or made to suffer in some other way. These acts can be performed alone or with a consenting partner. On the other hand, in sexual sadism, the individual experiences sexual arousal or gratification from inflicting physical or psychological pain on others, and these acts require a consenting or non-consenting partner.

Question 16

During an assessment interview, a female client reveals a history of bisexual orientation. Which action should the nurse initially implement when working with this client?

Accepted Answer

The nurse should initially self-assess personal attitudes toward sexuality to ensure that any personal biases or judgments do not interfere with providing nonjudgmental and supportive care to the client. This will also allow the nurse to understand and respect the client's sexual orientation. Reviewing the client's history of childhood sexual abuse, encouraging discussion of aversion to heterosexual relationships, or exploring the client's family history of sexual practices may be appropriate at later stages of assessment but are not the initial priority.

Question 17

The 52-year-old female client states, "My partner is upset because I don't enjoy sex as much as I used to." Which priority client data should the nurse initially collect?

Accepted Answer

The date of last menstrual cycle is the priority data to collect as it could provide information regarding hormonal changes that could affect sexual desire. The other options may be important to ask but are not as urgent as knowing the menstrual cycle.

Quiz 32: Issues Related to Human Sexuality and Gender Dysphoria