Chapter 20 - Sexual Dysfunctions, Gender Dysphoria, and Paraphilic Disorders Flashcards
A new staff nurse tells the clinical nurse specialist, “I am unsure about my role when clients bring up sexual problems.” The clinical nurse specialist should give clarification by making what statement?
a. “All nurses qualify as sexual counselors. Nurses have knowledge about the biopsychosocial aspects of sexuality throughout the life cycle.”
b. “All nurses should be able to screen for sexual dysfunction and give basic information about sexual feelings, behaviors, and myths.”
c. “All nurses should defer questions about sex to other health care professionals because of their limited knowledge of sexuality.”
d. “All nurses who are interested in sexual dysfunction can provide sex therapy for individuals and couples.”
b. “All nurses should be able to screen for sexual dysfunction and give basic information about sexual feelings, behaviors, and myths.”
A nurse is performing an assessment for a 59-year-old man with a long history of hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?
a. Sexual dysfunction may result from use of prescription medications for management of hypertension.
b. Such questions are an indirect way of learning about the client’s medication adherence.
c. These questions ease the transition to questions about sexual practices in general.
d. Sexual dysfunction can cause stress and contribute to increased blood pressure
a. Sexual dysfunction may result from use of prescription medications for management of hypertension.
An adult experienced a myocardial infarction six months ago. At a follow-up visit, this adult says, “I haven’t had much interest in sex since my heart attack. I finished my rehabilitation program but having sex strains my heart. I don’t know if my heart is strong enough.” Which nursing diagnosis applies to this client concern?
a. Deficient knowledge related to faulty perception of health status
b. Disturbed self-concept related to required lifestyle changes
c. Disturbed body image related to treatment side effects
d. Sexual dysfunction related to self-esteem disturbance
a. Deficient knowledge related to faulty perception of health status
Which nursing action should occur first regarding a client who has a problem of sexual dysfunction or sexual disorder?
a. Developing an understanding of human sexual response.
b. Assessing the client’s sexual functioning and needs.
c. Acquiring knowledge of the client’s sexual roles.
d. Clarifying own personal values about sexuality.
d. Clarifying own personal values about sexuality.
A client tells the nurse that his sexual functioning is normal when his wife wears short, red camisole-style nightgowns. He states, “Without the red teddies, I am not interested in sex.” The nurse can assess this as consistent with what sexual disorder?
a. exhibitionism.
b. voyeurism.
c. frotteurism.
d. fetishism.
d. fetishism.
While performing an assessment, the nurse says to a client, “While growing up, most of us heard some half-truths about sexual matters that continue to puzzle us as adults. Do any come to your mind now?” The purpose of this question is to achieve what?
a. Identify areas of sexual dysfunction for treatment.
b. Determine possible homosexual urges.
c. Introduce the topic of masturbation.
d. Identify sexual misinformation.
d. Identify sexual misinformation.
A woman tells the nurse, “My partner is frustrated with me. I don’t have any natural lubrication when we have sex.” What type of sexual disorder is evident?
a. Genito-pelvic pain/penetration disorder
b. Female sexual interest/arousal disorder
c. Hypoactive sexual desire disorder
d. Female orgasmic disorder
b. Female sexual interest/arousal disorder
The male manager of a health club placed a hidden video camera in the women’s locker room and recorded several women as they showered and dressed. What is the disorder most likely represented by this behavior?
a. homosexuality.
b. exhibitionism.
c. pedophilia.
d. voyeurism.
d. voyeurism.
A woman consults the nurse practitioner because she has not achieved orgasm for 2 years, despite having been sexually active. This is an example of what sexual disorder?
a. Paraphilic disorder.
b. Female orgasmic disorder.
c. Genito-pelvic pain/penetration disorder.
d. Female sexual interest/arousal disorder.
b. Female orgasmic disorder.
An adult consulted a nurse practitioner because of an inability to achieve orgasm for 2 years, despite having been sexually active. This adult was frustrated and expressed concerns about the relationship with the sexual partner. Which nursing diagnosis is most appropriate for this scenario?
a. Defensive coping
b. Sexual dysfunction
c. Ineffective sexuality pattern
d. Disturbed sensory perception, tactile
b. Sexual dysfunction
An adult consulted a nurse practitioner because of an inability to achieve orgasm for 2 years, despite having been sexually active. This adult was frustrated and expressed concerns about the relationship with the sexual partner. Which documentation best indicates the treatment was successful?
a. “No complaints related to sexual function; to return next week.”
b. “Client reports achieving orgasm last week; seems very happy.”
c. “Reports satisfaction with sexual encounters; feels partner is supportive.”
d. “Reports achieving orgasm occasionally; relationship with partner is adequate.”
c. “Reports satisfaction with sexual encounters; feels partner is supportive.”
Which characteristic fits the usual profile of an individual diagnosed with pedophilic disorder?
a. Homosexual
b. Ritualistic behaviors
c. Seeks access to children
d. Self-confident professional
c. Seeks access to children
A nurse is anxious about assessing the sexual history of a client who is considerably older than the nurse is. Which statement would be most appropriate for obtaining information about the client’s sexual practices?
a. “Some people are not sexually active, others have a partner, and some have several partners. What has been your pattern?”
b. “Sexual health can reflect a number of medical problems, so I’d like to ask if you have any sexual problems you think we should know about.”
c. “It’s your own business, of course, but it might be helpful for us to have some
information about your sexual history. Could you tell me about that, please?”
d. “I would appreciate it if you could share your sexual history with me so I can
share it with your health care provider. It might be helpful in planning your treatment.”
a. “Some people are not sexually active, others have a partner, and some have several partners. What has been your pattern?”
A man says, “I enjoy watching women when I am out in public. I like to go to places where I can observe women crossing their legs in hopes of seeing something good.” Which statement about this behavior is most accurate?
a. It is a sexual disorder. The behavior is socially atypical. It could disrupt relationships and could be insulting to others.
b. It is not a sexual disorder. These events occur in public, where those he observes
do not have a reasonable expectation of privacy.
c. It is not a sexual disorder. Because it occurs in public areas, this behavior does not hurt others or involve intrusion into the personal space of those observed.
d. An action is or is not a sexual disorder depending on applicable local laws, so whether this meets the definition of a sexual disorder depends on the location.
a. It is a sexual disorder. The behavior is socially atypical. It could disrupt relationships and could be insulting to others.
A parent who is very concerned about a 3-year-old son says, “He likes to play with girls’ toys. Do you think he is homosexual or mentally ill?” Which response by the nurse most professionally describes the current understanding of gender identity?
a. “A child’s interest in the activities of the opposite gender is not unusual or related to sexuality. Most children do not carry cross-gender interests into adulthood.”
b. “It’s difficult to say for sure because the research is incomplete so far, but chances are that he will grow up to be a normal adult.”
c. “The research is incomplete, but many boys play with girls’ toys and turn out normal as adults.”
d. “I am sure that whatever happens, he will be a loving son, and you will be a proud parent.”
a. “A child’s interest in the activities of the opposite gender is not unusual or related to sexuality. Most children do not carry cross-gender interests into adulthood.”
