Chapter 30 Flashcards
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 a nurse initially collect?
Date of last menstrual cycle
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?
Self-assess personal attitudes toward homosexuality
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?
Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
A nurse is assessing a client diagnosed with pedophilic disorder. What would differentiate this sexual disorder from a sexual dysfunction?
Symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms of sexual dysfunction include impairment in normal sexual response.
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 a nurse’s first priority?
Lead the client back to her room and assist her to choose appropriate clothing.
A 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?
The client will identify triggers that lead to inappropriate behaviors.
When planning care for a client diagnosed with female sexual arousal disorder, what should a nurse document as an expected outcome of sensate focus exercises?
To reduce goal-oriented demands of intercourse
A newly married woman comes to a gynecology clinic reporting anorexia, insomnia, and extreme dyspareunia that have affected her intimate relationship. What initial intervention should the nurse expect a physician to implement?
A thorough physical to include gynecological examination
A client is diagnosed with hypoactive sexual desire disorder. Which of the following are recognized as treatment options?
All of the above.
A psychiatric nursing instructor is teaching about the psychological effects of the diagnosis of a sexually transmitted disease (STD). Which student statement indicates that further instruction is needed?
“Antibiotics administered in the early stages can cure all STDs.”
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 as what type of disorder?
Paraphilic disorder
A nurse is counseling a client diagnosed with gender dysphoria. Which characteristic would differentiate this disorder from transvestic disorder?
Clients diagnosed with gender dysphoria are dissatisfied with their gender, whereas clients diagnosed with transvestic disorder are not.
Which of the following characteristics should a 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.
A, B, E
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.
B, C, E
