Chapter 20 My Nursing Test Banks

 

Kneisl, Contemporary Psychiatric-Mental Health Nursing, 3/e Test Bank
Chapter 20

Question 1

Type: MCSA

The nurse is about to begin working with a client diagnosed with a sexual disorder. During the preinteraction phase of the nursepatient relationship, it is important for the nurse to:

1. Discuss the nurses beliefs with the client.

2. Agree with the clients sexual values.

3. Engage in values clarification.

4. Provide appropriate sexual health care.

Correct Answer: 3

Rationale 1: As part of self-awareness, the nurse would engage in values clarification. During the preinteraction phase, the nurse would not provide sexual health care. It is inappropriate for the nurse to agree or disagree with the clients sexual values or to discuss the nurses beliefs with the client.

Rationale 2: As part of self-awareness, the nurse would engage in values clarification. During the preinteraction phase, the nurse would not provide sexual health care. It is inappropriate for the nurse to agree or disagree with the clients sexual values or to discuss the nurses beliefs with the client.

Rationale 3: As part of self-awareness, the nurse would engage in values clarification. During the preinteraction phase, the nurse would not provide sexual health care. It is inappropriate for the nurse to agree or disagree with the clients sexual values or to discuss the nurses beliefs with the client.

Rationale 4: As part of self-awareness, the nurse would engage in values clarification. During the preinteraction phase, the nurse would not provide sexual health care. It is inappropriate for the nurse to agree or disagree with the clients sexual values or to discuss the nurses beliefs with the client.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Explore the values you hold regarding sexuality.

Question 2

Type: MCMA

Which of the following is important for a nurse working with a client diagnosed with a sexual disorder to be self-aware and to self-assess periodically?

Standard Text: Select all that apply.

1. Professional standards of care about sex

2. Personal practices about sex

3. Educational practices about sex.

4. Knowledge about sex

5. Attitudes about sex

Correct Answer: 4,5

Rationale 1: Professional standards of care about sex. Although professional standards of care about sex are important, they are not areas of self-assessment for working with clients who have sexual disorders.

Rationale 2: Personal practices about sex. Although personal practices are important, they are not areas of self-assessment for working with clients who have sexual disorders.

Rationale 3: Educational practices about sex. Although educational practices about sex are important, they are not areas of self-assessment for working with clients who have sexual disorders.

Rationale 4: Knowledge about sex. Knowledge about sex is a category for self-assessment.

Rationale 5: Attitudes about sex. Personal attitudes about sex is a category for self-assessment.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Explore the values you hold regarding sexuality.

Question 3

Type: MCMA

The nurse addressing gender identity issues instructs the client that there are gradations called transgender. Which of the following teaching would include information on transgender biologic gradations?

Standard Text: Select all that apply.

1. Abnormal gender

2. No gender

3. Unclear gender

4. Blending of gender

5. Clear gender

Correct Answer: 3,4,5

Rationale 1: Abnormal gender. An indication of abnormal gender is not part of transgender gradations.

Rationale 2: No gender. An indication of no gender is not part of transgender gradations.

Rationale 3: Unclear gender. Unclear gender is a transgender biologic gradation.

Rationale 4: Blending of gender. Blending of gender is a transgender biologic gradation.

Rationale 5: Clear gender. Clear gender is a transgender biologic gradation.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Describe the ranges of transgendered identities and behaviors.

Question 4

Type: MCMA

The nurse instructs the client that a persons sense of identity as a male or female develops from which of the following?

Standard Text: Select all that apply.

1. Self-identity

2. Biology

3. Sexual reassignment surgery

4. Numerous sexual partners

5. Identity imposed by others

Correct Answer: 1,2,5

Rationale 1: Self-identity. A sense of sexual identity as a male or female comes from an interaction of biology, identity imposed by others, and self-identity.

Rationale 2: Biology. A sense of sexual identity as a male or female comes from an interaction of biology, identity imposed by others, and self-identity.

Rationale 3: Sexual reassignment surgery. Although sexual reassignment surgery changes the genitals, it does not affect the basic development of identity as a male or female.

Rationale 4: Numerous sexual partners. Although having numerous sexual partners may reinforce identity, it does not affect the basic development of identity as a male or female.

Rationale 5: Identity imposed by others. A sense of sexual identity as a male or female comes from an interaction of biology, identity imposed by others, and self-identity.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Describe the ranges of transgendered identities and behaviors.

Question 5

Type: MCSA

The clients partner describes the role of the client as female and states the expectation that the client will exhibit certain female behaviors. This is an example of:

1. Intersex.

2. Gender identity disorder.

3. Gender role stereotyping.

4. Androgyny.

Correct Answer: 3

Rationale 1: Gender role stereotyping occurs when there are behavioral expectations related to gender. Androgyny is flexibility in gender roles. Intersex describes the condition in which there are contradictions in biologic characteristics of gender. Gender identity disorder occurs when a person has discomfort with the assigned gender.

Rationale 2: Gender role stereotyping occurs when there are behavioral expectations related to gender. Androgyny is flexibility in gender roles. Intersex describes the condition in which there are contradictions in biologic characteristics of gender. Gender identity disorder occurs when a person has discomfort with the assigned gender.

Rationale 3: Gender role stereotyping occurs when there are behavioral expectations related to gender. Androgyny is flexibility in gender roles. Intersex describes the condition in which there are contradictions in biologic characteristics of gender. Gender identity disorder occurs when a person has discomfort with the assigned gender.

Rationale 4: Gender role stereotyping occurs when there are behavioral expectations related to gender. Androgyny is flexibility in gender roles. Intersex describes the condition in which there are contradictions in biologic characteristics of gender. Gender identity disorder occurs when a person has discomfort with the assigned gender.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Describe the ranges of transgendered identities and behaviors.

Question 6

Type: MCMA

A child is born with an intersex condition. On which of the following would the nurse instruct the family members?

Standard Text: Select all that apply.

1. External genital appearance

2. Chromosomal gender

3. Internal organs

4. Nonambiguous gender role

5. Gonadal gender

Correct Answer: 1,2,3,5

Rationale 1: External genital appearance. Intersex conditions include contradictions in external genital appearance.

Rationale 2: Chromosomal gender. Intersex conditions include contradictions in chromosomal gender.

Rationale 3: Internal organs. Intersex conditions include contradictions in internal organs.

Rationale 4: Nonambiguous gender role. A nonambiguous gender role is not part of an intersex condition.

Rationale 5: Gonadal gender. Intersex conditions include contradictions in gonadal gender.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Describe the ranges of transgendered identities and behaviors.

Question 7

Type: MCSA

The client describes being uncomfortable as a male since kindergarten. I liked playing with dolls and playing dress-up in my moms prom dress and high heels. The client is relating an example of:

1. Cross-dressing.

2. Fetishism.

3. Gender dysphoria.

4. Androgyny.

Correct Answer: 3

Rationale 1: The client reports being uncomfortable with his assigned gender as a male, he has gender dysphoria. Androgyny is flexibility in gender roles. Although he has dressed in womens clothing, cross-dressing does not address being uncomfortable as a male. The client does not discuss fetishism, which is sexualization of a body part or object.

Rationale 2: The client reports being uncomfortable with his assigned gender as a male, he has gender dysphoria. Androgyny is flexibility in gender roles. Although he has dressed in womens clothing, cross-dressing does not address being uncomfortable as a male. The client does not discuss fetishism, which is sexualization of a body part or object.

Rationale 3: The client reports being uncomfortable with his assigned gender as a male, he has gender dysphoria. Androgyny is flexibility in gender roles. Although he has dressed in womens clothing, cross-dressing does not address being uncomfortable as a male. The client does not discuss fetishism, which is sexualization of a body part or object.

Rationale 4: The client reports being uncomfortable with his assigned gender as a male, he has gender dysphoria. Androgyny is flexibility in gender roles. Although he has dressed in womens clothing, cross-dressing does not address being uncomfortable as a male. The client does not discuss fetishism, which is sexualization of a body part or object.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Describe the ranges of transgendered identities and behaviors.

Question 8

Type: MCSA

Which of the following behaviors would a male client who is experiencing an adaptive sexual response most likely exhibit?

1. Removing shoes from women in subways

2. Gentle touching of thighs when passing people in a line

3. Display of genitals to strangers

4. Dressing in womens clothes

Correct Answer: 4

Rationale 1: Cross-dressing, which is a man dressing in womens clothes, is a conscious adaptive sexual response choice. Removing shoes from women in subways, gentle touching of thighs when passing people in a line, and display of genitals to strangers are maladaptive sexual responses.

Rationale 2: Cross-dressing, which is a man dressing in womens clothes, is a conscious adaptive sexual response choice. Removing shoes from women in subways, gentle touching of thighs when passing people in a line, and display of genitals to strangers are maladaptive sexual responses.

Rationale 3: Cross-dressing, which is a man dressing in womens clothes, is a conscious adaptive sexual response choice. Removing shoes from women in subways, gentle touching of thighs when passing people in a line, and display of genitals to strangers are maladaptive sexual responses.

Rationale 4: Cross-dressing, which is a man dressing in womens clothes, is a conscious adaptive sexual response choice. Removing shoes from women in subways, gentle touching of thighs when passing people in a line, and display of genitals to strangers are maladaptive sexual responses.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Differentiate between adaptive and maladaptive sexual responses.

Question 9

Type: MCSA

A client with gender dysphoria asks the nurse, What caused this? Which biopsychosocial theory would describe gender dysphoria as a problem occurring within the individual?

1. Sociocultural

2. Behavioral

3. Biologic

4. Intrapersonal

Correct Answer: 4

Rationale 1: Intrapersonal theorists look at problems occurring within the individual such as the gender discomfort found in gender dysphoria. Behavioral theorists believe the cause is social learning. Sociocultural theorists base their understanding on cultural values and understanding. Biologic theorists look at the physiologic aspects of gender identity.

Rationale 2: Intrapersonal theorists look at problems occurring within the individual such as the gender discomfort found in gender dysphoria. Behavioral theorists believe the cause is social learning. Sociocultural theorists base their understanding on cultural values and understanding. Biologic theorists look at the physiologic aspects of gender identity.

Rationale 3: Intrapersonal theorists look at problems occurring within the individual such as the gender discomfort found in gender dysphoria. Behavioral theorists believe the cause is social learning. Sociocultural theorists base their understanding on cultural values and understanding. Biologic theorists look at the physiologic aspects of gender identity.

Rationale 4: Intrapersonal theorists look at problems occurring within the individual such as the gender discomfort found in gender dysphoria. Behavioral theorists believe the cause is social learning. Sociocultural theorists base their understanding on cultural values and understanding. Biologic theorists look at the physiologic aspects of gender identity.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Integrate the various biopsychosocial theories that help to explain various sexual disorders and gender dysphoria.

Question 10

Type: MCSA

The nurse recognizes that some groups believe their sexual values and behaviors are superior to others. This viewpoint is explained by:

1. Intrapersonal theorys ethnocentrism.

2. Behavioral theorys berdache.

3. Sociocultural theorys ethnocentrism.

4. Biologic theorys berdache.

Correct Answer: 3

Rationale 1: Sociocultural theory, not intrapersonal theory, discusses the concept of ethnocentrism. Sociocultural theory, not behavioral or biologic theory, discusses the third gender of berdache.

Rationale 2: Sociocultural theory, not intrapersonal theory, discusses the concept of ethnocentrism. Sociocultural theory, not behavioral or biologic theory, discusses the third gender of berdache.

Rationale 3: Sociocultural theory, not intrapersonal theory, discusses the concept of ethnocentrism. Sociocultural theory, not behavioral or biologic theory, discusses the third gender of berdache.

Rationale 4: Sociocultural theory, not intrapersonal theory, discusses the concept of ethnocentrism. Sociocultural theory, not behavioral or biologic theory, discusses the third gender of berdache.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Integrate the various biopsychosocial theories that help to explain various sexual disorders and gender dysphoria.

Question 11

Type: MCSA

The nurse is discussing transsexualism with a client and family members, who raise the question of what causes the condition. The nurse knows that the etiology of the condition is:

1. Intrapersonal.

2. Unknown.

3. Biologic.

4. Sociocultural.

Correct Answer: 2

Rationale 1: The etiology of transsexualism is unknown. It is not known if the etiology can be explained by intrapersonal, sociocultural, or biologic theory. Many consider transsexualism to be a normal variation and not a disorder.

Rationale 2: The etiology of transsexualism is unknown. It is not known if the etiology can be explained by intrapersonal, sociocultural, or biologic theory. Many consider transsexualism to be a normal variation and not a disorder.

Rationale 3: The etiology of transsexualism is unknown. It is not known if the etiology can be explained by intrapersonal, sociocultural, or biologic theory. Many consider transsexualism to be a normal variation and not a disorder.

Rationale 4: The etiology of transsexualism is unknown. It is not known if the etiology can be explained by intrapersonal, sociocultural, or biologic theory. Many consider transsexualism to be a normal variation and not a disorder.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Integrate the various biopsychosocial theories that help to explain various sexual disorders and gender dysphoria.

Question 12

Type: MCSA

The nursing instructor is discussing theories to explain sexual dysfunction. The nurse states that behavioral theorists believe sexual dysfunction may be related to learned responses to:

1. Lack of concern with sexual performance.

2. Poor communication skills.

3. Vast sexual experience with a variety of partners.

4. Effective stimulation by a sexual partner.

Correct Answer: 2

Rationale 1: Behaviorists believe sexual dysfunction is a learned response related to poor communication skills. Lack of sexual experience with self or a partner, concern with sexual performance, and ineffective stimulation contribute to sexual dysfunction.

Rationale 2: Behaviorists believe sexual dysfunction is a learned response related to poor communication skills. Lack of sexual experience with self or a partner, concern with sexual performance, and ineffective stimulation contribute to sexual dysfunction.

Rationale 3: Behaviorists believe sexual dysfunction is a learned response related to poor communication skills. Lack of sexual experience with self or a partner, concern with sexual performance, and ineffective stimulation contribute to sexual dysfunction.

Rationale 4: Behaviorists believe sexual dysfunction is a learned response related to poor communication skills. Lack of sexual experience with self or a partner, concern with sexual performance, and ineffective stimulation contribute to sexual dysfunction.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Integrate the various biopsychosocial theories that help to explain various sexual disorders and gender dysphoria.

Question 13

Type: MCSA

A client is being admitted to the mental health unit. When completing the affective assessment of the clients sexual history, the nurse asks:

1. When you were growing up, how did you learn about sex?

2. With whom do you feel most intimate and connected?

3. To what degree do you experience pleasure during sexual activity?

4. What are the positive aspects of your own sexual functioning?

Correct Answer: 2

Rationale 1: With whom do you feel most intimate and connected? is an affective assessment question because it deals with feelings. What are the positive aspects of your own sexual functioning? is a behavioral assessment question. When you were growing up, how did you learn about sex? is a cognitive assessment question. To what degree do you experience pleasure during sexual activity? is a sensation assessment question.

Rationale 2: With whom do you feel most intimate and connected? is an affective assessment question because it deals with feelings. What are the positive aspects of your own sexual functioning? is a behavioral assessment question. When you were growing up, how did you learn about sex? is a cognitive assessment question. To what degree do you experience pleasure during sexual activity? is a sensation assessment question.

Rationale 3: With whom do you feel most intimate and connected? is an affective assessment question because it deals with feelings. What are the positive aspects of your own sexual functioning? is a behavioral assessment question. When you were growing up, how did you learn about sex? is a cognitive assessment question. To what degree do you experience pleasure during sexual activity? is a sensation assessment question.

Rationale 4: With whom do you feel most intimate and connected? is an affective assessment question because it deals with feelings. What are the positive aspects of your own sexual functioning? is a behavioral assessment question. When you were growing up, how did you learn about sex? is a cognitive assessment question. To what degree do you experience pleasure during sexual activity? is a sensation assessment question.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Construct a sexual history that includes affective, behavioral, cognitive, and sensation components.

Question 14

Type: MCSA

To complete a behavioral assessment during a sexual history, the nurse would ask:

1. In what way(s) do you experience anxiety about sex?

2. What is your level of satisfaction with the frequency of your sexual activity?

3. Can you describe the type of love and affection in this relationship?

4. In what way(s) do you experience guilt about sex?

Correct Answer: 2

Rationale 1: What is your level of satisfaction with the frequency of your sexual activity? requests behavioral information. The other choices are affective assessment questions.

Rationale 2: What is your level of satisfaction with the frequency of your sexual activity? requests behavioral information. The other choices are affective assessment questions.

Rationale 3: What is your level of satisfaction with the frequency of your sexual activity? requests behavioral information. The other choices are affective assessment questions.

Rationale 4: What is your level of satisfaction with the frequency of your sexual activity? requests behavioral information. The other choices are affective assessment questions.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Construct a sexual history that includes affective, behavioral, cognitive, and sensation components.

Question 15

Type: MCSA

To complete a cognitive assessment during a sexual history, the nurse would ask:

1. How has your religion influenced your sexual values and behaviors?

2. What are the negative aspects of your own sexual functioning?

3. What are your partners concerns about current or future sexual functioning?

4. What concerns do you have about your future sexual functioning?

Correct Answer: 1

Rationale 1: How has your religion influenced your sexual values and behaviors? is a cognitive assessment question. The other choices are behavioral assessment questions.

Rationale 2: How has your religion influenced your sexual values and behaviors? is a cognitive assessment question. The other choices are behavioral assessment questions.

Rationale 3: How has your religion influenced your sexual values and behaviors? is a cognitive assessment question. The other choices are behavioral assessment questions.

Rationale 4: How has your religion influenced your sexual values and behaviors? is a cognitive assessment question. The other choices are behavioral assessment questions.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Construct a sexual history that includes affective, behavioral, cognitive, and sensation components.

Question 16

Type: MCSA

Which one of the following assessment questions would the nurse use when completing a clients sensation assessment during a sexual history?

1. Does the use of fantasy increase or decrease your sexual desire?

2. Do you experience any physical discomfort during sexual activity?

3. What negative thoughts do you have about sex?

4. How rigidly were gender roles enforced in your family of origin?

Correct Answer: 2

Rationale 1: Asking the client Do you experience any physical discomfort during sexual activity? requests a sensation determination. The other choices are all cognitive assessment questions.

Rationale 2: Asking the client Do you experience any physical discomfort during sexual activity? requests a sensation determination. The other choices are all cognitive assessment questions.

Rationale 3: Asking the client Do you experience any physical discomfort during sexual activity? requests a sensation determination. The other choices are all cognitive assessment questions.

Rationale 4: Asking the client Do you experience any physical discomfort during sexual activity? requests a sensation determination. The other choices are all cognitive assessment questions.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: Construct a sexual history that includes affective, behavioral, cognitive, and sensation components.

Question 17

Type: MCSA

Which of the following interventions is most appropriate for the nurse to offer when helping a client with gender dysphoria?

1. Focus on promoting comfort with the chosen gender role.

2. Encourage living as their assigned gender.

3. Avoid client discussions of hormonal treatment.

4. Discourage genital reassignment surgery.

Correct Answer: 1

Rationale 1: Focusing on promoting comfort with the chosen gender role helps the client with the disorder. Discouraging genital reassignment surgery and avoiding client discussions of hormonal treatment places the nurse in a situation of not providing support for the client. Encouraging the client to live as their assigned gender is not an effective intervention for gender dysphoria.

Rationale 2: Focusing on promoting comfort with the chosen gender role helps the client with the disorder. Discouraging genital reassignment surgery and avoiding client discussions of hormonal treatment places the nurse in a situation of not providing support for the client. Encouraging the client to live as their assigned gender is not an effective intervention for gender dysphoria.

Rationale 3: Focusing on promoting comfort with the chosen gender role helps the client with the disorder. Discouraging genital reassignment surgery and avoiding client discussions of hormonal treatment places the nurse in a situation of not providing support for the client. Encouraging the client to live as their assigned gender is not an effective intervention for gender dysphoria.

Rationale 4: Focusing on promoting comfort with the chosen gender role helps the client with the disorder. Discouraging genital reassignment surgery and avoiding client discussions of hormonal treatment places the nurse in a situation of not providing support for the client. Encouraging the client to live as their assigned gender is not an effective intervention for gender dysphoria.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Develop a more comfortable style discussing clients sexuality and sexual problems.

Question 18

Type: MCSA

The primary nursing goal for treatment with clients who are transsexual is to help them:

1. Experience guilt for enjoying sex.

2. Live and function in society in the cross-gender role.

3. Internalize the negative expectations and beliefs of others about sex.

4. Make a list of anxiety-producing sexual interactions.

Correct Answer: 2

Rationale 1: The goal of treatment with transsexuals is to help them live and function in society in their cross-gender role. Experiencing guilt for enjoying sex is not a treatment goal. The nurse should encourage clients to develop and internalize their own positive expectations and beliefs about sex, not be dependent on the beliefs of others. Making a list of anxiety-producing sexual interactions may serve to reinforce the anxiety, unless there is a discussion about the list.

Rationale 2: The goal of treatment with transsexuals is to help them live and function in society in their cross-gender role. Experiencing guilt for enjoying sex is not a treatment goal. The nurse should encourage clients to develop and internalize their own positive expectations and beliefs about sex, not be dependent on the beliefs of others. Making a list of anxiety-producing sexual interactions may serve to reinforce the anxiety, unless there is a discussion about the list.

Rationale 3: The goal of treatment with transsexuals is to help them live and function in society in their cross-gender role. Experiencing guilt for enjoying sex is not a treatment goal. The nurse should encourage clients to develop and internalize their own positive expectations and beliefs about sex, not be dependent on the beliefs of others. Making a list of anxiety-producing sexual interactions may serve to reinforce the anxiety, unless there is a discussion about the list.

Rationale 4: The goal of treatment with transsexuals is to help them live and function in society in their cross-gender role. Experiencing guilt for enjoying sex is not a treatment goal. The nurse should encourage clients to develop and internalize their own positive expectations and beliefs about sex, not be dependent on the beliefs of others. Making a list of anxiety-producing sexual interactions may serve to reinforce the anxiety, unless there is a discussion about the list.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Develop a more comfortable style discussing clients sexuality and sexual problems.

Question 19

Type: MCSA

A client who cross-dresses is intent on keeping it a secret and not disclosing it to his partner. The nurse should:

1. Offer education and support.

2. Determine where cross-dressing will take place.

3. Determine when cross-dressing will take place.

4. Disclose the cross-dressing secret to the partner.

Correct Answer: 1

Rationale 1: The nursing role is to offer education and support. It is the client who should disclose the cross-dressing secret to the partner and determine where and when cross-dressing will take place.

Rationale 2: The nursing role is to offer education and support. It is the client who should disclose the cross-dressing secret to the partner and determine where and when cross-dressing will take place.

Rationale 3: The nursing role is to offer education and support. It is the client who should disclose the cross-dressing secret to the partner and determine where and when cross-dressing will take place.

Rationale 4: The nursing role is to offer education and support. It is the client who should disclose the cross-dressing secret to the partner and determine where and when cross-dressing will take place.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Develop a more comfortable style discussing clients sexuality and sexual problems.

Kneisl, Contemporary Psychiatric-Mental Health Nursing, 3/e Test Bank

Copyright 2012 by Pearson Education, Inc.

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