Chapter 33- Sexual Disorders- Management of Sexual Dysfunction My Nursing Test Banks

 

1.

A group of nursing students is reviewing information about sexual development. The students demonstrate understanding of the information when they describe biosexual identity as which of the following?

A)

Conviction of belonging to the male or female gender

B)

Outward expression of gender

C)

Sexual attraction to opposite, same, or both sexes

D)

Anatomic and physiologic state of being male or female

2.

When describing the events associated with the determination of sex of a fetus, which of the following would the nurse most likely include in the discussion?

A)

Genes on the Y chromosome

B)

Formation of ovaries

C)

Rising testosterone levels

D)

Neurochemical inhibition

3.

A nurse is preparing a presentation for a local senior group about sexuality and sexual behaviors in older adults. Which of the following would the nurse need to address? Select all that apply.

A)

Decreased vaginal lubrication

B)

Decreased amount of sperm

C)

Enhanced clitoral response

D)

Thickening of vaginal mucosa

E)

Increased ejaculation time

4.

A woman comes to the clinic for a routine visit. While interviewing the client and obtaining a sexual history, the client states, Ive always wondered what is happening in my body when I become sexually aroused. The nurse would incorporate an understanding of which of the following as the control mechanism?

A)

Sympathetic nervous system

B)

Endocrine system

C)

Parasympathetic nervous system

D)

Central nervous system

5.

A nurse is preparing a teaching plan for a client about the sexual response cycle integrating the theoretical model described by Masters and Johnson. Which of the following would the nurse describe as occurring first?

A)

Erotic feelings

B)

Penile erection

C)

Vaginal lubrication

D)

Increased muscle tension

6.

A female client is diagnosed with female orgasmic disorder and is receiving treatment by a qualified sex therapist. The client and her partner are being taught sensate focus. Which of the following would the couple be required to do first?

A)

Have sexual intercourse.

B)

Engage in genital touching.

C)

Participate in nongenital contact.

D)

Use masturbation.

7.

A nurse is reviewing the medical record of a client with a sexual dysfunction. Which of the following if noted in the clients history would the nurse identify as a possible contributing factor? Select all that apply.

A)

Antihypertensive therapy

B)

Diabetes

C)

Peptic ulcer disease

D)

Appendectomy at age 15 years

E)

Occasional alcohol use

8.

A client with premature ejaculation is prescribed sertraline as part of the treatment plan. The nurse explains the medication to the client, informing him that the effectiveness of the drug will most likely be evident in approximately which time frame?

A)

5 to 7 days

B)

1 to 2 weeks

C)

3 to 4 weeks

D)

6 to 8 weeks

9.

A client with erectile dysfunction who is prescribed sildenafil asks the nurse, When should I take the medication? Which response by the nurse would be most appropriate?

A)

You should take it every morning when you first get up.

B)

Take it about to 2 hours before you have sexual activity.

C)

You need to take it about 5 minutes before you have intercourse.

D)

Take it at night before bedtime.

10.

A sexual history of a female client reveals that the client has a normal sex drive and reports of orgasm through means other than intercourse. The client also has a history of being raped several years ago. The client reports spasms of the perineal and outer vaginal muscles when vaginal intercourse is attempted. The nurse interprets these findings as suggesting which of the following?

A)

Priapism

B)

Dyspareunia

C)

Sexual aversion disorder

D)

Vaginismus

11.

A client diagnosed with male orgasmic dysfunction is receiving desensitization as part of the treatment plan. The nurse understands that this treatment focuses on achieving which of the following?

A)

Decrease the pressure to perform

B)

Increase awareness of pleasurable sensations

C)

Eliminate spectatoring

D)

Decrease anxiety and fear

12.

A nurse identifies the nursing diagnosis of Ineffective Sexuality Patterns based on which of the following?

A)

The sexual problem is causing dissatisfaction for the client.

B)

The client has experienced a change in sexual functioning.

C)

The client is feeling inadequacy related to the sexual problem.

D)

The client believes that sexual activity is unrewarding.

13.

A client has been admitted to the inpatient psychiatric facility as part of a court-ordered program. The client was arrested numerous times over the past several months for exposing his genitals and masturbating in public in front of an elementary school. The nurse interprets this behavior as reflecting which of the following?

A)

Frotteurism

B)

Exhibitionism

C)

Sexual masochism

D)

Voyeurism

14.

A group of students is reviewing medications used to treat erectile dysfunction. The students demonstrate understanding of the information when they identify which of the following as being administered by injection?

A)

Tadalafil

B)

Papaverine

C)

Alprostadil

D)

Vardenafil

15.

A nursing instructor is preparing a class discussion about sexual disorders. Which of the following would the instructor include when describing gender identity disorders?

A)

They typically involve same-sex identification.

B)

The individual experiences discomfort about his or her own assigned sex.

C)

Recurrent intense sexual urges lead to significant distress.

D)

Changes in sexual desire and response are key characteristics.

Answer Key

1.

D

2.

A

3.

A, B, E

4.

C

5.

A

6.

C

7.

A, B

8.

B

9.

B

10.

D

11.

D

12.

B

13.

B

14.

B

15.

B

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