ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 34 : Sexual Disorders: Management of Sexual Dysfunction and Paraphilias Questions
Question 1 of 5
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?
Correct Answer: A
Rationale: Genes on the Y chromosome (
A), particularly the SRY gene, initiate male sex determination by triggering testicular development. Ovary formation (
B) and testosterone rise (
C) are outcomes, not primary events, and neurochemical inhibition (
D) is not relevant.
Question 2 of 5
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.
Correct Answer: A,B,E
Rationale: Aging causes decreased vaginal lubrication (
A), reduced sperm production (
B), and increased ejaculation time (E). Clitoral response (
C) typically decreases, and vaginal mucosa thins (
D), not thickens, with age.
Question 3 of 5
A woman comes to the clinic for a routine visit. While interviewing the client and obtaining a sexual history, the client states, I?ve 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?
Correct Answer: C
Rationale: The parasympathetic nervous system (
C) controls sexual arousal by promoting vasodilation and lubrication. The sympathetic system (
A) is involved in orgasm, the endocrine system (
B) plays a secondary role, and the central nervous system (
D) is too broad.
Question 4 of 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?
Correct Answer: A
Rationale: In Masters and Johnson?s model, erotic feelings (
A) mark the start of the excitement phase, preceding physical responses like penile erection (
B), vaginal lubrication (
C), and increased muscle tension (
D).
Question 5 of 5
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?
Correct Answer: C
Rationale: Sensate focus begins with nongenital contact (
C) to build comfort and reduce performance anxiety. Genital touching (
B), masturbation (
D), and intercourse (
A) occur in later stages.