Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and Paraphilias - Nurselytic

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Psychiatric Nursing: Contemporary Practice 6th Edition

Chapter 34 : Sexual Disorders: Management of Sexual Dysfunction and Paraphilias Questions

Question 1 of 5

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?

Correct Answer: B

Rationale: Desensitization in male orgasmic dysfunction focuses on increasing awareness of pleasurable sensations (
B) to improve sexual response. Decreasing performance pressure (
A), eliminating spectatoring (
C), and reducing anxiety (
D) are secondary benefits.

Question 2 of 5

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

Correct Answer: B

Rationale: Ineffective Sexuality Patterns is diagnosed based on a change in sexual functioning (
B), per nursing diagnosis criteria. Dissatisfaction (
A), inadequacy (
C), and unrewarding beliefs (
D) may contribute but are not the defining criteria.

Question 3 of 5

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?

Correct Answer: B

Rationale: Exhibitionism (
B) involves exposing genitals in public for sexual gratification, matching the client?s behavior. Frotteurism (
A) involves non-consensual touching, masochism (
C) involves self-inflicted pain, and voyeurism (
D) involves observing others.

Question 4 of 5

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?

Correct Answer: C

Rationale: Alprostadil (
C) is administered by injection for erectile dysfunction. Tadalafil (
A) and vardenafil (
D) are oral PDE5 inhibitors, and papaverine (
B) is less commonly used today.

Question 5 of 5

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

Correct Answer: B

Rationale: Gender identity disorder (now gender dysphoria) involves discomfort with one?s assigned sex (
B). Same-sex identification (
A) relates to orientation, intense urges (
C) describe paraphilias, and changes in desire/response (
D) relate to sexual dysfunctions.

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