ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 34 : Sexual Disorders: Management of Sexual Dysfunction and Paraphilias Questions
Question 1 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 2 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 3 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.
Question 4 of 5
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?
Correct Answer: D
Rationale: Biosexual identity refers to the anatomic and physiologic state of being male or female (
D), based on biological characteristics like chromosomes and reproductive anatomy. Conviction of gender (
A) is gender identity, outward expression (
B) is gender role, and sexual attraction (
C) is sexual orientation.
Question 5 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.