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 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?
Correct Answer: B
Rationale: Sildenafil should be taken ½ to 2 hours before sexual activity (
B) for optimal effect. Daily morning (
A) or bedtime (
D) dosing is incorrect, and 5 minutes (
C) is too short for absorption.
Question 2 of 5
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?
Correct Answer: D
Rationale: Vaginismus (
D) involves involuntary vaginal muscle spasms preventing intercourse, often linked to trauma like rape. Priapism (
A) is male-specific, dyspareunia (
B) is pain during intercourse, and sexual aversion disorder (
C) involves avoidance of sexual activity.
Question 3 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 4 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 5 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.