ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 34 : Sexual Disorders: Management of Sexual Dysfunction and Paraphilias Questions
Question 1 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 2 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.
Question 3 of 5
A nurse is reviewing the medical record of a client with a sexual dysfunction. Which of the following if noted in the client?s history would the nurse identify as a possible contributing factor? Select all that apply.
Correct Answer: A,B,E
Rationale: Antihypertensives (
A), diabetes (
B), and alcohol use (E) can contribute to sexual dysfunction by affecting vascular, neurological, or hormonal function. Peptic ulcer disease (
C) and a distant appendectomy (
D) are unlikely contributors.
Question 4 of 5
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?
Correct Answer: C
Rationale: Sertraline, an SSRI, typically takes 3 to 4 weeks (
C) to achieve therapeutic effects for premature ejaculation by modulating serotonin levels. Shorter time frames (A,
B) are too brief, and 6 to 8 weeks (
D) is more typical for depression.
Question 5 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.