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 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 2 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 3 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 4 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 5 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.