ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 34 : Sexual Disorders: Management of Sexual Dysfunction and Paraphilias Questions
Question 1 of 5
A woman comes to the clinic for a routine visit. While interviewing the client and obtaining a sexual history, the client states, I?ve always wondered what is happening in my body when I become sexually aroused. The nurse would incorporate an understanding of which of the following as the control mechanism?
Correct Answer: C
Rationale: The parasympathetic nervous system (
C) controls sexual arousal by promoting vasodilation and lubrication. The sympathetic system (
A) is involved in orgasm, the endocrine system (
B) plays a secondary role, and the central nervous system (
D) is too broad.
Question 2 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 3 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 4 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 5 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.