ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 34 Questions
Question 1 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 2 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 3 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 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 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.