ATI RN
Psychobiological Disorder Questions
Question 1 of 5
A new staff nurse tells the clinical nurse specialist, I am unsure about my role when patients bring up sexual problems. The clinical nurse specialist should give clarification by saying, All nurses:
Correct Answer: B
Rationale: The basic education of nurses provides information sufficient to qualify the generalist to assess for sexual dysfunction and perform health teaching. Taking a detailed sexual history and providing sex therapy requires additional training in sex education and counseling. Nurses with basic education are not qualified to be sexual counselors. Additional education is necessary. A registered nurse may provide basic information about sexual function, but complex questions may require referral.
Question 2 of 5
A woman consults the nurse practitioner because she has not achieved orgasm for 2 years, despite having been sexually active. This is an example of:
Correct Answer: B
Rationale: The persistent inhibition of orgasm is a form of sexual dysfunction called female orgasmic disorder. Genitopelvic pain/penetration disorder applies to painful intercourse. The patient has not indicated that her interest in sexual activity is diminished, so female sexual interest/arousal disorder does not apply. Paraphilic disorder is not applicable.
Question 3 of 5
A nurse is anxious about assessing the sexual history of a patient who is considerably older than the nurse is. Which statement would be most appropriate for obtaining information about the patients sexual practices?
Correct Answer: A
Rationale: Explaining that sexual practices vary helps reduce patient anxiety about the topic by normalizing the full range of sexual practices so that whatever his situation, the patient can feel comfortable sharing it. Its your business of course implies the nurse does not have a valid reason to seek the information and in effect suggests that the patient perhaps should not answer the question. It might be helpful makes the information seem less valid or important for the nurse to pursue and, again, could discourage the patient from responding fully. Asking if the patient has any sexual problems that staff should know about is not unprofessional, but it is a very broad question that may increase a patients uncertainty about what the nurse wants to hear, thus increasing his anxiety. Defining or giving an example of sexual problem would make this inquiry more effective.
Question 4 of 5
A respected school coach was arrested after a student reported the coach attempted to have sexual contact. Which nursing action has priority in the period immediately following the coachs arrest?
Correct Answer: B
Rationale: Pedophiles and other persons with paraphilic disorders can be at increased risk of self-harm associated with the guilt, shame, and anger they feel about their behavior and its effect on their families, victims, and victims families. They also face considerable losses, such as the end of their careers or the loss of freedom to imprisonment. Thus, safety is the priority issue for assessment. Determining the nature and extent of the patients disorder and related patient perceptions would be appropriate but not the highest priority for assessment. Investigating whether other victims exist is a matter for law enforcement rather than health care personnel.
Question 5 of 5
A man who regularly experiences premature ejaculation tells the nurse, I feel like such a failure. Its so awful for both me and my partner. Select the nurses most therapeutic response.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.