A patient experiencing primary insomnia asks the nurse, I take a nap during the day. Doesnt that make up for a lost nights sleep? Select the nurses best reply.

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Psychobiological Disorders Questions

Question 1 of 5

A patient experiencing primary insomnia asks the nurse, I take a nap during the day. Doesnt that make up for a lost nights sleep? Select the nurses best reply.

Correct Answer: A

Rationale: Regular sleep cycles occur with nighttime sleep, with progression through two distinct physiological states: four stages of non-rapid eye movement and a period of REM sleep. Naps often contain different amounts of REM sleep, thus changing the physiology of sleep as well as the psychological and behavioral effects of sleep.

Question 2 of 5

A nurse is performing an assessment for a 59-year-old man who has hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?

Correct Answer: A

Rationale: Some of the drugs used to treat hypertension can interfere with normal sexual functioning and lead to sexual disorders. Hypertension itself can lead to acquired erectile dysfunction. It would not be appropriate or necessary to use such inquiries as a lead-in to other sexual health topics. Sexual dysfunction, while stressful, does not cause hypertension.

Question 3 of 5

While performing an assessment, the nurse says to a patient, While growing up, most of us heard some halftruths about sexual matters that continue to puzzle us as adults. Do any come to your mind now? The purpose of this question is to:

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

An adult consulted a nurse practitioner because of an inability to achieve orgasm for 2 years, despite having been sexually active. This adult was frustrated and expressed concerns about the relationship with the sexual partner. Which nursing diagnosis is most appropriate for this scenario?

Correct Answer: B

Rationale: Sexual dysfunction is the most appropriate nursing diagnosis for a patient who is experiencing a problem affecting one or more phases of arousal. This is the primary problem reported by this patient. Ineffective sexuality pattern, since it is due to sexual dysfunction, is secondary to the absence of orgasms. The patient has not indicated she does not become aroused, just that she cannot achieve orgasm. Disturbed sensory perception may be part of the etiology, but the problem is sexual dysfunction. There is no evidence of defensive coping.

Question 5 of 5

A man says, I enjoy watching women when I am out in public. I like to go to places where I can observe women crossing their legs in hopes of seeing something good. Which statement about this behavior is most accurate?

Correct Answer: A

Rationale: A sexual disorder is defined as an activity that is socially atypical, has the potential to disrupt significant relationships, and may result in insult or injury to others. The behavior described constitutes a sexual disorder (voyeurism). Although laws vary, an act does not have to be illegal to constitute a sexual disorder. The fact that the behavior occurs in a public setting could have a bearing on whether it is illegal, but not on whether it is considered to be a sexual disorder.

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