ATI RN
Psychobiologic Disorders Med Surg 2 Questions
Question 1 of 5
The male manager of a health club placed a hidden video camera in the womens locker room and recorded several women as they showered and dressed. The disorder most likely represented by this behavior is:
Correct Answer: D
Rationale: Voyeurism is achieving sexual pleasure through the viewing of others in intimate situations, such as undressing, bathing, or having sexual relations. A homosexual individual would be interested in watching members of the same sex, and homosexuality is not typically associated with voyeurism. Exhibitionists are interested in exposing their genitals to others. Pedophiles seek sexual contact with children.
Question 2 of 5
Which statement about paraphilic disorders is accurate?
Correct Answer: D
Rationale: Paraphilic disorders are uncommon; however, because persons with these disorders repeatedly enact behaviors associated with their disorders, paraphilic acts are relatively common. The majority of victims of pedophiles are males in early adolescence; those pedophiles who prefer females usually prefer prepubescent children. Some persons with paraphilic disorders experience shame and are at higher risk for suicide due to the stigma, shame, and embarrassment. Biological and psychological drives underlying paraphilic behavior can be very strong and often are not controllable by willpower alone. Persons with paraphilic disorders have difficulty controlling their behavior, even when very motivated to do so.
Question 3 of 5
A man with hypospadias tells the nurse, Intercourse with my new bride is painful. Which term applies to the patients complaint?
Correct Answer: D
Rationale: The correct answer is D) Genito-pelvic pain/penetration disorder. Explanation of why D is correct: Genito-pelvic pain/penetration disorder, also known as dyspareunia, is characterized by persistent or recurrent difficulties with vaginal penetration during intercourse, causing significant distress or interpersonal difficulty. In the case of hypospadias, where the urethral opening is located on the underside of the penis, intercourse can indeed be painful due to anatomical abnormalities affecting penetration. Therefore, this term accurately applies to the patient's complaint. Explanation of why others are wrong: A) Delayed ejaculation refers to the persistent delay or inability to achieve ejaculation despite adequate sexual stimulation. This is not the appropriate term for the patient's painful intercourse complaint. B) Erectile dysfunction is the inability to achieve or maintain an erection sufficient for sexual intercourse. While erectile dysfunction can impact sexual activity, it does not directly address the pain experienced during intercourse. C) Premature ejaculation is the rapid onset of ejaculation with minimal sexual stimulation, leading to distress or interpersonal difficulty. This is not the appropriate term for the patient's painful intercourse complaint. Educational context: Understanding psychobiologic disorders in the context of medical-surgical nursing is crucial for providing holistic care to patients. Recognizing specific terms like genito-pelvic pain/penetration disorder allows nurses to assess, educate, and support patients experiencing sexual health challenges. By linking theoretical knowledge to practical scenarios, nurses can enhance their clinical reasoning and patient-centered care delivery.
Question 4 of 5
After the sudden death of his wife, a man says, 'I cant live without her—she was my whole life.' Select the nurses most therapeutic reply.
Correct Answer: B
Rationale: The most therapeutic reply for the man grieving the sudden death of his wife is option B: "Her death is a terrible loss for you." This response acknowledges and validates the man's feelings of grief and loss, showing empathy and understanding. It allows the man to express his emotions freely and feel supported in his mourning process. Option A ("Each day will get a little better") may come across as dismissive or minimizing the man's intense feelings of loss. Grieving is a complex process with ups and downs, and it is essential to acknowledge the depth of the man's pain rather than offering false reassurance. Option C ("It's important to recognize that she is no longer suffering") while true, may not address the emotional aspect of the man's grief. It focuses more on the positive outcome of the wife no longer suffering rather than addressing the man's emotional turmoil. Option D ("Your friends will help you cope with this change in your life") shifts the focus to external sources of support rather than validating the man's personal feelings of loss. While social support is crucial, in this scenario, it is more important to address the man's emotional needs directly. In an educational context, it is essential for nurses to cultivate therapeutic communication skills to effectively support patients experiencing grief and loss. Validating emotions, active listening, and showing empathy are key components of providing holistic care to individuals going through difficult life experiences. By choosing an empathetic and validating response like option B, nurses can create a safe space for patients to express their emotions and begin the healing process.
Question 5 of 5
A store clerk was killed during a robbery 2 weeks ago. His widow, who has a long history of schizoaffective disorder, cries spontaneously when talking about his death. Select the nurses most therapeutic response.
Correct Answer: D
Rationale: The patient is expressing feelings related to the loss, and this is an expected and healthy behavior. This patient is at risk for a maladaptive response because of the history of a serious mental illness, but the nurses priority intervention is to form a therapeutic alliance and support the patients expression of feelings. Crying at 2 weeks after his death is expected and normal.