Chapter 21 Issues Related to Human Sexuality and Gender Dysphoria

Chapter 21  Issues Related to Human Sexuality and Gender Dysphoria

Complete Chapter Questions And Answers
 

Sample Questions

____ 1. A 52-year-old client states, “My husband is upset because I don’t enjoy sex as much as I used to.” Which priority client data should a nurse initially collect?
1.
History of hysterectomy
2.
Date of last menstrual cycle
3.
Use of birth control methods
4.
History of thought disorder

____ 2. In the course of an assessment interview, a female client reveals a history of bisexual orientation. Which action should the nurse initially implement when working with this client?
1.
Self-assess personal attitudes toward homosexuality.
2.
Review client’s possible childhood sexual abuse history.
3.
Encourage discussion of aversion to heterosexual relationships.
4.
Explore client’s family history of homosexuality.

____ 3. A widower reports a fear of intimacy because of an inability to achieve and sustain an erection. He has become isolative, has difficulty sleeping, and has lost weight over the past year. Which nursing diagnosis should be a priority for this client?
1.
Risk for situational low self-esteem AEB inability to achieve an erection
2.
Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
3.
Social isolation R/T low self-esteem AEB refusing to engage in dating activities
4.
Disturbed body image R/T penile flaccidity AEB client statements

____ 4. A nurse is assessing a client diagnosed with pedophilic disorder. What would differentiate this sexual disorder from a sexual dysfunction?
1.
Symptoms of sexual dysfunction include inappropriate sexual behaviors, whereas symptoms of a sexual disorder include impairment in normal sexual response.
2.
Symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms of sexual dysfunction include impairment in normal sexual response.
3.
Sexual dysfunction can be caused by increased levels of circulating androgens, whereas levels of circulating androgens do not affect sexual disorders.
4.
Sexual disorders can be caused by decreased levels of circulating androgens, whereas levels of circulating androgens do not affect sexual dysfunction.

Answer Section

MULTIPLE CHOICE

1. ANS: 2
Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria
Objective: Identify appropriate nursing interventions for clients with sexual dysfunctions and gender dysphoria in children.
Page: 534
Heading: Adulthood > The Middle Years—40 to 65
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Sexuality
Difficulty: Moderate

Feedback
1
History of hysterectomy is not assessment data that the nurse should initially collect.
2
The nurse should assess the client’s last menstrual cycle to determine if the client is experiencing the onset of menopause. Menopause usually occurs around the age of 50. The decrease in estrogen can result in multiple symptoms, including a decrease in biological drives and sexual activity.
3
Use of birth control methods is not assessment data that the nurse should initially collect.
4
History of thought disorders are not assessment data that the nurse should initially collect.

PTS: 1 CON: Sexuality

2. ANS: 1
Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria
Objective: Discuss variations in sexual orientation.
Page: 560–561
Heading: Homosexuality > Special Concerns
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Sexuality
Difficulty: Moderate

Feedback
1
The nurse should initially self-assess personal attitudes toward homosexuality. The nurse must be able to recognize when negative feelings compromise care. Unconditional acceptance of each individual is an essential component of compassionate nursing.
2
Once the nurse has assessed personal attitudes, the nurse can review the client’s possible childhood sexual abuse history.
3
Once the nurse has assessed personal attitudes, the nurse can encourage discussion of aversion to heterosexual relationships.
4
Once the nurse has assessed personal attitudes, the nurse can explore the client’s family history of homosexuality.

PTS: 1 CON: Sexuality

3. ANS: 2
Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria
Objective: Formulate nursing diagnoses and goals of care for clients with sexual dysfunctions and gender dysphoria in children.
Page: 544
Heading: Diagnosis and Outcome Identification
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis (Analyzing)
Concept: Sexuality
Difficulty: Moderate

Feedback
1
Risk for situational low self-esteem AEB inability to achieve an erection is not the priority diagnosis.
2
The nurse should prioritize the nursing diagnosis sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm. The nurse should assess the client’s mood and level of energy, because depression and fatigue can decrease desire for participation in sexual activity.
3
Social isolation R/T low self-esteem AEB refusing to engage in dating activities is not the priority diagnosis.
4
Disturbed body image R/T penile flaccidity AEB client statements is not the priority diagnosis.

PTS: 1 CON: Sexuality

4. ANS: 2
Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria
Objective: Identify various types of paraphilic and sexual dysfunction disorders and gender dysphoria.
Page: 535–537
Heading: Types of Paraphilic Disorders > Pedophilic Disorder, Role of the Nurse
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Sexuality
Difficulty: Moderate

Feedback
1
Sexual dysfunction involves impairment in normal sexual response.
2
The nurse should identify that pedophilic disorder is a sexual disorder in which individuals partake in inappropriate sexual behaviors. Pedophilic disorder involves having sexual urges, behaviors, or sexually arousing fantasies involving sexual activity with a prepubescent child.
3
Sexual dysfunction is not caused by increased levels of circulating androgens.
4
Sexual disorders are not caused by decreased levels of circulating androgens.

PTS: 1 CON: Sexuality