Chapter 26 Sexuality and Sexual Disorders

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Chapter 26  Sexuality and Sexual Disorders

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

 

A 29-year-old client is attending a group for pedophiles. In addition to molesting young children, what characteristics would the nurse expect to assess?
A)
Outgoing, gregarious, and a reputation as a “real ladies’ man”
B)
Emotionally immature, fear of rejection, and a need to prove masculinity
C)
Egocentric, arrogant, and a need to feel important
D)
Flamboyant, demonstrative, and a need to feel liked by others
Ans:
B

Feedback:

Pedophilia is characterized by an immature emotional level, a fear of rejection, and a need to prove masculinity. The other choices are not typical of men who suffer from pedophilia.

2.
The client is a 36-year-old single male. He is speaking with the office nurse, complaining of an inability to attain or maintain an erection. Which of the following would be the most therapeutic nursing intervention?
A)
“You have hypoactive sexual disorder, and there are several medications that may be helpful to you.”
B)
“Don’t worry about this. There are many men who go through phases of not being able to maintain an erection, which are usually short-lived.”
C)
“You may have sexual aversion disorder. Have you noticed you have anxiety when you are with your partner in an intimate situation?”
D)
“It sounds like you may have erectile dysfunction. It may be helpful to try a course of sildenafil citrate (Viagra) to see if it would help you.”
Ans:
D

Feedback:

It is important to listen to the client and not to use platitudes or ignore complaints regarding sexual dysfunctions. The man presents with symptoms of erectile dysfunction (ED), which is treatable with medications. He does not exhibit hypoactive sexual desire.

3.
When assessing an individual for sexual dysfunctions, it is most therapeutic for the nurse to do what?
A)
Frame questions in a way that normalizes a wide range of sexual behaviors and problems, and use terms the client will understand.
B)
Use his or her experience as a background for selecting specific questions, and ask questions with which the nurse is most familiar and comfortable.
C)
Assume that most clients are fairly comfortable with discussing their sexuality, especially if they are married.
D)
Avoid addressing various lifestyle concerns because this can cause a great deal of discomfort and even shutdown during the interview.
Ans:
A

Feedback:

It is important to frame questions in a way that will provide safety and comfort to the client in discussing sexuality. The nurse should neither assume that most clients are comfortable with this topic nor avoid discussing any aspect of sexuality.

4.
An adult male has been caught watching women shower at the gym. This is an example of which type of paraphilia?
A)
Voyeurism
B)
Pedophilia
C)
Exhibitionism
D)
Fetishism
Ans:
A

Feedback:

Voyeurism is the achievement of sexual pleasure by looking at unsuspecting persons who are naked, undressing, or engaged in sexual activity. Pedophilia is the use of prepubertal children to achieve sexual gratification. Pedophilia can be an actual sexual act or a fantasy. Exhibitionism occurs when an adult male obtains sexual gratification from repeatedly exposing his genitals to unsuspecting strangers. Fetishism is sexual contact with inanimate articles that results in sexual gratification.

5.
Clients suffering from sexual addiction often exhibit which type of behavior?
A)
Lucid
B)
Euphoric
C)
Withdrawn
D)
Obsessive–compulsive
Ans:
D

Feedback:

Clients with sexual addiction have obsessive–compulsive behavior that causes severe stress to addicted individuals and their families. Lucid, euphoric, and withdrawn behaviors do not describe the sexual addict.

 

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