Exam 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias

An adult seeks treatment for urges involving sexual contact with children.The adult has not acted on these urges but feels shame.Which finding best indicates that this adult is making progress in treatment? The adult:

An adult experienced a myocardial infarction six months ago.At a follow-up visit,this adult says,"I haven't had much interest in sex since my heart attack.I finished my rehabilitation program,but having sex strains my heart.I don't know if my heart is strong enough." Which nursing diagnosis applies?

Which statement about paraphilic disorders is accurate?

A woman tells the nurse,"My partner is frustrated with me.I don't have any natural lubrication when we have sex." What type of sexual disorder is evident?

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?

A parent who is very concerned about a 3-year-old son says,"He likes to play with girls' toys.Do you think he is homosexual or mentally ill?" Which response by the nurse most professionally describes the current understanding of gender identity?

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?

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

The male manager of a health club placed a hidden video camera in the women's locker room and recorded several women as they showered and dressed.The disorder most likely represented by this behavior is:

A man who reports frequently experiencing premature ejaculation tells the nurse,"I feel like such a failure.It's so awful for both me and my partner.Can you help me?" Select the nurse's best response.

A man who regularly experiences premature ejaculation tells the nurse,"I feel like such a failure.It's so awful for both me and my partner." Select the nurse's most therapeutic response.

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 coach's arrest?

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?

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 documentation best indicates the treatment was successful?

A man with hypospadias tells the nurse,"Intercourse with my new bride is painful." Which term applies to the patient's complaint?

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:

A patient approaches the nurse in the clinic waiting room and says,"I want to talk to you about a sexual matter." The nurse can best facilitate the discussion by:

A 10-year-old boy is diagnosed with gender dysphoria.Which assessment finding would the nurse expect?

Which characteristic fits the usual profile of an individual diagnosed with pedophilic disorder?

Which nursing action should occur first regarding a patient who has a problem of sexual dysfunction or sexual disorder? The nurse should: