Exam 21: Sexual Dysfunction and Sexual Disorders

A woman consults the nurse practitioner because she has not been able to have an orgasm,despite having been sexually active for 2 years.She is very frustrated and feels it is harming the relationship with her spouse.Which nursing diagnosis would be most appropriate for this presentation?

A woman consults the nurse practitioner because she has not been able to have an orgasm,despite having been sexually active for 2 years.This is an example of:

A 25-year-old patient tells the nurse he is living a miserable existence.All his life,he states,he has thought,felt,and acted like a woman while living in the body of a man.He has lived as a female and dressed in feminine attire for more than a year.He has decided to change jobs so as not to compromise the new identity and now wishes to "take the next step" with surgery.The first patient request the physician will likely address is:

The nursing action that takes priority when working with a patient who has a problem of sexual dysfunction or disorder is:

A 55-year-old patient is recuperating from a myocardial infarction.At a follow-up visit to his physician's office,he tells the nurse practitioner,"I haven't had much interest in sex since my heart attack.My wife is wondering if something's wrong with me.The truth is,I know having sex puts a strain on my heart,and I don't know if my heart is strong enough." The nursing diagnosis for this patient would be:

A respected school coach is arrested after a student reports that he attempted to have sexual contact with him.Which issue would be the priority for assessment in the period immediately following the coach's arrest?

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

A man is admitted to an inpatient mental health unit after arrest for attempting sexual contact with a minor.Which medication would the nurse most expect to be prescribed? Select all that apply.

A woman consulted the nurse practitioner because she had not been able to have an orgasm,despite having been sexually active for 2 years.She was very frustrated and felt it was harming the relationship with her spouse.Which nursing process evaluation of an identified patient outcome would best indicate that treatment has been successful?

Which of these statements about erectile dysfunction is accurate?

A new nurse is doing her first admission assessment and is anxious about asking a patient who is considerably older than her for his sexual history.Which statement would be most appropriate for obtaining information about the patient's sexual practices?

Which statement about paraphilias is accurate?

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 man seeks treatment for urges involving sexual contact with children.He has not acted on these urges and is ashamed of them.Which of the following outcomes would indicate that the patient is making progress in his treatment?

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

A young father is very concerned because his 4-year-old son "enjoys playing girls' games more than with boys' toys." He wants to know if his son is gay or mentally ill.Which response most professionally describes our current understanding of gender identity?

A patient tells the nurse that his sexual functioning is normal when his wife wears short,red camisole-style nightgowns.He states,"Without the red teddies,I am not interested in sex." The nurse can assess this as consistent with:

While performing a nursing assessment,the nurse says to a patient,"While growing up,most of us have 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:

A man confesses that he enjoys watching women when he is out in public.Further exploration reveals that he goes to settings where he can observe women crossing their legs in hopes of "seeing something good." Which statement about this behavior is most accurate?