Exam 25: Sexual Responses and Sexual Disorders

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Which statement made by a patient shows a correct understanding of human sexuality?

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C

A patient is seeking help after being diagnosed with hypertension.A nurse plans to include questions about sexual health in the assessment.Which question would be most effective to introduce this topic?

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D

A patient with a sexual response disorder reports hypersexuality.During the interview,a nurse should inquire about a history of which psychiatric disorder?

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A

A nurse caring for an attractive patient of similar age and background begins fantasizing about having a social and sexual relationship with the patient.The most effective means of dealing with these feelings is to:

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What factor is most important during evaluation of effectiveness of sexual counseling or intervention?

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A patient being treated for cellulitis tells a nurse,"I feel like you and I should get romantic tonight.What do you say to closing the door and crawling into bed with me?" The nurse should respond by saying:

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When a patient tells a nurse,"I think I'm impotent," which response by the nurse would be most therapeutic?

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A patient hospitalized for depression will be discharged tomorrow.The patient asks a nurse,"Could the two of us meet for coffee away from the hospital sometime?" The most therapeutic response by the nurse would be:

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The best expected outcome for a patient with maladaptive sexual response is,"The patient will

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Which nursing diagnosis could be applied to both a patient who is upset that she has developed vaginismus associated with fear of pregnancy as well as a patient with diabetes who is concerned that he cannot attain an erection?

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A nurse requests that a patient assignment be changed,saying,"I learned in school that homosexuality is not an illness and I want to be therapeutic,but every time I see my patient with a same-sex partner,I think it's a sickness!" The nurse is experiencing which stage of the self-awareness process?

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Which classification of drugs has the greatest potential for causing sexual dysfunction?

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A patient with gender identity disorder (gender dysphoria) tells a nurse about a wish to undergo a "sex change operation." Which statement correctly reflects one prerequisite for sexual reassignment surgery?

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A nurse consults with local elementary and secondary school teachers about implementing strategies to reinforce the concept of "say no to unwanted sexual advances." The most helpful method the nurse can suggest is:

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A nurse assesses a patient who reports that she is unable to have intercourse because of involuntary contractions at the vaginal opening.The nurse can correctly assess this as:

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A person states,"I feel as though I'm really a woman trapped in this male body." This type of statement is characteristically expressed by someone who is a:

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A couple come to the clinic for treatment of sexual dysfunction.A therapist obtains a detailed sexual history and decides to employ the Masters and Johnson model of therapy.The nurse expects that treatment planning will include:

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Parents are upset after learning that their child is homosexual.They ask the nurse,"What causes homosexuality; was it something we did?" The nurse responds best when stating:

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A nurse shares with a mentor,"When my patient brought up the subject of resuming sexual relations after surgery,I felt flustered.While I realized I wasn't letting the patient express concerns,I couldn't stop monopolizing the conversation." The nurse describes experiencing the stage of the self-awareness process called:

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A couple reports having rare-to-occasional variations in their sexual response patterns.The nurse should conclude that this couple has:

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