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A client diagnosed with male orgasmic dysfunction is receiving desensitization as part of the treatment plan. The nurse understands that this treatment focuses on achieving which of the following?
- A. Decrease the pressure to perform
- B. Increase awareness of pleasurable sensations
- C. Eliminate spectatoring
- D. Decrease anxiety and fear
Correct Answer: B
Rationale: Desensitization in male orgasmic dysfunction focuses on increasing awareness of pleasurable sensations (B) to improve sexual response. Decreasing performance pressure (A), eliminating spectatoring (C), and reducing anxiety (D) are secondary benefits.
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A nurse is reviewing the medical record of a client with a sexual dysfunction. Which of the following if noted in the client?s history would the nurse identify as a possible contributing factor? Select all that apply.
- A. Antihypertensive therapy
- B. Diabetes
- C. Peptic ulcer disease
- D. Appendectomy at age 15 years
- E. Occasional alcohol use
Correct Answer: A,B,E
Rationale: Antihypertensives (A), diabetes (B), and alcohol use (E) can contribute to sexual dysfunction by affecting vascular, neurological, or hormonal function. Peptic ulcer disease (C) and a distant appendectomy (D) are unlikely contributors.
A female client is diagnosed with female orgasmic disorder and is receiving treatment by a qualified sex therapist. The client and her partner are being taught sensate focus. Which of the following would the couple be required to do first?
- A. Have sexual intercourse.
- B. Engage in genital touching.
- C. Participate in nongenital contact.
- D. Use masturbation.
Correct Answer: C
Rationale: Sensate focus begins with nongenital contact (C) to build comfort and reduce performance anxiety. Genital touching (B), masturbation (D), and intercourse (A) occur in later stages.
When describing the events associated with the determination of sex of a fetus, which of the following would the nurse most likely include in the discussion?
- A. Genes on the Y chromosome
- B. Formation of ovaries
- C. Rising testosterone levels
- D. Neurochemical inhibition
Correct Answer: A
Rationale: Genes on the Y chromosome (A), particularly the SRY gene, initiate male sex determination by triggering testicular development. Ovary formation (B) and testosterone rise (C) are outcomes, not primary events, and neurochemical inhibition (D) is not relevant.
A nurse is preparing a teaching plan for a client about the sexual response cycle integrating the theoretical model described by Masters and Johnson. Which of the following would the nurse describe as occurring first?
- A. Erotic feelings
- B. Penile erection
- C. Vaginal lubrication
- D. Increased muscle tension
Correct Answer: A
Rationale: In Masters and Johnson?s model, erotic feelings (A) mark the start of the excitement phase, preceding physical responses like penile erection (B), vaginal lubrication (C), and increased muscle tension (D).
A client with premature ejaculation is prescribed sertraline as part of the treatment plan. The nurse explains the medication to the client, informing him that the effectiveness of the drug will most likely be evident in approximately which time frame?
- A. 5 to 7 days
- B. 1 to 2 weeks
- C. 3 to 4 weeks
- D. 6 to 8 weeks
Correct Answer: C
Rationale: Sertraline, an SSRI, typically takes 3 to 4 weeks (C) to achieve therapeutic effects for premature ejaculation by modulating serotonin levels. Shorter time frames (A, B) are too brief, and 6 to 8 weeks (D) is more typical for depression.