Nokea
A client with erectile dysfunction who is prescribed sildenafil asks the nurse, When should I take the medication? Which response by the nurse would be most appropriate?
- A. You should take it every morning when you first get up.
- B. Take it about ½ to 2 hours before you have sexual activity.
- C. You need to take it about 5 minutes before you have intercourse.
- D. Take it at night before bedtime.
Correct Answer: B
Rationale: Sildenafil should be taken ½ to 2 hours before sexual activity (B) for optimal effect. Daily morning (A) or bedtime (D) dosing is incorrect, and 5 minutes (C) is too short for absorption.
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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 nurse is preparing a presentation for a local senior group about sexuality and sexual behaviors in older adults. Which of the following would the nurse need to address? Select all that apply.
- A. Decreased vaginal lubrication
- B. Decreased amount of sperm
- C. Enhanced clitoral response
- D. Thickening of vaginal mucosa
- E. Increased ejaculation time
Correct Answer: A,B,E
Rationale: Aging causes decreased vaginal lubrication (A), reduced sperm production (B), and increased ejaculation time (E). Clitoral response (C) typically decreases, and vaginal mucosa thins (D), not thickens, with age.
A client has been admitted to the inpatient psychiatric facility as part of a court-ordered program. The client was arrested numerous times over the past several months for exposing his genitals and masturbating in public in front of an elementary school. The nurse interprets this behavior as reflecting which of the following?
- A. Frotteurism
- B. Exhibitionism
- C. Sexual masochism
- D. Voyeurism
Correct Answer: B
Rationale: Exhibitionism (B) involves exposing genitals in public for sexual gratification, matching the client?s behavior. Frotteurism (A) involves non-consensual touching, masochism (C) involves self-inflicted pain, and voyeurism (D) involves observing others.
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 woman comes to the clinic for a routine visit. While interviewing the client and obtaining a sexual history, the client states, I?ve always wondered what is happening in my body when I become sexually aroused. The nurse would incorporate an understanding of which of the following as the control mechanism?
- A. Sympathetic nervous system
- B. Endocrine system
- C. Parasympathetic nervous system
- D. Central nervous system
Correct Answer: C
Rationale: The parasympathetic nervous system (C) controls sexual arousal by promoting vasodilation and lubrication. The sympathetic system (A) is involved in orgasm, the endocrine system (B) plays a secondary role, and the central nervous system (D) is too broad.