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 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.
A nurse identifies the nursing diagnosis of Ineffective Sexuality Patterns based on which of the following?
- A. The sexual problem is causing dissatisfaction for the client.
- B. The client has experienced a change in sexual functioning.
- C. The client is feeling inadequacy related to the sexual problem.
- D. The client believes that sexual activity is unrewarding.
Correct Answer: B
Rationale: Ineffective Sexuality Patterns is diagnosed based on a change in sexual functioning (B), per nursing diagnosis criteria. Dissatisfaction (A), inadequacy (C), and unrewarding beliefs (D) may contribute but are not the defining criteria.
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.
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 nursing instructor is preparing a class discussion about sexual disorders. Which of the following would the instructor include when describing gender identity disorders?
- A. They typically involve same-sex identification.
- B. The individual experiences discomfort about his or her own assigned sex.
- C. Recurrent intense sexual urges lead to significant distress.
- D. Changes in sexual desire and response are key characteristics.
Correct Answer: B
Rationale: Gender identity disorder (now gender dysphoria) involves discomfort with one?s assigned sex (B). Same-sex identification (A) relates to orientation, intense urges (C) describe paraphilias, and changes in desire/response (D) relate to sexual dysfunctions.