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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.
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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 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.
A group of students is reviewing medications used to treat erectile dysfunction. The students demonstrate understanding of the information when they identify which of the following as being administered by injection?
- A. Tadalafil
- B. Papaverine
- C. Alprostadil
- D. Vardenafil
Correct Answer: C
Rationale: Alprostadil (C) is administered by injection for erectile dysfunction. Tadalafil (A) and vardenafil (D) are oral PDE5 inhibitors, and papaverine (B) is less commonly used today.
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.
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.