Nokea
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.
You may also like to solve these questions
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 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.
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 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.