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A group of nursing students is reviewing information about sexual development. The students demonstrate understanding of the information when they describe biosexual identity as which of the following?
- A. Conviction of belonging to the male or female gender
- B. Outward expression of gender
- C. Sexual attraction to opposite, same, or both sexes
- D. Anatomic and physiologic state of being male or female
Correct Answer: D
Rationale: Biosexual identity refers to the anatomic and physiologic state of being male or female (D), based on biological characteristics like chromosomes and reproductive anatomy. Conviction of gender (A) is gender identity, outward expression (B) is gender role, and sexual attraction (C) is sexual orientation.
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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 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 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 sexual history of a female client reveals that the client has a normal sex drive and reports of orgasm through means other than intercourse. The client also has a history of being raped several years ago. The client reports spasms of the perineal and outer vaginal muscles when vaginal intercourse is attempted. The nurse interprets these findings as suggesting which of the following?
- A. Priapism
- B. Dyspareunia
- C. Sexual aversion disorder
- D. Vaginismus
Correct Answer: D
Rationale: Vaginismus (D) involves involuntary vaginal muscle spasms preventing intercourse, often linked to trauma like rape. Priapism (A) is male-specific, dyspareunia (B) is pain during intercourse, and sexual aversion disorder (C) involves avoidance of sexual activity.
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.