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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.
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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 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 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.
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 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.