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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).
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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 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 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.
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 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.