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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.
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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.
When describing the events associated with the determination of sex of a fetus, which of the following would the nurse most likely include in the discussion?
- A. Genes on the Y chromosome
- B. Formation of ovaries
- C. Rising testosterone levels
- D. Neurochemical inhibition
Correct Answer: A
Rationale: Genes on the Y chromosome (A), particularly the SRY gene, initiate male sex determination by triggering testicular development. Ovary formation (B) and testosterone rise (C) are outcomes, not primary events, and neurochemical inhibition (D) is not relevant.
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 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.