Nokea
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.
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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.
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 client with erectile dysfunction who is prescribed sildenafil asks the nurse, When should I take the medication? Which response by the nurse would be most appropriate?
- A. You should take it every morning when you first get up.
- B. Take it about ½ to 2 hours before you have sexual activity.
- C. You need to take it about 5 minutes before you have intercourse.
- D. Take it at night before bedtime.
Correct Answer: B
Rationale: Sildenafil should be taken ½ to 2 hours before sexual activity (B) for optimal effect. Daily morning (A) or bedtime (D) dosing is incorrect, and 5 minutes (C) is too short for absorption.
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 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.