Psychiatric Nursing 16 - Adolescent and Adult Disorders 2

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1. Which of the following answers to the question, “Which sexual disorder results in the person believing he or she is really the opposite sex?” is correct? *

1 point

a. Exhibitionism

b. Homosexuality

c. Transsexualism

d. Transvestitism

2. Which of the following complications is most likely the cause for a 35-year-old male client who complains to the nurse that he has an orgasm too quickly? *

1 point

a. Fear of intimacy

b. Premature ejaculation

c. Sexual aversion disorder

d. Sexual Aversion Disorder

3. Which of the following characteristics best describes the client with scatophilia? *

1 point

a. The client uses the telephone for sexual arousal

b. The client uses the Internet for sexual gratification

c. The client is aroused through contact with children

d. The client is aroused by rubbing against a nonconsenting person

4. The history on a client states he has been diagnosed with voyeurism. Which of the following actions is characteristic of a voyeur? *

1 point

a. Observing others while they disrobe

b. Wearing clothing of the opposite sex

c. Rubbing against a nonconsenting person

d. Using rubber sheeting for sexual arousal

5. Paraphilia is a condition wherein the sexual instinct is expressed in ways that are socially prohibited or unacceptable or are biologically undesirable. Which of the following would you consider to be masochism? *

1 point

a. Infliction of physical or psychological pain or humiliation on another person, either a consenting or a non-consenting partner, to achieve sexual excitement or gratification

b. Recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving touching and rubbing against a non-consenting person

c. Pleasure or gratification from receiving physical, mental, or emotional abuse

d. Sexual excitement and gratification from looking at the naked bodies and genital organs or observing the sexual acts of others, especially form secret vantage point

6. Which of the following factors is the biological cause of paraphilias? *

1 point

a. Hormonal levels

b. Hereditary factors

c. Environmental factors

d. History of sexual abuse

7. A client is admitted to the hospital for scatophilia and tells the nurse that he doesn’t want to talk to her about his sexual behaviors. Which of the following responses from the nurse is most appropriate? *

1 point

a. “I need to ask you the question on the database.”

b. “It is your right not to answer my questions.”

c. “OK, I’ll just write ‘no comment.”

d. “I know this must be difficult for you.”

8. An individual who cannot complete the physiologic requirements for sexual intercourse may be suffering: *

1 point

a. Diabetic impotence

b. Sexual Arousal Disorder

c. Vaginismus

d. All of the above

9. Which of the following nursing diagnoses is most appropriate for a client with sexual masochism? *

1 point

a. Risk for self-mutilation

b. Ineffective individual coping

c. Altered role performance

d. Risk for violence directed at others

10. Which of the following definitions best describe necrophilia? *

1 point

a. Obscene phone calling

b. Sexual activity with animals

c. Sexual activity with corpses

d. Sexual arousal by contact with urine

11. Vaginismus is an example of which Sexual Dysfunction Disorder? *

1 point

a. Sexual Desire Disorder

b. Orgasm Disorder

c. Sexual Pain Disorder

d. Sexual Arousal Disorder

12. The behavior of a man impulsively exposing his genitals to a group of women should be assessed as: *

1 point

a. Voyeurism

b. Scatalogia

c. Exhibitionism

d. Sadism

13. The nurse is taking a health history on a client when the client states he has been diagnosed with voyeurism. The nurse knows which of the following actions is characteristic of a voyeur? *

1 point

a. Observing others while they disrobe

b. Rubbing against a nonconsenting person

c. Wearing clothing of the opposite sex

d. Using rubber sheeting for sexual arousal

14. Which of the following characteristics best describes the client with fetishism? *

1 point

a. The client uses telephone for sexual arousal.

b. The client uses the internet for sexual arousal.

c. The client uses non-living objects to obtain sexual excitement.

d. The client is aroused by rubbing against a non-consenting person.

15. Under DSM 5, the most common sexual disorder is: *

1 point

a. Exhibitionism

b. Voyeurism

c. Pedophilia

d. Fetishism

Situation: Mr. Padilla is a 28-year-old Filipino who is being seen at the outpatient mental health clinic for a diagnosis of psychosexual disorder.

16. The following are true about sexual deviation disorders, except. Select all that apply. *

1 point

a. They are known as pedophilias

b. These pertain to abnormal sexual behaviors not accepted by social norms

c. They include the usual sexual experiments by couples

d. The occurrence of the disorder is 6 months or longer

e. It may alter ADL

Required

17. If Mr. Padilla were diagnosed with sadism, the nurse should expect that he exhibited one of the following? *

1 point

a. Engages in sex for money

b. Desires biological sex-change to opposite sex

c. Obtains sexual pleasure by inflicting pain towards his partner

d. Obtains sexual pleasure by submitting to aggression

18. Mr. Padilla stated that his sexual behavior was his own business. A common characteristic of patients with psychosexual disorders is: *

1 point

a. Small body stature for age

b. Repetitive, sexually deviant behavior

c. Delayed maturity

d. Hormonal imbalance

19. Mr. Padilla was diagnosed with pedophilia. Nursing actions to assist him to decrease sexually deviant behavior would include: *

1 point

a. Behavior modification through setting limits

b. Minimizing peer interaction

c. Identifying punitive strategies for acting-out behavior

d. Expecting verbalization by him of remorse of behavior

20. It was not clear just how much Mr. Padilla’s behavior had changed. In determining success in working with patients with psychosexual disorders, the nurse should recognize that: *

1 point

a. Their behavior could change in a short time

b. Their below-average intelligence creates treatment difficulties.

c. They may not be motivated to change their behavior

d. They frequently reject their family

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