ATI OB-PEDS NURSING EXAM 1000+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES CONTAINS PRACTICE QUESTIONS,STUDY CARD & REVIEWS ON THE TOPIC OF CHILD DEVELOPMENT,PEDIATRICS,CHILDBIRTH & PREGNANCY| A GRADED

ATI OB -PEDS NURSING EXAM 1000+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES CONTAINS PRACTICE QUESTIONS,STUDY CARD & REVIEWS ON THE TOPIC OF CHILD DEVELOPMENT,PEDIATRICS,CHILDBIRTH & PREGNANCY| A GRADED A nurse is assessing a client diagnosed with pedophilia. What would differentiate this sexual disorder from a sexual dysfunction? A. Symptoms of sexual dysfunct ion include inappropriate sexual behaviors, whereas symptoms of a sexual disorder include impairment in normal sexual response. B. Symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms of sexual dysfunction include impairme nt in normal sexual response. C. Sexual dysfunction can be caused by increased levels of circulating androgens, whereas levels of circulating androgens do not affect sexual disorders. D. Sexual disorders can be caused by decreased levels of circulating and rogens, whereas levels of circulating androgens do not affect sexual dysfunction. - ANSWER - ANS: B RATIONALE: The nurse should identify that pedophilia is a sexual disorder in which individuals partake in inappropriate sexual behaviors. Sexual dysfunction involves im pairment in normal sexual response. Pedophilia involves having sexual urges, behaviors, or sexually arousing fantasies involving sexual activity with a prepubescent child. A female client on an inpatient unit enters the day area for visiting hours dressed in a see -through blouse and wearing no undergarments. Which intervention should be a nurse's first priority? A. Discuss with the client the inappropriateness of her attire. B. Avoid addressing her attention -seeking behavior. C. Lead the client back to her room and assist her to choose appropriate clothing. D. Restrict client to room until visiting hours are over. - ANSWER - ANS: C RATIONALE: The most appropriate intervention by the nurse is to lead the client back to her room and assist h er to choose appropriate clothing. The client could be exhibiting signs of exhibitionism which is characterized by urges to expose oneself to unsuspecting strangers. A 52 -year -old client states, "My husband is upset because I don't enjoy sex as much as I used to." Which priority client data should a nurse initially collect? A. History of hysterectomy B. Date of last menstrual cycle C. Use of birth control methods D. History of thought disorder - ANSWER - ANS: B RATIONALE: The nurse should assess the client's last menstrual cycle to determine if the client is experiencing the onset of menopause. Menopause usually occurs around the age of 50. The decreas e in estrogen can result in multiple symptoms including a decrease in biological drives and sexual activity. In the course of an assessment interview, a female client reveals a history of bisexual orientation. Which action should the nurse initially implement when working with this client? A. Self -assess personal attitudes toward homosexuality . B. Review client' s possible childhood sexual abuse history. C. Encourage discussion of aversion to heterosexual relationships. D. Explore client's family history of homosexuality. - ANSWER - ANS: A RATIONALE: The nurse should initially self -assess personal attitudes toward homosexuali ty. The nurse must be able to recognize the potential for negative feelings compromising client care. Unconditional acceptance of each individual is an essential component of compassionate nursing. A recently widowed client reports a fear of intimacy due to an inability to achieve and sustain an erection. He has become isolative, has difficulty sleeping, and has recently lost weight. Which correctly written nursing diagnosis should be prioritized for this client? A. Risk for situational low self -esteem AE B inability to achieve an erection B. Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm C. Social isolation R/T low self -esteem AEB refusing to engage in dating activities D. Disturbed body image R/T penile flaccidity AEB cli ent statements - ANSWER - ANS: B RATIONALE: Based on the client's symptoms, the nurse should prioritize the nursing diagnosis of sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm. The nurse should assess the client's mood and level of en ergy because depression and fatigue can decrease desire for participation in sexual activity. A nurse is working with a client diagnosed with pedophilia. Which client outcome is appro priate for the nurse to expect during the first week of hospitalization? A. The client will verbalize an understanding of the importance of follow -up care. B. The client will implement several relapse -prevention strategies. C. The client will identify tri ggers that lead to inappropriate behaviors. D. The client will attend aversion therapy groups. - ANSWER - ANS: C RATIONALE: During the first week of hospitalization, identifying triggers that lead to inappropriate behaviors is an appropriate outcome for a client diagn osed with pedophilia. Pedophilia involves intense sexual urges, behaviors, or fantasies involving sexual activity with a prepubescent child. When planning care for a client diagnosed with female sexual arousal disorder, what should a nurse document as an expected outcome of senate focus exercises? A. To initiate immediate orgasm B. To reduce anxiety by eliminating physical touch C. To focus on touching breasts and genitals D. To reduce goal -oriented demands of intercourse - ANSWER - ANS: D RATIONALE: The expected out come of senate focus exercises is to reduce goal -oriented demands of intercourse. Senate focus exercises consist of touching and being touched by another with attention focused on the physical sensations encountered. Erotic contact is gradually increased, leading to the possibility of sexual intercourse. The reduction in demands reduces performance pressures and anxiety associated with possible failure. A newly married woman comes to a gynecology clinic reporting anorexia, insomnia, and extreme dyspareunia that have affected her intimate relationship. What initial intervention should the nurse expect a physician to implement? A. A thorough physical to include gynecological examination B. Referral to a sex therapist C. Assessment of sexual history and previ ous satisfaction with sexual relationships D. Referral to the recreational therapist for relaxation therapy - ANSWER - ANS: A RATIONALE: The nurse should expect the physician to implement a thorough physical to include a gynecological examination to assess for any phy siological causes of the client's symptoms. Dyspareunia is recurrent or persistent genital pain associated with sexual intercourse. A client is diagnosed with sexual aversion disorder. Which symptom of this disorder should the nurse correctly pair with an appropriate therapeutic intervention? A. Avoidance of all genital sexual contact treated by systematic desensitization B. Avoidance of all genital sexual contact treated by medicating with tadalafil (Cialis) C. Anorgasmia treated by vardenafil (Levitra) D. Anorgasmia treated by sensate focus exercises - ANSWER - ANS: A RATIONALE: The nurse should recognize that this sexual aversion disorder is characterized by an avoidance of genital sexual contact. Sexual aversion implies anxiety, fear, or disgust in sexual situatio ns. Sexual aversion can be treated by systematic desensitization.