NU 345 Practice Exam Questions and
Correct Answers
By what age is gender identity usually established?
a)By the age of 3 years old.
b)At puberty.
c)By adulthood.
d)At birth. ✅a)By the age of 3 years old.
A client with a diagnosis of Schizophrenia, who has been prescribed antipsychotic
medication for several years, tells the nurse that he is experiencing sexual dysfunction.
What will the nurse suspect as the cause of this issue?
a)Disturbed interpersonal relationships.
b)The psychiatric disorder.
c)A side effect of the medications.
d)Advancing age. ✅c)A side effect of the medications.
At what point is hormone therapy for the purpose of surgical gender reassignment
initiated?
a)When the client has successfully demonstrated a genuine intent to change genders.
b)When the client has taken on the dress and manners of the preferred gender.
c)When the client has successfully lived the crossgender role for a period of time.
d)Has taken all legal steps to change name and legal status. ✅a)When the client has
successfully demonstrated a genuine intent to change genders.
A client with paraphilia tendencies tells the nurse that "I'm disgusted with my lifestyle."
What is the nurse's most therapeutic response?
a)Assure him that his condition responds well to treatment.
b)Tell him that the first step in managing his behavior is recognizing it as unhealthy.
c)Assess him for the existence of suicidal ideation.
d)Recommend inpatient behavioral modification therapy. ✅c)Assess him for the
existence of suicidal ideation.
The nurse is caring for a client diagnosed with gender dysphoria. What will the nurse
expect to observe?
a)Intense sexual urges focused on an object.
b)Discomfort with biological gender.
c)Self-humiliation during the sexual act.
d)Inability to maintain sexual arousal. ✅b)Discomfort with biological gender.
, The nurse is taking a sexual history on a client. The nurse wants to assess if the client
is having sexual dysfunction related to long term use of psychotropic medication. What
is the best way for the nurse to open this discussion?
a)Some people who are prescribed this medication have experienced changes in their
sexual function. Have you had this problem?
b)What problems are you having with sexual function?
c)Are you having any problems you feel embarrassed to discuss?.
d)What problems of a sexual nature have you struggled with? ✅a)Some people who
are prescribed this medication have experienced changes in their sexual function. Have
you had this problem?
A woman who has had legal issues due to exhibitionism, asks the nurse if there is a
medication that might help her to control her symptoms. What information could the
nurse provide?
a)There has been some success with Fluoxetine (Prozac) used off-label.
b)There are no known medications for this disorder..
c)Haloperidol (Haldol) PRN has been shown to be effective.
d)MAOI medications have shown effectiveness in this diorder. ✅a)There has been
some success with Fluoxetine (Prozac) used off-label.
The nurse is providing health teaching to a client diagnosed with a sexual disorder.
What will be the focus of the teaching?
a)identifying triggers that produce depression or anxiety.
b)modifying deviant sexual behaviors.
c)recognizing the impact of their behavior on others.
d)reforming their behaviors into more socially acceptable actions. ✅a)identifying
triggers that produce depression or anxiety.
The nurse is assessing a client who has Exhibitionistic behavior. What knowledge about
this behavior is important for the the nurse?
a)While this behavior is illegal it is seldom a precursor to sexual assault or rape.
b)While this behavior is illegal, it is generally viewed as a victimless crime.
c)While this behavior is illegal, it is rarely prosecuted.
d)While this behavior is illegal, it is generally viewed as an illness by the courts.
✅a)While this behavior is illegal it is seldom a precursor to sexual assault or rape.
The nurse is developing the plan of care for a client with the symptom of vaginismus.
What The nursing diagnosis that could be applied?
a)impaired comfort.
b)sleep deprivation.
Correct Answers
By what age is gender identity usually established?
a)By the age of 3 years old.
b)At puberty.
c)By adulthood.
d)At birth. ✅a)By the age of 3 years old.
A client with a diagnosis of Schizophrenia, who has been prescribed antipsychotic
medication for several years, tells the nurse that he is experiencing sexual dysfunction.
What will the nurse suspect as the cause of this issue?
a)Disturbed interpersonal relationships.
b)The psychiatric disorder.
c)A side effect of the medications.
d)Advancing age. ✅c)A side effect of the medications.
At what point is hormone therapy for the purpose of surgical gender reassignment
initiated?
a)When the client has successfully demonstrated a genuine intent to change genders.
b)When the client has taken on the dress and manners of the preferred gender.
c)When the client has successfully lived the crossgender role for a period of time.
d)Has taken all legal steps to change name and legal status. ✅a)When the client has
successfully demonstrated a genuine intent to change genders.
A client with paraphilia tendencies tells the nurse that "I'm disgusted with my lifestyle."
What is the nurse's most therapeutic response?
a)Assure him that his condition responds well to treatment.
b)Tell him that the first step in managing his behavior is recognizing it as unhealthy.
c)Assess him for the existence of suicidal ideation.
d)Recommend inpatient behavioral modification therapy. ✅c)Assess him for the
existence of suicidal ideation.
The nurse is caring for a client diagnosed with gender dysphoria. What will the nurse
expect to observe?
a)Intense sexual urges focused on an object.
b)Discomfort with biological gender.
c)Self-humiliation during the sexual act.
d)Inability to maintain sexual arousal. ✅b)Discomfort with biological gender.
, The nurse is taking a sexual history on a client. The nurse wants to assess if the client
is having sexual dysfunction related to long term use of psychotropic medication. What
is the best way for the nurse to open this discussion?
a)Some people who are prescribed this medication have experienced changes in their
sexual function. Have you had this problem?
b)What problems are you having with sexual function?
c)Are you having any problems you feel embarrassed to discuss?.
d)What problems of a sexual nature have you struggled with? ✅a)Some people who
are prescribed this medication have experienced changes in their sexual function. Have
you had this problem?
A woman who has had legal issues due to exhibitionism, asks the nurse if there is a
medication that might help her to control her symptoms. What information could the
nurse provide?
a)There has been some success with Fluoxetine (Prozac) used off-label.
b)There are no known medications for this disorder..
c)Haloperidol (Haldol) PRN has been shown to be effective.
d)MAOI medications have shown effectiveness in this diorder. ✅a)There has been
some success with Fluoxetine (Prozac) used off-label.
The nurse is providing health teaching to a client diagnosed with a sexual disorder.
What will be the focus of the teaching?
a)identifying triggers that produce depression or anxiety.
b)modifying deviant sexual behaviors.
c)recognizing the impact of their behavior on others.
d)reforming their behaviors into more socially acceptable actions. ✅a)identifying
triggers that produce depression or anxiety.
The nurse is assessing a client who has Exhibitionistic behavior. What knowledge about
this behavior is important for the the nurse?
a)While this behavior is illegal it is seldom a precursor to sexual assault or rape.
b)While this behavior is illegal, it is generally viewed as a victimless crime.
c)While this behavior is illegal, it is rarely prosecuted.
d)While this behavior is illegal, it is generally viewed as an illness by the courts.
✅a)While this behavior is illegal it is seldom a precursor to sexual assault or rape.
The nurse is developing the plan of care for a client with the symptom of vaginismus.
What The nursing diagnosis that could be applied?
a)impaired comfort.
b)sleep deprivation.
