Chapter 18: Gender Dysphoria
1. A new staff nurse tells the clinical nurse specialist, I am unsure about my role when patients
bring up sexual problems. The clinical nurse specialist should give clarification by saying, All
nurses:
a. qualify as sexual counselors. Nurses have knowledge about the biopsychosocial
aspects of sexuality throughout the life cycle.
b. should be able to screen for sexual dysfunction and give basic information about
sexual feelings, behaviors, and myths.
c. should defer questions about sex to other health care professionals because of
their limited knowledge of sexuality.
d. who are interested in sexual dysfunction can provide sex therapy for individuals
and couples.
ANS: B
The basic education of nurses provides information sufficient to qualify the generalist to assess
for sexual dysfunction and perform health teaching. Taking a detailed sexual history and
providing sex therapy requires additional training in sex education and counseling. Nurses with
basic education are not qualified to be sexual counselors. Additional education is necessary. A
registered nurse may provide basic information about sexual function, but complex questions
may require referral.
2. A nurse is performing an assessment for a 59-year-old man who has hypertension. What is the
rationale for including questions about prescribed medications and their effects on sexual
function in the assessment?
a. Sexual dysfunction may result from use of prescription medications for
management of hypertension.
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, b. Such questions are an indirect way of learning about the patients medication
adherence.
c. These questions ease the transition to questions about sexual practices in general.
d. Sexual dysfunction can cause stress and contribute to increased blood pressure.
ANS: A
Some of the drugs used to treat hypertension can interfere with normal sexual functioning and
lead to sexual disorders. Hypertension itself can lead to acquired erectile dysfunction. It would
not be appropriate or necessary to use such inquiries as a lead-in to other sexual health topics.
Sexual dysfunction, while stressful, does not cause hypertension.
3. An adult experienced a myocardial infarction six months ago. At a follow-up visit, this adult
says, I havent had much interest in sex since my heart attack. I finished my rehabilitation
program, but having sex strains my heart. I dont know if my heart is strong enough. Which
nursing diagnosis applies?
a. Deficient knowledge related to faulty perception of health status
b. Disturbed self-concept related to required lifestyle changes
c. Disturbed body image related to treatment side effects
d. Sexual dysfunction related to self-esteem disturbance
ANS: A
Patients who have had a myocardial infarction often believe sexual intercourse will cause
another heart attack. The patient has completed the rehabilitation, but education is needed
regarding sexual activity. These patients should receive information about when sexual activity
may begin, positions that conserve energy, and so forth. The scenario does not suggest self-
concept or body image disturbance.
4. Which nursing action should occur first regarding a patient who has a problem of sexual
dysfunction or sexual disorder? The nurse should:
a. develop an understanding of human sexual response.
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, b. assess the patients sexual functioning and needs.
c. acquire knowledge of the patients sexual roles.
d. clarify own personal values about sexuality.
ANS: D
Before one can be helpful to patients with sexual dysfunctions or disorders, the nurse must be
aware of his or her own feelings and values about sex and sexuality. Nurses must keep their
personal beliefs separate from their patient care in order to remain objective, professional, and
effective. Nurses must be comfortable with the idea that patients have a right to their own values
and must avoid criticism and censure. The other options are indicated as well, but self-awareness
must precede them to provide the best care.
5. A patient tells the nurse that his sexual functioning is normal when his wife wears short, red
camisole-style nightgowns. He states, Without the red teddies, I am not interested in sex. The
nurse can assess this as consistent with:
a. exhibitionism. c. frotteurism.
b. voyeurism. d. fetishism.
ANS: D
To be sexually satisfied, a person with a sexual fetish finds it necessary to have some external
object present, in fantasy or in reality. Frotteurism involves deriving sexual pleasure from
rubbing against others surreptitiously.Exhibitionism is the intentional display of the genitalia in a
public place. Voyeurism refers to viewing others in intimate situations.
6. While performing an assessment, the nurse says to a patient, While growing up, most of us
heard some half-truths about sexual matters that continue to puzzle us as adults. Do any come to
your mind now? The purpose of this question is to:
a. identify areas of sexual dysfunction for treatment.
b. determine possible homosexual urges.
HTTPS://PASINGGRADES.COM/
1. A new staff nurse tells the clinical nurse specialist, I am unsure about my role when patients
bring up sexual problems. The clinical nurse specialist should give clarification by saying, All
nurses:
a. qualify as sexual counselors. Nurses have knowledge about the biopsychosocial
aspects of sexuality throughout the life cycle.
b. should be able to screen for sexual dysfunction and give basic information about
sexual feelings, behaviors, and myths.
c. should defer questions about sex to other health care professionals because of
their limited knowledge of sexuality.
d. who are interested in sexual dysfunction can provide sex therapy for individuals
and couples.
ANS: B
The basic education of nurses provides information sufficient to qualify the generalist to assess
for sexual dysfunction and perform health teaching. Taking a detailed sexual history and
providing sex therapy requires additional training in sex education and counseling. Nurses with
basic education are not qualified to be sexual counselors. Additional education is necessary. A
registered nurse may provide basic information about sexual function, but complex questions
may require referral.
2. A nurse is performing an assessment for a 59-year-old man who has hypertension. What is the
rationale for including questions about prescribed medications and their effects on sexual
function in the assessment?
a. Sexual dysfunction may result from use of prescription medications for
management of hypertension.
HTTPS://PASINGGRADES.COM/
, b. Such questions are an indirect way of learning about the patients medication
adherence.
c. These questions ease the transition to questions about sexual practices in general.
d. Sexual dysfunction can cause stress and contribute to increased blood pressure.
ANS: A
Some of the drugs used to treat hypertension can interfere with normal sexual functioning and
lead to sexual disorders. Hypertension itself can lead to acquired erectile dysfunction. It would
not be appropriate or necessary to use such inquiries as a lead-in to other sexual health topics.
Sexual dysfunction, while stressful, does not cause hypertension.
3. An adult experienced a myocardial infarction six months ago. At a follow-up visit, this adult
says, I havent had much interest in sex since my heart attack. I finished my rehabilitation
program, but having sex strains my heart. I dont know if my heart is strong enough. Which
nursing diagnosis applies?
a. Deficient knowledge related to faulty perception of health status
b. Disturbed self-concept related to required lifestyle changes
c. Disturbed body image related to treatment side effects
d. Sexual dysfunction related to self-esteem disturbance
ANS: A
Patients who have had a myocardial infarction often believe sexual intercourse will cause
another heart attack. The patient has completed the rehabilitation, but education is needed
regarding sexual activity. These patients should receive information about when sexual activity
may begin, positions that conserve energy, and so forth. The scenario does not suggest self-
concept or body image disturbance.
4. Which nursing action should occur first regarding a patient who has a problem of sexual
dysfunction or sexual disorder? The nurse should:
a. develop an understanding of human sexual response.
HTTPS://PASINGGRADES.COM/
, b. assess the patients sexual functioning and needs.
c. acquire knowledge of the patients sexual roles.
d. clarify own personal values about sexuality.
ANS: D
Before one can be helpful to patients with sexual dysfunctions or disorders, the nurse must be
aware of his or her own feelings and values about sex and sexuality. Nurses must keep their
personal beliefs separate from their patient care in order to remain objective, professional, and
effective. Nurses must be comfortable with the idea that patients have a right to their own values
and must avoid criticism and censure. The other options are indicated as well, but self-awareness
must precede them to provide the best care.
5. A patient tells the nurse that his sexual functioning is normal when his wife wears short, red
camisole-style nightgowns. He states, Without the red teddies, I am not interested in sex. The
nurse can assess this as consistent with:
a. exhibitionism. c. frotteurism.
b. voyeurism. d. fetishism.
ANS: D
To be sexually satisfied, a person with a sexual fetish finds it necessary to have some external
object present, in fantasy or in reality. Frotteurism involves deriving sexual pleasure from
rubbing against others surreptitiously.Exhibitionism is the intentional display of the genitalia in a
public place. Voyeurism refers to viewing others in intimate situations.
6. While performing an assessment, the nurse says to a patient, While growing up, most of us
heard some half-truths about sexual matters that continue to puzzle us as adults. Do any come to
your mind now? The purpose of this question is to:
a. identify areas of sexual dysfunction for treatment.
b. determine possible homosexual urges.
HTTPS://PASINGGRADES.COM/
