Varcarolis (Ch-20)
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."
- ANSshould be able to screen for sexual dysfunction and give basic information about sexual
feelings, behaviors, and myths."
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.
b.Such questions are an indirect way of learning about the patient's 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. - ANSSexual
dysfunction may result from use of prescription medications for management of hypertension.
An adult experienced a myocardial infarction six months ago. At a follow-up visit, this adult says,
"I haven't had much interest in sex since my heart attack. I finished my rehabilitation program,
but having sex strains my heart. I don't 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 - ANSDeficient knowledge related to
faulty perception of health status
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.
b.assess the patient's sexual functioning and needs.
c.acquire knowledge of the patient's sexual roles.
d.clarify own personal values about sexuality. - ANSclarify own personal values about sexuality.
, 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. - ANSfetishism.
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.
c.introduce the topic of masturbation.
d.identify sexual misinformation. - ANSidentify sexual misinformation.
A woman tells the nurse, "My partner is frustrated with me. I don't have any natural lubrication
when we have sex." What type of sexual disorder is evident
a.Genito-Pelvic Pain/Penetration Disorder
b.Female Sexual Interest/Arousal Disorder
c.Hypoactive Sexual Desire Disorder
d.Female Orgasmic Disorder - ANSFemale Sexual Interest/Arousal Disorder
The male manager of a health club placed a hidden video camera in the women's locker room
and recorded several women as they showered and dressed. The disorder most likely
represented by this behavior is:
a.homosexuality.
c.pedophilia.
b.exhibitionism.
d.voyeurism. - ANSvoyeurism.
A woman consults the nurse practitioner because she has not achieved orgasm for 2 years,
despite having been sexually active. This is an example of:
a.Paraphilic Disorder.
b.Female Orgasmic Disorder.
c.Genito-Pelvic Pain/Penetration Disorder.
d.Female Sexual Interest/Arousal Disorder. - ANSFemale Orgasmic Disorder.
An adult consulted a nurse practitioner because of an inability to achieve orgasm for 2 years,
despite having been sexually active. This adult was frustrated and expressed concerns about
the relationship with the sexual partner. Which nursing diagnosis is most appropriate for this
scenario
a.Defensive coping
b.Sexual dysfunction
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."
- ANSshould be able to screen for sexual dysfunction and give basic information about sexual
feelings, behaviors, and myths."
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.
b.Such questions are an indirect way of learning about the patient's 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. - ANSSexual
dysfunction may result from use of prescription medications for management of hypertension.
An adult experienced a myocardial infarction six months ago. At a follow-up visit, this adult says,
"I haven't had much interest in sex since my heart attack. I finished my rehabilitation program,
but having sex strains my heart. I don't 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 - ANSDeficient knowledge related to
faulty perception of health status
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.
b.assess the patient's sexual functioning and needs.
c.acquire knowledge of the patient's sexual roles.
d.clarify own personal values about sexuality. - ANSclarify own personal values about sexuality.
, 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. - ANSfetishism.
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.
c.introduce the topic of masturbation.
d.identify sexual misinformation. - ANSidentify sexual misinformation.
A woman tells the nurse, "My partner is frustrated with me. I don't have any natural lubrication
when we have sex." What type of sexual disorder is evident
a.Genito-Pelvic Pain/Penetration Disorder
b.Female Sexual Interest/Arousal Disorder
c.Hypoactive Sexual Desire Disorder
d.Female Orgasmic Disorder - ANSFemale Sexual Interest/Arousal Disorder
The male manager of a health club placed a hidden video camera in the women's locker room
and recorded several women as they showered and dressed. The disorder most likely
represented by this behavior is:
a.homosexuality.
c.pedophilia.
b.exhibitionism.
d.voyeurism. - ANSvoyeurism.
A woman consults the nurse practitioner because she has not achieved orgasm for 2 years,
despite having been sexually active. This is an example of:
a.Paraphilic Disorder.
b.Female Orgasmic Disorder.
c.Genito-Pelvic Pain/Penetration Disorder.
d.Female Sexual Interest/Arousal Disorder. - ANSFemale Orgasmic Disorder.
An adult consulted a nurse practitioner because of an inability to achieve orgasm for 2 years,
despite having been sexually active. This adult was frustrated and expressed concerns about
the relationship with the sexual partner. Which nursing diagnosis is most appropriate for this
scenario
a.Defensive coping
b.Sexual dysfunction
