Chapter 30: Sexual Disorders and Gender Dysphoria
Steele: Keltner’s Psychiatric Nursing,
MULTIPLE CHOICE
1. Paraphilia is defined based on a patient‘s repeatedly being engaged with what behavior?
a. Engaging in homosexual sexual behaviors
b. Having difficulty maintaining a sexual arousal
c. Feeling discomfort with one‘s biological sexual gender
d. Experiencing climax only when sexual behavior is illegal
ANS: D
Paraphilias are conditions in which the sexual instinct is expressed in ways that are socially
prohibited or unacceptable or are biologically undesirable. The distracters characterize other
sexual behaviors.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment
MSC: Client Needs: Psychosocial Integrity
2. Which characteristic fits the profile of an individual who is a pedophile?
a. Homosexual
b. High self-esteem
c. Seeks access to children
d. Self-confident and expressive
ANS: C
It is known that pedophiles usually place themselves in jobs, activities, or relationships that
provide easy access to children. They often become trusted by both parents and children. The
other characteristics have no particular relationship to pedophilia.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
, MSC: Client Needs: Psychosocial Integrity
3. A patient‘s medical record documents sexual masochism. Which behavior supports this
diagnosis?
a. Arousal is possible only when masturbating with women‘s underwear.
b. Organism is achieved by inflicting pain on a sexual partner.
c. Sexual pleasure is a result of sexually humiliated by a partner.
d. Arousal results from the sexual touching of a nonconsenting person.
ANS: C
Sexual masochism is sexual pleasure derived from being humiliated, beaten, or otherwise
made to suffer. The distracters refer to fetishism, sexual sadism, and frotteurism.
Steele: Keltner’s Psychiatric Nursing,
MULTIPLE CHOICE
1. Paraphilia is defined based on a patient‘s repeatedly being engaged with what behavior?
a. Engaging in homosexual sexual behaviors
b. Having difficulty maintaining a sexual arousal
c. Feeling discomfort with one‘s biological sexual gender
d. Experiencing climax only when sexual behavior is illegal
ANS: D
Paraphilias are conditions in which the sexual instinct is expressed in ways that are socially
prohibited or unacceptable or are biologically undesirable. The distracters characterize other
sexual behaviors.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment
MSC: Client Needs: Psychosocial Integrity
2. Which characteristic fits the profile of an individual who is a pedophile?
a. Homosexual
b. High self-esteem
c. Seeks access to children
d. Self-confident and expressive
ANS: C
It is known that pedophiles usually place themselves in jobs, activities, or relationships that
provide easy access to children. They often become trusted by both parents and children. The
other characteristics have no particular relationship to pedophilia.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
, MSC: Client Needs: Psychosocial Integrity
3. A patient‘s medical record documents sexual masochism. Which behavior supports this
diagnosis?
a. Arousal is possible only when masturbating with women‘s underwear.
b. Organism is achieved by inflicting pain on a sexual partner.
c. Sexual pleasure is a result of sexually humiliated by a partner.
d. Arousal results from the sexual touching of a nonconsenting person.
ANS: C
Sexual masochism is sexual pleasure derived from being humiliated, beaten, or otherwise
made to suffer. The distracters refer to fetishism, sexual sadism, and frotteurism.
