Chapter 17: Normal Sexuality and Sexual Dysfunctions
MULTIPLE CHOICE
1. Which of these individuals is experiencing a symptom of the DSM-IV-TR diagnosis sexual
aversion disorder?
a. The patient who has genital pain associated with intercourse
b. The patient who avoids genital sexual contact with a partner
c. The patient who has absence of desire to engage in sexual activity
d. The patient who has delayed orgasm following sexual excitement
ANS: B
Aversion disorder is characterized by avoidance of genital sexual contact with a partner.
Orgasmic disorder, male or female, is characterized by delayed orgasm following sexual
excitement. Hypoactive sexual desire disorder is characterized by absence of drive for sexual
activity. Dyspareunia refers to genital pain associated with intercourse.
2. A patient who has a sexual disorder mentions to the nurse, I dont know why I bother looking
for help. They dont know much about sex problems. Which statement best describes the
evolution of research on sexuality and should serve as the basis for the nurses response?
a. Increased knowledge about sexual dysfunction has been available since the late
1960s.
b. Masters and Johnson were the first persons to explore the area of sexual
dysfunction.
c. Kaplan was instrumental in identifying the need for psychoanalysis in treating
sexual dysfunction.
d. Sigmund Freud, a sexologist, based his work on scientific data from studying
human sexual behavior.
ANS: A
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,In 1966, research conducted by Masters and Johnson described exactly what happens to the body
during erotic stimulation. Since then, there has been considerable research concerning the subject
of sexuality and sexual dysfunction. Kaplan identified the need for using behavioral techniques
in treating sexual disorders. Freud did not base his work on scientific data. Freud, Newton, and
Ellis preceded Masters and Johnson in studying sexual dysfunction.
3. A patient who is being treated at the community health clinic complains of lack of sexual
desire and mentions the problems this is causing in her marriage. Which of the following data is
likely related to her sexual dysfunction?
a. Being an adopted only child
b. Taking an antidepressant medication
c. Growing up in a dysfunctional family
d. Living in an isolated area in the country
ANS: B
Antidepressants, especially SSRIs, are known to decrease sexual desire. The other options are
not known to be closely related to development of sexual dysfunction.
4. When a patients wife asks the nurse about fetishism, which example could the nurse give as
part of an explanation?
a. Being sexually aroused only by touching female shoes
b. Standing on the street corner exposing genitals to others
c. Feeling sexually attracted to a 10-year-old child who lives next door
d. Achieving sexual pleasure from rubbing against a stranger in an elevator
ANS: A
Fetishism refers to using various objects, not individuals, for sexual arousal. Exposing genitals
refers to exhibitionism. Rubbing against a stranger is termed frotteurism. Being sexually
attracted to children is an example of pedophilia.
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, 5. Which assessment question will be most informative when interviewing a Hispanic female
who reports having a sexual aversion?
a. In your culture is the female expected to be subservient?
b. How old were you when you first became sexually active?
c. What are your religious beliefs regarding sexual intercourse?
d. When did you first begin experiencing pain during intercourse?
ANS: C
Many religions place restrictions on sexual behavior that is other than procreative and this can
result in sexual dysfunction. Although female roles and sexual history can play a role in sexual
disorders, they are not frequently viewed in the development of sexual aversion. Painful sexual
intercourse is not a symptom of sexual aversion.
6. A sexual history begins with the nurse asking the patient when she experienced her first
menstrual period. What is the basis for beginning the assessment with this type of question?
a. Medical history is the initial focus of all history assessments.
b. Female sexual dysfunction has its roots in pre-pubescent experiences.
c. Females are more comfortable discussing physical issues than emotional ones.
d. To minimize embarrassment, the history is begun with nonthreatening questions.
ANS: D
The sexual history is an important aspect of the assessment but the questions can be
embarrassing. It is suggested that the interview begin with the least awkward topic and then
working toward more difficult and personal topics. There is no proof that the remaining options
are true.
7. What is the basis of the nurses response when a husband reports that, Our problem is that my
wife never initiates sex?
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MULTIPLE CHOICE
1. Which of these individuals is experiencing a symptom of the DSM-IV-TR diagnosis sexual
aversion disorder?
a. The patient who has genital pain associated with intercourse
b. The patient who avoids genital sexual contact with a partner
c. The patient who has absence of desire to engage in sexual activity
d. The patient who has delayed orgasm following sexual excitement
ANS: B
Aversion disorder is characterized by avoidance of genital sexual contact with a partner.
Orgasmic disorder, male or female, is characterized by delayed orgasm following sexual
excitement. Hypoactive sexual desire disorder is characterized by absence of drive for sexual
activity. Dyspareunia refers to genital pain associated with intercourse.
2. A patient who has a sexual disorder mentions to the nurse, I dont know why I bother looking
for help. They dont know much about sex problems. Which statement best describes the
evolution of research on sexuality and should serve as the basis for the nurses response?
a. Increased knowledge about sexual dysfunction has been available since the late
1960s.
b. Masters and Johnson were the first persons to explore the area of sexual
dysfunction.
c. Kaplan was instrumental in identifying the need for psychoanalysis in treating
sexual dysfunction.
d. Sigmund Freud, a sexologist, based his work on scientific data from studying
human sexual behavior.
ANS: A
HTTPS://PASINGGRADES.COM/
,In 1966, research conducted by Masters and Johnson described exactly what happens to the body
during erotic stimulation. Since then, there has been considerable research concerning the subject
of sexuality and sexual dysfunction. Kaplan identified the need for using behavioral techniques
in treating sexual disorders. Freud did not base his work on scientific data. Freud, Newton, and
Ellis preceded Masters and Johnson in studying sexual dysfunction.
3. A patient who is being treated at the community health clinic complains of lack of sexual
desire and mentions the problems this is causing in her marriage. Which of the following data is
likely related to her sexual dysfunction?
a. Being an adopted only child
b. Taking an antidepressant medication
c. Growing up in a dysfunctional family
d. Living in an isolated area in the country
ANS: B
Antidepressants, especially SSRIs, are known to decrease sexual desire. The other options are
not known to be closely related to development of sexual dysfunction.
4. When a patients wife asks the nurse about fetishism, which example could the nurse give as
part of an explanation?
a. Being sexually aroused only by touching female shoes
b. Standing on the street corner exposing genitals to others
c. Feeling sexually attracted to a 10-year-old child who lives next door
d. Achieving sexual pleasure from rubbing against a stranger in an elevator
ANS: A
Fetishism refers to using various objects, not individuals, for sexual arousal. Exposing genitals
refers to exhibitionism. Rubbing against a stranger is termed frotteurism. Being sexually
attracted to children is an example of pedophilia.
HTTPS://PASINGGRADES.COM/
, 5. Which assessment question will be most informative when interviewing a Hispanic female
who reports having a sexual aversion?
a. In your culture is the female expected to be subservient?
b. How old were you when you first became sexually active?
c. What are your religious beliefs regarding sexual intercourse?
d. When did you first begin experiencing pain during intercourse?
ANS: C
Many religions place restrictions on sexual behavior that is other than procreative and this can
result in sexual dysfunction. Although female roles and sexual history can play a role in sexual
disorders, they are not frequently viewed in the development of sexual aversion. Painful sexual
intercourse is not a symptom of sexual aversion.
6. A sexual history begins with the nurse asking the patient when she experienced her first
menstrual period. What is the basis for beginning the assessment with this type of question?
a. Medical history is the initial focus of all history assessments.
b. Female sexual dysfunction has its roots in pre-pubescent experiences.
c. Females are more comfortable discussing physical issues than emotional ones.
d. To minimize embarrassment, the history is begun with nonthreatening questions.
ANS: D
The sexual history is an important aspect of the assessment but the questions can be
embarrassing. It is suggested that the interview begin with the least awkward topic and then
working toward more difficult and personal topics. There is no proof that the remaining options
are true.
7. What is the basis of the nurses response when a husband reports that, Our problem is that my
wife never initiates sex?
HTTPS://PASINGGRADES.COM/
