Chapter 41. Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunctions
Multiple Choice
1. A 52-year-old client states, My husband is upset because I dont enjoy sex as much
as I used to. Which priority client data should a nurse initially collect?
A. History of hysterectomy
B. Date of last menstrual cycle C. Use of birth control methods D. History of thought
disorder ANS: B
The nurse should assess the clients last menstrual cycle to determine if the client is
experiencing the onset of menopause. Menopause usually occurs around the age of
50. The decrease in estrogen can result in multiple symptoms, including a decrease in
biological drives and sexual activity.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Assessment | Client Need:
Physiological Integrity
2. In the course of an assessment interview, a female client reveals a history of
bisexual orientation. Which action should the nurse initially implement when working
with this client?
A. Self-assess personal attitudes toward homosexuality
B. Review clients possible childhood sexual abuse history
C. Encourage discussion of aversion to heterosexual relationships
, D. Explore clients family history of homosexuality
ANS: A
The nurse should initially self-assess personal attitudes toward bisexuality. The nurse
must be able to recognize the potential for negative feelings compromising client care.
Unconditional acceptance of each individual is an essential component of
compassionate nursing.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Implementation | Client Need:
Psychosocial Integrity
3. A recently widowed client reports a fear of intimacy due to an inability to achieve
and sustain an erection. He has become isolative, has difficulty sleeping, and has
recently lost weight. Which correctly written nursing diagnosis should be prioritized for
this client?
A. Risk for situational low self-esteem AEB inability to achieve an erection
B. Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
C. Social isolation R/T low self-esteem AEB refusing to engage in dating activities
D. Disturbed body image R/T penile flaccidity AEB client statements
ANS: B
On the basis of the clients symptoms, the nurse should prioritize the nursing diagnosis
of sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm.
Multiple Choice
1. A 52-year-old client states, My husband is upset because I dont enjoy sex as much
as I used to. Which priority client data should a nurse initially collect?
A. History of hysterectomy
B. Date of last menstrual cycle C. Use of birth control methods D. History of thought
disorder ANS: B
The nurse should assess the clients last menstrual cycle to determine if the client is
experiencing the onset of menopause. Menopause usually occurs around the age of
50. The decrease in estrogen can result in multiple symptoms, including a decrease in
biological drives and sexual activity.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Assessment | Client Need:
Physiological Integrity
2. In the course of an assessment interview, a female client reveals a history of
bisexual orientation. Which action should the nurse initially implement when working
with this client?
A. Self-assess personal attitudes toward homosexuality
B. Review clients possible childhood sexual abuse history
C. Encourage discussion of aversion to heterosexual relationships
, D. Explore clients family history of homosexuality
ANS: A
The nurse should initially self-assess personal attitudes toward bisexuality. The nurse
must be able to recognize the potential for negative feelings compromising client care.
Unconditional acceptance of each individual is an essential component of
compassionate nursing.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process:
Implementation | Client Need:
Psychosocial Integrity
3. A recently widowed client reports a fear of intimacy due to an inability to achieve
and sustain an erection. He has become isolative, has difficulty sleeping, and has
recently lost weight. Which correctly written nursing diagnosis should be prioritized for
this client?
A. Risk for situational low self-esteem AEB inability to achieve an erection
B. Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
C. Social isolation R/T low self-esteem AEB refusing to engage in dating activities
D. Disturbed body image R/T penile flaccidity AEB client statements
ANS: B
On the basis of the clients symptoms, the nurse should prioritize the nursing diagnosis
of sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm.
