NU 345 -Extra UPDATED ACTUAL Exam
Questions and CORRECT Answers
By what age is gender identity usually established?
a)By the age of 3 years old.
b)At puberty.
c)By adulthood.
d)At birth. - CORRECT ANSWER - a)By the age of 3 years old.
A client with a diagnosis of Schizophrenia, who has been prescribed antipsychotic medication for
several years, tells the nurse that he is experiencing sexual dysfunction. What will the nurse
suspect as the cause of this issue?
a)Disturbed interpersonal relationships.
b)The psychiatric disorder.
c)A side effect of the medications.
d)Advancing age. - CORRECT ANSWER - c)A side effect of the medications.
At what point is hormone therapy for the purpose of surgical gender reassignment initiated?
a)When the client has successfully demonstrated a genuine intent to change genders.
b)When the client has taken on the dress and manners of the preferred gender.
c)When the client has successfully lived the crossgender role for a period of time.
d)Has taken all legal steps to change name and legal status. - CORRECT ANSWER -
a)When the client has successfully demonstrated a genuine intent to change genders.
A client with paraphilia tendencies tells the nurse that "I'm disgusted with my lifestyle." What is
the nurse's most therapeutic response?
, a)Assure him that his condition responds well to treatment.
b)Tell him that the first step in managing his behavior is recognizing it as unhealthy.
c)Assess him for the existence of suicidal ideation.
d)Recommend inpatient behavioral modification therapy. - CORRECT ANSWER -
c)Assess him for the existence of suicidal ideation.
The nurse is caring for a client diagnosed with gender dysphoria. What will the nurse expect to
observe?
a)Intense sexual urges focused on an object.
b)Discomfort with biological gender.
c)Self-humiliation during the sexual act.
d)Inability to maintain sexual arousal. - CORRECT ANSWER - b)Discomfort with
biological gender.
The nurse is taking a sexual history on a client. The nurse wants to assess if the client is having
sexual dysfunction related to long term use of psychotropic medication. What is the best way for
the nurse to open this discussion?
a)Some people who are prescribed this medication have experienced changes in their sexual
function. Have you had this problem?
b)What problems are you having with sexual function?
c)Are you having any problems you feel embarrassed to discuss?.
d)What problems of a sexual nature have you struggled with? - CORRECT ANSWER -
a)Some people who are prescribed this medication have experienced changes in their sexual
function. Have you had this problem?
A woman who has had legal issues due to exhibitionism, asks the nurse if there is a medication
that might help her to control her symptoms. What information could the nurse provide?
Questions and CORRECT Answers
By what age is gender identity usually established?
a)By the age of 3 years old.
b)At puberty.
c)By adulthood.
d)At birth. - CORRECT ANSWER - a)By the age of 3 years old.
A client with a diagnosis of Schizophrenia, who has been prescribed antipsychotic medication for
several years, tells the nurse that he is experiencing sexual dysfunction. What will the nurse
suspect as the cause of this issue?
a)Disturbed interpersonal relationships.
b)The psychiatric disorder.
c)A side effect of the medications.
d)Advancing age. - CORRECT ANSWER - c)A side effect of the medications.
At what point is hormone therapy for the purpose of surgical gender reassignment initiated?
a)When the client has successfully demonstrated a genuine intent to change genders.
b)When the client has taken on the dress and manners of the preferred gender.
c)When the client has successfully lived the crossgender role for a period of time.
d)Has taken all legal steps to change name and legal status. - CORRECT ANSWER -
a)When the client has successfully demonstrated a genuine intent to change genders.
A client with paraphilia tendencies tells the nurse that "I'm disgusted with my lifestyle." What is
the nurse's most therapeutic response?
, a)Assure him that his condition responds well to treatment.
b)Tell him that the first step in managing his behavior is recognizing it as unhealthy.
c)Assess him for the existence of suicidal ideation.
d)Recommend inpatient behavioral modification therapy. - CORRECT ANSWER -
c)Assess him for the existence of suicidal ideation.
The nurse is caring for a client diagnosed with gender dysphoria. What will the nurse expect to
observe?
a)Intense sexual urges focused on an object.
b)Discomfort with biological gender.
c)Self-humiliation during the sexual act.
d)Inability to maintain sexual arousal. - CORRECT ANSWER - b)Discomfort with
biological gender.
The nurse is taking a sexual history on a client. The nurse wants to assess if the client is having
sexual dysfunction related to long term use of psychotropic medication. What is the best way for
the nurse to open this discussion?
a)Some people who are prescribed this medication have experienced changes in their sexual
function. Have you had this problem?
b)What problems are you having with sexual function?
c)Are you having any problems you feel embarrassed to discuss?.
d)What problems of a sexual nature have you struggled with? - CORRECT ANSWER -
a)Some people who are prescribed this medication have experienced changes in their sexual
function. Have you had this problem?
A woman who has had legal issues due to exhibitionism, asks the nurse if there is a medication
that might help her to control her symptoms. What information could the nurse provide?
