(Chapter 20) Sexual Dusfunction, Gender Dysphoria, and Paraphilic Disorders Review

Which patient statement suggests a concern over one’s ability to perform sexually?

a. “My partner and I aren’t as close as we once were”

b. “I’m not as desirable as I once was”

c. “My personal life has changed a lot”

d. “I’m not the partner I used to be”

d. “I’m not the partner I used to be”

The nurse should plan to educate male patients who are taking selective serotonin reuptake inhibitors (SSRIs) on the possible development of which common side effect?

a. Impotence

b. Gynecomastia

c. Decreases libido

d. Premature ejaculation

c. Decreases libido

Which medications are currently approved for the treatment of male erectile disorders? Select all that apply

a. Sildenafil (Viagra)

b. Flibanserin (Addyi)

c. Tadalafil (Cialis)

d. Vardensfil (Levitra)

e. Avanafil (Stendra)

a. Sildenafil (Viagra)

c. Tadalafil (Cialis)

d. Vardensfil (Levitra)

e. Avanafil (Stendra)

Which statement describes a common sexual side effect of diazepam (Valium)?

a. “I’m just not interested in sex as much”

b. “I’m experiencing vaginal dryness”

c. “I am having prolonged erections”

d. “My breasts have gotten larger”

a. “I’m just not interested in sex as much”

Obtaining a sexual history can be embarrassing for the patient and practitioner. Experience with addressing that topic can help, as can which of the following?

a. Using informal language familiar to the patient’s age group

b. Avoiding specifics and focusing the interview on general topics

c. Avoiding eye contact

d. Using professional tone of voice and a relaxed posture

d. Using professional tone of voice and a relaxed posture

Which patient has the greatest risk for suicide?

a. A patient who expresses the inability to stop searching the internet for child pornography

b. A patient who reports having lost interest in having a sexual relationship with his wife

c. A patient with a history of exposing himself to female strangers on the bus

d. A patient whose attraction to prepubescent girls has increased

a. A patient who expresses the inability to stop searching the internet for child pornography

When Melissa was a small child, she insisted she was a boy, refused to wear dresses, and wanted to be called Mitch. As Melissa reached puberty, she no longer displayed a desire to be a male. This change in identity is considered:

a. Gender dysphoria

b. Reaction formation

c. Normal

d. Easily transgender syndrome

c. Normal

Phillip, a 63-year-old male, has exposed his genitals in public for all his adult life, but act has lost some of the former thrill. A rationale for this change in his experience may be:

a. An increasing sense of shame

b. Disgust over his lack of control

c. Desire waning with age

d. Progression into actual assault

c. Desire waning with age

A male arrested for inappropriate sexual contact in a subway car denies the allegation. On interviewing the man, the nurse suspects frotteuristic disorder due to his:

a. Lack of relationships

b. Overall aggressive nature

c. Criminal history including robbery

d. Intense hatred of women

a. Lack of relationships

Pedophilic disorder is the most common paraphilic disorder where adults who have a primary or exclusive sexual preference for prepubescent children. A subset of this disorder is termed hebephilia and is defined as attraction to:

a. Infants

b. Pubescent individuals

c. Teens between the ages of 15 and 19

d. Males only

b. Pubescent individuals