Psychiatric Mental Health Nursing 5th Edition By Fortinash
Psychiatric Mental Health Nursing 5th Edition By Fortinash
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Chapter 20: Sexual Disorders: Sexual Dysfunctions and Paraphilias
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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.
DIF: Cognitive Level: Comprehension REF: Page 461
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| 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
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.
DIF: Cognitive Level: Application REF: Page 459
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
| 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.
DIF: Cognitive Level: Application REF: Page 460
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
| 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.
DIF: Cognitive Level: Application REF: Page 473
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
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