Chapter 25: Sexual Responses and Sexual Disorders

Chapter 25: Sexual Responses and Sexual Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Parents are upset after learning that their child is homosexual. They ask the nurse, “What causes homosexuality; was it something we did?” The nurse responds best when stating:

a.	“The cause of homosexuality has not been determined as of yet.”
b.	“It’s thought that homosexuality is transmitted via the X chromosome.”
c.	“Many people consider homosexuality to be an expression of normal sexual behavior.”
d.	“You sound as though you are expressing concern about both your child and yourself.”

 

 

ANS:  A

Giving a direct answer is appropriate because the patient is seeking information. To mention a possible genetic origin may cause the parent to needlessly feel responsible. Saying that homosexuality is a normal expression of sexual behavior denies the parent’s right to be distressed. Suggesting that the patient is concerned for self may be considered challenging.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 502

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Psychosocial Integrity

 

2. A person states, “I feel as though I’m really a woman trapped in this male body.” This type of statement is characteristically expressed by someone who is a:

a.	transsexual.
b.	transvestite.
c.	pedophile.
d.	homosexual.

 

 

ANS:  A

A transsexual is a person who is anatomically a male or female but who expresses strong conviction that he or she has the mind and feelings of the opposite gender.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 503

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

3. A nurse requests that a patient assignment be changed, saying, “I learned in school that homosexuality is not an illness and I want to be therapeutic, but every time I see my patient with a same-sex partner, I think it’s a sickness!” The nurse is experiencing which stage of the self-awareness process?

a.	Anger
b.	Anxiety
c.	Choosing values
d.	Cognitive dissonance

 

 

ANS:  D

Cognitive dissonance arises when two opposing beliefs exist at the same time.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Pages: 500-501

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

4. A nurse shares with a mentor, “When my patient brought up the subject of resuming sexual relations after surgery, I felt flustered. While I realized I wasn’t letting the patient express concerns, I couldn’t stop monopolizing the conversation.” The nurse describes experiencing the stage of the self-awareness process called:

a.	anger.
b.	action.
c.	anxiety.
d.	cognitive dissonance.

 

 

ANS:  C

In the stage of anxiety, the nurse may exhibit behaviors that hinder the discussion of sexual issues, such as talking too much, failing to listen, and being preoccupied with facts rather than feelings.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 501

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

5. A patient is hospitalized for an acute episode of schizophrenia. A nurse finds the patient in the lounge nude and telling everyone, “I am the body beautiful.” The most appropriate intervention for the nurse would be to:

a.	tell the patient to put on clothes immediately and to not undress in public again.
b.	take the patient back to the assigned room and then assist the patient with getting appropriately dressed.
c.	ignore the behavior and share with the other patients that the patient has no control over it.
d.	seclude the patient until control can be regained and clearly define why the behavior is unacceptable.

 

 

ANS:  B

The sexual expression of patients with psychiatric illness may be inappropriate and, at times, intrusive. The patient may not be able to understand or control sexual thoughts or impulses. Nursing intervention should protect the patient from the consequences of poor judgment whenever possible and should be achieved in a neutral, nonjudgmental manner.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 505

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Psychosocial Integrity