Exam (elaborations)
Chapter 42. Issues Related to Human Sexuality and Gender Dysphoria
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 42. Issues Related to Human Sexuality and Gender Dysphoria
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TownsendPMHN, 10e
Chapter 42 - ETB
Chapter 42. Issues Related to Human Sexuality and Gender Dysphoria
abirb.com/test
MULTIPLE CHOICE
1. A 52-year-old client states, “My spouse is upset because I don’t enjoy sex as much as I used
to.” Which priority client data would the nurse initially collect?
1. History of hysterectomy
2. Date of last menstrual cycle
3. Use of birth control methods
4. History of thought disorder
ANS: 2
Chapter: Chapter 42, Issues Related to Human Sexuality and Gender Dysphoria Objective:
Describe developmental processes associated with huambiarbn.csoemx/teusat lity. Page: 935
Heading: Development of Human Sexuality > Adulthood > The “Middle” Years—40 to 65
Integrated Processes: Nursing Process
Nursing Process: Assessment
Client Need: Physiological Integrity > Physiological Adaptation
Cognitive Level: Comprehension [Understanding] Concept:
Sexuality
Difficulty: Moderate
Feedback
1. This is incorrect. Although history of a hysterectomy is important knowledge to
have, it is not the first information to collect; it does not lead to disinterest in sex.
2. This is correct. The nurse should first assess the client’s last menstrual cycle to
determine if the client is experiencing the onset of
menopaaubsireb.cTomh/etesatverage age of naturally occurring menopause for
women in North America is 51 years, though
changes can be noted from about 40 to 60 years of age. The decrease in the amount of
estrogen results in loss of natural vaginal lubrication, poasbsiribb.cloymm/teastking
intercourse painful. The decrease in estrogen can also result in multiple symptoms,
3. This is incorrect. It is important to know which type of birth control the client is using,
but the most important information to know is whethabei rb.tchoem/ctelsiet nt is in
menopause.
4. This is incorrect. History of thought disorder does not lead to disinterest in sex, so
this information is not a priority to collect.
CON: Sexuality
, Townsend
PMHN, 10e
Chapter 42 - ETB
abirb.com/test
2. In the course of an assessment interview, a client reveals a history of bisexual orientation.
Which action would the nurse initially implement when working with this client?
1. Self-assess personal attitudes toward bisexuality.
2. Review client’s possible childhood sexual abuse history.
3. Encourage discussion of aversion to heterosexual relationships.
4. Explore client’s family history of homosexuality and bisexualiatbyir.
ANS: 1
Chapter: Chapter 42, Issues Related to Human Sexuality and Gender Dysphoria
Objective: Conduct a sexual history.
Page: 938
Heading: Application of the Nursing Process to Sexual Disorders > Assessment
Integrated Processes: Nursing Process
Nursing Process: Implementation Client
Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Moderate
Feedback
1. This is correct. The nurse should first 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.
2. This is incorrect. This information may be explored at a later time, but the nurse
would first assess personal attitudes towards bisexuality.
3. This is incorrect. This information is not pertinent to clientabciarbr.eco.m/test
4. This is incorrect. This information is not pertinent to client care. There is nothing in
the stem to indicate this care includes the client’s family at this time.
CON: Patient-Centered Care
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 would be prioritized for this client?
1. Risk for situational low self-esteem as evidenced by (AEB) inability to achieve an erection
2. Sexual dysfunction related to (R/T) dysfunctional grieving AEB inability to experience orgasm
3. Social isolation R/T low self-esteem AEB refusing to engage ianbirdba.ctoimng/teastctivities
4. Disturbed body image R/T penile flaccidity AEB client statements
ANS: 2
Chapter: Chapter 42, Issues Related to Human Sexuality and Gender Dysphoria
, Townsend
PMHN, 10e
Chapter 42 - ETB
abirb.com/test
Objective: Formulate nursing diagnoses and goals of care for clients with sexual dysfunctions and
gender dysphoria in children.
Page: 939
Heading: Application of the Nursing Process to Sexual Disordersab>irbD.coiamg/tnesot
sis/Outcome
Identification; Table 30–3, Care Plan for the Client With a Sexual Disorder
Integrated Processes: Nursing Process
Nursing Process: Nursing Diagnosis
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Sexuality
Difficulty: Moderate
Feedback
1. This is incorrect. The priority nursing diagnosis is sexual daybsirfbu.cnomct/tieosnt
R/T dysfunctional grieving AEB inability to experience orgasm. Depression and
fatigue decrease the client’s desire and enthusiasm for participation in sexual activity.
Resolution of these will help achieve the goal for the client to resume sexual activity
at a level satisfactory to self and partner. The client’s curreanbtirbs.ycommp/tetostms
are a priority over the potential risk for low self-esteem.
2. This is correct. Depression and fatigue decrease the client’s desire and enthusiasm
for participation in sexual activity. Resolution of these willabhirebl.cpomac/tehsiteve
the goal for the client to resume sexual activity at a level satisfactory to self and
3. partner.
This is incorrect. The priority nursing diagnosis is sexual dysfunction R/T
dysfunctional grieving AEB inability to experience orgasm. Depression and fatigue
decrease the client’s desire and enthusiasm for participatioanbiirnb.csoemx/tuesatl
activity. Resolution of these will help achieve the goal for the client to resume sexual
activity at a level satisfactory to self and partner.
4. This is incorrect. The priority nursing diagnosis is sexual daybsirfbu.cnomct/tieosnt
R/T dysfunctional grieving AEB inability to experience orgasm. Depression and
fatigue decrease the client’s desire and enthusiasm for participation in sexual activity.
Resolution of these will help achieve the goal for the client to resume sexual activity at
a level satisfactory to self and partner. Assessment data adboirbn.cootmr/teefsltect
client statements regarding body image.
CON: Sexuality
4. The nurse is assessing a client diagnosed with pedophilic disorder. Which statement
differentiates this sexual disorder from a sexual dysfunction?
1. Symptoms of sexual dysfunction include inappropriate sexual behaviors, whereas symptoms of
a sexual disorder include impairment in normal sexual responsaebi.r
2. Symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms of
sexual dysfunction include impairment in normal sexual response.
3. Sexual dysfunction can be caused by increased levels of circulating androgens, whereas levels
of circulating androgens do not affect sexual disorders.
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