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Which assessment question best asks about sexual dysfunction and quality of the relationship with a client and client's partner?

"How would you describe you and your partner's sexual relationship?"

A nurse is conducting a social and sexual assessment of a client. Which of the following questions would be most appropriate for the nurse to ask to begin the discussion?

"How would you describe your social life?"

A psychiatric-mental heatlh nurse is assessing a female client for possible sexual disorder. A positive response to which question would alert the nurse to the possibility of a problem?

"Is sexual intercourse painful for you?"

A client is discussing her sexual history with the nurse. She reports that she has not been able to achieve an orgasm with her partner since starting a new medication. Which is the nurse's best response?

"Let me review the new medication's side effects."

A client was diagnosed with diabetes 10 years ago. Which statement by the client warrants exploration about the impact of diabetes and sexual dysfunction?

"My diabetes has not impacted my sexual function."

The client is a single man age 36 years. He is speaking with the office nurse, reporting an inability to attain or maintain an erection. Which of the following would be the most therapeutic response?

"Thank you for sharing this concern with me. There are many possible reasons for your problem, which I encourage you to discuss with the physician. It may be treatable with medications or other therapies."

A woman diagnosed with a sexual arousal disorder asks the nurse, "Why can't I just take the drug men use for erectile dysfunction?" Which response by the nurse would be most appropriate?

"These medications have not been shown to be effective in women."

A client is diagnosed with erectile dysfunction and is prescribed tadalafil (Cialis). When teaching the client about this medication, the nurse would inform the client that this drug can act for up to which time frame?

36 hours

The nurse is interviewing a client. Which statement would lead the nurse to suspect that the client may be experiencing gender dysphoria?

A man states, "Looking back, I've always felt like a woman who is trapped in a man's body."

Which statement best describes sexual dysfunction?

A variety of disorders with significant disturbances in a person's ability to respond sexually or experience sexual pleasure

A nurse is conducting a sexual assessment of an older male. Which information if reported by the client would the nurse identify as a normal age-related change?

Ability to sustain longer erections

Which nursing diagnoses are used for clients who have erectile dysfunction? Select all that apply.

Anxiety Stress overload Ineffective sexuality pattern

A nurse is reviewing the medication history of a client diagnosed with erectile dysfunction who is being treated with a PDE5 inhibitor. Which of the following might the nurse note in the client's history? Select all that apply.

Avanafil Vardenafil

Which of the following refers to the anatomic and physiologic state of being male or female?

Biosexual identity

A nurse is reviewing the medical history of a client. Which condition would alert the nurse to the possibility that the client's sexual functioning may be affected? Select all that apply.

Cerebrovascular accident Diabetes Use of antihypertensive drugs Chronic obstructive pulmonary disease

When describing the behaviors and fantasies associated with paraphilias, a nurse would most likely identify these as beginning at which time?

Childhood

A group of nurses is reviewing reproductive system age-related changes. The nursese demonstrate understanding of this information when they identify which change as occurring in men?

Decreased sperm viability

What is a frequent cause of sexual dysfunction?

Desire

A client has been given the nursing diagnosis of ineffective sexual dysfunction. Which interventions are appropriate? Select all that apply.

Discussion on getting adequate rest Assisting the client to examine current sexual needs Teaching information regarding sex education

Which of the following neurotransmitters is responsible for arousal and ejaculation in men?

Dopamine

A 50-year-old woman comes to the clinic for her yearly checkup. While talking to the nurse, she confides that she is having problems at home with her husband and sex. Upon further discussion she tells the nurse that it isn't that she she does not love her husband, or doesn't want to have sexual intercourse, but that she is afraid because intercourse is painful. The nurse interprets this as which of the following?

Dsypareunia

Hypoactive sexual desire disorder can result from which of the following? Select all that apply.

Endocrine disease Stress Aging Depression

A client with erectile dysfunction is prescribed tadalafil. When teaching the client about the action of this drug, the nurse understands that the drug acts by which of the following?

Enhancement of the effect of nitric oxide

Which are classified as sexual disorders that are clinically significant disturbances in the person's ability to respond sexually or to experience sexual pleasure? Select all that apply.

Erectile disorder Orgasmic disorder Delayed ejaculation

A client is visiting the mental health clinic. The nurse notices that tadalafil (Cialis) is on the client's medication list. The nurse understands that tadalafil is used to treat which of the following conditions?

Erectile dysfunction

A man comes to the clinic for a blood pressure check. While talking to the doctor, the client reports that he cannot maintain an erection during intercourse. Because of this problem, he states that he feels as if his sex life has gone downhill. From what does this client appear to be suffering

Erectile dysfunction

Which phase of the human sexual response cycle leads to vaginal lubrication in women?

Excitement

Nursing students in a psychiatric nursing class are reviewing theories of sexual response. A student correctly identifies the phase described by Masters and Johnson in which erotic feelings cause penile erection in men and vaginal lubrication in women to be

Excitement phase

The treatment plan for a client diagnosed with female orgasmic disorder includes interventions that focus on educating the woman about entitlement and about requesting pleasurable sexual stimuli. The nurse interprets this as which of the following?

Facilitative communication

A woman comes to the clinic for an evaluation. The client tells the nurse, "I just don't feel like I get sexually excited even when my partner tries so hard." The nurse interprets the client's statement as possibly indicating which of the following?

Female sexual interest/arousal disorder

While interviewing a male client, he reports that he becomes sexually aroused by rubbing the shoes of his partner and then masturbates while continuing to rub them. The nurse identifies this as which of the following?

Fetishism

A nurse is reading a journal article about paraphilias. The nurse demonstrates understanding of the information when the nurse identifies which disorder as an example? Select all that apply.

Fetishism Sexual sadism Voyeurism

Which of the following are examples of paraphilias? Select all that apply.

Fetishism Voyeurism Pedophilia Sexual masochism

A caregiver of a 5-year-old boy tells the nurse that the boy will put on lipstick and walk around in bath towels that he pretends are dresses. This is an example of which sexual disorder?

Gender dysphoria

A parent is distressed after observing the adolescent male child apply eye makeup and walk in women's shoes. For which sexual issue should the nurse prepare teaching for the parent?

Gender dysphoria

A nursing student is reviewing information about sexual maturation. The student demonstrates understanding of the concept when identifying which of the following as a component? Select all that apply.

Gender identity Gender role Sexual orientation Biosexual identity

Sexual health is an important aspect of wellness. What influences sexual health? Select all that apply.

Gender norms Social issues Family expectations

A female client tells the nurse that she has not had interest in a sexual relationship since she learned of her partner having sexual relations with a co-worker. Which type of sexual response is the client exhibiting?

Hostility toward one's partner

A client has been prescribed flibanserin. Which disorder is this approved to treat?

Hypoactive sexual desire

A nurse is conducting a sexual assessment of a client. Which finding would suggest to the nurse that the client may be experiencing sexual dysfunction? Select all that apply.

Inappropriately touching another person Questioning the care provider about his/her sexual relationship Self-deprecation Statement such as "I have a friend who..."

A nurse is reviewing information about the sexual response cycle as described by Masters and Johnson. The nurse demonstrates understanding of this information by identifying which events as occurring during the plateau phase? Select all that apply.

Increased muscle tension Increased heart rate

The female client tells the nurse that she has not had interest in sexual relations with her partner since she learned she is pregnant. Which type of sexual response is the client exhibiting?

Intrusive thoughts

A client is discussing with the nurse sexual orientation. Which statement by the nurse is correct regarding sexual orientation?

It is influenced by genetic factor and sex hormones.

Which statement reflects health issues associated with LGBTQ (lesbian, gay, bisexual, transgender, questioning) members?

LGBTQ populations have higher rates of tobacco, alcohol, and other drug use.

Which medical problems can compromise male sexual activity and responses? Select all that apply.

Obesity Smoking Sleep apnea Diabetes mellitus

The diagnostic criteria for erectile dysfunction require that the condition be present for which time frame?

Over 6 months

A nursing student becomes very upset in a psychiatric nursing class when the instructor begins to talk about pedophilia. After class, the student shares with the instructor that this topic was upsetting because the student's father is in prison for molesting young boys. The instructor is aware that the father's disease is classified as which of the following?

Paraphilia

Sexual arousal is different for men and women. Which is more important for women?

Physical stimuli

A nurse is reviewing the medical record of a female client diagnosed with female orgasmic disorder. Which factor if noted, would the nurse identifying as a primary risk factor for this disorder? Select all that apply.

Poor mental health Poor physical health Relationship issues

During a discussion regarding orgasmic dysfunction with a female client, the nurse notices the client looking around the room and asking questions related to the weather. Which is an intervention the nurse should discuss with the client?

Promoting a support group that includes women with similar problems

A client reports a lack of desire to have an intimate relationship since observing the spouse staring at the young female neighbor who was sunbathing. Which action by the nurse would best help this client? Select all that apply.

Refer to a women's health provider. Suggest the medication flibanserin. Schedule cognitive-behavioral therapy sessions.

A client with erectile dysfunction has been prescribed a PDE5 inhibitor. The nurse is teaching the client about how the medication works. Which best describes how the medication works?

Relaxes the corpora cavernosa.

During which phase of the human sexual response cycle does the body return to the unaroused state?

Resolution

The human sexual response cycle is divided into four phases. Which of the following is the final phase of the sexual response?

Resolution

A client is concerned that sexual stimulation occurs only when being handcuffed to the bed. Which type of paraphilia is this client experiencing?

Sexual masochism

When a client endures pain to achieve sexual satisfaction, which of the following paraphilias is occurring?

Sexual masochism

Which of the following paraphilias might involve the act of using electrical shock to make a person suffer?

Sexual masochism

A nurse is reviewing the history of a client diagnosed with a paraphilia. The paraphilia involves the infliction of pain with leather straps or whips. Th en urse interprets this as which paraphilia?

Sexual sadism

Which of the following would a nurse identify as an age-related sexual change in men? Select all that apply.

Spermatogenesis decreases Ejaculatory force is decreased

A client asks the nurse about how long PDE5 inhibitors work. Which PDE5 inhibitor works for 36 hours?

Tadalafil

A client has been diagnosed with erectile dysfunction. The nurse would expect the client to be placed on which of the following medications?

Tadalafil

Which statement describes how genes determine the sex of the fetus during reproduction?

The Y chromosome determines the sex of the fetus.

A client with a history of erectile dysfunction has just been prescribed tadalafil. What education should the nurse provide to the client?

The client should seek medical help if his erection lasts longer than a few hours

A middle-aged male client has told the nurse, "Lately, I just don't seem to have any interest in sex, which isn't at all like me." The nurse should focus on what area of assessment when addressing the client's hypoactive sexual desire?

The client's current medication regimen

When describing gender dysphoria to a group of staff nurses, which information would the nurse leader most likely include?

The disorder occurs more frequently in boys than in girls.v

A nurse is conducting a seminar for a men's community group on sexual dysfunction. When describing premature ejaculation, which information would the nurse most likely include?

The underlying cause of premature ejaculation is not known.

Which of the following reflects an age-related sexual system change in women? Select all that apply.

Thinning of the vaginal mucosa Increasing breast involution

A 28-year-old woman seeks treatment for sexual dysfunction. She states that she feels aroused and is interested in having intercourse, but that she "clamps down" and her partner cannot achieve penetration. She denies any pain with intercourse. Which of the following would the nurse suspect?

Vaginismus

A sexual history of a female client reveals that the client has a normal sex drive and reports of orgasm through means other than intercourse. The client also has a history of being raped several years ago. The client reports spasms of the perineal and outer vaginal muscles when vaginal intercourse is attempted. The nurse interprets these findings as suggesting which of the following?

Vaginismus

A client reports a decrease in vaginal lubrication during sexual intercourse. Which of the following would be appropriate for the nurse to suggest to the client? Select all that apply.

Water-soluble lubricant Saliva

A nurse is talking with a client regarding erectile dysfunction. The client asks what else he can do to improve erectile function. Which recommendations should be suggested by the nurse? Select all that apply.

Weight loss Regular exercise Reducing alcohol consumption

A client asks the nurse to describe the orgasmic phase of men and women. Which statement accurately describes the orgasmic phase?

Women experience rhythmic contractions of the vaginal muscles.

Which organization supports sexual health as a state of physical, emotional, mental and social well-being in relation to sexuality?

World Health Organization (WHO)

Medication reconciliation of a newly admitted client reveals that he was prescribed sildenafil citrate in the community. The nurse should suspect that the client has a history of:

erectile dysfunction.

A female client admits to never having experienced an orgasm during intercourse. Which topics should the nurse include when creating a teaching plan for this client? Select all that apply.

etiologic factors communication skills techniques to reduce anxiety impact of medication on orgasm

When assessing an individual for sexual dysfunction, it is most therapeutic for the nurse to ...

frame questions in a way that normalizes a wide range of sexual behaviors and problems and use terms that the client will understand.

A client is diagnosed with erectile dysfunction. For which medication should the nurse anticipate preparing teaching material for this client? Select all that apply.

tadalafil avanafil sildenafil citrate vardenafil HCL