Chapter 14—Sexual Difficulties and Solutions Iclicker questions
47. Diabetes is a disease of the ____ system. a. endocrine b. neurological c. hormonal d. muscular
A
83. Dilators of graduated sizes are used to treat a. erectile inhibition. b. anorgasmia. c. premature ejaculation. d. vaginismus.
D
1. Sexual problems a. are common. b. primarily occur with those who have had some traumatic experience either in childhood or adulthood. c. are overdiagnosed because of our society's emphasis on sexuality. d. occur more in people who have taken human sexuality courses in college.
A
11. Neil cringes every time his partner becomes affectionate with him. If his partner persists, Neil becomes nauseated and highly anxious, and his feelings of sexual repulsion escalate. Neil is probably experiencing a. sexual aversion disorder. b. hypoactive sexual desire. c. male arousal disorder. d. male orgasmic disorder.
A
14. What is the major concern for a woman with situational female orgasmic disorder? a. She may have orgasm during masturbation, but not when her partner orally stimulates her. b. She does not experience lubrication. c. She experiences lubrication, but does not experience psychological arousal. d. She is at greater risk of developing HSDD.
A
15. Approximately ____% of adult women in the United States have never experienced orgasm by any means of self or partner stimulation. a. 510 b. 1015 c. 1520 d. 2025
A
16. Which of the following statements concerning male orgasmic disorder is FALSE? a. Approximately 20% of males are affected by this disorder. b. Males with this disorder most often prefer to experience orgasm through masturbation. c. This disorder might also be called partner anorgasmia. d. This disorder is also referred to as inhibited ejaculation.
A
19. Which of the following is NOT true regarding faking orgasms? a. Gay males cannot fake orgasms. b. Men are more likely than women to believe that men can tell if a woman is faking orgasm. c. Faking orgasms is a conscious decision. d. One of the most common reasons given by women for faking orgasm is to avoid disappointing or hurting their partners.
A
22. Which of the following is the MOST likely cause of deep pelvic pain? a. Endometriosis b. Inadequate stimulation c. Insufficient lubrication d. Vestibulodynia
A
26. ____ is characterized by strong involuntary contractions of the muscles in the outer third of the vagina. a. Vaginismus b. Vestibulodynia c. Vaginitis d. Peyronie's disease
A
29. Tests using MRI and transvaginal ultrasonography have found pelvic varicose veins among women with a. persistent genital arousal disorder. b. female subjective sexual arousal disorder. c. female genital sexual arousal disorder. d. combined genital and subjective sexual arousal disorder.
A
31. The most common male sexual difficulty is a. premature ejaculation. b. male orgasmic disorder. c. dyspareunia. d. erectile disorder.
A
33. Traumatic bending of the penis during intercourse can cause a. Peyronie's disease. b. male orgasmic disorder. c. premature ejaculation. d. erectile disorder.
A
4. A sexual problem that occurs in all situations with all partners is referred to as ____. A problem that only occurs in specific situations or with specific partners is ____. a. generalized; situational b. comprehensive; situational c. comprehensive; discrete d. generalized; discrete
A
41. A cerebrovascular accident, or ____, may result in ____. a. stroke; depression b. aneurysm; increased genital sensitivity c. stroke; increased genital sensitivity d. aneurysm; depression
A
46. Which illicit drug reduces testosterone levels in men and decreases sexual desire in both sexes? a. Marijuana b. Barbiturates c. Amphetamines d. Cocaine
A
52. The BEST way to cope with the sexual limitations of illness or disability is to a. accept those limitations and develop the options that remain. b. take medications such as Viagra. c. resign oneself to a life without sex. d. compensate with a rich fantasy life.
A
53. The most frequently performed cosmetic surgery in ____, called the "hitch and stitch," creates a fold above each eye to make a woman's eyes look more Causasian. a. Asia b. Latin America c. Africa d. the Middle East
A
54. The ability to identify, feel comfortable with, and manage one's emotions is known as a. emotional intelligence. b. self-confidence. c. empathy. d. self-concept.
A
59. The sexual double standard a. seems to be less of a problem for same-sex couples. b. primarily influences men. c. has increased in the United States. d. can positively affect sexuality.
A
66. A study of Islamic sex therapy centers found that 80% of female clients came for treatment of a. vaginismus. b. vestibulodynia. c. persistent genital arousal disorder. d. combined genital and subjective sexual arousal disorder.
A
68. The start-stop technique sessions generally last a. 15 to 30 minutes. b. 10 to 15 minutes. c. 3 to 10 minutes. d. 20 to 40 minutes.
A
69. There are ____ basic types of penile implants. a. two b. three c. four d. five
A
71. Which of the following is FALSE regarding sensate focus exercises? a. Early sessions focus on bringing both partners to orgasm. b. Partners switch roles. c. The toucher explores for their own pleasure, not their partner's. d. The recipient of touch remains quiet, except when touch is uncomfortable.
A
84. Which of the following would NOT be included in a treatment program for vaginismus? a. Contraceptive creams b. Relaxation exercises c. Manual stimulation d. Insertion of fingers or dilators
A
94. It appears that small doses of medication used to treat ____ may also help men who wish to delay ejaculation. a. depression b. hypogonadism c. anxiety d. Peyronie's disease
A
95. A treatment program to deal with erectile dysfunction would MOST often include a. sensate focus exercises. b. viewing erotic films. c. using manual or genital stimulation to first cause an erection, then beginning penetration immediately to prevent loss of the erection. d. using the EROS treatment device to produce an erection.
A
100. Which of the following is a recommended sequence of events in treating male orgasmic disorder? a. Sensate focus; self-stimulation with partner present; squeeze technique; ejaculation during penetration b. Sensate focus; self-stimulation with partner present; manual or oral stimulation by partner to orgasm; ejaculation during penetration c. Papaverine injections; sensate focus; stop-start techniques; ejaculation during penetration d. Sensate focus; self-stimulation with partner absent; stop-start technique; ejaculation during penetration
B
2. The National Health and Social Life survey found all but which one of the following? a. Women are more likely than men to have a lack of interest in sex. b. Women are more likely to have pain during sex as they grow older. c. Women with a college degree report fewer sexual problems than those without one. d. Women in their 40s and 50s are slightly less likely to have trouble reaching orgasm than those in their 20s and 30s.
B
20. Peyronie's disease refers to a. accumulation of smegma under the foreskin of a man's penis. b. the fibrous tissue and calcium deposits that develop in the space between the cavernous bodies of the penis. c. a severe penile urethral infection. d. a condition in which the foreskin of the penis is abnormally tight.
B
25. Which of the following is cited in your text as a possible contributing factor to vagnismus? a. Lack of sexual activity b. Sexual coercion in marriage c. Lubrication d. Infection
B
30. Using or stopping the use of SSRI antidepressants has been related to developing a. female genital sexual arousal disorder. b. persistent genital arousal disorder. c. combined genital and subjective sexual arousal disorder. d. female subjective sexual arousal disorder.
B
32. Research indicates that compared to men who do not have problems with rapid ejaculation, men with premature ejaculation a. report more enjoyment of orgasm. b. underestimate the intensity of their physical arousal. c. experience low arousal to penile stimulation. d. ejaculate upon reaching full sexual arousal.
B
36. Which of the following is TRUE concerning the origins of sexual difficulty? a. Finding a specific cause for a sexual difficulty is fairly straightforward. b. Experiences that help bring about sexual difficulty in one person may not affect another. c. Psychological factors should be ruled out before examining physiological causes. d. One should assume that psychological and physiological factors do not interact with determining the cause of a sexual difficulty.
B
5. Many categories and labels for diagnosing sexual dysfunctions come from the a. Physicians Desk Reference. b. Diagnostic and Statistical Manual of the APA. c. NHSLS Diagnostic Index. d. Kinsey reports.
B
56. Which of the following is NOT described in your text as a cultural factor contributing to difficulties in sexual functioning? a. Negative childhood learning b. Emotional difficulties c. Narrow definitions of sexuality d. Sexual double standard
B
64. Sensate focus is BEST described as a. a series of self-pleasuring exercises that an individual does alone and then with a partner. b. a series of touching exercises experienced with a partner. c. a technique for reducing premature ejaculation. d. a series of active listening and feedback exercises.
B
67. Readiness is a vaginal sensation of wanting a. body exploration. b. intercourse. c. oral stimulation. d. manual stimulation.
B
73. Therapy programs for female orgasmic disorder begin with a. learning to masturbate with a partner present. b. progressive self-awareness exercises. c. learning to integrate the bridge maneuver into sexual sharing. d. improving sexual communication skills between a woman and her partner.
B
78. For women who are learning to become orgasmic for the first time, a. vibrators are sometimes recommended because they can then be incorporated into sexual sharing with a partner. b. vibrators are sometimes recommended so a woman knows she can have this response, but then manual stimulation is recommended. c. vibrators are not recommended because the stimulation they provide is unable to be replicated by self or partner. d. vibrators are not recommended because they can cause nerve damage in the genital area.
B
79. The EROS Clitoral Therapy Device is designed to a. work as a vibrator for vaginal insertion. b. increase blood flow to the clitoris. c. increase blood flow to the mons and labia. d. protect the clitoris from direct stimulation.
B
81. All of the following are suggested as ways to increase the possibility of orgasm during intercourse for a woman EXCEPT a. direct manual stimulation of the clitoris during intercourse. b. the man-above intercourse position. c. female-initiated movements. d. use of a vibrator.
B
85. Hypoactive sexual desire a. can often be treated through therapy that is less intensive than that used for other problems. b. can be a symptom of unresolved relationship problems. c. is straightforward to treat. d. is most often caused by hormonal imbalances.
B
88. Which of the following is NOT true about sex therapy? a. A first session usually identifies the problem and sets goals. b. Sex therapy is usually done several times a week. c. Therapy clients will usually be given homework assignments to do between sessions. d. A medical history will usually be taken.
B
9. Whenever a man makes a sexually suggestive remark to her, Susan begins trembling, sweating, and feels dizzy and nauseated. She is probably experiencing a. hypoactive sexual desire. b. sexual aversion disorder. c. female sexual arousal disorder. d. anorgasmia.
B
91. Which of the following INCREASES the possibility of premature ejaculation? a. Ejaculating more frequently b. Using the man-above intercourse position c. Starting and stopping stimulation d. Communicating during coitus
B
7. Which of the following is TRUE of hypoactive sexual desire disorder (HSDD) as it is currently defined? a. HSDD indicates the absence or minimal experience of sexual thoughts, fantasies, during the sexual experience, but does not address sexual desire before the sexual experience. b. HSDD is defined exclusively by the lack of sexual interest, thoughts, and fantasies outside sexual activity. c. HSDD does not address the pattern of sexual desire following, rather than preceding, sexual excitement. d. HSDD is not indicative of relationship problems.
C
70. Your text suggests all EXCEPT which one of the following? a. Self-awareness may involve becoming familiar with one's own genitals. b. We need to be aware of our own body responses in part to share this information with a partner. c. We should be careful of sharing too much emotionally because it will take away some of the essential mystery in sex. d. All of us have the potential for self-help.
C
12. Which one is NOT true of erectile disorder? a. ED is primarily a result of psychological, not physical, factors. b. About 20% of men over the age of 20 experience ED. c. ED rarely occurs in men younger than 50. d. The incidence of ED increases with age.
C
17. A man can ejaculate when he masturbates, yet when he has vaginal intercourse, he is unable to ejaculate. He would be MOST likely diagnosed with a. priapism. b. phimosis. c. male orgasmic disorder. d. retrograde ejaculation.
C
18. Premature ejaculation is defined a. as an orgasm that occurs in less than three minutes. b. differently depending upon the age of the male. c. as a pattern of ejaculations within one minute and an inability to delay ejaculation. d. most accurately by laboratory testing.
C
21. The medical term for painful intercourse is a. pelvic inflammatory disease. b. vaginismus. c. dyspareunia. d. vulvar vestibulitis.
C
23. Which of the following would be LEAST likely to cause deep pelvic pain during intercourse? a. Jarring of the ovaries b. Stretching of the uterine ligaments c. Vestibulodynia d. Endometriosis
C
24. Which of the following statements regarding vaginismus is FALSE? a. A woman with vaginismus can experience similar contracting spasms during a pelvic exam. b. A woman with vaginismus may be orgasmic with manual stimulation. c. A woman with vaginismus consciously contracts her vaginal muscles to protect herself against potential pain. d. A woman with vaginismus may be orgasmic with oral stimulation.
C
34. About 10% of women experience severe pain at the entrance of the vagina. This is known as a. situational female orgasmic disorder. b. female genital sexual arousal disorder. c. vestibulodynia. d. vaginismus.
C
37. With which of the following sexual problems has cigarette smoking MOST been associated? a. Anorgasmia b. Ejaculatory inhibition c. Erectile difficulties d. Vaginismus
C
40. Which of the following statements concerning multiple sclerosis is TRUE? a. MS most impairs the emotional center of the brain. b. Approximately 20% of MS patients experience sexual problems. c. MS patients may experience uncomfortable hypersensitivity to genital stimulation. d. MS most impairs involuntary movement.
C
44. All of the following medications may have undesirable effects on sexual functioning EXCEPT a. antidepressants. b. tranquilizers. c. ginkgo biloba. d. antihistamines.
C
49. Which of the following statements concerning cerebral palsy is TRUE? a. Most people with CP are mentally disabled. b. Genital sensation is lost as the result of CP. c. CP may disrupt speech and facial expressions. d. CP most commonly occurs in adolescence.
C
51. ____ is caused by damage to the brain before or during birth or during early childhood, and is characterized by mild to severe lack of muscular control. a. Spinal cord injury (SCI) b. Multiple sclerosis (MS) c. Cerebral palsy (CP) d. Diabetes
C
55. Performance anxiety a. primarily affects gay men. b. primarily affects lesbian women. c. can produce enough anxiety for the problem to occur in the next sexual encounter as well. d. oftentimes helps increase the pleasure by first increasing the overall arousal level.
C
57. The feelings and beliefs we have about ourselves are referred to as a. self-awareness. b. self-confidence. c. self-concept. d. self-esteem.
C
6. Maria rarely thinks or fantasizes about sex. When not in a relationship, she rarely masturbates. When in a relationship, she never initiates sex, but if her partner initiates, she is able to lubricate and become orgasmic. Her problem would BEST be described as a. dyspareunia. b. female sexual arousal disorder. c. hypoactive sexual desire. d. sexual aversion disorder.
C
60. The authors of your text believe that coitus a. is the ultimate avenue for exploring sexual pleasure. b. has been underemphasized, and that this may contribute to inadequate stimulation for women. c. has been overemphasized, and that this may contribute to inadequate stimulation for women. d. is a term that should be dropped and replaced with the phrase penile-vaginal intercourse.
C
74. Which cultural group would be LEAST likely to discuss sexual matters with a therapist? a. Orthodox Jews b. Wiccans c. Asians d. Native Americans
C
77. Which one is NOT true about sex therapists? a. Sex therapists should have at least a master's degree. b. Good sex therapists will help you improve the marital communication and satisfaction. c. Sex therapists should ideally be of the opposite sex. d. Sex therapists should have participated in sex therapy training, supervision, and workshops.
C
8. A woman prefers early morning sex two to three times a week, and her partner prefers late-night sex once a week. How would you define their problem? a. The male is experiencing nocturnal penile tumescence (NPT). b. The couple is experiencing sexual aversion. c. The couple is experiencing desire discrepancy. d. The couple is experiencing hypoactive sexual desire disorder.
C
80. A ____ can help anorgasmic women experience sexual climax for the first time. a. ribbed dildo b. kitten mitten c. vibrator d. cock ring
C
87. Which of the following would be the BEST source to find a therapist to help with sexual problems? a. The NSVRC b. The American Pharmacists Association c. The American Association of Sex Educators, Therapists, and Counselors d. Sex Addicts Anonymous
C
89. All of the following may happen in sex therapy EXCEPT for a. identifying the client's goals for the therapy. b. screening for major psychological problems. c. sexual relations with the therapist. d. gathering extensive sexual, personal, and relationship histories.
C
90. All of the following techniques may delay ejaculation EXCEPT a. having more frequent orgasms. b. continuing sexual activity after a first ejaculation. c. using energetic pelvic movements. d. using the woman-above position during intercourse.
C
97. Jack is having problems maintaining an erection, and it has been determined that there is no physiological basis for this problem. His partner may be most helpful to him if he/she a. persuades him to have intercourse with him/her as soon as he begins to have an erection. b. is able to increase his blood pressure and thus the vascular flow to his penis. c. can help reduce his anxiety over sexual performance. d. shares with him specific ways in which he can stimulate him/her and bring him/her to an orgasm.
C
10. Which of the following is NOT a desire phase difficulty? a. HSDD b. Sexual aversion disorder c. Desire discrepancy d. Female sexual arousal disorder
D
13. Which of the following statements concerning female orgasmic disorder is TRUE? a. This disorder focuses on the inability of achieve orgasm during intercourse. b. This disorder is only diagnosable as a generalized (not situational) disorder. c. This disorder is usually found in married and older women. d. This disorder (as it relates to women who have never experienced orgasm) has declined since the 1960s.
D
27. Which of the following is MOST likely to cause vaginal discomfort and pain related to penetration? a. Intense arousal b. Lubricating jelly c. An overabundance of estrogen d. A yeast infection
D
28. Spontaneous, intrusive, and unwanted genital arousal is known as a. combined genital and subjective sexual arousal disorder. b. female subjective sexual arousal disorder. c. female genital sexual arousal disorder. d. persistent genital arousal disorder.
D
3. Sexual satisfaction is BEST determined by a. consulting a therapist specializing in this area. b. a conversation with one's sexual partner or partners. c. taking a test to determine one's satisfaction according to established standards. d. the individual's own subjective perception.
D
35. Generally speaking, avoiding the use of ____ will contribute to healthy sexual functioning. a. alcohol b. tobacco c. marijuana d. all of the above
D
38. Cancer and its treatment can interfere with sexual functioning in which of the following ways? a. Negative body image due to scars, hair loss, etc. b. Physical pain c. Changes in hormonal, vascular, and neurological functions d. All of the above
D
39. According to your text, which of the following is LEAST affected in the person who has multiple sclerosis? a. Vision b. Voluntary movement c. Sensation d. Cognitive functioning
D
42. Which of the following medications might be used to reverse the adverse sexual side effects from SSRI antidepressants? a. Paxil b. Xanax c. Nicotine d. Wellbutrin
D
43. Which drug adversely affects small blood vessels in the penis and decreases the frequency and duration of erections? a. Barbiturates b. Amphetamines c. Alcohol d. Tobacco
D
45. A high waist circumference and low levels of physical activity are associated with an increased likelihood of having a. male orgasmic disorder. b. dyspareunia. c. vestibulodynia. d. erectile disorder.
D
48. Why might cancer treatment interfere with sexual functioning? a. Because the person with the cancer may be too tired to be sexually active b. Because of the side effects of cancer treatments c. Because the cancer may invade the reproductive organs d. All of the above
D
50. Which of the following statements is MOST accurate? a. A person with SCI (spinal cord injury) will have loss of desire. b. A person with SCI (spinal cord injury) will have arousal difficulties. c. A person with SCI (spinal cord injury) will have orgasmic difficulties. d. There is variation in sexual desire and behavior according to the specific injury among people with SCI (spinal cord injury).
D
58. Which illicit drug causes erectile disorder and inhibits orgasm in both sexes? a. Marijuana b. Barbiturates c. Amphetamines d. Cocaine
D
61. Lack of sexual interest and response is a common symptom of a. depression. b. visual stimulation. c. relaxation. d. cosmetic surgery.
D
62. Gina won't tell her boyfriend that she needs clitoral stimulation to reach orgasm because she believes that if her boyfriend really loved her, he would know what to do. Gina is showing the impact of which relationship factor on sexuality? a. Fear of pregnancy b. Self-concept c. Emotional difficulties d. Ineffective communication
D
63. All of the following are relationship factors that might contribute to sexual difficulties EXCEPT a. ineffective communication. b. sexual orientation. c. fears about getting pregnant. d. self-concept.
D
65. Masturbating with a partner present a. begins with nondemanding manual genital pleasuring. b. is generally not recommended as this is better done in private. c. should be performed only as a remedy for differential desire. d. may be a good way to inform your partner what kind of touch you find arousing.
D
72. The major purpose of doing sensate focus exercises is to a. experience orgasmic release. b. deal with vaginismus. c. increase the possibility of having multiple orgasms. d. enhance sexual pleasure and to reduce performance pressure.
D
75. According to a study done in Saudi Arabia, for which of the following sexual problems would men and women be MOST likely to seek help? a. Female hypoactive desire and premature ejaculation b. Situational anorgasmia and male hypoactive sexual desire c. Female arousal disorder and premature ejaculation d. Dyspareunia and erectile disorder
D
76. A sexual relationship between a therapist and his or her client a. is sometimes therapeutic. b. has been admitted by 1 or 2% of therapists. c. is considered acceptable by some counseling professional associations. d. may likely result in negative effects, e.g., anxiety and depression, for the client.
D
82. Which of the following is NOT true about stimulation of the clitoris? a. This can be done manually by the female b. This can be done manually by the male. c. This may be done by using a vibrator. d. One goal of therapy is to eliminate the need to do this.
D
86. Which of the following hormone supplements would MOST likely be used to treat sexual dysfunction? a. Oxytocin and estrogen b. Oxytocin and testosterone c. Steroids and estrogen d. Estrogen and testosterone
D
92. Which of the following statements regarding the stop-start technique is FALSE? a. A man can benefit from using this technique on himself during masturbation. b. A man can benefit from using this technique with his partner. c. A urologist developed this technique. d. Masters and Johnson reported only a 60% success rate in treating this problem.
D
93. The stop-start technique involves a. communicating the level of stimulation one is experiencing to the partner. b. applying the technique using oral or manual stimulation first. c. stopping stimulation until pre-ejaculatory sensations are reduced. d. All of the above
D
96. Which of the following statements is TRUE about Viagra and other related medications for the treatment of erectile dysfunction? a. In a troubled relationship, the use of such a medication can clarify for the couple that they have other relationship problems, which may lead the couple to work toward resolving them. b. These medications promote blood flow to the penis. c. Flushing and headaches are common side effects of these medications. d. All of the above
D
98. Which one is NOT true of Viagra and other medications used to treat erectile dysfunction? a. Viagra has emerged among college students and others as a party drug for recreational and casual sex. b. Many studies have shown significant improvement in the partner's feelings of sexual desirability and satisfaction as well as her own sexual functioning when the man uses erection-enhancing medications. c. Viagra has greatly increased general conversation and awareness about erectile problems. d. Viagra was originally developed for diabetes.
D
99. What is the BEST treatment approach for reducing male orgasmic disorder? a. Asking the couple to express affection at times other than intercourse b. Using antidepressants to increase orgasmic response c. Using anti-anxiety agents to promote relaxation d. Using behavioral therapy and psychotherapy to resolve personal or couple issues
D
