Deck 26: Sexual Health Problems and Dysfunctions

Question 1

Which of the following is a major limitation of the model of the sexual response cycle formulated by Masters and Johnson and modified by Kaplan?

A) It lacks a logical, linear progression of phases.
B) It does not allow for the possibility of multiple orgasms.
C) It does not take into account the motivations for sex other than sexual desire.
D) It overemphasizes the importance of nongenital stimulation.

Answer 1

C

Question 2

According to Basson, which of the following is a significant motivator for sex that is overlooked in the Kaplan model of sexual response?

A) Intimacy
B) Sexual desire
C) Money
D) Power

Answer 2

A

Question 3

Which substance in the body is associated with contributing to the engorgement of clitoral tissue?

A) Prolactin
B) Nitric oxide
C) Dopamine
D) Serotonin

Answer 3

B

Question 4

Which substance in the body is associated with increasing the sexual excitement and the desire to continue sexual activity?

A) Prolactin
B) Nitric oxide
C) Dopamine
D) Serotonin

Question 5

According to a survey conducted in the United States in 1992 among women 18 to 59 years old, which of the following was the most common sexual complaint?

A) Lack of sexual interest
B) Difficulty achieving orgasm
C) Problems with lubrication
D) Painful intercourse

Question 6

Which medical condition is most likely to cause a female sexual dysfunction by reducing the blood flow to the vagina and clitoris, thereby decreasing sexual arousal?

A) Spinal cord injury
B) Ovarian cancer
C) Stress incontinence
D) Hypertension

Question 7

Margarite has been experiencing difficulty achieving orgasm during sex and has scheduled an appointment with her nurse practitioner to address this concern. On reviewing Margarite's health record, the nurse sees that she has been diagnosed with major depression and is currently taking an antidepressant. Which of the following medications are most likely to cause the problem that Margarite is experiencing, based on their mechanisms of action? (Select all that apply.)

A) Nefazodone
B) Bupropion
C) Fluoxetine
D) Buspirone
E) Sertraline

Question 8

Which of the following are examples of sociocultural factors that contribute to female sexual dysfunction? (Select all that apply.)

A) An upbringing in which sex was viewed as "dirty"
B) Lack of interest in sex due to depression
C) An inability to be sexually aroused due to alcoholism
D) Lack of privacy due to living in a small apartment with extended family
E) Living in a community in which sex is treated primarily as a commodity

Question 9

A nurse should expect most to conduct a genital exam with a client experiencing which sexual disorder?

A) Sexual interest arousal disorder
B) Gender dysphoria
C) Chronic dyspareunia
D) Orgasmic disorder

Question 10

Which sexual dysfunction diagnosis is no longer included in the DSM?

A) Gender identity disorder
B) Gender dysphoria
C) Sexual interest arousal disorder
D) Noncoital sexual pain disorder

Question 11

Grace is a client complaining of irritation and burning in her vulva. She believes it is related to her bicycle riding, which she does daily. The nurse recognizes this condition as which of the following?

A) Dyspareunia
B) Vulvodynia
C) Genito-Pelvic pain/penetrative disorder
D) Vaginismus

Question 12

Nadine, a client in the postmenopausal period, tells her nurse that her vaginal dryness and pain during intercourse have gotten so bad that she's all but given up having sexual intercourse. The nurse orders a lab test to measure Nadine's estrogen level. Given Nadine's symptoms, the nurse should expect an estrogen level of which of the following?

A) Less than 35 pg/mL
B) 35 to 50 pg/mL
C) 50 to 65 pg/mL
D) 65 to 80 pg/mL

Question 13

Diana, a 49-year-old client, tells her nurse that sexual intercourse with her husband has been painful lately. What self-management interventions should the nurse recommend to Diana to address this concern? (Select all that apply.)

A) Use of a lubricant
B) Use of erotic movies
C) Female superior position
D) Missionary position
E) A warm bath before intercourse

Question 14

Lolly, a 22-year-old client, says that she has trouble becoming aroused before sexual intercourse. As the nurse asks Lolly about her sexual and medical history, Lolly mentions that she was sexually abused as a child and that it is hard for her to disassociate sex from that experience. Which of the following is the nursing action on priority?

A) Recommend that Lolly use erotic movies to distract her
B) Refer Lolly to a psychologist or sex therapist
C) Suggest an effective lubricant for sex
D) Ask Lolly what relationship problems she might be having with her partner