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.

Accepted Answer

The model of the sexual response cycle formulated by Masters and Johnson, and later modified by Kaplan, primarily focuses on the physiological responses during sexual activity. It has been criticized for not adequately considering the psychological, emotional, and situational factors that influence sexual behavior, including motivations for sex other than sexual desire.

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

Accepted Answer

Basson emphasizes intimacy as a significant motivator for sex, which is overlooked in the Kaplan model of sexual response. This model primarily focuses on the physiological aspects of sexual response, such as desire, arousal, and orgasm, without adequately considering the emotional and relational aspects, such as the desire for intimacy, that can also motivate sexual activity.

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

Accepted Answer

Nitric oxide is associated with the engorgement of clitoral tissue as it is a vasodilator that increases blood flow to the area, similar to its effect in penile erection.

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

Accepted Answer

Dopamine is a neurotransmitter that plays a key role in the reward system of the brain, including sexual arousal and the desire to engage in or continue sexual activity.

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

Accepted Answer

Lack of sexual interest was reported as the most common sexual complaint among women aged 18 to 59 in the United States according to the 1992 survey.

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

Accepted Answer

Hypertension can lead to reduced blood flow throughout the body, including to the vagina and clitoris, which can decrease sexual arousal and lead to sexual dysfunction in females. Conditions like spinal cord injury, ovarian cancer, and stress incontinence may affect sexual function through different mechanisms, but hypertension directly impacts blood flow, which is crucial for sexual arousal.

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

Accepted Answer

Fluoxetine and Sertraline are selective serotonin reuptake inhibitors (SSRIs), which are known to cause sexual side effects, including difficulty achieving orgasm.

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

Accepted Answer

The answer of Which of the following are examples of...

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

Accepted Answer

Chronic dyspareunia, which involves persistent or recurrent genital pain before, during, or after sexual intercourse, may necessitate a genital exam to identify any underlying physical causes.

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

Accepted Answer

Gender identity disorder was removed from the DSM and replaced with gender dysphoria in the DSM-5 to focus on the distress a person experiences due to their gender identity, rather than the identity itself being considered a 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

Accepted Answer

Vulvodynia is characterized by chronic discomfort or pain of the vulva, the area surrounding the outside of the vagina, which can be caused by pressure or irritation such as from bicycle riding. The other options are related to pain associated with sexual activity or penetration, not specifically related to external irritation or activities like cycling.

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

Accepted Answer

Estrogen levels less than 35 pg/mL are indicative of menopause, which aligns with Nadine's symptoms of vaginal dryness and pain during intercourse due to decreased estrogen levels.

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

Accepted Answer

A lubricant can help reduce friction and discomfort during intercourse. The female superior position allows the woman to control the depth and speed of penetration, potentially reducing pain. A warm bath before intercourse can help relax the muscles and increase blood flow, potentially reducing discomfort.

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

Accepted Answer

Lolly's difficulty with arousal is deeply rooted in her traumatic past experiences of sexual abuse. The priority nursing action is to address the psychological impact of her trauma, which is best managed by professionals specialized in psychological therapy or sex therapy. This approach aims to provide her with the appropriate support and strategies to work through her trauma and improve her sexual health and overall well-being.

Quiz 26: Sexual Health Problems and Dysfunctions

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?

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

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

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

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?

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?

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

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

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

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?

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.)