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Essentials of Psychiatric Mental Health Nursing 7th Edition Townsend Morgan Test Bank

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Essentials of Psychiatric Mental Health Nursing 7th Edition Townsend Morgan Test Bank

 

ISBN-13: 978-0803658608

ISBN-10: 0803658605

 

 

Description

Essentials of Psychiatric Mental Health Nursing 7th Edition Townsend Morgan Test Bank

 

ISBN-13: 978-0803658608

ISBN-10: 0803658605

 

 

 

 

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Free Nursing Test Questions:

Chapter 21: Issues Related to Human Sexuality and Gender Dysphoria

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   A 52-year-old client states, “My husband is upset because I don’t enjoy sex as much as I used to.” Which priority client data should a nurse initially collect?

1. History of hysterectomy
2. Date of last menstrual cycle
3. Use of birth control methods
4. History of thought disorder

 

 

____     2.   In the course of an assessment interview, a female client reveals a history of bisexual orientation. Which action should the nurse initially implement when working with this client?

1. Self-assess personal attitudes toward homosexuality.
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.

 

 

____     3.   A widower reports a fear of intimacy because of an inability to achieve and sustain an erection. He has become isolative, has difficulty sleeping, and has lost weight over the past year. Which nursing diagnosis should be a priority for this client?

1. Risk for situational low self-esteem AEB inability to achieve an erection
2. Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
3. Social isolation R/T low self-esteem AEB refusing to engage in dating activities
4. Disturbed body image R/T penile flaccidity AEB client statements

 

 

____     4.   A nurse is assessing a client diagnosed with pedophilic disorder. What would differentiate 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 response.
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.
4. Sexual disorders can be caused by decreased levels of circulating androgens, whereas levels of circulating androgens do not affect sexual dysfunction.

 

 

____     5.   A female client on an inpatient unit enters the common area for visiting hours dressed in a see-through blouse. Which intervention should be a nurse’s first priority?

1. Discuss with the client the inappropriateness of her attire.
2. Avoid addressing her attention-seeking behavior.
3. Lead the client back to her room and assist her with a change of clothing.
4. Restrict client to room until visiting hours are over.

 

 

____     6.   A nurse is working with a client diagnosed with pedophilic disorder. Which client outcome is appropriate for the nurse to expect during the first week of hospitalization?

1. The client will verbalize an understanding of the importance of follow-up care.
2. The client will implement several relapse-prevention strategies.
3. The client will identify triggers for inappropriate behaviors.
4. The client will attend aversion therapy groups.

 

 

____     7.   When planning care for a client diagnosed with female sexual interest/arousal disorder, what should the nurse document as an expected outcome of sensate focus exercises?

1. To initiate immediate orgasm
2. To reduce anxiety by eliminating physical touch
3. To focus on touching breasts and genitals
4. To reduce goal-oriented demands of intercourse

 

 

____     8.   A newly married woman comes to a gynecology clinic reporting anorexia, insomnia, and extreme pain during intercourse that has affected her intimate relationship. What initial intervention should the nurse expect a physician to implement?

1. A thorough physical, including gynecological examination
2. Referral to a sex therapist
3. Assessment of sexual history and previous satisfaction with sexual relationships
4. Referral to the recreational therapist for relaxation therapy

 

 

____     9.   A nurse is instructing a client diagnosed with female sexual interest/arousal disorder. Which symptom and treatment of this disorder should the nurse describe to the client?

1. Avoidance of all genital sexual contact treated by sensate focus exercises
2. Avoidance of all genital sexual contact treated by medicating with tadalafil (Cialis)
3. Anorgasmia treated by vardenafil (Levitra)
4. Anorgasmia treated by systematic desensitization

 

 

____   10.   A nurse is counseling a client diagnosed with gender dysphoria. What criteria would differentiate this disorder from a transvestic disorder?

1. Clients diagnosed with transvestic disorder are dissatisfied with their gender, whereas clients diagnosed with gender dysphoria are not.
2. Clients diagnosed with gender dysphoria are dissatisfied with their gender, whereas clients diagnosed with transvestic disorder are not.
3. Clients diagnosed with gender dysphoria avoid all forms of sexual intercourse, whereas clients diagnosed with transvestic disorder do not.
4. Clients diagnosed with transvestic disorder avoid all forms of sexual intercourse, whereas clients diagnosed with gender dysphoria do not.

 

 

____   11.   A nurse is assessing a client diagnosed with sexual masochistic disorder. What would differentiate this paraphilic disorder from sexual sadistic disorder?

1. Symptoms of sexual masochistic disorder are chronic acts of humiliation, whereas symptoms of sexual sadistic disorder are acute.
2. Symptoms of sexual sadistic disorder are chronic acts of humiliation, whereas symptoms of sexual masochistic disorder are acute.
3. Masochistic acts can be performed alone, whereas sadistic acts must have a consenting or non-consenting partner.
4. Sadistic acts can be performed alone, whereas masochistic acts must have a consenting or nonconsenting partner.

 

 

____   12.   A nurse is assessing a client diagnosed with fetishistic disorder. What would differentiate this paraphilic disorder from frotteuristic disorder?

1. To derive sexual excitement, fetishistic disorder involves the use of nonliving objects, whereas frotteuristic disorder involves touching and rubbing against nonconsenting people.
2. To derive sexual excitement, frotteuristic disorder involves the use of nonliving objects, whereas fetishistic disorder involves touching and rubbing against nonconsenting people.
3. Clients diagnosed with frotteuristic disorder are heterosexual cross-dressing males, whereas clients diagnosed with fetishistic disorder are homosexual cross-dressing males.
4. Clients diagnosed with fetishistic disorder are heterosexual cross-dressing males, whereas clients diagnosed with frotteuristic disorder are homosexual cross-dressing males.

 

 

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

 

____   13.   Which of the following characteristics should a nurse identify as “normal” in the development of human sexuality for an 11-year-old child? (Select all that apply.)

1. The child experiments with masturbation.
2. The child may experience homosexual play.
3. The child shows little interest in the opposite sex.
4. The child shows little concern about physical attractiveness.
5. The child is unlikely to want to undress in front of others.

 

 

____   14.   A nursing instructor is teaching about the various categories of paraphilic disorders. Which categories are correctly matched with expected behaviors? (Select all that apply.)

1. Exhibitionistic disorder: Mary models lingerie for a company that specializes in home parties.
2. Voyeuristic disorder: John is arrested for peering in a neighbor’s bathroom window.
3. Frotteuristic disorder: Peter enjoys subway rush-hour female contact that results in arousal.
4. Pedophilic disorder: George can experience an orgasm by holding and feeling shoes.
5. Fetishistic disorder: Henry masturbates into his wife’s silk panties.

 

 

____   15.   A client is diagnosed with erectile disorder. Which of the following medications would address this condition, and what is the therapeutic action of the drug? (Select all that apply.)

1. Phentolamine (Oraverse); increases blood flow to the penis
2. Apomorphine (Apokyn); acts directly on the dopamine receptors in the brain
3. Vardenafil (Levitra); blocks the action of phosphodiesterase-5 (PDE5)
4. Goserelin (Zoladex); inhibits the production of gonadotropins
5. Sildenafil (Viagra); blocks the action of phosphodiesterase-5 (PDE5)

 

 

____   16.   A nurse is planning care for a child diagnosed with gender dysphoria. Which of the following nursing diagnoses could potentially document this client’s problems? (Select all that apply.)

1. Low self-esteem R/T rejection by peers
2. Self-care deficit R/T isolative behaviors
3. Disturbed personal identity R/T parenting patterns
4. Impaired social interactions R/T socially unacceptable behaviors
5. Activity intolerance R/T fatigue

 

 

Completion

Complete each statement.

 

  1. ___________________________ is the constitution and life of an individual relative to characteristics regarding intimacy.

 

 

Chapter 21: Issues Related to Human Sexuality and Gender Dysphoria

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  2

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Identify appropriate nursing interventions for clients with sexual dysfunctions and gender dysphoria in children.

Page: 534

Heading: Adulthood > The Middle Years—40 to 65

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 History of hysterectomy is not assessment data that the nurse should initially collect.
2 The nurse should assess the client’s last menstrual cycle to determine if the client is experiencing the onset of menopause. Menopause usually occurs around the age of 50. The decrease in estrogen can result in multiple symptoms, including a decrease in biological drives and sexual activity.
3 Use of birth control methods is not assessment data that the nurse should initially collect.
4 History of thought disorders are not assessment data that the nurse should initially collect.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  1

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Discuss variations in sexual orientation.

Page: 560–561

Heading: Homosexuality > Special Concerns

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 The nurse should initially self-assess personal attitudes toward homosexuality. The nurse must be able to recognize when negative feelings compromise care. Unconditional acceptance of each individual is an essential component of compassionate nursing.
2 Once the nurse has assessed personal attitudes, the nurse can review the client’s possible childhood sexual abuse history.
3 Once the nurse has assessed personal attitudes, the nurse can encourage discussion of aversion to heterosexual relationships.
4 Once the nurse has assessed personal attitudes, the nurse can explore the client’s family history of homosexuality.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  2

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Formulate nursing diagnoses and goals of care for clients with sexual dysfunctions and gender dysphoria in children.

Page: 544

Heading: Diagnosis and Outcome Identification

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis (Analyzing)

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 Risk for situational low self-esteem AEB inability to achieve an erection is not the priority diagnosis.
2 The nurse should prioritize the nursing diagnosis sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm. The nurse should assess the client’s mood and level of energy, because depression and fatigue can decrease desire for participation in sexual activity.
3 Social isolation R/T low self-esteem AEB refusing to engage in dating activities is not the priority diagnosis.
4 Disturbed body image R/T penile flaccidity AEB client statements is not the priority diagnosis.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  2

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Identify various types of paraphilic and sexual dysfunction disorders and gender dysphoria.

Page: 535–537

Heading: Types of Paraphilic Disorders > Pedophilic Disorder, Role of the Nurse

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis [Analyzing]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 Sexual dysfunction involves impairment in normal sexual response.
2 The nurse should identify that pedophilic disorder is a sexual disorder in which individuals partake in inappropriate sexual behaviors. Pedophilic disorder involves having sexual urges, behaviors, or sexually arousing fantasies involving sexual activity with a prepubescent child.
3 Sexual dysfunction is not caused by increased levels of circulating androgens.
4 Sexual disorders are not caused by decreased levels of circulating androgens.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  3

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Identify appropriate nursing interventions for clients with sexual dysfunctions and gender dysphoria in children.

Page: 545–546

Heading: Table 21-1 Care Plan for the Client with a Sexual Disorder

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis [Analyzing]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 Discussing the inappropriate attire would not be the nurse’s first priority; having the client change clothing would be.
2 The nurse should address this type of behavior immediately.
3 The most appropriate intervention by the nurse is to lead the client back to her room and assist her with a change of clothing. The client could be exhibiting symptoms of exhibitionistic disorder, which is characterized by urges to expose oneself to unsuspecting strangers.
4 Restricting the client to her room is not therapeutic and may cause behaviors to worsen.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  3

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Identify appropriate nursing interventions for clients with sexual dysfunctions and gender dysphoria in children.

Page: 545–546

Heading: Table 21-1 Care Plan for the Client with a Sexual Disorder

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 Verbalizing the importance of follow-up care may not be realistic for the client during the first week of hospitalization.
2 Implementing relapse prevention strategies may not be realistic for the client during the first week of hospitalization.
3 During the first week of hospitalization, identifying triggers for inappropriate behaviors is an appropriate outcome for a client diagnosed with pedophilic disorder.
4 Attending aversion therapy groups may not be realistic for the client during the first week of hospitalization.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  4

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Identify appropriate nursing interventions for clients with sexual dysfunctions and gender dysphoria in children.

Page: 550

Heading: Sexual Arousal Disorders > Female Sexual Interest/Arousal Disorder

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 The outcome is to reduce performance pressures and demands.
2 Sensate focus exercises are highly structured touching activities designed to help overcome performance anxiety and increase comfort with physical intimacy.
3 The expected outcome does not involve focusing on touching breasts and genitals.
4 The expected outcome of sensate focus exercises is to reduce goal-oriented demands of intercourse. The reduction in demands reduces performance pressures and anxiety associated with possible failure.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  1

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Identify appropriate nursing interventions for clients with sexual dysfunctions and gender dysphoria in children.

Page: 551–552

Heading: Genito-Pelvic Pain/Penetration Disorder

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 The nurse should expect the physician to implement a thorough physical, including a gynecological examination to assess for any physiological causes of the client’s symptoms. If no pathology exists, the client may be diagnosed with genito-pelvic pain/penetration disorder. In this disorder, the individual experiences considerable difficulty with vaginal intercourse and attempts at penetration. Pain is felt in the vagina, around the vaginal entrance and clitoris, or deep in the pelvis. There is fear and anxiety associated with anticipation of pain or vaginal penetration. A tensing and tightening of the pelvic floor muscles occurs during attempted vaginal penetration.
2 Referral to a sex therapist can occur after the physical examination.
3 Assessment of sexual history and previous satisfaction with sexual relationships is not the first intervention the nurse should make. The nurse should first conduct a physical examination.
4 Referral to the recreational therapist for relaxation therapy can occur after the initial physical examination.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  1

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Identify appropriate nursing interventions for clients with sexual dysfunctions and gender dysphoria in children.

Page: 550

Heading: Sexual Arousal Disorders > Female Sexual Interest/Arousal Disorder

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 The nurse should explain to the client that female sexual interest/arousal disorder is characterized by a reduced or absent frequency or intensity of interest or pleasure in sexual activity. Sensate focus exercises are highly structured touching activities designed to help overcome performance anxiety and increase comfort with physical intimacy.
2 Avoidance of all genital sexual contact treated by medicating with tadalafil (Cialis) is not a typical treatment of this disorder.
3 Anorgasmia treated by vardenafil (Levitra) is not a typical treatment of this disorder.
4 Anorgasmia treated by systematic desensitization is not a typical treatment of this disorder.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  2

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Identify appropriate nursing interventions for clients with sexual dysfunctions and gender dysphoria in children.

Page: 536

Heading: Types of Paraphilic Disorders > Transvestic Disorder

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis [Analyzing]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 Clients diagnosed with transvestic disorder experience intense sexual arousal from dressing in the clothes of the opposite gender but are not dissatisfied with their gender.
2 The nurse should identify that clients diagnosed with gender dysphoria are dissatisfied with their gender, whereas clients diagnosed with transvestic disorder experience intense sexual arousal from dressing in the clothes of the opposite gender but are not dissatisfied with their gender.
3 Clients with gender disorder do not avoid all forms of sexual intercourse.
4 Clients with transvestic disorder do not avoid all forms of sexual intercourse.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  3

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Identify appropriate nursing interventions for clients with sexual dysfunctions and gender dysphoria in children.

Page: 536

Heading: Types of Paraphilic Disorders > Sexual Masochism Disorder, Sexual Sadism Disorder

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis [Analyzing]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 The identifying feature of sexual sadistic disorder is the recurrent and intense sexual arousal from the physical or psychological suffering of another individual.
2 Both disorders are chronic in nature.
3 The identifying feature of sexual masochistic disorder is recurrent and intense sexual arousal when being humiliated, beaten, bound, or otherwise made to suffer. These masochistic activities may be fantasized and may be performed alone (e.g., self-inflicted pain) or with a partner. The identifying feature of sexual sadistic disorder is the recurrent and intense sexual arousal from the physical or psychological suffering of another individual.
4 Sadistic acts are performed with a partner. Sexual masochistic disorder acts may be performed alone.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  1

Chapter; Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Identify appropriate nursing interventions for clients with sexual dysfunctions and gender dysphoria in children.

Page: 535

Heading: Types of Paraphilic Disorders > Fetishistic Disorder, Frotteuristic Disorder

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis [Analyzing]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1 Fetishistic disorder involves recurrent and intense sexual arousal from the use of either nonliving objects or specific nongenital body part(s).
2 Frotteuristic disorder is the recurrent and intense sexual arousal involving touching and rubbing against a nonconsenting person.
3 Transvestic disorder involves recurrent and intense sexual arousal from dressing in the clothes of the opposite gender.
4 This statement is typical of transvestic disorder.

 

 

PTS:   1                    CON:  Sexuality

 

MULTIPLE RESPONSE

 

  1. ANS:  1, 2, 5

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Describe developmental processes associated with human sexuality.

Page: 532–533

Heading: Development of Human Sexuality > Adolescence

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1. The nurse should identify that experimenting with masturbation is normal in the development of human sexuality in an 11-year-old child.
2. The nurse should identify that homosexual play is normal in the development of human sexuality in an 11-year-old child.
3. The nurse should identify that showing little interest in the opposite sex is not normal in the development of human sexuality in an 11-year-old child.
4. The nurse should identify that showing little concern about physical attractiveness is not normal in the development of human sexuality in an 11-year-old child.
5. The nurse should identify that not wanting to undress in front of others is normal in the development of human sexuality in an 11-year-old child.

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  2, 3, 5

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Identify various types of paraphilic and sexual dysfunction disorders and gender dysphoria.

Page: 535–536

Heading: Types of Paraphilic Disorders

Integrated Processes: Teaching and Learning

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis [Analyzing]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1. Exhibitionistic disorder is a paraphilic disorder but involves the urge to show one’s genitals to unsuspecting strangers.
2. Categories of paraphilic disorders include voyeuristic disorder (observing unsuspecting people, who are naked, dressing, or engaged in sexual activity).
3. Categories of paraphilic disorders include frotteuristic disorder (touching or rubbing against a non-consenting person).
4. Pedophilic disorder is categorized as having sexual urges, behaviors, or sexually arousing fantasies involving sexual activity with a prepubescent child.
5. Categories of paraphilic disorders include fetishistic disorder (using nonliving objects in sexual ways).

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  1, 2, 3, 5

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Describe various treatment modalities for clients with sexual disorders.

Page: 546–547

Heading: Treatment Modalities for Sexual Dysfunctions > Erectile Disorder

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Sexuality

Difficulty: Moderate

 

  Feedback
1. Phentolamine has been used in combination with papaverine in an injectable form that increases blood flow to the penis, resulting in an erection.
2. Apomorphine acts directly on the dopamine receptors in the brain. This mode of stimulating dopamine in the brain is thought to enhance the sexual response.
3. Vardenafil (Levitra) was approved by the FDA for the treatment of erectile disorder. This newer impotence agent blocks the action of phosphodiesterase-5 (PDE5), an enzyme that breaks down cyclic guanosine monophosphate (cGMP), a compound that is required to produce an erection.
4. Zoladex is a treatment for prostate cancer, not erectile dysfunction.
5. Sildenafil (Viagra) blocks the action of phosphodiesterase-5 (PDE5).

 

 

PTS:   1                    CON:  Sexuality

 

  1. ANS:  1, 3, 4

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Formulate nursing diagnoses and goals of care for clients with sexual dysfunctions and gender dysphoria in children.

Page: 553

Heading: Box 21-4 Diagnostic Criteria for Gender Dysphoria in Children

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Analysis [Analyzing]

Concept: Sexuality

Difficulty: Moderate

 

 

  Feedback
1. Based on the data collected during a nursing assessment, possible nursing diagnoses for the child with gender dysphoria may include the following: low self-esteem related to rejection by peers.
2. Self-care deficit does not address the typical problems of clients diagnosed with gender dysphoria.
3. Based on the data collected during a nursing assessment, possible nursing diagnoses for the child with gender dysphoria may include the following: disturbed personal identity related to biological factors or parenting patterns that encourage culturally unacceptable behaviors for assigned gender.
4. Based on the data collected during a nursing assessment, possible nursing diagnoses for the child with gender dysphoria may include the following: impaired social interaction related to socially and culturally unacceptable behaviors.
5. Activity intolerance does not address the typical problems of clients diagnosed with gender dysphoria.

 

 

PTS:   1                    CON:  Sexuality

 

COMPLETION

 

  1. ANS:

Sexuality

Chapter: Chapter 21, Issues Related to Human Sexuality and Gender Dysphoria

Objective: Describe developmental processes associated with human sexuality.

Page: 531

Heading: Core Concept > Sexuality

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Sexuality

Difficulty: Moderate

 

Feedback: Sexuality is the constitution and life of an individual relative to characteristics regarding intimacy. It reflects the totality of the person and does not relate exclusively to the sex organs or sexual behavior.

 

PTS:   1                    CON:  Sexuality

 

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