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Foundations of Mental Health Care 4th Edition Morrison-Valfre Test Bank
ISBN-13: 978-0323056441
ISBN-10: 032305644X
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Morrison-Valfre: Foundations of Mental Health Care, 4th Edition
Test Bank
Chapter 29: Sexual Disorders
MULTIPLE CHOICE
- The combination of physical, chemical, psychological, and functional characteristics that are expressed by one’s gender identity and sexual behaviors is called:
| a. | Sexuality |
| b. | Sociality |
| c. | Sensuality |
| d. | Superficiality |
ANS: A
This is the definition of sexuality, in which expressions are social in nature.
DIF: Cognitive Level: Knowledge REF: Page 322 OBJ: 1
TOP: Continuum of Sexual Responses KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
- The end of the continuum that is marked by sexual actions harmful to self or others in some manner is known as:
| a. | Adaptive |
| b. | Homosexual |
| c. | Maladaptive |
| d. | Functional |
ANS: C
As the continuum moves toward maladaptive, sexual behaviors become impaired or dysfunctional. The adaptive end of the continuum consists of satisfying sexual behaviors that respect the rights and wishes of others. The other options do not relate to the continuum.
DIF: Cognitive Level: Knowledge REF: Page 322 OBJ: 1
TOP: Continuum of Sexual Responses KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity
- A strong influence on discussion of sexual issues with clients is the nurse’s or caregiver’s:
| a. | Self-awareness |
| b. | Self-confidence |
| c. | Sexual knowledge |
| d. | Assessment abilities |
ANS: A
The caregiver must be aware of his or her values regarding sexuality. Values are easily conveyed, often through nonverbal messages, if the caregiver is not fully aware of his or her beliefs.
DIF: Cognitive Level: Comprehension REF: Page 322 OBJ: 2
TOP: Self-awareness and Sexuality KEY: Nursing Process Step: Intervention
MSC: Client Needs: Psychosocial Integrity
- The caregiver has been assigned to care for Mr. X, a pedophile who is being treated for AIDS. The thought of caring for him disgusts her. The caregiver’s therapeutic interactions and interventions are most likely to be:
| a. | Effective |
| b. | Ineffective |
| c. | Well received |
| d. | Effective if she can conceal her true feelings |
ANS: B
Caregivers’ values often are communicated to clients. Disapproval dampens the effectiveness of the therapeutic relationship.
DIF: Cognitive Level: Comprehension REF: Page 322 OBJ: 2
TOP: Self-awareness and Sexuality KEY: Nursing Process Step: Intervention
MSC: Client Needs: Psychosocial Integrity
- Children learn to label themselves according to their sex around the age of ____ year(s).
| a. | 1 |
| b. | 6 |
| c. | 2 |
| d. | 4 |
ANS: C
Around the age of 2 years, children learn to label themselves according to their sex. Most respond to being called “good girls” or “brave boys” by adults.
DIF: Cognitive Level: Knowledge REF: Page 323 OBJ: 3
TOP: Sexuality in Childhood KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
- By the time they enter school, it is thought that most children identify with:
| a. | Same-sex peers |
| b. | Opposite-sex peers |
| c. | The same-sex parent |
| d. | The opposite-sex parent |
ANS: C
By school age, most children identify with the same-sex parent.
DIF: Cognitive Level: Knowledge REF: Page 323 OBJ: 3
TOP: Sexuality in Childhood KEY: Nursing Process Step: N/A
MSC: Client Needs: Health Promotion and Maintenance
- Sexually transmitted diseases (STDs), including HIV/AIDS, and pregnancy rates are highest for:
| a. | Children |
| b. | Adolescents |
| c. | Older adults |
| d. | Middle-aged adults |
ANS: B
The STD (including HIV/AIDS) and pregnancy rates are higher for adolescents than for the general population of sexually active adults because of ineffective or no contraception used by adolescent girls and lack of condom use by adolescent boys.
DIF: Cognitive Level: Knowledge REF: Page 323 OBJ: 3
TOP: Sexuality in Adolescence KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
- The picture of the older adult as an asexual, unintelligent person who is not interested in sex represents:
| a. | A myth |
| b. | An ideal |
| c. | The truth |
| d. | An attitude |
ANS: A
The picture of the older adult as asexual and not interested in sex is a myth. The emphasis of the older adult’s sexual expression is on companionship and intimate communication, rather than procreation as it was in adulthood.
DIF: Cognitive Level: Knowledge REF: Page 324 OBJ: 3
TOP: Sexuality in Older Adulthood KEY: Nursing Process Step: N/A
MSC: Client Needs: Health Promotion and Maintenance
- The client was injured in a work accident. He now has a fused spine and moves with difficulty. He wonders if he will ever be able to be intimate with his wife. What is the nurse’s most accurate response?
| a. | “You will not be able to engage in sexual activity.” |
| b. | “You can enjoy a satisfying sex life with some adaptation.” |
| c. | “You eventually will return to the preinjury level of functioning.” |
| d. | “You will become more sexually active after you recover from the injuries.” |
ANS: B
Many permanently disabled persons are able to enjoy rich and satisfying sex lives with some adaptation. The other options provide inaccurate information.
DIF: Cognitive Level: Application REF: Page 324 OBJ: 3
TOP: Sexuality and Disability KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
- People who express their sexuality with members of the opposite sex are:
| a. | Asexual |
| b. | Bisexual |
| c. | Homosexual |
| d. | Heterosexual |
ANS: D
Persons who express their sexuality with members of the opposite sex are heterosexual. Asexual refers to a group of individuals who fall into the category of homosexual, who engage in little to no sexual activity; bisexual refers to individuals who are sexually attracted to members of both genders; and homosexual refers to individuals who prefer expression of their sexual identity with members of the same gender.
DIF: Cognitive Level: Knowledge REF: Page 324 OBJ: 4
TOP: Heterosexuality KEY: Nursing Process Step: N/A
MSC: Client Needs: Health Promotion and Maintenance
- The process of establishing an integrated or complete identity as a homosexual is known as:
| a. | Going in |
| b. | Coming out |
| c. | Declaring |
| d. | Sexual orientation |
ANS: B
The process of establishing an integrated or complete identity as a homosexual is called coming out, and it occurs in predictable stages.
DIF: Cognitive Level: Knowledge REF: Page 325 OBJ: 4
TOP: Homosexuality KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
- Experiencing sexual excitement from wearing the clothing of the opposite sex is defined as:
| a. | Cross-acting |
| b. | Transvestism |
| c. | Transsexuality |
| d. | Sexual dysfunction |
ANS: B
Transvestism is defined as sexual excitement derived from wearing the clothing of the opposite sex.
DIF: Cognitive Level: Knowledge REF: Page 325 OBJ: 4
TOP: Transvestism KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
- The client confides in the nurse that intercourse has been painful since she became menopausal. What is the nurse’s most therapeutic response?
| a. | “Don’t worry; it will pass.” |
| b. | “Are you still sexually active?” |
| c. | “Perhaps we can discuss this with your doctor.” |
| d. | “I understand how difficult it is to discuss sex.” |
ANS: C
Many sexual dysfunctions are treatable, so clients should be referred to their physicians. Saying that the pain will pass is a nontherapeutic response that disregards the feelings of the client; asking the client if she is still sexually active makes the client feel that she is not normal; and empathizing with the client is helpful but does not address the problem.
DIF: Cognitive Level: Application REF: Page 327 OBJ: 6
TOP: Sexual Dysfunctions KEY: Nursing Process Step: Intervention
MSC: Client Needs: Psychosocial Integrity
- A group of sexual variations that depart from society’s traditional and acceptable modes of seeking sexual gratification is:
| a. | Paraphilias |
| b. | Paraphrases |
| c. | Sexual abuse |
| d. | Transvestism |
ANS: A
The paraphilias are a group of sexual variations that depart from society’s traditional and acceptable modes of seeking sexual gratification according to what or whom the individual is attracted to, such as necrophilia (sexual activity with a corpse).
DIF: Cognitive Level: Comprehension REF: Page 328 OBJ: 7
TOP: Paraphilias KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
- Because it helps to maintain objectivity, the most effective approach for treating persons with sexual problems is usually:
| a. | Medical |
| b. | Individual |
| c. | A team approach |
| d. | Psychoanalytical |
ANS: C
The team approach is usually more effective in the treatment of individuals with sexual problems because it helps to maintain objectivity and prevents any one member from becoming too involved in a client’s treatment.
DIF: Cognitive Level: Application REF: Page 329 OBJ: 10
TOP: Nursing Process KEY: Nursing Process Step: Planning
MSC: Client Needs: Safe and Effective Care Environment
- Between the ages of __________ years, the greatest amount of sexual activity with multiple partners and serial relationships occurs.
| a. | 13 and 17 |
| b. | 18 and 24 |
| c. | 25 and 34 |
| d. | 35 and 44 |
ANS: B
Because of the decreased age of first intercourse and the increased age of marriage, more unmarried adults are engaging in this type of sexual activity in today’s society.
DIF: Cognitive Level: Knowledge REF: Page 323 OBJ: 3
TOP: Sexuality in Adulthood KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
- An individual is bisexual. The belief that this individual’s sexual variation is related to genetic influences is the belief held by:
| a. | Biological theorists |
| b. | Behavioral theorists |
| c. | Psychosocial theorists |
| d. | Psychoanalytical theorists |
ANS: A
Biological theorists believe that an individual’s sexual variation is related to genetic influences. Behavioral theorists believe that modes of sexual expression are learned responses, and psychoanalytical theorists view modes of sexual expression other than heterosexual expression to be neurotic or psychopathic in nature and due to the Oedipus/Electra complex of childhood. Psychosocial theory is not cited as a theory on sexual orientation.
DIF: Cognitive Level: Knowledge REF: Page 326 OBJ: 4
TOP: Theories Relating to Psychosexual Variations
KEY: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance
- A female client is suffering from vaginismus. The nurse is aware that this is a type of:
| a. | Paraphilia |
| b. | Sexual dysfunction |
| c. | Psychosexual disorder |
| d. | Gender identity disorder |
ANS: B
Vaginismus refers to the persistent involuntary contractions of muscles around the vagina when penetration is attempted; it is classified as a sexual dysfunction. Sexual dysfunction refers to any disturbance in the four stages of the sexual response cycle and/or any discomfort or pain that occurs during sexual intercourse. Paraphilia refers to a group of sexual variations that depart from society’s traditional and acceptable modes of seeking sexual gratification; a psychosexual disorder is a broad reference to problems that cause distress or impaired functioning in an individual’s sexual functioning; and gender identity disorder is inconsistency between an individual’s biological gender and the gender with which he or she identifies.
DIF: Cognitive Level: Comprehension REF: Page 327 OBJ: 6
TOP: Sexual Dysfunctions KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
- A male client is transsexual and decides to become a female through major surgery and hormonal therapy. The nurse informs the client that this process may be delayed for as long as:
| a. | 2 years |
| b. | 5 years |
| c. | 8 years |
| d. | 10 years |
ANS: A
The process of changing one’s identity is purposely delayed for up to 2 years because this transformation is irreversible. In addition to the surgery and the hormonal therapy, intense psychological counseling is part of the process.
DIF: Cognitive Level: Knowledge REF: Page 328 OBJ: 9
TOP: Gender Identity Disorder KEY: Nursing Process Step: Intervention
MSC: Client Needs: Health Promotion and Maintenance
- A homosexual couple lives together, but both partners continue to have sexual experiences with others. This is an example of a(n):
| a. | Functional relationship |
| b. | Dysfunctional relationship |
| c. | Close-coupled relationship |
| d. | Open-coupled relationship |
ANS: D
These couples are not firmly committed to their primary relationship. A functional relationship refers to homosexuals who have several sexual partners with no one specific partner; a dysfunctional relationship refers to homosexual individuals who regret their sexual orientation; and a close-coupled relationship refers to a homosexual couple that is analogous to a traditional married couple in a monogamous relationship.
DIF: Cognitive Level: Comprehension REF: Page 325 OBJ: 4
TOP: Homosexuality KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
MULTIPLE RESPONSE
- Which are signs of sexual addiction? Select all that apply.
| a. | Inability to stop |
| b. | Bragging to others about exploits |
| c. | Refusing to stop enjoying the act |
| d. | Out-of-control sexual behaviors |
| e. | Enjoying cross-dressing |
| f. | Persisting in behaviors despite severe consequences |
| g. | Spending excessive time pursuing sexual experiences |
ANS: A, D, F, G
Inability to stop, out-of-control sexual behaviors, persisting in behaviors despite severe consequences, and spending excessive time pursuing sexual experiences are characteristics of sexual addicts.
DIF: Cognitive Level: Knowledge REF: Page 329 OBJ: 9
TOP: Sexual Addiction KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
- The criteria for healthy or adaptive sexual response include (select all that apply):
| a. | Sexual acts between two consenting adults |
| b. | Sexual acts that fulfill the desire of only oneself |
| c. | Sexual acts that are not forced or coerced |
| d. | Sexual acts that are conducted in privacy |
| e. | Sexual acts that fulfill the desire between two people |
ANS: A, C, D, E
These are conditions of sexuality that are considered adaptive. Sexual acts that fulfill only the desire of oneself are maladaptive as they do not consider others.
DIF: Cognitive Level: Comprehension REF: Page 322 OBJ: 1
TOP: Continuum of Sexual Responses KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
- Choose the types of relationships that put individuals at greatest risk for sexually transmitted diseases, including HIV/AIDS (select all that apply):
| a. | Bisexual |
| b. | Asexual |
| c. | Functional homosexual |
| d. | Dysfunctional homosexual |
| e. | Open-coupled homosexual |
| f. | Close-coupled homosexual |
ANS: A, C, D, E
These relationships pose the greatest risk because of lack of monogamy. Asexual homosexual individuals have little desire or a low level of sexual activity, and close-coupled relationships are similar to traditional monogamous heterosexual marriages.
DIF: Cognitive Level: Comprehension REF: Page 325 OBJ: 4
TOP: Homosexuality KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
COMPLETION
- The primary nursing diagnoses for a client who is experiencing problems with sexuality are sexual dysfunction and __________.
ANS:
Ineffective sexuality pattern
These are the two most common nursing diagnoses seen in clients who are experiencing sexual problems. Other nursing diagnoses may apply to individual situations.
DIF: Cognitive Level: Knowledge REF: Page 329 OBJ: 9
TOP: Nursing Process KEY: Nursing Process Step: Diagnosis
MSC: Client Needs: Health Promotion and Maintenance
- According to the DSM-IV-TR, sexual arousal that is attained by an individual while he is observing an unaware person who is naked, disrobing, or engaging in sexual activity is known as __________.
ANS:
Voyeurism
This sexual disorder is a type of paraphilia. These individuals sometimes are referred to as “peeping Toms.”
DIF: Cognitive Level: Knowledge REF: Page 328 OBJ: 7
TOP: Paraphilias KEY: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
