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Chapter 22 Review

Check Your Understanding Questions

1. What are the physiological changes that occur during the sexual response cycle?
2. What conflict might clients experience when medications affect an individual’s sexual response and cause distress?
3. What is the main factor that distinguishes a paraphilia from a diagnosis of paraphilic disorder?
4. To meet diagnostic criteria found in the DSM-5, what two conditions must be met for a diagnosis of exhibitionistic disorder?
5. How can a nurse’s intrapersonal experiences be related to the behavior of a client with a diagnosis of paraphilia?
6. What are two steps nurses could take when applying evidence-based nursing management of the client or family in distress related to a family member’s paraphilic disorder?
7. Identify at least three stressors often reported by clients who experience gender dysphoria.
8. What is one of the first things a nurse should consider when planning care for a client with gender dysphoria?
9. Identify two conflicting feelings that nurses may have when interacting with a client who has gender dysphoria.\
10. Nurses may feel confused when asked by a family member if puberty blocker medications are safe for their child. What is the name of an international organization that could offer scientific information to help this family?

Review Questions

1. To meet diagnostic criteria for sexual dysfunction as depicted in the DSM-5-TR, how long must a person have experienced the specific behavior?

  1. four weeks
  2. three months
  3. six months
  4. one year

2. What is a term used to describe painful intercourse?

  1. vaginismus
  2. dyspareunia
  3. anhedonia
  4. myotonia

3. What is a common surgical procedure that can potentially lead to erectile dysfunction in older males?

  1. prostate resection (TURP)
  2. hernia repair
  3. cystoscopy
  4. vasectomy

4. Orgasm is considered to be a phase in what cycle?

  1. sexual response
  2. sexual arousal
  3. sexual dysfunction
  4. sexual health

5. What classification of drugs is often responsible for adding stress in clients with sexual dysfunction?

  1. hormone replacements
  2. antihypertensives
  3. neuroleptics
  4. antibiotics

6. What is the scientific or medical term used for feeling sexually aroused by rubbing one’s body against another person against their will?

  1. exhibitionism
  2. frotteurism
  3. fetishism
  4. sexual masochism

7. A sexual behavior in which a person becomes aroused by a particular category of items (e.g., by lingerie) is known as what?

  1. sexual sadism
  2. pedophilia
  3. exhibitionism
  4. fetishism

8. What is the name of the act of feeling sexually aroused and fulfilled by giving another person physical or psychological pain?

  1. sexual sadism
  2. frotteurism
  3. sexual masochism
  4. voyeurism

9. An adolescent who experiences gender dysphoria is also likely to experience which of the following stressors? Select all that apply.

  1. isolation
  2. overcommitment
  3. stigma
  4. fatigue

10. When stressors associated with having gender dysphoria exceed the client’s ability to cope effectively with their situation, what is the nurse’s first step in responding?

  1. asking a more experienced nurse to meet with the client
  2. referring the family to a psychologist or psychiatrist
  3. giving permission to the client to talk about their feelings
  4. make specific suggestions to the client about other ways of coping with stress

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Mental Health for Undergraduate Nursing Copyright © 2025 by Russelyn Connor is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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