Nclex-Rn Practice Questions-Care Of The Psychiatric Client - Sexual & Gender İdentity Disorders
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Question 1 |
A client has undergone surgery for the repair of an abdominal aortic aneurysm. The client’s wife asks the nurse if her husband will be impotent. What is the most appropriate response by the nurse?
A | “Don’t worry, he’ll be all right.” |
B | “He has other problems to worry about.” |
C | “We’ll cross that bridge when we come to it.” |
D | “There is a chance of impotence after repair of an abdominal aortic aneurysm.” |
Question 2 |
A client is admitted to the hospital for scatophilia and tells the nurse that he doesn’t want to talk to her about his sexual behaviors. Which response from the nurse is the most appropriate?
A | “I need to ask you the questions on the database.” |
B | “It’s your right not to answer my questions.” |
C | “I know this must be difficult for you.” |
D | “OK, I’ll just write ‘no comment.’” |
Question 3 |
Which therapy may be used with a client who admits to frottage?
A | Electroconvulsive therapy |
B | Relaxation therapy |
C | Administration of psychotropic agents |
D | Positive reinforcement and group therapy |
Question 4 |
When treating a client admitted to the psychiatric unit for transvestic fetishism, the nurse should develop a care plan based on which nursing diagnosis?
A | Ineffective health maintenance |
B | Ineffective sexuality patterns |
C | Complicated grieving |
D | Bathing self-care deficit |
Question 5 |
The nurse is caring for a client with a paraphiliac disorder. What is the most important goal for the client?
A | To attend all meetings on the unit |
B | To use triggers to initiate sexual behaviors |
C | To inform his employer of the reason for hospitalization |
D | To verbalize appropriate methods to meet sexual needs upon discharge |
Question 6 |
A client admitted to the hospital with a diagnosis of pedophilia tells his roommate about his problems. His roommate runs down the hall yelling at the nurse, “I don’t want to be in here with a child molester.” Which response from the nurse is most appropriate?
A | “Stop acting out.” |
B | “Calm down and go back to your room.” |
C | “Your roommate isn’t a child molester.” |
D | “I can see you’re upset. Sit down and we’ll talk.” |
Question 7 |
When assigning rooms, a nurse should not place a client who has a diagnosis of sexual sadism with which other client?
A | A client with a diagnosis of sexual masochism |
B | A client with a diagnosis of voyeurism |
C | A client who’s an exhibitionist |
D | A client who’s a homosexual |
Question 8 |
A nurse is obtaining a health history from a client who states he has been diagnosed with voyeurism. Which of the following actions would the nurse expect to assess in this client?
A | Observing others while they disrobe |
B | Wearing clothing of the opposite sex |
C | Rubbing against a nonconsenting person |
D | Using rubber sheeting for sexual arousal |
Question 9 |
A client is admitted to the psychiatric unit as part of his probation period for exhibitionism and fetishism. The client seems to be adjusting well, but several clients report that their undergarments are missing. Which action would be most appropriate?
A | Notify the primary health care provider. |
B | Search the client’s room. |
C | Call a community meeting and let the clients settle the matter. |
D | Privately assess whether the client is engaging in sexual activities on the unit. |
Question 10 |
The nurse is teaching the family of a client with scatophilia. Which response by the nurse is most accurate in teaching about the characteristics of this disorder?
A | The client uses the telephone for sexual arousal. |
B | The client uses nonliving objects such as women’s underwear for sexual gratification. |
C | The client is aroused through contact with children. |
D | The client is aroused by rubbing against a nonconsenting person. |
Question 11 |
A client is admitted to the psychiatric unit for paraphiliac coercive disorder: rape. What is the most important question for the nurse to ask the client?
A | “Tell me what you’re feeling.” |
B | “Do you have any lifestyle problems?” |
C | “What brings you to the hospital for treatment?” |
D | “Do you believe you’re here for a sexual disorder?” |
Question 12 |
Which nursing intervention is important for a client who engages in sexual acts with animals (zoophilia)?
A | Place the client in the seclusion room. |
B | Assess triggers that stimulate the behaviors. |
C | Have the primary health care provider order antidepressant medication. |
D | Counsel the client not to discuss his sexual behaviors with anyone. |
Question 13 |
Adult victims of childhood sexual abuse need to be monitored for signs and symptoms of which disorder?
A | Depression and substance abuse disorders |
B | Bipolar and somatization disorders |
C | Narcissistic disorders and bulimia nervosa |
D | Obsessive-compulsive and posttraumatic stress disorders |
Question 14 |
A female client with chronic obstructive pulmonary disease (COPD) tells a nurse, “I no longer have enough energy to make love to my husband.” What is the most appropriate nursing intervention?
A | Refer the couple to a sex therapist. |
B | Advise the woman to seek a gynecological consult. |
C | Suggest methods and measures that facilitate sexual activity. |
D | Tell the client, “If you talk this over with your husband, he’ll understand.” |
Question 15 |
A client with an ileostomy tells the nurse he is unable to have an erection. The nurse is aware that:
A | the client will never regain functioning. |
B | the client needs an abdominal X-ray. |
C | the client has no problem with self-control. |
D | impotence is uncommon following an ileostomy. |
Question 16 |
The nurse anticipates that which of the following is a major stressor for a couple being treated for infertility?
A | Examinations |
B | Giving specimens |
C | Scheduling intercourse |
D | Finding out which partner is infertile |
Question 17 |
A nurse is preparing the teaching plan for a newly married female client with a cervical spinal cord injury. The client does not want to become pregnant at this time. What is the most important intervention by the nurse?
A | Provide the client with brochures on sexual practice. |
B | Provide the client’s husband with material on vasectomy. |
C | Instruct the client on the rhythm method of contraception. |
D | Instruct the client’s husband on inserting a diaphragm with contraceptive jelly. |
Question 18 |
A female client tells the nurse she is having her menstrual period every 2 weeks and it lasts for 1 week. The nurse interprets this as which pattern?
A | Amenorrhea |
B | Dyspareunia |
C | Menorrhagia |
D | Metrorrhagia |
Question 19 |
The nurse is preparing discharge instructions for a female client who has suffered a spinal cord injury at the C4 level. What is the most important information for the nurse to include?
A | After a spinal cord injury, women usually remain fertile; therefore, you may consider contraception if you don’t want to become pregnant. |
B | After a spinal cord injury, women usually are unable to conceive a child. |
C | Sexual intercourse shouldn’t be different for you. |
D | After a spinal cord injury, menstruation usually stops. |
Question 20 |
A 20-year-old female client is in the emergency department after being sexually assaulted by a stranger. Which nursing intervention has the highest priority?
A | Assisting the client in identifying which of her behaviors placed her at risk for the attack |
B | Making an appointment for the client in 6 weeks at a local sexual assault crisis center |
C | Encouraging discussion of the client’s early childhood experiences |
D | Assisting the client in identifying family or friends who could provide immediate support for her |
Question 21 |
A 25-year-old client convicted of raping a female college student has completed his parole and has been attending a sex offenders group for 5 years. The client tells the nurse that he no longer wishes to participate in the group. What is the most important intervention by the nurse?
A | Insist that the client remain in therapy. |
B | Perform a self-evaluation and assess the discomfort level. |
C | Call the parole board and tell them of the client’s decision. |
D | Call the client’s family and tell them of his decision and progress. |
Question 22 |
A 32-year-old client who engages in voyeurism has come to the hospital for treatment so his family and friends don’t find out. The nurse planning care for this client should include which intervention?
A | Encourage the client to inform his family and friends so that he isn’t living a lie. |
B | Suggest individual therapy to discuss socially unacceptable behavior. |
C | Develop the care plan without input from the client. |
D | Evaluate the client’s defense mechanism. |
Question 23 |
A 33-year-old female client tells the nurse that she has never had an orgasm. Her partner is upset that he is unable to meet her needs. What is the best intervention by the nurse?
A | Ask the client if she desires intercourse. |
B | Assess the couple’s perception of the problem. |
C | Tell the client that most women don’t reach orgasm. |
D | Refer the client to a therapist because she has sexual aversion disorder. |
Question 24 |
A 38-year-old female client has been diagnosed with uterine cancer and must undergo a hysterectomy. What is the most important nursing intervention?
A | Ask her if she is having pain. |
B | Refer her to a psychotherapist. |
C | Don’t discuss the subject with her. |
D | Encourage her to verbalize her feelings. |
Question 25 |
A 38-year-old female client was returning home from the store late in the evening and was sexually assaulted. She is brought to the emergency department and is crying. What is the most important intervention by the nurse?
A | Filing a police report |
B | Calling the client’s family |
C | Encouraging the client to enroll in a self-defense class |
D | Remaining with the client and assisting her through the crisis |
Question 26 |
A nurse is caring for a 39-year-old male client who recently underwent surgery and is having difficulty accepting changes in his body image. Which nursing intervention is most appropriate?
A | Actively listening to the client as he expresses positive and negative feelings about his body image |
B | Restricting the client’s opportunity to view the incision and dressing because it’s upsetting |
C | Assisting the client to focus on future plans for recovery |
D | Assisting the client to repress anger while discussing the body image alteration |
Question 27 |
A recently divorced 40-year-old client who has undergone radiation therapy for testicular cancer tells the nurse he is unable to achieve an erection. Which nursing diagnosis is most appropriate?
A | Ineffective coping related to radiation therapy |
B | Sexual dysfunction related to the effects of radiation therapy |
C | Disturbed body image related to the effects of radiation therapy |
D | Imbalanced nutrition: Less than body requirements related to radiation therapy |
Question 28 |
A 50-year-old male client who had a myocardial infarction 8 weeks ago tells a nurse, “My wife wants to make love, but I don’t think I can. I’m worried that it might kill me.” What is the most appropriate response by the nurse?
A | “Tell me about your feelings.” |
B | “Let’s increase your rehabilitation schedule.” |
C | “Let me call the primary health care provider for you.” |
D | “Tell your wife when you’re able you’ll make love.” |
Question 29 |
A 50-year-old client has been taking antihypertensive medication that the physician prescribed. During a routine office visit for blood pressure monitoring, the client tells the nurse that he is unable to have sexual intercourse with his wife anymore. The nurse determines that this is most likely the result of his:
A | advancing age. |
B | blood pressure. |
C | stressful lifestyle. |
D | blood pressure medication. |
Question 30 |
A 55-year-old female client who is in cardiac rehabilitation tells a nurse that she’s unable to make love to her husband because she often feels fatigued and has a sense of doom. What is the most appropriate information for the nurse to provide?
A | Instruct her not to have intercourse until she is ready. |
B | Instruct her to take a nitroglycerin tablet prior to intercourse. |
C | Encourage her to learn additional methods to use for sexual intercourse. |
D | Encourage her to verbalize her feelings while you perform a physical examination on her. |
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