A female being treated for infertility confides to the nurse that she hasn’t told her partner she has been treated for a sexually transmitted disease in the past. What is the best response by the nurse?

After a myocardial infarction (MI), a client tells the nurse he’s afraid he’ll have another heart attack if he attempts sexual intercourse. Which nursing diagnosis is most appropriate?

A male client brings a list of his prescribed medications to the clinic.During the initial assessment, he tells the nurse that he has been experiencing delayed ejaculation. Which of the following drug classes would most likely be associated with this condition?

A new graduate nurse expresses concern to the nurse-manager about working with clients who want to discuss sexual problems. What is the best response by the nurse-manager?

A female client enjoys wearing men’s clothing. Her sister tells the nurse that the client wishes for a sexual reassignment operation. The client tells the nurse she just wants to be left alone. Which initial nursing intervention is most appropriate?

An adolescent who is suffering from gender identity disorder is unable to progress through which developmental task?

What is the gender identity disorder that results in the person believing he or she is the opposite sex?

A client has learned that his gay roommate has tested positive for human immunodeficiency virus (HIV). The client asks the nurse about moving to another room on the psychiatric unit because the client doesn’t feel “safe” now. What is the most appropriate action by the nurse?

A nurse is caring for several clients with gender identity disorders. Which client category is at highest risk for anxiety related to transsexualism?

Estrogen therapy has been prescribed for a male client who wishes to undergo sexual reassignment surgery. The nurse determines that the client understands the therapy when he states its purpose is to accomplish which of the following?

A nurse lecturing on paraphilias informs her audience that recidivism is high for clients with paraphilias. Which definition best describes recidivism?

Which nursing diagnosis is most appropriate for a client with sexual masochism?

Which statement made by a client with paraphilia indicates a potential for relapse?

A transsexual client wishes to have a sexual reassignment operation and tells the nurse he’s ready to begin hormonal therapy. Which fact about the client must be true before estrogen therapy is administered?

A female client taking antidepressant medication complains to the nurse that she has a decreased desire for sex, which is causing significant marital stress. What is the most appropriate response by the nurse?

A mother is concerned about her son and says he’s 10 years old and has been playing with dolls since he was 2. Which initial strategy should be included in his care plan?

A mother brings her 14-year-old son to the psychiatric crisis room. The client’s mother states, “He’s always dressing in female clothing. There must be something wrong with him.” Which response from the nurse would be most appropriate?

A 14-year-old female client admits to having transsexual feelings and states, “I would rather die than live in this body.” What is the most appropriate initial intervention by the nurse?

A 17-year-old female who enjoys playing ball with boys and is most comfortable in jeans tells her mother she doesn’t want to go to the prom if she has to wear a frilly dress. Her mother asks, “What should I do with my daughter?” What is the best response by the nurse?

A 35-year-old client who has been married for 10 years arrives at the psychiatric clinic stating, “I can’t live this lie any more. I wish I were a woman. I don’t want my wife. I need a man.” What is the priority intervention by the nurse?

A 39-year-old male client tells the nurse he wants to undergo a sex reassignment operation because he feels trapped in his male body. The nurse anticipates that a priority intervention of the client’s treatment plan would be which of the following?

A 42-year-old female client complains of painful intercourse. Which nursing diagnosis is most appropriate in planning the client’s care?

A 46-year-old female client is diagnosed with a problem in sexual functioning. When planning her care, which nursing intervention takes highest priority?

A 57-year-old male client who has a history of hypertension expresses concern about his sexual functioning to the nurse. What is the most important assessment data for the nurse to review?