SEXUAL AND GENDER IDENTITY DISORDER
1. The nurse is assessing a client with a diagnosis of hypoactive
sexual desire. Which of the following characteristics is important
for the nurse to assess from the history and physical?
a. Traumatic brain injury
b. Hormonal abnormalities
c. An absence of sexual fantasies
d. History of substance abuse
2. Which of the following findings would provide the nurse with
the most accurate information regarding a client with sexual
aversion disorder?
a. Substance abuse problems
b. Preoccupation with sexual encounters
c. Gratification with sexual activity
d. Marked distress in interpersonal functioning
3. Which of the following assessments would provide the nurse
with the most accurate information regarding a client with sexual
pain disorder? Select all that apply:
a. The disorder does not create distress in the client
b. The client is void of sexual desire
c. The disorder is found in females who have been sexually
abused
d. The pain is imagined
e. The client may experience orgasm without penetration
f. The client may experience vaginismus
4. The nurse should instruct a client with a sexual dysfunction
about drugs that have a pharmacologic influence on sexual
functioning. Which of the following drugs impact sexual
functioning and should be included in this discussion?
a. Antidepressants
b. Antibiotics
c. Analgesics
d. Anti-inflammatories
5. A client with orgasmic disorder may have contributing
hormonal problems. The nurse should counsel the client that
which of the following factors may contribute to the disorder?
a. Normal aging
b. Over exercise
c. Increase in testosterone
d. Decrease in prolactin
6. The nurse is collecting a nursing history from a client admitted
with a sexual dysfunction. Which of the following questions is a
priority for the nurse to ask?
a. “What is your age?”
b. “What medications do you take?”
c. “Do you have anxiety about sexual performance?”
d. “What is your exercise regime?”
7. The nurse is teaching a client with a sexual dysfunction. Which
of the following elements would be the most critical for the nurse
to teach the client about the disorder?
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a. Mutual respect between partners is crucial
b. Gender preference influences sexual dysfunction
c. Avoiding drugs will alleviate sexual dysfunction
d. Power struggles between partners do not influence sexual
dysfunction
8. Which of the following assessments would provide the nurse
with the most accurate information regarding a client with gender
identity disorder? Assess and evaluate if the client
a. is homosexual.
b. has been sexually abused.
c. had an early feeling of being trapped in the wrong gender.
d. has a strong aversion to same-sex individuals.
9. When the nurse is assessing a client for the possibility of
gender identity disorder, which of the following clinical
manifestations would support the diagnosis? Select all that apply:
a. Having playmates of the same sex
b. No particular preference for cross-sex role play
c. Anxiety that accompanies puberty
d. Development of secondary sex characteristics
e. Unconcerned about the disorder
f. Preoccupation with the client’s sex
10. A client is admitted to the psychiatric unit with a possible
diagnosis of paraphilia. When conducting an assessment, which
clinical manifestations would indicate to the nurse that the
diagnosis was correct?
a. A disorder with a 3-month duration
b. Recurrent fantasy triggered by stress
c. A persistent disinterest in sex
d. A significant loss of libido
11. The nurse assessing a client with the diagnosis of voyeurism
should note which of the following characteristics?
a. Socially skilled individual
b. Peeping becomes compulsive
c. Usually not heterosexual
d. Has many close friends
12. Which of the following assessments would provide the nurse
with the most accurate information about a client with
transvestitism?
a. A desire for a sex change
b. Enjoyment in watching others disrobe
c. Homosexual orientation
d. Develops early in life
13. The nurse treating a client with paraphilia would include
which of the following in the care plan?
a. Alternative medicine
b. Residential treatment
c. Short-term therapy
d. Combination therapy
 SEXUAL AND GENDER IDENTITY DISORDER
14. The nurse treating a client with sexual addictions should
assess for which of the following clinical manifestations when
formulating the nursing assessment?
a. The client understands the behavior
b. Patterns of unsuccessful love relationships
c. Need to develop relationship after sexual contact
d. Is not a compulsion
15. When working with the client who has a sexual addiction, the
nurse should include which of the following in the nursing care
plan?
a. Recommendation for individual therapy
b. Avoid groups with similar diagnosis
c. Limit number of friends to small, close unit
d. Community support is not a priority
16. The nurse planning care for the client with a sexual addiction
understands that the client is at risk for sexually transmitted
disease. What is a priority to include in this client’s care plan?
a. Educate the client about sexual addiction
b. Offer diversional activities to sex
c. Educate the client about safe sex
d. Offer support to the client
17. The nurse evaluates which of the following disorders to
contribute to the severity of a sexual disorder?
a. Schizophrenia
b. Bipolar disorder
c. Diabetes
d. Anorexia
18. Which of the following drugs does the nurse evaluate to
contribute to the development of a sexual disorder?
Select all that apply:
a. Hypertensives
b. Phenothiazines
c. Antidepressants
d. Antibiotics
e. Cholinergics
f. Histamine H2 antagonists
19. The nurse planning for the discharge of a client with sexual
dysfunction would take into consideration which of the following
measures?
a. The client will have trusting relationships
b. The client’s judgment may be clouded by perceptual defenses
c. Judgmental thoughts are crucial for recovery
d. Power struggles are inevitable and are a key to cure
20. The most effective treatment tool the nurse should use when
working with a client with sexual disorders is
a. the complete general history.
b. the sexual disorders history.
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c. drug management.
d. family therapy.
21. When working with a client with hypoactive sexual desire
disorder, the nurse should include which of the following
recommendations in the treatment plan?
a. Substance abuse counseling
b. Treatment for a medical condition
c. Encourage the client to focus on the disorder
d. Establish a therapeutic alliance
22. The nurse planning the treatment for a client with aversion
disorder considers which of the following in the care plan?
a. Medical conditions are the etiology
b. Interpersonal functioning is a low priority
c. Anxiety and disgust contribute to distress
d. A version is not a part of the disorder
23. T he nurse developing a treatment plan for a client with
gender identity disorder would include which of the following
measures?
a. Short-term therapy
b. Drugs to control dysphoria
c. Counseling for coping solutions
d. Legal counseling
24. Which of the following clinical manifestations would the
nurse assess as most prevalent in a client suspected of having
contracted chlamydia?
a. Discharge from the genitals
b. Generalized body aches
c. Intermittent discomfort when urinating
d. Spontaneous remission
25. When assessing a client suspected of having hepatitis B,
which of the following clinical manifestations supports the
diagnosis?
a. Unprotected sexual contact
b. Malnutrition
c. Fecal-oral route
d. Sexual addiction