A man tells the nurse i have trouble maintaining an

11.
A man tells the nurse, “I have trouble maintaining an erection.” This comment indicates:
a. a sexual erectile disorder.
b. a sexual desire disorder.
c. a sexual pain disorder.
d. an orgasm disorder.
ANS: A
In sexual erectile disorders, the individual cannot maintain the physiologic requirements
for sexual intercourse. The patient’s statement does not provide data to suggest one of
the other options.
12.
An adult has felt much tension since losing a home by foreclosure. This person goes to a park,
feeds the birds, and then impulsively exposes himself/herself to a group of parents and
children. Which term applies to this behavior?
13.
An adult has felt much tension since losing a home by foreclosure. This person goes to a park,
feeds the birds, and then impulsively exposes himself/herself to a group of parents and
children. Which intervention would have the greatest benefit for this person?

b. Problem solving
c. Sex education
d. Social skills
ANS: A
Because the individual demonstrated the exhibitionistic behavior during a period of
increased stress, providing stress management would be beneficial. The other
interventions may be acceptable but would not have the relevance that stress
management would have .
14.
A nurse cares for a man diagnosed with pedophilia. Leuprolide (Lupron Depot) was
prescribed. One month later, which statement by the patient indicates that the medication is
having a therapeutic effect?
15.
A nurse cares for a patient demonstrating paraphilia. The nurse expects the health care
provider may prescribe which type of medication to reduce paraphilic behaviors?
a. Selective serotonin reuptake inhibitor (SSRI)
b. Erectile dysfunction medication
c. Atypical antipsychotic
d. Mood stabilizer
ANS: A
SSRIs are reported to have a positive effect on paraphilia. The other medications are not
indicated for this disorder.