Psychia Mastery Exam

A 33-year old female client tells the nurse she has never had orgasm. She tells the nurse that her partner is upset that he is unable to meet her needs. Which of the following interventions is most appropriate?

• ask the client if she desires intercourse

• assess the couple’s perception of the problem

• tell the client that most women don’t reach orgasm

• refer the client to a therapist because she has sexual aversion disorder

Which of the following complications is most likely the cause for a 35-year old male client who complains to the nurse that he has an orgasm too quickly?

• fear of intimacy

• premature ejaculation

• sexual aversion disorder

• hypoactive sexual desire disorder

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 of the following responses from the nurse is most appropriate?

• “stop acting out”

• “calm down, and go back to your room”

• “your roommate isn’t a child molester”

• “I can see your upset. Sit down and we’ll talk about it”

Which of the following best describes necrophilia?

• obscene phone calling

• sexual activity with animals

• sexual activity with corpses

• sexual arousal with urine

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

• risk for self-mutilation

• ineffective role performance

• ineffective coping

• risk for other-directed violence

A 42-year old woman complains of painful intercourse. Which nursing diagnosis is most useful in planning this client’s care?

• ineffective coping

• disturbed body image

• ineffective sexuality patterns

• sexual dysfunction

A parent with a daughter with bulimia nervosa asks the nurse, “how can my child have an eating disorder when she isn’t underweight?” which of the following responses is best?

• “A person with bulimia nervosa can maintain a normal weight”

• “it’s hard to face this kind of problem in a person you love”

• “at first, there’s no weight loss;it comes later in the disease”

• “this is a serious problem eventhough there is no weight loss”

It is the intentional production of false or grossly exaggerated physical or psychological symptoms:

• belligerence

• hypochondriasis

• malingering

• la belle indifference

Occurs when a person intentionally produces or feigns physical or psychologic symptoms solely to gain attention:

• creutzfeldt-jakob syndrome

• munchausen syndrome

• body dysmorphic disorder

• conversion disorder

A human sexual response cycle where it is marked by a strong urge for sexual stimulation and satisfaction:

• urge

• orgasm

• plateau

• arousal