NURS 218 Fall 25 Eating Disorder Sexual Dysfunction at Baton Rouge Community College

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Free NURS 218 Fall 25 Eating Disorder Sexual Dysfunction at Baton Rouge Community College Questions

1.

What does the nurse recognize as the hallmark sign of acute pancreatitis in a patient?

  • A Vomiting coffee ground secretions
  • B Right lower quadrant pain
  • C Generalized abdominal pain relieved while eating
  • D Sudden abdominal pain

Explanation

Correct Answer Is:
D. Sudden abdominal pain
Explanation
The hallmark sign of acute pancreatitis is the abrupt onset of severe abdominal pain, typically located in the epigastric area and often radiating to the back. The pain is usually persistent, intense, and not relieved by eating—in fact, food often worsens it. This sudden severe pain occurs because digestive enzymes become activated within the pancreas, leading to inflammation and tissue autodigestion. Recognizing this hallmark presentation is essential for rapid diagnosis and treatment, as pancreatitis can progress quickly and may lead to serious complications.
2.

A nurse is caring for a patient after bariatric surgery. What is the priority nursing action when initiating oral fluids?

  • A Give the patient crackers with water
  • B Monitor for nausea and vomiting with sips of clear liquids
  • C Start with 120 mL of water per hour
  • D Provide fluids through a straw to control volume

Explanation

Correct Answer Is:
B. Monitor for nausea and vomiting with sips of clear liquids
Explanation
After bariatric surgery, the stomach is extremely sensitive and can only tolerate very small amounts of fluid at a time. The priority is to begin with tiny sips of clear liquids and closely monitor the patient for nausea, vomiting, abdominal discomfort, or signs of intolerance. Vomiting can be dangerous after bariatric surgery because it increases pressure on the staple line and may lead to dehydration, anastomotic leak, or other complications. Monitoring tolerance to small amounts of clear liquids ensures safe progression of intake and protects the integrity of the surgical site.
3.

A patient has been diagnosed with a Gender Identity disorder. The nurse understands which statement displays understanding of the disorder?

  • A Humiliation of self or partner during the sexual act
  • B Psychophysiological changes that compromise the sexual response cycle
  • C Discomfort with one's own biological sex
  • D Intense sexual urge focused on an object

Explanation

Correct Answer Is:
C. Discomfort with one's own biological sex
Explanation
Gender Identity Disorder—now termed Gender Dysphoria—is characterized by a strong, persistent discomfort with one’s assigned biological sex and a desire to live as the opposite gender. The distress comes from incongruence between experienced gender and physical characteristics. This condition is not related to sexual practices, arousal patterns, or paraphilias; instead, it involves deep psychological and emotional discomfort related to one’s gender identity, often beginning in childhood and continuing into adulthood.
4.

Which psychosocial assessment findings are commonly associated with bulimia nervosa? Select all that apply.

  • A Social withdrawal
  • B Feelings of guilt and shame
  • C Ritualistic food behaviors including journaling
  • D Normal body weight or slightly overweight
  • E Denial of binge-purge behavior

Explanation

Correct Answer Is:
A Social withdrawal
B Feelings of guilt and shame
D Normal body weight or slightly overweight
E Denial of binge-purge behavior
Explanation
A Social withdrawal
Individuals with bulimia nervosa often isolate themselves because their disordered eating patterns are secretive and shame-driven. They may avoid meals with others or situations that might expose their bingeing and purging behaviors. Social withdrawal reflects the emotional distress and fear of judgment that frequently accompany this disorder.

B Feelings of guilt and shame
Bulimia is strongly associated with guilt, shame, and self-disgust after bingeing and purging episodes. These emotions reinforce the cycle of secrecy and maladaptive coping. Patients may obsess about their behaviors and feel personal failure, contributing to low self-esteem and worsening psychological distress.

D Normal body weight or slightly overweight
Unlike anorexia nervosa, individuals with bulimia nervosa typically maintain a normal or slightly elevated body weight. This is because binge episodes may involve large amounts of calories, and purging does not eliminate the majority of what is consumed. Normal weight often leads to delayed diagnosis since physical appearance may not reflect the severity of the disorder.

E Denial of binge-purge behavior
Denial is common because bulimic behaviors are secretive and highly distressing to the individual. Patients may hide symptoms out of embarrassment or fear of judgment. This denial complicates assessment and treatment, as accurate information about frequency and severity of behaviors is essential for developing an effective care plan.
5.

A nurse is providing teaching to a patient who has alcohol use disorder and a new prescription for disulfiram (Antabuse). Which information should the nurse include in the teaching?

  • A This medication will decrease the intensity of withdrawal manifestations
  • B Taking this medication will suppress the craving for alcohol
  • C Taking this medication with alcohol will produce unpleasant physical effects
  • D This medication will help prevent seizures during alcohol withdrawal

Explanation

Correct Answer Is:
C. Taking this medication with alcohol will produce unpleasant physical effects
Explanation
Disulfiram works by disrupting alcohol metabolism, causing a buildup of acetaldehyde if alcohol is consumed. This produces an intense physiological reaction, including flushing, nausea, vomiting, palpitations, hypotension, and severe headache. The purpose is to deter alcohol use by creating a strong aversion to drinking. The nurse should emphasize complete avoidance of alcohol in all forms, including hidden sources such as mouthwash, cough syrups, vinegar products, and certain sauces, because even small amounts can trigger the disulfiram–alcohol reaction.
6.

In the emergency department (ED), a patient's respirations are 8 breaths/min and shallow. The nurse identifies the diagnosis of ineffective breathing pattern related to depression of respiratory center secondary to narcotic overdose. What is the priority outcome?

  • A Within 1 week of hospitalization, the patient will demonstrate effective coping skills.
  • B Within 4 hours, respirations will stabilize, with respirations being at or above 12 breaths/min.
  • C Within 6 hours, breath sounds will be clear bilaterally and throughout all lung fields.
  • D Before release from the ED, the patient will correctly describe a plan for achieving a drug-free state.

Explanation

Correct Answer Is:
B. Within 4 hours, respirations will stabilize, with respirations being at or above 12 breaths/min.
Explanation
Because the patient is experiencing respiratory depression from a narcotic overdose, the immediate and highest-priority outcome is restoring and maintaining adequate ventilation. A respiratory rate of 8/min with shallow breaths indicates a risk for respiratory arrest, hypoxia, and death. Stabilizing respirations to 12/min or greater within a short, urgent timeframe directly addresses the life-threatening problem. Other outcomes related to coping, education, or long-term recovery are important but are not priorities during acute respiratory compromise.
7.

In planning nursing care for patients diagnosed with paraphilias, the primary nurse recognizes that which diagnosis allows the patient to have a rewarding sexual relationship?

  • A Pedophilia
  • B Exhibitionism
  • C Fetishism
  • D Frotteurism

Explanation

Correct Answer Is:
C. Fetishism
Explanation
Fetishism involves sexual arousal linked to a nonliving object or a specific body part, but individuals with this paraphilia can typically maintain consensual, safe, and mutually satisfying sexual relationships with partners. Unlike paraphilias such as pedophilia, exhibitionism, or frotteurism—which involve nonconsenting individuals and are illegal or harmful—fetishism can be incorporated into a consensual adult relationship without violating boundaries or causing harm, allowing for rewarding sexual intimacy.
8.

A patient with a known history of alcohol abuse has been transferred via ambulance to the emergency room. Initially, the patient exhibited anxiety, sweating, tremors, disorientation, and hyperactivity. What is the priority nursing concept to consider in planning interventions for this emergency condition?

  • A Addiction counseling
  • B Psychosis
  • C Safety
  • D Thermoregulation

Explanation

Correct Answer Is:
C. Safety
Explanation
The patient is showing signs of acute alcohol withdrawal, which can escalate rapidly into seizures, hallucinations, or delirium tremens—conditions that carry significant risk for injury and death. Therefore, safety is the immediate priority. Ensuring a safe environment, preventing falls, monitoring neurological status, reducing stimulation, and preparing for emergency interventions (such as benzodiazepine administration) are essential. Once the patient is stabilized, additional concepts such as addiction counseling can be addressed.
9.

A patient seeks treatment for urges involving sexual contact with children. The patient has not acted on the urges and is ashamed of them. Which outcome would indicate that the patient is making progress in treatment?

  • A Reports when visiting with children, an adult will be in the next room.
  • B Reports an active and satisfying sex life with a partner.
  • C Avoids school yards where children are present.
  • D Indicates that sexual drive and enjoyment from sex have decreased.

Explanation

Correct Answer Is:
A. Reports when visiting with children, an adult will be in the next room.
Explanation
Progress in treatment for pedophilic urges focuses on developing insight, establishing accountability, and implementing strict behavioral controls that reduce the risk of acting on inappropriate impulses. Reporting that an adult will always be present during any contact with children reflects responsible safety planning, self-monitoring, and willingness to use external structure to maintain control. This demonstrates progress in recognizing triggers, managing risk, and actively engaging in treatment strategies designed to prevent harmful behavior.
10.

What is the role of the nurse for a patient diagnosed with a paraphilia, in assisting the patient to attain, gain, and maintain sexual wellness? Select all that apply.

  • A Focus on preventive measures
  • B Provide therapeutic care
  • C Conduct sexual counseling sessions
  • D Sexual therapist
  • E Provide educational interventions

Explanation

Correct Answer Is:
A Focus on preventive measures
B Provide therapeutic care
E Provide educational interventions
Explanation
A Focus on preventive measures
Nurses play an important preventive role by helping the patient identify triggers, understand risk factors, and develop safer coping strategies. Prevention includes early recognition of behaviors that could escalate, patient education on boundaries, and interventions that reduce harm. This approach supports long-term wellness, decreases relapse risk, and reinforces personal responsibility for maintaining healthy sexual behaviors.

B Provide therapeutic care
Nurses provide therapeutic care through supportive communication, emotional stabilization, crisis intervention, and reinforcement of treatment goals. Although nurses do not act as psychotherapists, they create a safe environment that promotes insight, reduces shame, and encourages compliance with treatment. This includes monitoring progress, supporting behavioral changes, and collaborating with the interdisciplinary team to ensure comprehensive care.

E Provide educational interventions
Education is a key nursing responsibility. Nurses teach patients about the nature of paraphilias, the importance of treatment adherence, legal and ethical boundaries, and strategies for healthy sexual expression. Providing accurate information helps reduce misconceptions, empowers the patient, and promotes active participation in the recovery process. Clear education also reinforces accountability and aids in preventing harmful or inappropriate behaviors.

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