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
A couple married for 3 years is seeking treatment at a sex therapy clinic. The wife, who was a virgin when they married, admits that she has never really enjoyed sex and recently has developed an aversion to it. They have not had sexual intercourse for about 5 months. Sexual history reveals that the wife's family was very closed about sexual issues, with the implication that sex was sinful and dirty. What is the most appropriate nursing diagnosis for the wife?
- A Ineffective sexuality patterns related to fear of pregnancy
- B Sexual dysfunction related to negative teachings about sex
- C Acute pain related to vaginal constriction
- D Low self-esteem related to an inability to please her husband sexually
Explanation
Correct Answer Is:
B. Sexual dysfunction related to negative teachings about sexExplanation
The wife’s sexual aversion and inability to enjoy intercourse align most closely with sexual dysfunction rooted in her rigid, negative upbringing about sexuality. Being raised in an environment where sex was portrayed as sinful often results in feelings of guilt, shame, and fear associated with sexual intimacy. These internalized beliefs can manifest as avoidance, lack of desire, or aversion to sexual activity. The history provided directly connects her current dysfunction to these early negative messages, making this the most appropriate nursing diagnosis.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.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. FetishismExplanation
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.A nurse assesses four newly hospitalized patients. Which patient is most important for the nurse to ask about sexual functioning?
- A 35-year-old woman having a laparoscopic cholecystectomy.
- B 48-year-old man with a diabetic foot ulcer.
- C 24-year-old woman having a laparoscopic appendectomy.
- D 8-year-old boy on chemotherapy for myelogenous leukemia
Explanation
Correct Answer Is:
D. 8-year-old boy on chemotherapy for myelogenous leukemiaExplanation
Chemotherapy for leukemia often causes significant alterations in sexual development, including delayed puberty, impaired fertility, hormonal suppression, and long-term reproductive complications. Although an 8-year-old is not sexually active, sexual functioning in pediatrics refers to growth and developmental milestones. Cancer treatment can profoundly impact testicular growth, sperm production, and endocrine function. Early assessment allows the nurse to monitor pubertal progression, address fertility preservation options, provide anticipatory guidance, and support the child and family in understanding potential long-term effects.A nurse receiving a post-op bariatric surgery patient can expect to perform which of the following nursing actions?
- A Perform assessment and compare to baseline assessment
- B Assist with informed consent
- C Position the patient upright at at least 45° HOB
- D Teach patient to avoid drinking with a straw
- E Assess baseline height and weight
- F Assess abdominal wound for amount and type of drainage
- G Give pain medications as needed
Explanation
Correct Answer Is:
A Perform assessment and compare to baseline assessmentC Position the patient upright at at least 45° HOB
F Assess abdominal wound for amount and type of drainage
G Give pain medications as needed
Explanation
A Perform assessment and compare to baseline assessmentA full postoperative assessment is essential to identify early complications such as respiratory compromise, fluid imbalance, or bleeding. Comparing postoperative findings to baseline values allows the nurse to detect subtle but clinically important changes. Bariatric patients have increased postoperative risk, making a thorough assessment a priority upon arrival from surgery.
C Position the patient upright at at least 45° HOB
Positioning the patient upright decreases the risk of aspiration and promotes optimal ventilation. Bariatric surgery patients are at increased risk for hypoventilation, atelectasis, and respiratory depression following anesthesia. Upright positioning supports lung expansion and reduces strain on the diaphragm and surgical site, promoting safer and more comfortable recovery.
F Assess abdominal wound for amount and type of drainage
Postoperative bariatric patients require close monitoring of abdominal incisions or laparoscopic sites for signs of excessive bleeding, infection, or anastomotic leakage. Early detection of abnormal drainage characteristics—such as bright-red bleeding, foul odor, or cloudy fluid—allows prompt intervention and prevents severe postoperative complications.
G Give pain medications as needed
Adequate pain control helps the patient participate in deep breathing, coughing, and early ambulation, all essential for preventing postoperative complications. Bariatric surgery can cause significant discomfort, and poorly controlled pain increases risks such as hypoventilation, pneumonia, and delayed recovery. Providing analgesics as ordered supports healing and maintains patient comfort.
During a group meeting on the substance abuse unit, a patient states, “My drug and alcohol problems have had no effect on my teen-aged children.” What should the nurse encourage the patient to do regarding this statement?
- A Take pride in having controlled the illness in front of the family.
- B Continue to identify similar family strengths to build upon
- C Have an open discussion with the children and encourage them to express their feelings.
- D Give the children more responsibilities at home to relieve some of the patient’s burden.
Explanation
Correct Answer Is:
C. Have an open discussion with the children and encourage them to express their feelings.Explanation
Substance use disorders affect the entire family system, especially children, who often experience fear, confusion, insecurity, or role disruption. Denial of this impact is common among patients in early recovery. Encouraging the patient to have an open, honest discussion with their children promotes healthy communication, helps repair family relationships, and allows the children to express emotions they may have suppressed. This step is foundational in family-centered recovery work and supports long-term healing for both the patient and the family.Prescribed: Phenobarbital elixir 35 mg PO BID
Available: Phenobarbital 20 mg per 5 mL
How many mL will the nurse administer per dose? (Record your answer to the nearest hundredth.)
- A 7.50 mL
- B 8.75 mL
- C 6.25 mL
- D 9.50 mL
Explanation
Correct Answer Is:
B. 8.75 mLExplanation
To find the correct volume, the nurse must calculate based on the available concentration of 20 mg in 5 mL. First determine how many milliliters contain 1 mg: 5 mL ÷ 20 mg = 0.25 mL per mg. Multiply this value by the ordered dose: 35 mg × 0.25 mL = 8.75 mL per dose. This delivers the exact prescribed 35 mg using the available liquid concentration.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 sexExplanation
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.A nurse teaches a group of other nurses about the safety issues associated with bulimia. Which statement by a learner indicates an adequate understanding of the most significant safety risk associated with bulimia?
- A "The vomiting when purging may lead to dehydration and hypotension."
- B "The presence of callouses on a client's fingers means they self-induce vomiting."
- C "The vomiting may cause breakdown of the tooth enamel."
- D "Use of laxatives may cause diarrhea and skin breakdown."
Explanation
Correct Answer Is:
A. The vomiting when purging may lead to dehydration and hypotension.Explanation
Although many complications occur with bulimia, the most significant safety risk is fluid and electrolyte imbalance caused by repeated vomiting. Excessive loss of fluids and gastric acids can result in severe dehydration, hypotension, hyponatremia, hypokalemia, and metabolic alkalosis. These electrolyte disturbances—especially low potassium—can lead to life-threatening cardiac arrhythmias. Recognizing dehydration and circulatory compromise as the most urgent physical threat is essential for early intervention and patient safety.A patient with a history of Esophageal Varices due to Liver Cirrhosis is complaining of abdominal cramping and has not had a bowel movement (BM) in 3 days. Which of the following nursing actions are most important?
- A Educating patient not to strain for a BM
- B Educating patient on balloon tamponade procedures
- C Encouraging natural remedies for constipation
- D Administering a PRN stool softener
Explanation
Correct Answer Is:
A Educating patient not to strain for a BMD Administering a PRN stool softener
Explanation
A Educating patient not to strain for a BMStraining increases intra-abdominal and portal pressure, which can trigger rupture of fragile esophageal varices and cause massive, life-threatening bleeding. Patients with cirrhosis must be taught to avoid Valsalva maneuvers and excessive straining. This education is critical because preventing variceal hemorrhage is one of the highest-priority safety concerns in these patients.
D Administering a PRN stool softener
A stool softener is essential to relieve constipation without causing straining. Pharmacologic softening of the stool reduces the risk of increased portal pressure and protects the patient from variceal rupture. Stool softeners are safer than laxatives that may cause cramping or rapid electrolyte shifts, making this intervention both appropriate and high priority for a cirrhotic patient with constipation.
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