A psychiatric nurse practitioner takes a sexual history from a new client. To determine that the client's sexual response pattern meets the criteria for disorder of sexual functioning, the nurse:
a. instructs the client to keep a detailed record of all sexual activity for a month
b. orders hormone-level laboratory testing at each stage of the client's sexual response
c. asks if the observed problem is causing significant discomfort or distress to the client
d. rules out all possible physical causes of the sexual performance difficulty
C
For a sexual response pattern to meet the criteria for a disorder of sexual functioning, the problem must cause significant discomfort and distress to the client. In many cases, some sexual response patterns that could be considered "difficulties" are able to be comfortably integrated into the individual's or couple's life without discomfort or distress. In other cases, the "difficulties" may in fact be causing discomfort and problems in the individual's or couple's lives, yet they are using denial mechanisms to avoid acknowledging the issue as a problem.
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A patient has experienced symptoms of dumping syndrome following bariatric surgery. To what physiologic phenomenon does the nurse attribute this syndrome?
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Indicate whether the statement is true or false
A pedophile tells the nurse, "I feel so guilty and shameful over molesting a child. My family will be so disgusted with me. I could save them from embarrassment if I were gone." What is the nurse's priority action?
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