Midterm Exam: NR547 / NR 547
(Latest Update 2024 / 2025) Differential Diagnosis in Psychiatric- Mental Health across the Lifespan Practicum | Study Review Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
Sexual dysfunction
Answer:
any difficulty in experiencing satisfaction from a sexual act in one of the four
phases of the sexual response cycle: excitement, plateau, orgasm, or
resolution -may result from biological, psychological, or social causes -may be lifelong, acquired, generalized, or situational -Symptoms must be present for a minimum of six months before diagnosis
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Question:
5Ps to collect a client's sexual history:
Answer:
Partners Practices Protection from STDs Past History of STDs Prevention of Pregnancy
*may consider adding another P for pleasure
Question:
Sexual Dysfunction in Females: Female sexual interest/arousal disorder
Answer:
-absent or reduced interest in sexual activity, thoughts, or fantasies or absent or reduced sexual arousal, excitement, or pleasure -may be generalized or limited to certain situations or types of stimulation (situational) -Diagnosis requires three or more symptoms that are not a result of relationship difficulties, medication/substance use, or medical or psychiatric conditions
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Question:
Sexual Dysfunction in Females: Genito-Pelvic Pain/Penetration Disorder
Answer:
-pain or difficulty during vaginal penetration, fear, and anxiety related to vaginal penetration, or tightening of pelvic muscles during vaginal penetration -may avoid intercourse altogether due to stress from unpleasant or unbearable pain -Genito-pelvic pain is commonly comorbid with sexual interest/arousal disorder -evaluation for sexual abuse or trauma is warranted -hormonally induced physical changes such as lack of lubrication or vaginal atrophy should be investigated
Question:
Sexual Dysfunction in Females: Orgasmic Disorder
Answer:
-delayed or infrequent orgasms or reduced intensity of orgasm during all or almost all occasions of sexual activity -can be generalized or situational
-Psychological factors that may further complicate the disorder:
• fears, hostility towards partners, poor body image, guilt
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Question:
Ming, a 37-year-old female client, presents with a chief complaint of "lack of interest in sex." Both Ming and her partner report that she has been very reluctant to have sex and does not initiate sex. The repetitive refusal is causing relationship strain. Ming's partner states the problem started approximately nine months ago. The couple has been married for 2 years.Ming notes that their sex life was "incredible" early in the relationship. Ming denies having extra-marital relations, relationship issues unrelated to sex, or other social stressors. She also denies pain with sex, but report using a lubricant due to occasional vaginal dryness. Her menses are regular, lasting approximately four to six days. She has no medical or psychiatric history and had a normal gynecologic exam 2 months ago. Medications include a multivitamin and an antihistamine as needed for allergies. Based on the DSM-5-TR (APA, 2022) criteria, w
Answer:
Female sexual interest/arousal disorder
Rationale: Ming is 37 years old, and still has regular periods. Her decreased
libido for 6 or more months is indicative of female sexual interest/arousal disorder, especially since she and her partner are newly married and report an "incredible" sex life before the onset of symptoms. Occasional vaginal dryness is typical, given that she takes an antihistamine occasionally. There is no apparent medical cause for her decreased libido; therefore, Ming meets the DSM-5-TR criteria (APA, 2022) for female sexual interest/arousal disorder.
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