Deck 11: Sexual Dysfunctions and Disorders and Gender Identity Disorder

Question 1

Sexual dysfunctions may involve all of the following EXCEPT

A)problems achieving orgasm.
B)difficulty maintaining sexual arousal.
C)low sexual desire.
D)unusual sexual behavior.

Answer 1

unusual sexual behavior.

Question 2

Sexual dysfunctions that involve pain during intercourse are referred to as

A)vaginismus.
B)genito-pelvic pain/penetration disorder.
C)premature orgasm.
D)orgasmic disorder.

Answer 2

genito-pelvic pain/penetration disorder.

Question 3

Nancy has been sexually active for years, and is happily married.However, she does not think she has ever had an orgasm.Nancy may have

A)female sexual interest/arousal disorder.
B)female orgasmic disorder.
C)genito-pelvic pain disorder.
D)sensate focus dysfunction.

Answer 3

female orgasmic disorder.

Question 4

The female corollary to male hypoactive sexual desire disorder is female

A)sexual aversion disorder.
B)hypoactive sexual desire disorder.
C)hyperactive desire disorder.
D)sexual interest/arousal disorder.

Question 5

A diagnosis of is often made when a sexual partner is dissatisfied because a male partner reached orgasm before they both wanted it to occur.

A)ejaculation dissatisfaction
B)premature ejaculation
C)erectile dysfunction
D)male orgasmic disorder

Question 6

Prevalence rates for sexual dysfunction are difficult to obtain because of the nature of the problem and because people with sexual dysfunctions are not often referred for psychological treatments unless marital conflict or pain occurs.

A)chronic
B)acute
C)subjective
D)objective

Question 7

When would an erectile disorder diagnosis be inappropriate?

A)When a male can achieve an erection during sleep, but not in sexual activity
B)When a male can achieve an erection initially, but cannot maintain it long enough for penetration
C)When a male can attain at least a partial erection
D)When a male is not distressed about his inability to attain an erection

Question 8

George has suffered from various forms of impotence, which are collectively called

A)male hypoactive sexual desire disorder.
B)erectile disorder.
C)delayed ejaculation.
D)male orgasmic disorder.

Question 9

Sexual dysfunctions that begin after a time when a person has had no problem in sexual relations are known as

A)chronic.
B)acute.
C)acquired.
D)lifelong.

Question 10

Cynthia had a desire for sexual activity, but when involved sexual activity, she had a noticeable lack of genital arousal.This problem is often referred to as

A)female sexual interest/arousal disorder.
B)male/female disarousal disorder.
C)physiological lag disorder.
D)female orgasmic disorder.

Question 11

Sexual dysfunctions in women that are involved in the phase of sexual activity in which sexual excitement builds are known as

A)sexual aversion disorder.
B)hypoactive sexual desire disorder.
C)female sexual interest/arousal disorder.
D)female orgasmic disorder.

Question 12

Jason has difficulty obtaining and maintaining an erection during sexual relations.He is most likely experiencing

A)male orgasmic disorder.
B)mental stimulation disorder.
C)erectile disorder.
D)male arousal disorder.

Question 13

Vaginismus and dyspareunia are now both considered part of a single disorder known as

A)genito-pelvic pain/penetration disorder.
B)female orgasmic disorder.
C)female sexual interest/arousal disorder.
D)female hypoactive sexual disorder..

Question 14

Bianca is completely disinterested in sex.She has almost no sex drive.She is not married, and her boyfriend is also not really interested in sex.They enjoy each others' companionship, but rarely engage in sexual activity.Does Bianca have a sexual dysfunction?

A)Yes, because her lack of interest in sex is causing her distress.
B)No, because her sexual functioning is very normal for her age and stage in life.
C)No, because her lack of interest in sex is not causing problems interpersonally.
D)Yes, because her disinterest is distressing to her boyfriend and causing interpersonal problems.

Question 15

When a male experiences a delay or absence of orgasm during sexual relations, he may suffer from

A)delayed ejaculation.
B)male arousal disorder.
C)male intimacy disorder.
D)premature ejaculation.

Question 16

Males experiencing a lack of sexual interest or desire would be candidates for disorder, whereas females who are not interested in sexual activity could qualify for .

A)delayed ejaculation; genito-pelvic pain
B)erectile; female orgasmic
C)male hypoactive sexual desire; female sexual interest/arousal
D)hypoactive sexual desire; hypoactive sexual desire

Question 17

Problems that occur during the regular sexual activity are known as

A)sexual problems.
B)sexualis problemus.
C)sexual dysfunctions.
D)sexual perversions.

Question 18

A diagnosis of hypoactive sexual desire disorder would not be made if a person was unable to have sex or had other problems that prevented all sexual activity.The disorder refers to someone who

A)wishes to have sex outside that relationship.
B)simply does not desire to have sex.
C)wishes to have sex with multiple partners within the relationship.
D)simply does not desire to have sex with the opposite gender.

Question 19

When males reach orgasm with very little stimulation or before the person wishes, such as before penetration, they may have

A)ejaculation prematuris.
B)premature ejaculation.
C)erectile dysfunction.
D)male orgasmic disorder.

Question 20

Which of the following is NOT a sexual dysfunction associated with the desire/arousal phase of sexual activity?

A)Female sexual interest/arousal disorder
B)Delayed ejaculation
C)Erectile disorder
D)Male hypoactive sexual desire disorder

Question 21

What is an advantage of aging in terms of sexual function?

A)Less difficulty lubricating
B)Increased risk for premature ejaculation
C)Increased delays in ejaculation
D)Reduced risk for erectile disorder

Question 22

In routine care medical settings, what percentage of the population reports sexual pain?

A)10%
B)Less than 1%
C)5%
D)More than 20%

Question 23

Male erectile dysfunction is often linked with

A)OCD.
B)obesity.
C)cholesterol.
D)smoking.

Question 24

General knowledge about sex over time is important as many aging men experience , while many aging women experience .

A)marital problems; orgasm problems
B)greater stimulation need; less vaginal lubrication
C)stronger erections; vaginismus
D)erectile dysfunction; increased vaginal lubrication

Question 25

Sexual dysfunctions tend to co-occur with one another and with other mental disorders such as

A)obsession and compulsion.
B)personality and depression.
C)anxiety and depression.
D)personality and OCD.

Question 26

What percentage of women seeking routine gynecological care report lack of interest in sex?

A)43.1%
B)87.2%
C)5.7%
D)22.5%

Question 27

Jan has female orgasmic disorder.Her sex therapist discovers that during intercourse with partners, Jan is unable to enjoy the connection of the experience because she is so worried about whether her performance is "good enough" to please her partner.She is constantly evaluating his every response and using that to inform herself about how he might feel about her performance.Jan's experience during intercourse illustrates the psychological risk factor for sexual dysfunction known as

A)sensate focus.
B)fear of failure.
C)the spectator role.
D)frotteurism.

Question 28

Men and women may distract themselves during sex to monitor their own performance.The role involves greater concern with evaluating performance than enjoying relaxed sexual activity.

A)voyeur
B)spectator
C)participant
D)evaluation

Question 29

European-American women tend to experience pain during intercourse compared to African-American women.

A)the same amount of
B)more
C)less
D)unknown amounts of

Question 30

Poor genital lubrication, diminished elasticity, scar tissue, infection, or anatomical problems may result in

A)orgasmic disorder.
B)genito-pelvic pain/penetration disorder.
C)stimulation disorders.
D)ejaculation disorders.

Question 31

Stigma associated with sexual dysfunction often results in

A)failure to seek treatment for the dysfunction.
B)losing one's job.
C)being excluded from social gatherings.
D)seeking treatment from para-professionals who lack proper training.

Question 32

Sexual dysfunctions are

A)common among men and women.
B)common among women, but not men.
C)common among men, but not women.
D)uncommon.

Question 33

Biological risk factors for sexual dysfunction can involve

A)genetic apathy and unattractiveness.
B)medication and substance use.
C)temperamental predispositions and hormones.
D)intensity affect diminishment and lethargy.

Question 34

The prevalence of sexual dysfunction with age.

A)remains stable
B)increases
C)decreases
D)fluctuate vastly

Question 35

Cervical and other cancers, as well as menopause, may sexual performance in females.

A)increase
B)decrease
C)stimulate
D)diagnose

Question 36

Relative to men, women are rarely diagnosed with

A)genito-pelvic pain/penetration disorder.
B)transvestic disorder.
C)disorders dealing with sexual arousal.
D)dyspareunia.

Question 37

Alcohol, nicotine, prescription medications, and illegal substances may sexual functioning.

A)improve
B)interfere with
C)diagnose
D)stimulate

Question 38

Which of the following early sexual experiences for someone could be important in creating a sexual dysfunction?

A)Dramatic and exciting sexual experience
B)Traumatic sexual experience
C)Wishful sexual experience
D)Erotic sexual experience

Question 39

One common factor regarding impairment of the sexual response cycle is

A)anxiety or worry.
B)time of day.
C)time of month.
D)ability to fantasize.

Question 40

Sexual dysfunctions tend to one another, and with other mental disorders.

A)co-occur with; co-occur
B)be distinct from; are not connected
C)be isolated from; are not comorbid
D)feed on; commiserate

Question 41

Nocturnal penile testing can be done

A)only at a sleep laboratory.
B)only at home.
C)at a sleep laboratory or at home.
D)only during sexual dreams.

Question 42

Prevention of sexual dysfunction has focused primarily on

A)diagnosis.
B)prognosis.
C)relapse prevention.
D)dysfunction prevention.

Question 43

Assessment and treatment of sexual dysfunctions should proceed by

A)simultaneous physical and psychological measures.
B)first psychological, then physical measures.
C)first physical, then psychological measures.
D)using neither physical nor psychological measures.

Question 44

Sexual dysfunctions are generally across various cultures.

A)misunderstood
B)lacking
C)common
D)only in females

Question 45

Women from different cultures who experience sexual dissatisfaction may likely perceive its causes

A)quite similarly.
B)quite differently.
C)as measureable.
D)as misunderstood.

Question 46

Medical treatment for sexual dysfunctions has concentrated mostly on

A)penile implants.
B)penile vacuums.
C)medications for erectile disorder.
D)penis transplants.

Question 47

Jack wants his wife to have more interest in sex.If he constantly encourages her to have sex with him by sending flowers with sexual messages on them, buying her sexy lingerie, and other tactics, she will probably

A)have more interest in sex with Jack.
B)have even less interest in sex with Jack, but possibly more interest in sex generally.
C)have more interest in sex, but probably start an affair.
D)still not have more interest in sex.

Question 48

American men of Hispanic ethnicity may have a higher rate of erectile dysfunction due to

A)a distorted sense of the problem.
B)poorer care of medically related causes.
C)high levels of alcohol abuse.
D)all of the research analysis.

Question 49

A person who is depressed, has less negative interactions with a partner, does not enjoy sexual activity, and who has certain medical conditions may have a certain

A)intimacy disorder.
B)sexual disorder.
C)sexual dysfunction.
D)prognosis.

Question 50

Which of the following is NOT a questionnaire commonly used to assess sexual dysfunction?

A)Deragotis Sexual Functioning Inventory
B)Sexual Interest and Desire Inventory
C)Female Sexual Function Index
D)Multiphasic Sex Inventory--II

Question 51

Sexual dysfunctions involve so many psychological and medical ingredients that a assessment is important.

A)psychologically selective
B)biological
C)psychosocial
D)comprehensive

Question 52

Daryl and Linda had therapy a few years ago because of the pain she experienced upon penetration.Now they see their therapist a couple of times a year to check in and make sure they practice some of the techniques they learned in therapy so as to avoid another occurrence of sexual pain for Linda.This is an example of which prevention practice?

A)Relapse prevention
B)Initial dysfunction
C)Partner blame
D)Inhibition of attitudes

Question 53

Self-report questionnaires with regard to sexual dysfunctions generally surround issues of

A)sexual satisfaction and arousal.
B)medical history.
C)relationship issues.
D)sexual satisfaction and arousal, medical history, and relationship issues.

Question 54

A therapist might ask a couple dealing with sexual dysfunction to record information about their daily sexual history by way of

A)physiological assessment.
B)psychological assessment.
C)self-monitoring.
D)questionnaires.

Question 55

Attitudes about erectile dysfunction are quite across various cultures.

A)misunderstood
B)similar
C)lacking
D)popular

Question 56

The Barlow "balancing scale" for sexual dysfunction cause separates the causes into and factors.

A)biological; sociological
B)medical; health
C)physical; psychological
D)physiological; general

Question 57

Among American men, erectile dysfunction seems to affect disproportionately.

A)Hispanics
B)African Americans
C)Asians
D)Western Europeans

Question 58

Men with Asian and Islamic backgrounds may experience more than other men.

A)premature ejaculation
B)erectile dysfunction
C)arousal disorder
D)none of these are linked to Asian and Islamic backgrounds

Question 59

Beyond interviews and questionnaires, other important information of sexual dysfunction can be accessed through

A)attitude and belief scales.
B)performance of partner and self-scales.
C)degree of stress and level of health.
D)self-monitoring and physiological assessment.

Question 60

If you were performing an assessment of a client or couple dealing with sexual dysfunction, you would need information concerning relationship issues such as marital conflict, medical history and current medications, stress, lifestyle changes, comorbid psychological problems such as depression, and goals for treatment.This type of information would likely be gathered using which assessment method?

A)Questionnaires
B)Physiological assessment
C)Self-monitoring
D)Interviews

Question 61

About % of women who received testosterone treatment for low sexual desire improve.

A)25
B)52
C)67
D)83

Question 62

Some sexual problems such as tend to worsen over time, while other problems such as tend to improve over time, and still other problems such as may not change much at all over time.

A)erectile disorder; premature ejaculation; lack of interest
B)lack of interest; erectile disorder; premature ejaculation
C)premature ejaculation; erectile disorder; lack of interest
D)inhibition; sexual compulsion; orgasmic disorder

Question 63

Psychological treatments of sexual dysfunctions include

A)mental imagery, psychophysical pleasure, and communication.
B)sensate focus, empathy training, and fantasy satisfaction.
C)stop-start procedure, sensate focus, and masturbation training.
D)start-stop delay, sensual focus, and spontaneity.

Question 64

Alex has erectile disorder, and has not responded to any of the drugs containing sildenafil.He is unwilling to have surgery, so his doctor suggests

A)implants.
B)Viagra.
C)a vacuum system.
D)the stop-start procedure.

Question 65

Surprisingly, to achieve an erection, medication may be injected directly into the penis that causes

A)muscles in the penis to contract.
B)muscles in the penis to relax.
C)muscles in the scrotum to contract.
D)muscles in the scrotum to relax.

Question 66

A common technique for treating premature ejaculation is

A)having an affair.
B)using the stop-start procedure.
C)sensate focus.
D)video voyeurism.

Question 67

The primary biological intervention for erectile difficulty is

A)testosterone supplements.
B)hormone accelerators.
C)medications such as sildenafil.
D)penile blood packing.

Question 68

Medical approaches to addressing sexual dysfunctions are often accompanied by psychological approaches known as

A)therapy of the sexes.
B)intercourse therapy.
C)sex therapy.
D)orgasmic therapy.

Question 69

Drugs such as Viagra and Cialis help to achieve an erection by

A)increasing blood flow to the penis.
B)restricting blood flow from the penis.
C)increasing size of spongy cells within the penis.
D)drawing blood into the penis.

Question 70

Sildenafil is sold under the brand name(s) of

A)Viagra.
B)Levitra.
C)Cialis.
D)Viagra, Levitra, and Cialis.

Question 71

What percentage of women are able to achieve orgasm through masturbation training?

A)20%
B)40%
C)60%
D)80%

Question 72

Jedediah is seeing his physician for a sexual dysfunction.His doctor indicates that antidepressant drugs have been successful in treating other patients with his same problem.What is likely the nature of Jedediah's sexual dysfunction?

A)Premature ejaculation
B)Delayed ejaculation
C)Erectile disorder
D)Male hypoactive sexual desire disorder

Question 73

For men and women with low sexual desire, sex therapy may consist of

A)attempting intercourse more than once a day.
B)banning sexual contact and rebuilding sexual repertoire.
C)banning sexual contact until agreements have been reached.
D)sexual activities with multiple couples.

Question 74

Psychotherapy for premature ejaculation seems effective for about % of men, but relapse rates are high.

A)30
B)50
C)64
D)72

Question 75

If you find yourself struggling with sexual dysfunction, your textbook authors' advice would be to start with a comprehensive

A)psychological assessment.
B)psychological exam.
C)biological assessment.
D)medical exam.

Question 76

When a partner practices effective masturbation and stimulation so that the orgasm is enhanced and brought about more quickly, he/she is engaging in

A)masturbation fantasy.
B)penile training.
C)clitoral stimulation awareness.
D)masturbation training.

Question 77

Joelle suffers from genito-pelvic pain/penetration disorder.Her doctor will probably recommend that she

A)perform Kegel exercises.
B)use the stop-start procedure.
C)start behavior therapy.
D)do all three of these: perform Kegels, use the stop-start procedure, and start behavior therapy.

Question 78

In the case study for Chapter 11, Douglas and Stacy were relieved by the initial ban on sex that sensate focus mandates, and the fantasy training helped start them toward a path of better

A)sex prognosis.
B)sensuality.
C)sex games.
D)personal masturbation.

Question 79

Psychological approaches for sexual problems may target

A)marital conflict and exhaustion.
B)trauma and depression.
C)anxiety and substance abuse.
D)all of these may be targets of sex therapy.

Question 80

Which type of drug has been used to treat premature ejaculation?

A)Anticonvulsants
B)Antipsychotics
C)Antidepressants
D)Anti-anxiety