Deck 14: Sexual Function Difficulties, Dissastisfaction, Enhancement, and Therapy

Question 1

Which of the following factors is NOT associated with male hypoactive sexual desire disorder?

A)alcohol use
B)lack of healthy attitudes
C)interpersonal problems
D)anodyspareunia

Answer 1

D

Question 2

The number-one sexual function problem of American couples is

A)inhibited sexual desire.
B)hypersexual disorder.
C)substance-induced sexual dysfunction.
D)orgasmic disorder.

Answer 2

A

Question 3

Male hypoactive sexual desire disorder is most likely to be associated with

A)erectile disorder.
B)vaginismus.
C)anodyspareunia.
D)ejaculatory inevitability.

Answer 3

A

Question 4

According to the study by McCarthy & McCarthy (2003,2009),_____ percent of sexual experiences were considered unremarkable,even though there were no sexual function problems.If the couple had to do it over again,they probably would have chosen something else to do.

A)15
B)25
C)50
D)75

Question 5

According to the study by McCarthy & McCarthy (2003,2009),for about _____ percent of the sexual experiences,one partner described the sex as positive,whereas the other considered as "OK."

A)15
B)25
C)50
D)75

Question 6

Which of the following is true of female orgasmic disorder?

A)A woman is said to have female orgasmic disorder if she experiences orgasm only during clitoral stimulation,but not during intercourse.
B)Orgasm consistency among women is lower during masturbation than during partnered sexual behavior.
C)Most female orgasmic disorders are lifelong rather than acquired problems.
D)A positive correlation exists between introvertism and female orgasmic disorder.

Question 7

"A New View of Women's Sexual Problems" is a radical approach to looking at sexual problems because it

A)discusses only medical issues.
B)focuses on lesbian health issue relationships.
C)considers how social,political,and relationship issues affect sexual satisfaction.
D)translates the DSM-5 categories into laypeople's language.

Question 8

Which of the following is true of erectile disorder?

A)The diagnosis of erectile disorder is usually physiologically based.
B)Male erectile disorders are an inevitable consequence of aging.
C)Sexual abstinence and low performance standards are often associated with erectile disorder.
D)The prevalence of erectile difficulty has been directly correlated with certain diseases,such as hypertension.

Question 9

According to the Working Group for a New View of Women's Sexual Problems,DSM has shortcomings as applied to women.Which of these is one of those shortcomings?

A)an overemphasis on the physical differences between men and women
B)the use of clinical impressions,as opposed to actual data
C)the unacknowledged role of relationships in sexuality
D)a bias toward labeling women's experiences as abnormal

Question 10

Which of the following is false according to the National Health and Social Life Survey (NHSLS)?

A)Sexual dysfunctions are influenced by both health-related and psychosocial factors.
B)Sexual dysfunctions are more prevalent among men than women.
C)Sexual dysfunctions are associated with poor quality of life.
D)Sexual dysfunctions are generally most common among young women and older men.

Question 11

Daniel is a 30-year old heterosexual man who is uninterested in sex.When he meets a woman who expresses interest in him,he does not pursue the relationship.He is not anxious about sexual situations,merely disinterested.What would you diagnose ?Daniel as having?

A)sexual aversion disorder
B)erectile dysfunction
C)anorgasmia
D)male hypoactive sexual desire disorder

Question 12

According to the DSM-5,all of the following are sexual dysfunctions EXCEPT

A)erectile disorder.
B)female orgasmic disorder.
C)ejaculatory inevitability.
D)premature ejaculation.

Question 13

An alternative term to sexual function dissatisfaction is

A)sexual repugnance.
B)sexual dysfunction.
C)non-functional sexuality.
D)hypersexuality.

Question 14

The National Survey of Sexual Health and Behavior (NSSHB)found that

A)younger men experience erectile dysfunction more often than older men.
B)men with a relationship partner experience greater arousal.
C)men reporting same-sex activity have greater levels of sexual desire.
D)older men are more likely to experience orgasm.

Question 15

The DSM-5 defines sexual dysfunction as

A)a pathological inability to regulate arousal states,to delay or achieve ejaculation,and/or to control orgasms.
B)a clinically significant disturbance in a person's ability to respond sexually or to experience sexual pleasure.
C)a condition characterized by a lack of interest in sexual activities caused by depression.
D)a diminution of sexual functioning in one of the four phases of sexual response.

Question 16

Nicole avoids intercourse with her husband at all costs.When she feels his interest ?increasing,she is filled with anxiety and dread.Just a kiss elicits a terrible feeling ?inside her.A sex therapist is most likely to describe Nicole as suffering from

A)hypoactive sexual desire disorder.
B)sexual aversion disorder.
C)vaginismus.
D)anorgasmia.

Question 17

According to DSM-5,male hypoactive sexual desire disorder is specifically characterized by

A)an absence of sex-related thoughts that persist for a minimum duration of 6 months.
B)an inability to obtain and maintain erections during partnered sexual activities.
C)a difficulty experiencing orgasm and/or markedly reduced intensity of orgasmic sensations.
D)a recurring pattern of ejaculation during partnered sexual activity within about 1 minute following vaginal penetration.

Question 18

The term sexual function dissatisfaction is a useful term because

A)dissatisfaction is a less stigmatized term than dysfunction.
B)it acknowledges sexual scripts as individual and avoids a definition of "normal."
C)it is a standard medical diagnosis identified in the DSM-5.
D)dissatisfaction is more understandable than dysfunction to the general public.

Question 19

Amy,who was sexually abused during childhood,often experiences intense fear and disgust whenever someone tries to touch or kiss her.At times,she gets panic attacks when her partner initiates to have sexual intercourse.Based on this description of Amy,it can be inferred that she is likely to be diagnosed with

A)hyperactive sexual disorder.
B)female orgasmic disorder.
C)sexual aversion disorder.
D)sexual pain disorder.

Question 20

According to the study by McCarthy & McCarthy (2003,2009),less than _____ percent of happy,sexually satisfied couples described having similar desire,arousal,orgasm,and pleasure during a particular sexual episode.

A)15
B)25
C)50
D)75

Question 21

Which of the following has NOT been identified as a possible cause of sexual aversion disorder?

A)a history of sexual trauma
B)very negative parental attitudes during childhood
C)gender identity confusion
D)insensitivity in erogenous zones

Question 22

Fifty-year-old Bill has a severe curvature of the penis,and he experiences pain during intercourse.His doctor is likely to diagnose him with

A)Peyronie's disease.
B)priapism.
C)anodyspareunia.
D)urethritis.

Question 23

Grace has been unable to have intercourse with her husband.When they try,she experiences pain due to muscle spasms around her vagina.Grace likely has

A)Peyronie's disease.
B)vaginitis.
C)Klinefelter's syndrome.
D)vaginismus.

Question 24

A repeated inability to attain or maintain erections during partnered sexual activities is diagnostically referred to as

A)acute erection dysfunction.
B)vasocongestive failure.
C)erectile disorder.
D)delayed ejaculation.

Question 25

A very common male sexual difficulty treated by therapists before the introduction of Viagra was

A)orgasmic disorder.
B)relationship disorder.
C)erectile disorder.
D)hyperactive sexual desire disorder.

Question 26

The modern term for impotence is

A)male arousal disorder.
B)erectile disorder.
C)vasocongestive deficiency disorder.
D)pre-erectile anxiety disorder.

Question 27

According to Keesling (2006),the number-one reason why some women have difficulty with orgasm is

A)concerns about getting pregnant.
B)lack of experience with self-touch.
C)worries about the children hearing them.
D)physical pain.

Question 28

According to the DSM-5,a difficulty experiencing orgasm and/or markedly reduced intensity of orgasmic sensations in women is called

A)female orgasmic disorder.
B)vaginismus.
C)erectile disorder.
D)female pre-ejaculatory orgasmic dysfunction.

Question 29

Which of the following is a male orgasmic disorder?

A)delayed ejaculation
B)biphasic ejaculatory disorder
C)sexual aversion disorder
D)male anorgasmia

Question 30

Zach is not able to ejaculate easily.Often it takes him 40 minutes or more of ?concentrated thrusting before he ejaculates.Zach is most likely experiencing

A)premature ejaculation.
B)inhibited ejaculation.
C)delayed ejaculation.
D)retrograde ejaculation.

Question 31

A recurring and continuing pattern of ejaculation during partnered sexual activity within about 1 minute following vaginal penetration and before the individual desires,and that causes interpersonal distress,is called

A)priapism.
B)inhibited ejaculation.
C)premature ejaculation.
D)retrograde ejaculatory disorder.

Question 32

Amanda always experiences intense throbbing or shooting pain while having intercourse with her husband.Therefore,she often refuses to have sex with him.In this case,Amanda is most likely to be experiencing

A)priapism.
B)dyspareunia.
C)Peyronie's disease.
D)dysplasia.

Question 33

If a man is able to ejaculate only after extremely prolonged thrusting,the condition can be identified as

A)inhibited ejaculation.
B)delayed ejaculation.
C)retrograde ejaculation.
D)regressive ejaculation.

Question 34

The term "frigid" has been replaced with the less prejudicial description

A)female sexual arousal disorder.
B)sensate deficit disorder.
C)female sexual dysphoria.
D)arousal aversion disorder.

Question 35

All of the following have been found to cause erectile disorder among men EXCEPT

A)diabetes mellitus.
B)heart disease.
C)alcoholism.
D)arthritis.

Question 36

Among lesbian women,what is the major focus of sexual aversion?

A)vaginismus
B)mutual masturbation
C)cunnilingus
D)analingus

Question 37

After low sexual desire,the most common sexual dysfunction seen by sex therapists among females is

A)vaginismus.
B)dyspareunia.
C)female orgasmic disorder.
D)sexual aversion disorder.

Question 38

Without being sexually aroused,Alejandro has a painful erection for several hours.He is likely experiencing

A)Peyronie's disease.
B)priapism.
C)anodyspareunia.
D)urethritis.

Question 39

Zack is addicted to heroin.As a result of this addiction,he faces difficulties with erection and ejaculation whenever he initiates a sexual activity.In this case,Zack is most likely to be diagnosed with

A)male hypoactive sexual desire disorder.
B)Peyronie's disease.
C)substance/medication-induced sexual dysfunction.
D)anodyspareunia.

Question 40

The DSM-5 combined the conditions vaginismus and dyspareunia from the DSM-IV-TR into one category called

A)genital-pelvic pain/penetration disorder.
B)substance/medication-induced sexual dysfunction.
C)male hypoactive sexual desire disorder.
D)female orgasmic disorder.

Question 41

The technical term for painful intercourse is

A)vaginismus.
B)dyspareunia.
C)anorgasmia.
D)priapism.

Question 42

Zilbergeld's conditions for "good sex" include

A)being more confident.
B)being more relaxed.
C)being more excited.
D)all of these.

Question 43

In the Australian Study of Health and Relationships,which sexual behavior was found to be most helpful for the woman to experience orgasm?

A)vaginal intercourse
B)manual stimulation
C)intercourse with manual or oral stimulation
D)the use of a vibrator

Question 44

Regarding orgasms,the Australian Study of Health and Relationships found that

A)less than half of males reported always having had an orgasm.
B)nearly three-quarters of men experienced orgasm in encounters that included vaginal intercourse.
C)women who engaged only in vaginal intercourse were less likely to experience orgasm.
D)women who had sex with a new partner were more likely to experience orgasm than those in long-term relationships with their partners.

Question 45

Which of the following is an immediate cause of sexual function difficulties and dissatisfaction?

A)excessive need to please a partner
B)conflict within the self
C)relationship causes
D)prescription drugs

Question 46

Typical homework exercises for couples in a sexual enhancement program include

A)mirror examination.
B)masturbation.
C)erotic aids.
D)all of these.

Question 47

Anodyspareunia is pain experienced during

A)masturbation.
B)anal intercourse.
C)oral-genital stimulation.
D)vaginal penetration.

Question 48

Whenever Tom and Connie attempt intercourse,penetration is impossible because of the contraction of muscles around the vaginal entrance.This condition is known as

A)dyspareuniA.
B)anodyspareunia.
C)priapism.
D)vaginismus.

Question 49

Spasms of the pubococcygeus muscle is likely to result in which disorder in women?

A)Peyronie's disorder
B)substance/medication-induced sexual disorder
C)genital-pelvic pain/penetration disorder
D)Klinefelter's disorder

Question 50

According to Ellison,how do people know if they are having "good sex?"

A)if both partners are orgasmic
B)if they feel good about themselves,their partners,their relationships,and their sexual behaviors
C)if both partners agree on how often they have sex and what they will do
D)if the frequency of sexual activity is within normal limits

Question 51

Prolonged and painful erections that occur when blood is unable to drain from the penis,is called

A)anorgasmiA.
B)priapism.
C)permoerection.
D)Peyronie's disease.

Question 52

In order to "resurrect sex," David Schnarch suggests that partners should

A)put other relationship problems on the back burner.
B)ground themselves in what they find attractive about each other.
C)focus on the sexual behaviors that have been satisfying in the past.
D)try sexual behaviors that feel like a stretch.

Question 53

Internalized homophobia can be defined as

A)a fear of emotional intimacy with the same sex.
B)a fear of physical intimacy with the same sex.
C)self-hatred because of one's homosexuality.
D)homosexuals' hatred toward the opposite sex.

Question 54

Gay men and lesbian women tend to have sexual function difficulties and dissatisfaction as a result of conflict within the self caused by

A)priapism.
B)sexual aversion disorder.
C)internalized homophobia.
D)relationship problems.

Question 55

While making love,Raul often evaluates "how well" things are going.This distraction often leads to lack of orgasm.This tendency to become involved in judging one's performance is called

A)inhibiting.
B)spectatoring.
C)anorgasmia.
D)sensate focus.

Question 56

In the Australian Study of Health and Relationships,what percentage of men experienced orgasm in encounters that included vaginal intercourse?

A)95
B)61
C)49
D)33

Question 57

Karen was sexually abused during her childhood by her uncle.As a result,she develops negative attitudes toward sex and finds it hard to get emotionally attached to anyone.Though she desires to have sex,she avoids engaging in sexual activities thinking that it is bad.Which of the following psychological causes of sexual function difficulties does this scenario exemplify?

A)conflict within the self
B)ineffective sexual behavior
C)sexual anxieties
D)fatigue and stress

Question 58

A condition in which calcium deposits and tough fibrous tissue develop in the corpora cavernosa within the penis is called

A)Cowper's syndrome.
B)Peyronie's disease.
C)priapism.
D)dyspareunia.

Question 59

Which of the following is true according to the researchers of the Australian Study of Health and Relationships?

A)Most women are not satisfied unless they have had an orgasm.
B)Tenderness and affection are less important determinants of gratification than having an orgasm.
C)Women who are the most satisfied are women who do not masturbate on a regular basis.
D)Not everyone needs to have an orgasm to be physically and emotionally satisfied.

Question 60

Why does sex therapist Lonnie Barbach recommend an occasional ban on intercourse?

A)Waiting,delaying,and facing obstacles can serve to intensify desire and arousal.
B)Doing so will enhance nonverbal communication between the partners.
C)Partners can use the time to reflect on the negative feedback they have received during earlier discussions about the relationship.
D)Masturbatory fantasies tend to be ignored when couples concentrate on orgasms.

Question 61

Treatments suitable for resolving sexual function difficulties associated with vaginal pain in menopausal women are

A)lubrication and hormone replacement therapy.
B)psychotherapy and sensate focus.
C)behavioral and cognitive therapy.
D)PLISSIT therapy and Kegel exercises.

Question 62

When vaginal pain is caused by menopause-related symptoms,a possible solution is

A)vaginal dilators.
B)sex therapy.
C)surgery.
D)lubricants.

Question 63

Which of the following is NOT a means for treating erection difficulties in men?

A)microsurgery
B)injectable medication
C)penile prosthesis
D)anti-coagulant tablets

Question 64

Which of the following therapeutic methods for the treatment of sexual function difficulties involves focusing on touch and the giving and receiving of pleasure?

A)masturbatory play
B)sensate focus
C)pleasure focus
D)directed fantasy

Question 65

Helen Singer Kaplan modified Masters and Johnson's behavioral treatment program to include

A)psychosexual therapy.
B)cognitive therapy.
C)PLISSIT therapy.
D)group therapy.

Question 66

Which of the following is NOT one of the ways that sexual issues for homosexual couples differ from heterosexual couples?

A)Although gay men and lesbian women may have the same difficulties as their heterosexual counterparts,the context in which they occur differs.
B)Gay and lesbian couples cannot get help from sex therapists because their sexual activities don't meet the technical definition of sex.
C)Lesbian women and gay men must deal with both societal and internalized homophobia.
D)Gay men must deal with the association between sex and HIV infection.

Question 67

Which therapeutic approach is most effective in treating difficulties such as premature ejaculation and erectile difficulties resulting from mild anxieties?

A)psychoanalytic
B)cognitive-behavioral
C)psychosexual
D)pharmacological

Question 68

Which of the following statements about the work of William Masters and Virginia Johnson related to the treatment of sexual function difficulties is accurate?

A)They saw sexual problems as an individual problem that had to be dealt with individually.
B)They believed that neurotic (anxiety-based)problems were at the core of sexual function difficulties.
C)They believed that basic personality change was necessary for sexual problems to disappear.
D)They applied both cognitive concepts and behavior modification techniques to sexual function difficulties.

Question 69

Sandra and Montel are nervous about entering therapy at the Masters and Johnson Institute.The therapist told them to go home,remove their clothing and pleasure each other everywhere except the genitals and breasts.This therapeutic method is called

A)spectatoring
B)mirroring
C)tactile treatment
D)sensate focus

Question 70

Kevin who has erection difficulties seeks the help of a cognitive-behavioral therapist.As part of the therapy,the therapist is most likely to ask

A)Kevin to experience more power and control in the course of foreplay and coitus.
B)Kevin's partner to set high expectations and convey the same to Kevin in order to keep him motivated.
C)Kevin and his partner to play with each other's genitals without attempting an erection.
D)Kevin to condition his arousal to various fantasies and objects so that he can become erect by thinking about them.

Question 71

The first level in the PLISSIT model involves

A)giving limited information.
B)making specific suggestions.
C)undergoing intensive therapy.
D)giving permission.

Question 72

John is a married heterosexual man who has been having problems maintaining an erection.He decides to seek help for his problem.He goes to a cognitive-behavioral therapist.At the first meeting,which of the following will John be asked to do?

A)commit to individual sessions for about 12 weeks
B)bring his wife to the sessions with him
C)be very honest and forthright about his early childhood experiences
D)analyze his commitment to his relationship with his wife

Question 73

Which of the following sexual function difficulties is treated by having the man's partner manipulate his penis to bring him the most pleasure possible,and then later proceeding to vaginal or anal intercourse?

A)erectile dysfunction
B)premature ejaculation
C)delayed ejaculation
D)hypoactive sexual desire

Question 74

Which of the following is NOT a common erection myth?

A)Erection is something that is achieved.
B)Men are always ready.
C)There is only one shot at an erection during a sexual encounter.
D)It is the partner's fault if a man does not have an erection.

Question 75

Which one of the following is helpful in the treatment of early ejaculation?

A)the use of dilators
B)rear entry coitus
C)erotic fantasy
D)the squeeze technique

Question 76

In the treatment for erectile difficulties using cognitive-behavioral approach,couples are taught that the first step in treatment is

A)the removal of fears and anxieties.
B)learning to objectively observe one's own sexual responses.
C)learning to concentrate on one's partner's arousal rather than one's own.
D)understanding the physiology of the erection.

Question 77

Which of the following muscles do the Kegel exercises strengthen?

A)the clitorals
B)the pubococcygeus
C)the deltoids
D)the gluteus maximus

Question 78

Which item best describes the concept of sensate focus?

A)devoting one day to each sense;observing and studying how each contributes to the erotic experience
B)giving and receiving pleasure to each other without a sexual or coital goal
C)slowing down the pace of intercourse so that each step is fully experienced
D)expanding the repertoire of foreplay activities before penetration

Question 79

Which of the following is true of Masters and Johnson's approach to treating sexual function difficulties?

A)They applied Freudian theory to sexual problems.
B)They were able to trace the origin of sexual difficulties to childhood problems.
C)They proposed that sexual problems stemmed from ignorance,faulty techniques,or relationship problems.
D)They believed in treating individuals rather than couples.

Question 80

Viagra improves erectile function by

A)increasing blood pressure in the penis.
B)causing contractions of the penile muscles.
C)stimulating the muscles of the pelvic floor.
D)expanding the erectile tissues in the penis.