Deck 14: Challenges to Sexual Functioning

Question 1

In men, what disorder is classified as a sexual arousal disorder?

A) Hyperactive sexual desire disorder
B) Orgasmic disorder
C) Early ejaculatory disorder
D) Erectile disorder

Answer 1

D

Question 2

What is the first thing that most sex therapists do when beginning treatment of most sexual?dysfunctions?

A) Ask the client to bring in his/her partner.
B) Obtain a medical history.
C) Tell the client to masturbate more frequently to get a baseline for the problem.
D) Help the client process his/her past sexual history.

Answer 2

B

Question 3

Which of the following statements is true?

A) To meet the criteria for a desire/arousal disorder, aperson needs to have?experienced symptoms 75% to 100% of the time for at least 3 months.
B) To meet the criteria for a desire/arousal disorder, aperson needs to have?experienced symptoms 75% to 100% of thetime for at least 6 months.
C) To meet the criteria for a desire/arousal disorder, a person needs to have?experienced symptoms 50% to 75% of the time for at least 6 months.
D) To meet the criteria for a desire/arousal disorder, a person needs to have?experienced symptoms 50% to 100% of the time for at least 3 months.

Answer 3

B

Question 4

Ever since giving birth to her second child, Jing is no longer able to orgasm during?intercourse. She is able to orgasm during masturbation and she used to be able to orgasm?through intercourse. How would her problem likely be classified?

A) Situational sexual dysfunction and acquired
B) Sexual interest/arousal disorder and acquired
C) Situational sexual dysfunction and generalized
D) Generalized sexual dysfunction and lifelong

Question 5

The DSM-5 includes a group of criteria to explore various issues to determine how best to treat a sexual dysfunction.All of the following are used to assess a dysfunction, EXCEPT for:

A) Medical factors
B) Relationship factors
C) Cultural factors
D) Contraceptive factors

Question 6

Jermaine has decided to seek treatment because he has never been able to ejaculate through masturbation, even as a young boy. He thought the problem may be due to lack of a partner, but now he has a partner and is still not able to ejaculate. Which of the following best describes Jermaine's reason for seeking treatment?

A) Acquired sexual dysfunction
B) Situational sexual dysfunction
C) Lifelong sexual dysfunction
D) Hypoactive sexual desire disorder

Question 7

What hormone is primarily responsible for male sexual desire?

A) Progesterone
B) Testosterone
C) Viagra
D) Estrogen

Question 8

According to your text, the reason that aphrodisiacs can be effective is because:

A) They improve blood flow to the genitals.
B) They make the user "high" thus eliminating sexual inhibitions.
C) The user believes they will work.
D) They mimic natural arousal processes within the male and female body.

Question 9

Kiana sought sex therapy due to her low or absent desire for sexual activity.Which of the?following would be the most appropriate diagnosis for Kiana?

A) Dyspareunia
B) Hypoactive sexual desire
C) Sexual aversion
D) Hypersexuality

Question 10

What is the name for a substance that increases, or is believed to increase, a person's?sexual desire?

A) Sex stimulant
B) Aphrodisiac
C) Vasodilator
D) Enhancer

Question 11

What was a major criticism of how the Diagnostic and Statistical Manual (DSM) classified sexual dysfunctions, which ultimately led to changes within the DSM-5?

A) Diagnoses were mainly related to male dysfunctions.
B) Diagnoses typically focused on global sexual dysfunctions.
C) Diagnoses were too focused on psychological factors.
D) Diagnoses were dependent upon where in the sexual response cycle the symptoms occurred.

Question 12

According to your text book, if a sexual problem is classified as an acquired?sexualdysfunction, it is more likely to have what type of cause?

A) A biological factor
B) A psychological factor
C) A religious factor
D) A medical factor

Question 13

If a couple is experiencing a discrepancy in desire, meaning that one partner desires sexual relations more frequently than the other, who would be more likely to be identified as having a sexual problem?

A) The partner with the lower level of sexual desire
B) The partner with the higher level of sexual desire
C) Both would be identified as experiencing a simultaneous sexual problem.
D) Neither, a discrepancy in desire is not typically identified as a sexual problem.

Question 14

Based on research contained within your text book, which of the following statements is true?

A) After sex reassignment surgery, transwomen (male-to-femaletransgender persons) are more likely than transmen(female-to-male transgender persons) to experience problems withsexual desire
B) After sex reassignment surgery, transwomen (male-to-female transgender persons) are less likely than transmen (female-to-male transgender persons) to experience problems with sexual desire
C) After sex reassignment surgery, transwomen (male-to-female transgender persons) and transmen (female-to-male transgender persons) experience similar problems with sexual desire.
D) After sex reassignment surgery, transwomen (male-to-female transgender persons) and transmen (female-to-male transgender persons) typically experience no problems with sexual desire.

Question 15

What has recent research found related to the use of Viagra for female sexual arousal and desire disorders?

A) It has been found to work equally well in women and men to enhance sexual stimulation.
B) It has been found to cause severe health complications when taken by women.
C) It has been found to provide little benefit in the treatment of female arousal and desire problems.
D) It has been found to have even more promising results with women than it has for men.

Question 16

How does the EROS clitoral therapy device work to treat sexual arousal and desire disorders?

A) It increases blood flow to the clitoris.
B) It stimulates the clitoris to orgasm.
C) It helps relax the genitals to allow for penetration.
D) It provides clitoral stimulation for women who are uncomfortable with?masturbation.

Question 17

Brad is able to maintain an erection and ejaculate during masturbation. Before his breakup?with his previous partner, he was also able to maintain an erection and ejaculate during sex.?He now has a new partner and has not been able to maintain an erection during sex. What?is a more likely cause for his problem?

A) He may have an STI that is causing medical problems.
B) He may need to have his heart checked out because problems maintaining an?erection are related to cardiovascular problems.
C) He may be experiencing performance fears with his new partner or comparing their?encounters to his previous partner.
D) He may believe that his penis is not the right size or shape in relation to his new?partner's genitals and this is impacting his sexual satisfaction.

Question 18

Ben enters sex therapy and shares with his therapist that he is having difficulty maintaining?an erection, but only during oral sex. When he is masturbating or having vaginal?intercourse, he maintains his erection with no problems. How would his therapist likely?classify this problem?

A) Situational sexual dysfunction
B) Erectile dysfunction
C) Responsive sexual desire
D) Generalized sexual dysfunction

Question 19

Criteria for sexual interest/arousaldisorder includes all of the following, EXCEPT:

A) Absent or decreased sexual interest.
B) Decreased or absent initiation ofsexual activity or responsiveness to a partner's?attempts to initiate sexual activity.
C) Absent or decreased physical sensations during sexual activity.
D) Marked delayin, or absence of, orgasm.

Question 20

What symptoms are associated with sexual interest/arousal disorders?

A) Absent or reduced sexual thoughts or fantasies
B) Reduced genital sensations during sexual activity
C) Absent or reduced pleasure during sexual activity
D) All of these

Question 21

Even though it is easier to reach orgasm through masturbation, many heterosexual women report increased pleasure with vaginal intercourse over masturbation because:

A) Orgasms through vaginal intercourse tend to be more intense.
B) Intercourse provides more intimacy and closeness.
C) Most women prefer to delay their orgasms as long as possible for heightened pleasure.
D) All of these

Question 22

What is the method that involves inserting a flaccid penis into a cylinder and using a pumping action to draw blood to the penis?

A) Systematic desensitization
B) Intracavernous injections
C) Vacuum constriction
D) Start‐stop technique

Question 23

Erectile disorders in younger men are more likely to be _______ based, whereas erectile dysfunctions in older men are more likely to be _______ based.

A) Physically, psychologically
B) Psychologically, physically
C) Relationally, environmentally
D) Environmentally, relationally

Question 24

If a male is using the nocturnal penile tumescence test, one could suspect that he is most likely being assessed for:

A) Early ejaculation disorder
B) Hypoactive desire disorder
C) Erectile disorder
D) Sexual aversion disorder

Question 25

Which of the following is true related to surgical treatment options and erectile disorders?

A) There are two main types of implants, including semirigid rods that provide a permanent state of erection and inflatable devices that become firm when pumped.
B) After prosthesis implantation, a man no longer experiences orgasm or ejaculation.
C) Most men remain dissatisfied with their sex lives after surgical treatment for erectile disorder.
D) Homosexual men are more likely to be satisfied with surgical treatment options as orgasm and ejaculation are not as important for their sexual satisfaction.

Question 26

Which of the following treatment methods (used for female orgasmic disorders and male erectile disorders) involves imagining an activity that caused anxiety and then implementing a relaxation technique to decrease the anxiety?

A) Squeeze technique
B) Masturbation training
C) Systematic desensitization
D) Bibliotherapy

Question 27

What is the term used for a persistent and sometimes painful erection?

A) Priapism
B) Anejaculation
C) Penile tumescence
D) Vasoconstriction

Question 28

What are the symptoms of erectile disorder?

A) Unintentional ejaculation either during foreplay, during penetration, or soon after intercourse begins
B) A delay or absence of orgasm following a normal phase of sexual excitement
C) Ejaculation beingimpossible or occurring only after strenuous efforts
D) A persistent inability to obtain or maintain an erection sufficient for satisfactory sexual performance

Question 29

Which sexuality‐based disorder for males currently has more treatment options than any other sexual dysfunction?

A) Early ejaculation disorder
B) Erectile disorder
C) Hyposexual desire disorder
D) Orgasmic disorder

Question 30

According to Masters and Johnson, what is early ejaculation associated with?

A) Early sexual experiences that were rushed for fear of being caught
B) Receiving harsh punishments as a child
C) Early exposure to pornography
D) Sex with partners who have a much higher sex drive

Question 31

If the doctor uses a test that indicates if a man is having nighttime erections, what is he likely checking for?

A) If the condition should be classified as a lifelong sexual dysfunction or an acquired sexual dysfunction
B) If the condition is more likely to have a physiological vs. a psychological cause
C) If the condition can be effectively treated with a drug like Viagra
D) If the condition is situational or generalized

Question 32

If the primary focus of treatment is to reduce the anxiety associated with erectile disorder, what treatment method would be most likely used?

A) Sensate focus
B) Viagra
C) Testosterone cream
D) Intracavernous injections

Question 33

Which of the following statements associated with the disorder of delayed ejaculation is NOT true?

A) It is one of the least understood disorders.
B) It is one of the most common disorders.
C) It is one of the least studied sexual dysfunctions.
D) It can be caused by psychological and/or physiological factors.

Question 34

Julio visited a sex therapist because for as long as he can remember he has ejaculated just moments after becoming aroused. What diagnosis would a sex therapist most likely make for Julio's complaints?

A) Dyspareunia
B) Retrograde ejaculation
C) Early ejaculation
D) Erectile dysfunction

Question 35

What has been found to be the most effective treatment for female orgasmic disorder?

A) Having the couple change positions during sexual intercourse
B) Teaching a woman how to masturbate to orgasm
C) Teaching the woman's partner how to provide better clitoral stimulation
D) Having the woman go to counseling toprocess past sexual problems

Question 36

What type of medication has been shown to be related to delayed or absent orgasm in some women?

A) Antibiotics
B) Birth control pills
C) Antidepressants
D) Beta blockers

Question 37

According to research contained within your text book, frequent porn use and masturbation in young men can interfere with:

A) Erectile functioning in later life during solo masturbation.
B) Night time erections during REM sleep.
C) Erectile functioning during partner sex.
D) All of the above

Question 38

Which of the following methods are used to treat erectile disorder?

A) Psychological treatments
B) Pharmacological treatments
C) Hormonal treatments
D) All of these

Question 39

What is the method called when the penis is gently stretched and medication to increase blood flow is introduced to the penis?

A) Sensate focus
B) Vacuum constriction
C) Intracavernous injections
D) Squeeze technique

Question 40

All of the following are true related to erectile dysfunction and pharmacological treatments, EXCEPT:

A) More patients prefer Cialis over Viagra or Levitra because of its longer duration.
B) Pharmacological treatments are considered the first line of treatment for erectile disorder.
C) Critics of ED drugs dislike the primary focus on erection without considering the multidimensional nature of male sexuality.
D) Erectile dysfunction drugs work by causing an erection without needing any additional sexual stimulation.

Question 41

If a man is being treated for erectile dysfunction, a lack of nighttime erections would be a good indicator that the underlying cause is physical.

Question 42

What is the difference between a total hysterectomy and a radical hysterectomy?

A) A total hysterectomy involves removal of the uterus and a radical hysterectomy involves removal of the uterus and vagina.
B) A total hysterectomy involves removal of just the ovaries and a radical hysterectomy involves removal of the uterus.
C) A total hysterectomy involves removal of the uterus and cervix and a radical hysterectomy involves removal of the uterus, cervix, ovaries and surrounding tissues.
D) There is no difference; both terms refer to the same procedure.

Question 43

In cultures in which female sexual desire is not highly valued, what would be the most common treatment approach for hypoactive female sexual desire disorder?

A) The same treatment approaches that are common in the U.S. would also be used in those cultures.
B) Most women would be advised no longer to engage in sexual interactions.
C) Most women would be advised to seek help from a local counselor.
D) Hypoactive sexual desire likely would not be viewed as a sexual problem that requires treatment.

Question 44

Bill reported to his doctor that whenever he has an orgasm, there is little or no ejaculate. What is a possible diagnosis the doctor should evaluate for Bill's complaints?

A) Early ejaculation
B) Retrograde ejaculation
C) Hyposexual desire disorder
D) Dyspareunia

Question 45

All of the following statements related to alcoholism and sexuality are true EXCEPT:

A) It increases testosterone levels which lead to hyper‐masculinization.
B) It can cause irreversible damage even if the person stops drinking alcohol.
C) It can cause erectile dysfunction.
D) It can lead to testicular atrophy in men and infertility in women.

Question 46

What chronic illness may affect sexual functioning by making men and women hypersensitive to touch?

A) Diabetes
B) Emphysema
C) HIV/AIDS
D) Multiple sclerosis

Question 47

In the U.S., vasoactive agents are being explored to increase physiological sexual arousal by stimulating vaginal lubrication.

Question 48

Patients tend to prefer the drug Cialis over Viagra because Cialis has a longer duration.

Question 49

Danielle experiences involuntary contractions of the muscle that surrounds the entrance to the vagina. This happens when her partner is trying to penetrate her with his penis or using his fingers for stimulation, when she masturbates or uses a tampon, and during pelvic exams at the doctor's office. What is a likely diagnosis for Danielle?

A) Hypoactive sexual desire
B) Vaginismus
C) Vulvodynia
D) Dyspareunia

Question 50

What characteristic has been found to put a woman at higher risk for experiencing sexual pain disorders?

A) Women who have experienced sexual abuse or rape
B) Women with conservative values and strict sex‐related moral standards
C) Women who report feelings of disgust when they think of sex
D) All of these

Question 51

A man who began having problems maintaining an erection six months ago after he told his parents that he was gay is experiencing a generalized sexual dysfunction.

Question 52

According to your text book, what sexual problem may be one of the first signs of diabetes in men?

A) Difficulty in getting an erection
B) Early ejaculation
C) Delayed ejaculation
D) Loss of sexual desire

Question 53

Vince is showing disinhibition in which he sometimes masturbates in public, makes lewd comments, and makes inappropriate sexual advances. Vince is likely recovering from what condition?

A) A heart attack
B) A stroke
C) Hyperestrogenemia
D) Aphasia

Question 54

Progesterone is the primary hormone responsible for sexual desire in both males and females.

Question 55

John recently experienced a heart attack. What recommendation did his doctor likely give him related to sexual activity?

A) He should avoid orgasm as it could trigger another heart attack.
B) He should wait at least a year before returning to his pre‐heart attack level of sexual activity.
C) He should be able to return to his normal level of sexual activity as soon as he feels up to it.
D) He can resume sexual activity but only in the man‐on‐bottom position.

Question 56

What are common treatments for early ejaculation?

A) A form of antidepressants (SSRIs) and the stop‐start techniques
B) Testosterone patches and vacuum constrictive devices
C) Intracavernous injections and sensate focus
D) Systematic desensitization and drugs such as Viagra or Cialis

Question 57

Ifa friend confides in you that she is experiencing sexual functioning problems, according to your text book, which of the following recommendations would be the best advice that you can provide to her?

A) Wait at least one year before seeking treatment to determine whether or not the issue will resolve on its own.
B) Seek a counselor or therapist who has received training from the American Association of Sexuality Educators, Counselors, andTherapists (AASECT).
C) Take testosterone supplements.
D) Take many different over‐the‐counter herbal remedies that have been known to enhance sexual desires.

Question 58

Which of the following is a common problem in male patients who have cardiovascular problems?

A) Erectile dysfunction
B) Early ejaculation
C) Dyspareunia
D) Retrograde ejaculation

Question 59

Which group of women is often at increased risk for developing negative outcomes after a hysterectomy?

A) Women with a history of sexual abuse
B) Women with a history of depression
C) Women who have never given birth
D) Women who are older at the time of the hysterectomy

Question 60

Which of the following statements regarding spinal cord injuries and sexuality is TRUE?

A) Men with spinal cord injuries almost always experience sexuality problems whereas women rarely do.
B) Most men who experience spinal cord injuries go on to experience normal levels of erection and orgasm.
C) Prosthesis implantation in men with spinal cord injuries has shown high satisfaction and low complication rates.
D) Men and women who experience spinal cord injuries typically do not retain a desire for sexual activities.

Question 61

Men who have cancer do not typically experience sexual problems as a result of their illness, whereas women experience significant sexual problems related to cancer.

Question 62

Only women can fake orgasms.

Question 63

Identify two physical illnesses and explain how treatment for eachillness can interfere with sexuality, both psychologically and physiologically.

Question 64

After prosthesis implantation, a man is still able to orgasm, ejaculate, and impregnate.

Question 65

Most men with spinal cord injuries who are able to have erections are not able to climax or ejaculate.

Question 66

It is common for both partners in a relationship to be diagnosed with a sexual disorder.

Question 67

The majority of individuals with severe mental illness are asexual.

Question 68

Describe the overall category of sexual desire problems and differentiate how these problems are often different for men and women.

Question 69

Explain the difference between lifelong sexual dysfunction, acquired sexual dysfunction, situational sexual dysfunction, and generalized sexual dysfunction and provide an example of each one.

Question 70

Explain three distinctly different types of treatment for erectile dysfunction including the advantages and disadvantages of each.

Question 71

In the Netherlands, if someone has a handicap and is unable to find a sexual partner, the government will pay to provide one for this individual.

Question 72

Historically, people with mental illness have been viewed as fully sexual beings with similar sexual needs to personswho do not have mental illness diagnoses.

Question 73

Women with orgasmic disorders tend to report lower levels of emotional closeness with their partners.

Question 74

Explain two potential treatments for each of the following:sexual interest/arousaldisorder in women, male hypoactive sexual desire disorder(HSDD), and erectile disorder (ED). List at least two advantages and disadvantages for each treatment method.

Question 75

Identify and define the two orgasm disorders for males and one possible treatment for each.

Question 76

Describe the New View of Women's Sexual Problems as proposed by Leonore Tiefer and colleagues, and the reasons for its creation.

Question 77

List at least three changes that were made to the DSM‐5 regarding sexual disorders and explain why these changes were made.

Question 78

Discuss the common attitudes that prevail related to sexuality and overall health. Explain why the commonly used Diagnostic and Statistical Manual (DSM) is often criticized for its approach to sexual disorders.

Question 79

Define female orgasmic disorder and explain possible psychological and physical factors that might contribute to it.

Question 80

Genital pain associated with sexual behavior is referred to as dyspareunia.