Midterm Exam: NR547 / NR 547
(Latest Update )
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
,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
,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
, 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.
