Author Question: A nurse cares for a patient with paraphilia. The nurse expects the health care provider may ... (Read 33 times)

shenderson6 · **on:** Jul 19, 2018

A nurse cares for a patient with paraphilia. The nurse expects the health care provider may prescribe which type of medication to reduce paraphilic behaviors?

a. Selective serotonin reuptake inhibitor (SSRI)
b. Erectile dysfunction medication
c. Atypical antipsychotic medication
d. Mood stabilizer

Question 2

An adult man tells the nurse, All my life, I have felt and acted like a woman while living in the body of a man. For the past year, I have lived and dressed as a woman. I'm changing jobs to protect my new identity.

Which request is the patient likely to make to the health care provider?
a. Can you refer me for psychological testing?
b. Will you prescribe estrogen therapy?
c. Will you alter my medical records?
d. What should I tell my parents?

mmpiza · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
SSRIs are reported to have a positive effect on paraphilia. The other medications are not indicated for this disorder.

Answer to Question 2

ANS: B
Before sexual reassignment surgery, the step that follows living as a member of the other sex is hormone therapy. The patient's decision to live as a woman makes this a natural request. Psychological testing occurs before sexual reassignment surgery, often after hormone therapy has begun. The patient has likely told his parents by this point.