The nurse is collecting a sexual history from a female client who ...

[bb]

The nurse is collecting a sexual history from a female client who was raped four years ago. The client reports the ability to become aroused, and says she becomes excited but cannot orgasm. The nurse documents loss of arousal during:
 
  1. The excitement phase.
  2. The plateau phase.
  3. The orgasmic phase.
  4. The resolution phase.

Question 2

The nurse administers morphine for pain. When evaluating the effectiveness of the analgesic, the client says, This time I didn't get the relief I've gotten before. The nurse concludes that the client is exhibiting which of the following?
 
  1. Pain tolerance
  2. Pain threshold
  3. Addiction
  4. Drug tolerance

[gstein359]

Answer to Question 1

3
Rationale: Orgasm occurs during the orgasmic phase. The client reports the ability to become excited (excitement phase), and approaches orgasm (the plateau phase), but then the sensation subsides, and she cannot reach orgasm.

Answer to Question 2

4
Rationale: The client is displaying drug tolerance, which results from the body's adaptation to repeated dosages at the same level. The nurse will notify the physician, and anticipates an increase in dosage. Pain tolerance is the amount of pain stimuli a client can handle, and is based on pain threshold, or the level of pain required for the client to feel the stimuli as pain. Addiction involves a physical and psychological need for the drug.