A man with hypospadias tells the nurse, Intercourse with my new ...

[809779]

A man with hypospadias tells the nurse, Intercourse with my new bride is painful. Which term applies to the patient's complaint?
 
  a. Delayed ejaculation
  b. Erectile dysfunction
  c. Premature ejaculation
  d. Genito-pelvic pain/penetration disorder

Question 2

A respected school coach was arrested after a student reported the coach attempted to have sexual contact. Which nursing action has priority in the period immediately following the coach's arrest?
 
  a. Determine the nature and extent of the coach's sexual disorder.
  b. Assess the coach's potential for suicide or other self-harm.
  c. Assess the coach's self-perception of problem and needs.
  d. Determine whether other children were harmed.

[cswans24]

Answer to Question 1

ANS: D
This sexual pain is genito-pelvic pain/penetration disorder and may occur in men or women. The individual feels pain in the genitals during intercourse. Erectile or ejaculation problems are not evident. See relationship to audience response question.

Answer to Question 2

ANS: B
Pedophiles and other persons with paraphilic disorders can be at increased risk of self-harm associated with the guilt, shame, and anger they feel about their behavior and its effect on their families, victims, and victims' families. They also face considerable losses, such as the end of their careers or the loss of freedom to imprisonment. Thus, safety is the priority issue for assessment. Determining the nature and extent of the patient's disorder and related patient perceptions would be appropriate but not the highest priority for assessment. Investigating whether other victims exist is a matter for law enforcement rather than health care personnel. See relationship to audience response question.