Human Sexuality
1)

Why do contemporary definitions include pleasure as part of sexuality?
 
It distracts from reproduction It undermines scientific rigor It contributes to well-being and fulfillment It prevents intimacy altogether
 
2)

According to the World Health Organization, sexuality is described as what?
 
A minor part of adolescence Limited to reproduction only Private and not publicly expressed A central aspect of being human throughout life
 
3)

What is one benefit of using a broad definition of sexuality in clinical practice?
 
Focuses only on intercourse frequency Addresses intimacy, communication, and diverse experiences Ensures all clients are pathologized Limits therapy to mechanical functioning
 
4)

How does a positive sexual self-concept influence clients?
 
Creates shame and avoidance Supports intimacy and well-being Prevents attachment patterns Eliminates need for relationships
 
5)

Why must clinicians understand legal frameworks related to sexuality?
 
To avoid discussing intimacy To expand definitions of pleasure To navigate consent, reporting, and client rights To replace therapy with legal advice
 
6)

What is the main benefit of integrating multiple disciplinary perspectives on sexuality?
 
Replaces therapy with law Focuses only on physiology Limits practice to one field Supports clients with humility, flexibility, and compassion
 
7)

Why is addressing sexuality important in couple therapy?
 
It prevents all conflict It supports both individual well-being and relational stability It avoids discussing intimacy It guarantees matched desire
 
8)

Why should mental health professionals understand anatomy and physiology in relation to sexuality?
 
To memorize every hormone To integrate biological awareness into therapy To ignore psychological factors To replace therapy with medicine
 
9)

What does integrating hormonal, neurobiological, and lifespan perspectives allow clinicians to do?
 
Focus only on youth sexuality Validate biological changes while fostering intimacy and adaptation Ignore relational factors Eliminate the need for compassion
 
10)

How can clinicians best support clients diagnosed with STIs?
 
Blame moral character Avoid discussing disclosure Normalize prevalence, reduce shame, and build resilience Treat diagnosis as identity
 
11)

How can clinicians support clients considering adoption?
 
Discourage adoption completely Help process emotions and connect to ethical services Require clients to parent Avoid discussing grief or guilt
 
12)

What is the clinician’s role when clients consider termination of pregnancy?
 
Provide legal advice Offer emotional support and referrals Perform medical procedures Promote one decision only
 
13)

Why is knowledge of anatomy and physiology important for clinicians?
 
To pathologize normal changes To normalize variations and reduce shame To avoid discussing the body To prevent aging adaptation
 
14)

What does sexual orientation generally describe?
 
Temporary mood changes Enduring patterns of attraction Choice of clothing style Family birth order
 
15)

What does gender identity refer to in clinical contexts?
 
Clothing preferences Inner sense of self in relation to cultural gender roles Temporary emotional states Patterns of sexual attraction
 
16)

What does compassion require from clinicians in supporting clients exploring sexuality or identity?
 
Promoting a specific framework Respecting dignity, listening, and supporting client values Ignoring cultural context Directing clients toward one choice
 
17)

What are the two main clinical tasks when addressing desire?
 
Diagnosis and medication Avoidance and redirection Normalization and exploration Prediction and control
 
18)

How can clinicians best support clients struggling with sexual fantasies?
 
Warn that fantasies predict behavior Normalize fantasy to reduce secrecy and shame Encourage hiding from partners Treat fantasies as pathological
 
19)

When do sexual fantasies require careful clinical attention?
 
When they are uncommon When they are compulsive, distressing, or linked to harmful behavior When they involve romance When they match cultural values
 
20)

According to the DSM-5-TR, when does a sexual variation become a dysfunction?
 
When it differs from cultural norms When it causes significant distress or relationship problems When frequency decreases with age When intensity varies between partners
 
21)

How does CBT help clients with desire disorders?
 
Encourages rigid sexual expectations Reframes desire as dynamic and relational Promotes performance-only standards Avoids discussion of anxiety
 
22)

What cycle does CBT address in arousal disorders?
 
Hormonal imbalance Performance anxiety and self-monitoring Lack of partner communication Absence of medical treatment
 
23)

Why is interdisciplinary collaboration important in treating sexual dysfunctions?
 
To avoid medical referrals To address both psychological and medical contributors To replace therapy with medication To limit treatment to one provider
 
24)

What is a key message of Chapter 3?
 
Sexuality is only biological The psyche is as central to sexuality as the body Mental health has little impact Therapy should avoid intimacy topics
 
25)

How does shame differ from guilt?
 
Guilt is about identity; shame is about actions Shame is feeling defective as a person; guilt is regret over actions Shame motivates repair; guilt isolates They are identical in clinical meaning
 
26)

What is a common effect on adolescents raised where sexuality is taboo?
 
Accelerated maturity Feeling unprepared and viewing natural feelings as wrong Increased confidence in puberty Clear understanding of sexual health
 
27)

What does minority stress theory explain?
 
How stigma creates unique stressors and health disparities Why everyone experiences identical stressors How stigma eliminates mental health problems Why marginalized groups have no relational issues
 
28)

What therapist response best reduces stigma and shame?
 
Offering judgmental advice Normalizing experiences and affirming client agency Avoiding discussion of culture Treating curiosity as pathological
 
29)

What core values do professional ethical codes emphasize in work with clients?
 
Promoting social ideologies Prioritizing only medical outcomes Fairness, dignity, respect, and equitable access Ignoring client background or identity
 
30)

What broader effect can compassionate clinical work have?
 
It remains limited to therapy It reinforces misinformation It prevents clients from opening up It ripples outward to families, relationships, and communities
 
31)

According to NBCC and ASWB standards, how should clinicians approach clients’ sexual concerns?
 
With respect, free from bias, and treating concerns as legitimate By imposing personal values By dismissing private issues With focus only on medical treatment
 
32)

What do NBCC and ASWB codes state about sexual or romantic relationships with clients?
 
They are permitted with caution They are strictly prohibited They are allowed if disclosed They are encouraged for bonding
 
33)

How should clinicians document sensitive information about sexuality?
 
Include every client disclosure verbatim Avoid mentioning intimacy concerns entirely Record clinically relevant information while omitting unnecessary detail Share notes with third parties for review
 
34)

What is the clinician’s duty regarding suspected child sexual abuse?
 
Report based on reasonable suspicion, not proof Keep all disclosures fully confidential Wait until legal proof is established Refer responsibility to the client’s family
 
35)

What principle was established in Tarasoff v. Regents of the University of California (1976)?
 
Confidentiality must never be breached Clinicians should ignore threats of sexual violence Client trust outweighs public safety Clinicians have a duty to protect if a client poses a credible threat
 
36)

What is one key aspect of ethical self-care for clinicians dealing with sexual ethics cases?
 
Avoiding supervision or consultation Seeking supervision, peer support, and continuing education Keeping emotional burdens private Ignoring feelings of conflict or stress
 
37)

What must clinicians do to work competently with sexuality?
 
Navigate culture, reduce stigma, and uphold ethical standards Treat sexuality only as a private matter Focus only on biological functioning Avoid discussing cultural traditions with clients
 
38)

What is the purpose of using a semi-structured approach in taking a sexual history?
 
To ask as many questions as possible quickly To avoid sensitive topics completely To cover key domains while allowing client-led flexibility To limit discussion only to medical conditions
 
39)

What is a core feature of trauma-informed sexual history taking?
 
Asking intrusive questions first Treating the process like an interrogation Requiring clients to answer all questions Providing safety, choice, collaboration, and empowerment
 
40)

Why is conducting a sexual history considered an ongoing process?
 
To collect every detail in the first session Because clients may share more as trust develops To limit discussions to one meeting Because sexuality should remain a private matter
 
41)

Why should clinicians pace questions when taking a sexual history?
 
To build trust and avoid overwhelming clients To collect all trauma details immediately To prevent rapport from developing To skip sensitive topics entirely
 
42)

Why might clients be reluctant to discuss sexuality in therapy?
 
Because they are resistant to treatment Because they lack interest in intimacy Because cultural norms may discourage open discussion Because clinicians ask questions too clearly
 
43)

What is the goal of integrating sexuality into biopsychosocial assessments?
 
To create longer checklists To keep sexuality separate from health To avoid asking sensitive questions To recognize sexuality as part of health and embed it into holistic care
 
44)

What is a key HIPAA requirement for documenting sexual health information?
 
Recording every disclosure in detail Documenting only what is clinically necessary Sharing notes freely with colleagues Avoiding documentation of sexual issues altogether
 
45)

How do CBT and EFT differ in their approaches to sexuality concerns?
 
CBT targets distorted beliefs with structure, while EFT processes deep emotion CBT ignores cognition, EFT avoids emotion CBT focuses only on mechanics, EFT eliminates meaning CBT replaces EFT in all cases
 
46)

What is the purpose of body-based interventions in sexual therapy?
 
To avoid addressing physical responses To pressure clients into specific outcomes To help clients reconnect with bodily sensations safely To replace mindfulness with medication
 
47)

What is a key insight from couples therapy about intimacy?
 
Intimacy is only intercourse Non-sexual intimacy is irrelevant Emotional closeness prevents sexual connection Intimacy includes affection, shared experiences, and vulnerability
 
48)

According to the Gottman Method, what strengthens sexual intimacy in couples?
 
Ignoring partner bids for attention Friendship, admiration, and shared meaning Relying solely on physical attraction Frequent conflict without resolution
 
49)

What is the primary role of psychoeducation in sexual health?
 
Correcting misinformation and reducing stigma Reinforcing cultural myths about desire Eliminating the need for therapy Proving intimacy ends with aging
 
50)

What is one common impact of sexual trauma on intimacy?
 
Increased trust and safety in relationships Greater confidence in self-image Heightened vigilance and difficulty relaxing into closeness Stronger boundaries and clearer communication
 
51)

What is the primary goal of Cognitive Processing Therapy (CPT) for sexual trauma survivors?
 
To reinforce avoidance behaviors To increase self-blame To ignore maladaptive beliefs To restructure distorted beliefs and restore agency
 
52)

According to U.S. federal law, what qualifies as human trafficking involving minors under 18?
 
Only when force or fraud is proven Any commercial sexual exploitation, regardless of coercion Only when transportation across borders occurs When survival sex involves adults only
 
53)

What is a common impact of sexual exploitation on survivors’ intimacy?
 
Experiencing sex as obligation or transaction rather than intimacy Developing stronger trust in authority figures Increased clarity about personal boundaries Greater confidence in sexual self-worth
 
54)

What best describes vicarious trauma in clinicians?
 
Ordinary workplace fatigue A sign of personal weakness A cumulative shift in worldview from repeated exposure to trauma Simple stress relieved by rest
 
55)

What is the purpose of reflective practice for clinicians?
 
To suppress emotions from sessions To avoid supervision or debriefing To ignore how client stories affect them To process emotions, learn, and transform vicarious trauma into growth