age 1 of 202
NR 547 MIDTERM EXAM STUDY GUIDE 2025/2026
ACCURATE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100% GUARANTEED
PASS <BRAND NEW VERSION>
Sexual Dysfunction in Males: Premature ejaculation
.......Answer.........-persistent or recurrent achievement of orgasm
and ejaculation before the desired time
• diagnosis refers to males who ejaculate within 15 seconds to
one minute following penetration
-often feel a loss of control over the sexual experience.
Matthew, a 46-year-old, presents to the clinic. He reports
difficulty with establishing and maintaining an erection during
sex. He states he is in a committed relationship with a long-term
,age 2 of 202
partner, whom he loves. He denies relationship difficulty or
decreases in sexual urges and fantasies. Matthew states, "my
girlfriend is the hottest woman in the world, and I want her
badly. However, my penis doesn't cooperate when we try to
have sex. I don't understand it because I am incredibly turned
on. It's been happening since we started dating eight months
ago. It's becoming a problem because she thinks I am not
attracted to her." He states that erections with masturbation are
not as problematic but can still be challenging to achieve.
Ejaculation occurs without difficulty in cases where erection is
present. His medical history includes migraine headaches with
triptan use as needed; he has no psychiatric history. Social histo
.......Answer.........erectile dysfunction
Rationale: The DSM-5-TR (APA, 2022) diagnosis most
appropriate for Matthew is erectile dysfunction. Matthew
,age 3 of 202
reports normal sexual desire. Sexual attraction is present
despite efforts and difficulty obtaining and achieving an
erection. These challenges have occurred for over six months and
are worrying the client. He takes medication for migraines, but
the class of drugs does not cause erectile issues. Alcohol
consumption is minimal.
differential diagnosis .......Answer.........The provider's initial
hypothesis
-a working list of potential problems that can be associated with
the initial or chief complaint
-Diagnostic and Statistical Manual of Mental Disorders (DSM-5-
TR)
• provides guidance for identifying psychiatric diagnoses
, age 4 of 202
Psychiatric assessment: History taking .......Answer.........-History of
Present Illness
-How long have you been feeling this way?
-Did something happen in your life that may have triggered
these emotions?
-How is this current situation impacting your life?
The Psychiatric History
-Have you ever been hospitalized for any mental health issues?
-Have you ever had counseling or psychotherapy?
-Have you ever taken medications for your mental health in the
past?
NR 547 MIDTERM EXAM STUDY GUIDE 2025/2026
ACCURATE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100% GUARANTEED
PASS <BRAND NEW VERSION>
Sexual Dysfunction in Males: Premature ejaculation
.......Answer.........-persistent or recurrent achievement of orgasm
and ejaculation before the desired time
• diagnosis refers to males who ejaculate within 15 seconds to
one minute following penetration
-often feel a loss of control over the sexual experience.
Matthew, a 46-year-old, presents to the clinic. He reports
difficulty with establishing and maintaining an erection during
sex. He states he is in a committed relationship with a long-term
,age 2 of 202
partner, whom he loves. He denies relationship difficulty or
decreases in sexual urges and fantasies. Matthew states, "my
girlfriend is the hottest woman in the world, and I want her
badly. However, my penis doesn't cooperate when we try to
have sex. I don't understand it because I am incredibly turned
on. It's been happening since we started dating eight months
ago. It's becoming a problem because she thinks I am not
attracted to her." He states that erections with masturbation are
not as problematic but can still be challenging to achieve.
Ejaculation occurs without difficulty in cases where erection is
present. His medical history includes migraine headaches with
triptan use as needed; he has no psychiatric history. Social histo
.......Answer.........erectile dysfunction
Rationale: The DSM-5-TR (APA, 2022) diagnosis most
appropriate for Matthew is erectile dysfunction. Matthew
,age 3 of 202
reports normal sexual desire. Sexual attraction is present
despite efforts and difficulty obtaining and achieving an
erection. These challenges have occurred for over six months and
are worrying the client. He takes medication for migraines, but
the class of drugs does not cause erectile issues. Alcohol
consumption is minimal.
differential diagnosis .......Answer.........The provider's initial
hypothesis
-a working list of potential problems that can be associated with
the initial or chief complaint
-Diagnostic and Statistical Manual of Mental Disorders (DSM-5-
TR)
• provides guidance for identifying psychiatric diagnoses
, age 4 of 202
Psychiatric assessment: History taking .......Answer.........-History of
Present Illness
-How long have you been feeling this way?
-Did something happen in your life that may have triggered
these emotions?
-How is this current situation impacting your life?
The Psychiatric History
-Have you ever been hospitalized for any mental health issues?
-Have you ever had counseling or psychotherapy?
-Have you ever taken medications for your mental health in the
past?
