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What consistently impairs sexual arousal or functioning?

  1. Intrinsic motivation

  2. Extrinsic motivation

  3. Achievement motivation

  4. Sexual disorder

The correct answer is: Sexual disorder

There are several factors that can negatively impact sexual arousal or functioning, including psychological, physical, and hormonal causes. Sometimes this can be due to an underlying disorder or medical condition, such as a sexual disorder. Intrinsic, extrinsic, and achievement motivation are all related to one's desire to achieve a goal or satisfy personal needs, and are not likely to consistently interfere with sexual arousal or functioning. Therefore, option D is the most accurate and relevant answer.