Chapter 28 Sexuality {P&P)
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taemdalton on October 4, 2011
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65 terms
Terms | Definitions |
|---|---|
 sexuality | the properties that distinguish organisms on the basis of their reproductive roles |
| intercourse | the act of sexual procreation between a man and a woman |
| __ is part of a persons personality and important for overall health | sexuality |
| gender roles are influenced by __ | culture |
| the __years are crucial for gender identity | first 3 |
| __ have generalized questions regarding the physical and emotional aspects of sex | school-age children |
| __ need accurate info regarding sexual activity, emotional responses with relationships, STDs, contraception and pregnancy | adolescents |
| many adolescents will have at least one __ with an individual or with a group | homosexual experience |
| heterosexual | sexually attracted to members of the opposite sex |
| intimacy and sexuality are issues for this group | young adulthood |
| changes in physical appearance lead to concerns about physical attractiveness | middle adulthood |
| factors that contribute to the sexual health of the older adult population include : (1-3) | present health status past/present life satisfaction status of intimate relationships |
| what are some contraceptive options? | pill IUD condoms diaphragm tubal ligation vasectomy |
| tubal ligation | Surgical tying off of the fallopian tubes to prevent conception from taking place. Results in sterilization of the female. |
| vasectomy | removal of a segment of the vas deferens to produce sterility in the male |
| sexual health | a state of physical, emotional, mental and social well-being in relation to sexuality |
| gender roles | Expectations about what is appropriate behavior for each sex. |
| sexual orientation | an enduring sexual attraction toward members of either one's own sex or the other sex |
| contraception | birth control by the use of devices (diaphragm or intrauterine device or condom) or drugs or surgery |
| gender identity | your identity as it is experienced with regard to your individuality as male or female; one's sense of being male or female |
| perimenopausal | period before menopause where decreased estrogen levels cause decreased vaginal lubrication, mood swings, and a decrease in sex drive |
| dyspareunia | painful intercourse |
| changes during menopause for women can cause a painful condition called__ | dyspereunia |
| non prescription methods for contraception include: (1-3) | abstinence barrier method timing of intercourse in regard to menstrual cycle (ex: rhythm method, basal body temp, cervical mucus, and fertility awareness methods) |
| barrier method | contraceptive methods that protect against pregnancy. a physical barrier between sperms and egg. condoms, diaphragms |
| hormonal contraception is avail in several forms: (1-) | oral contraceptive pills vaginal contraceptive rings IM injection subdermal implant transdermal skin patches IUDs |
| hormonal contraception alters the __environment to prevent __ and __cervical mucus | hormonal; ovulation; thicken |
| sterilization | process that renders an individual unable to produce offspring |
| contraception methods that req. the intervention of a health care provider include: (1-5) | hormonal contraception IUDs diaphragm cervical cap sterilization |
| about __ people are diagnosed with an STD q yr.; almost__ of them are adolescents | 15 million; 4 milllion |
| __ and __ pop are Dx with STDs more frequently then whites | african american; hispanic |
| which sex has more complications assoc. w/ STDs? | women |
| commonly Dx STDs include: (1-7) | syphilis gonorrhea chlamydia trichomoniasis infection w/ human papilloma virus (HPV) herpes simplex virus (HSV) type II genital warts (genital warts and genital herpes respectively) |
| syphilis | an STD that attacks many parts of the body and is caused by a small bacterium called a spirochete |
| gonorrhea | A sexually transmitted bacterial disease caused by a gonococcus bacterium that causes inflammation of the genital mucous membrane, burning pain when urinating, and a discharge |
| chlamydia | most common sexually transmitted bacterial infection in North America; often occurs with no symptoms and is treated only after it has spread |
| trichomoniasis | a common sexually transmitted infection that is caused by the mastigophoran Trichomonas vaginalis; symptons include discolored discharge, genital itching, and an urge to urinate |
| HPV | This viral STD is the most common in the world; causes warts and sometimes cervical cancer. |
| Herpes Simplex Virus type 2 | sexually transmitted, ulcer-like lesions of the genital and anorectal skin and mucosa; after initial infection, the virus lies dormant in the nerve cell root and may recur at times of stress |
| HIV | the virus that causes acquired immune deficiency syndrome (AIDS) |
| __, __, __, __ are caused by bacteria and can usually be treated with a full coyrse of antibiotics | gonorrhea, chlamydia, PID, and syphliis |
| the site of transmission of STDs is usually __ but can be __ or __ | genital; oral-genital or anal-genital |
| two STDs __ and __ are caused by viruses and cannot be cured | genital herpes, genital warts |
| common Sx of and STD include: (1-4) | discharge from vagina, penis, or anus pain during sex or when urinating blisters/ sores in genital area fever |
| although HIV is present in the maj. of __ it is a __ pathogen | body flds.; blood-borne |
| transmission of HIV occurs when there is an __. primary routes of transmission include (1-5) | exchange of bodily flds.; contaminated IV needles anal intercourse vaginal intercourse oral-genital sex transfusion of blood and blood products |
| pop that are at risk for HIV include: (1-3) | IV drug users individuals w/ hemophilia persons who have unprotected sex/ sex w/ mult. partners |
| the primary infection stage of HIV lasts about __ after contracting disease, during this time person exhibits __ sx | a month; flu-like |
| HPV, or genital warts infection is spread through __ | direct contact w/ warts, semen. and other body flds. from other people w/ HPV |
| researchers est that about __% of cervical cancer cases are related to HPV | 80-90% |
| what is the most commonly reported bacterial STD in the US that affects more than 2.8 mil americans each yr? | chlamydia |
| chlamydia is a maj issue b/c if not treated it can cause (1-4) | PID ectopic pregnancy infertility neonatal complications |
| in the __ culture a woman avoids worship, cooking, and other members of the family during menstration | hindu |
| identify four alterations in sexual health | infertility sexual abuse personal/emotional conflicts sexual dysfunction |
| examples of illnesses that can effect sexual functioning | DM cancer neuropathy spina bifida spinal cord injury unstable angina uncontrolled hypertension COPD HIV substance abuse depression |
| examples of medications that can affect sexual functioning | antihypertensives antipsychotics antidepressants anxiolytics diuretics oncologic agents recreational/ illicit drugs |
| sexual dysfunction | impaired responses of sexual excitement or orgasm due to psychological, interpersonal, physical, environmental, or cultureal causes.; common |
| incidence of sexual dysfunction is up to __% in men and __% in women | 52%; 63% |
| vaginismus | a sexual disorder in which there is a spastic contraction of the muscles surrounding the entrance to the vagina, in some cases so severe that intercourse is impossible |
| in gathering sexual history, consider __, __, __, __, __, __factors that influence sexual functioning | physical functional relationship lifestyle developmental self-esteem |
| what is the PLISSIT assessment of sexuality? | P-ermission to discuss sexuality issues L-imited I-nformation R/T sexual health problems being experienced S-pecific S-uggestions- only when the nurse is clear about the problem I-ntensive T-herapy- referral to professional w/ advanced training if necessary |
| list some possible nursing Dx R/T sexual functioning | anxiety ineffective coping interrupted family processes deficient knowledge sexual dysfunction ineffective sexuality pattern social isolation R/F other-directed violence R/F self-directed violence |
| priority in addressing needs r/t sexuality includes __ | est a therapeutic relationship in order for client to feel comfortable in discussing issues r/t sexuality |
| offer HPV vaccine to girls who are b/w the ages of __-__years of age. the vaccine is safe for girls as young as __ yo and is recommended for females ages __-__ if they have not already vompleted the 3 req injections. it is thought to be effective for __yrs | 11-12; 9; 13-26; 5 |
| strategies that enhance sexual functioning include: | -avoid alcohol and tobacco -eat well-bak=lanced meals -pl-n sexual activity for time when couple will feel relaxed -tk pain meds prn b/f intercourse -use pillows and alt positioning to enhance comfort -encourage touch, kissing, hugging, & other tactile stimulation -communicate concerns and fears w/ partner and health care provider |
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