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151 Cards in this Set
- Front
- Back
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sexuality includes how we __________ ourselves, how we _______ to others, and how we __________ ourselves as sexual beings
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-perceive
-relate -express |
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As a nurse you will be challenged to confront your own _________ related to sexuality and to set those aside as you work with your clients
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biases
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A central aspect of being human throughout life and encompasses sex, gender identities and roles, sexuality, orientation, eroticism, pleasure, intimitacy, and reproduction (World Health Organization)
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sexuality
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a person's perception of his or her gender, gender identity, gender role, and sexual orientation.
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sexual identity
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True or False: sexuality is a synonym for sex.
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FALSE: the word sex has multiple meanings (ie, my baby's sex is male or we had great sex last night).
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indicates biological sex status (male or female)
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gender
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the societal norms for gender-appropriate behavior
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gender roles
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__________ and __________ were the first professions assumed by women outside the home, and women still primarily make them up
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nursing
teaching |
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refers to a blending of traditional male and female roles. It means that everyone has some skills, traits, and behaviors that may be classified as masculine or feminine
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androgeny
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True or False: Androgeny is a trait that many parents encourage in their children to some degree
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TRUE
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True or False: Androgeny is a negative trait and should be discouraged.
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FALSE: it is a positive trait in that it gives an individual greater adaptability in life situations
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the image we have of ourselves as a man or a woman
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gender identity
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True or False: Gender identity is an internal experience: whether we "feel" l;ike a man or a woman
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TRUE
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a broad term to describe people whose gender identity differs in some way from their biological gender
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transgendered
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someone who feels trapped in the body of the opposite gender
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transsexual
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transsexuals commonly express dissatisfaction with their gender at a(n) __________ age.
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early
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adults who alter their physical appearance through dress, make up, and/or the use of hormones so that their external appearance corrsponds to their gender identity
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preoperative transsexuals
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after extensive counseling and successfully living in the opposite gender role for _ to _ years, preoperative transexuals may decide to undergo surgery to remove the remove the reporductive organs of the biological biorth gender
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1 to 3
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A transsexual who undergoes surgery to have his biological birth reproductive organs altered to the opposite sex is know as what
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postoperative transsexual
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True or False: after sex reassignment surgery, the postoperative transexxual legally changes gender
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TRUE
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people that are born with ambiguous sex organs (eg the person may have female internal sex organs but also have a penis). These people were once known as hermaphrodites.
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intersexed people
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A mutation of any of the genes involved in sexual differentiation or an alteration in hormonal secretion may result in gender alterations. This usually occurs in what trimester?
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1st
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who determines the sex of the child, the male or the female?
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the male
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a person who occasionally or frequently wears clothing of the opposite sex
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cross-dresser (transvestite)
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True or False: Cross dressers are always homosexual
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FALSE: they may be hetero, homop, or bi
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what is the dominant cultural expectation regarding sexual orientation in North America?
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heterosexual
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people who are emotionally and sexually attracted to members of the opposite sex
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heterosexual (straight)
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the focus of attraction is toward members of the same sex
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homosexual
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a person who is sexually and emotionally attracted to both males and females
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bisexual
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this group is perhaps the least understood and least accepted by both the heterosexual and homosexual communities
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bisexual
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as infants are nursed, stroked, bathed, and massaged, they develop their forst attachment experience through __________ with the mother or other caregiver
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bonding
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It is not uncommon for this group to fondle their genitals and enjoy being nude
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birth through preschool
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TRUE OR FALSE: Parents should be concerned when a birth through preschool child fondles his genitals or runs around nude
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False: This is normal behavior
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_________ are interested and curious to see the genitals of others
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toddlers
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it is not unusual for preschoolers to __________ and ask questions about where babies come from
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masturbate
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although about ___% of adolescents are sexually active by their late teens, the teen pregnancy rate is slowly dropping
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75%
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the increasing incidence of ____ sex in early adolescence is a troubling phenenomenon because they incorrectly assume that it contains no health risks
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oral
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Many teens argue that oral sex is a positive behavior because it allows them to keep what?
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their virginity
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today, marriage is often delayed, and young adults engage more openly in ________ sex
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premarital
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the partners are mutually faithful but make no lifelong committment
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serial monogamy
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Some members of this group continue to struggle with their sexual identity, sexual orientation, or ability to form or commit to intimate relationships
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young adults
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in this period, physical changes and chronic diseases may emerge to affect sexual patterns
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middle adults
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men in middle age, as a result of the aging process or disease such as type II diabetes or hypertension may experience what
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erectile dysfunction
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Men who experience erectile dysfunction may perceive it as a threat to their masculinity, and this may suffer.
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their self-image
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True or False: Adults usually stop having sex at around age 65.
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FALSE: healthy adults have sex in their 60s, 70s, and less frequently, in their 80s
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it is not unusual for people to be _________, that is, to see their own culture and sexual behaviors as the norm for all
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ethnocentric
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because the US is a __________ country, beliefs and practices related to human sexuality vary widely.
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multicultural
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you should honor all cultural perspectives toward sexuality unless they are what?
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harmful
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in this procedure, the labia minora, majora, and clitiris are excised, and the vagina is sutured closed (infibrilation)
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female circumcision
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infibrilation may be done to ensure that the girl remains a _______, whereas clitoral excision is done to reduce sexual desire and ensure the woman's fidelity
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virgin
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TRUE OR FALSE: religious restrictions against premarital sex, birth control, homosexuality, abortion, extramarital relationships, and masturbation are common
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TRUE
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True or False: you can alwzays assume that young adults have adequate sexual knowledge
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FALSE: even though community and school sex education resources exist, you cannot assume knowledge
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__________ or _________ disease may cause people to restrict sexual activity because of fatigue, dyspnea, or fear of harming the heart
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heart, respiratory
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This leads to neurological changes that may cause ED; women may experience vaginal dryness and loss of orgasmic ability. In additions, vaginal yeast infections are common with this disease
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diabetes mellitus
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may be accompanied by body image changes, fatigue, treatments that cause nausea, and fear of death - all of which may lead to decreased desire
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cancer
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this may make it impossible for the person to feel physical stimulation. Some men may be unable to achieve erection and ejaculation and are fertile
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spinal cord injury
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A person with this psych disprder experiences significant loss of interest in activities that previously brought pleasure, including sex
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depression
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a person with ________ or __________ may be preoccupied with pleasurable activities and increased sexual activity, as well as verbalization and acting out
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hypomania, mania
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a person with psychosis has interpersonal relationships and sexual patterns that are disrupted by lack of contact with reality or _______
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delusions
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name two meds that treat erectile dysfunction by releasing nitric-oxide, which increases blood flow to the penis
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Viagra (sidenafil citrate)
Cialis(tadalafil) |
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a state of physical, emotional, mental, and social well-being related to sexuality; it is not merely the absence of disease, dysfunction or infirmity (WHO)
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sexual health
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for sexual health to be attained and maintained, the sexual rights of ______ ______ must be respected, protected, and fulfilled
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all persons
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the sequence of physiological events that occur when a person becomes sexually aroused
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sexual response cycle
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who discovered the sexual response cycle
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william masters and virginia johnson
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what are the four stages of the sexual response cycle
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excitement, plateau, orgasm, and resolution
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one suggested alteration of the sexual response cycle is to add a stage of _______, which in some people precedes and in some people follows excitement.
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desire
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a stage of varying length characterized by an interest in sexual intimacy
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desire
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desire occurs in the _________ and is communicated either verbally or through body language
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mind
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communication of desire may be subtle and easily _________
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misread
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in different cultures meant to communicate desire may vary along _________ lines
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gender
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what changes in the desire phase occur in both men and women as a result of aging
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decreased libido
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what is one change in the resolution phase in women that is associated with aging
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no cervical dialation
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desire may only last for moments or be ongoing for ______
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years
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This type of sexual thoughts are fleeting moments of desire
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transient
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___________ love is an example of desire that lasts for many years.
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unrequited (eg, high school sweethearts who marry other people but get together in later life)
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a period following an orgasm in men in which an erection cannot be achieved
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refactory period
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True or false: women do not experience a refractory period;they can either the resolution stage or return to the excitement or plateau stage immediately follwoing orgasm
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True
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True or False: there is a range of behaviors that are considered "normal" by most peopl in our society.
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TRUE
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developing intimate relationships involves a willingness to take ______ and offer trust.
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risks
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True or False: All intimate relationships are sexual.
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FALSE not all are sexual; also not all sexual relationships are intimate
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True or false: sexual fantasies serve to increase self-esteem and sexual arousal and serve as an outlet to explore sexual desires.
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true
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self-stimulation of the genitals
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masturbation
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True or False: Masturbation causes acne and warts, but not blindness or insanity.
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FALSE: It doesn't cause any of these.
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1994, who was removed from her post for advocating masturbation and suggesting that it should be taught as a method of safe sex
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US Surgeon General Jocelyn Elders
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An alternative to sexual intercourse is mutual masturbation, also know as what?
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shared touching
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shared touching is appealing to those who wish to reduce the risk of what?`
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STDs
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shared touching is helpful to those who have _______ or other physical problems that make intercourse difficult
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mobility
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used to describe penile penetration of the vagina
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sexual intercourse or coitus
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unprotected coitus may lead to what
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conception
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because it involves bodily fuids, coitus may lead to the transmission of what
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infections
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using this decreases the risk of the spread of infection during coitus
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lubricated latex condom
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if a couple is not in a long term monogamous relationship, they shoul use what when performing oral-genital stimualtion to prevent the transmission of STIs
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dental dams, plastic wrap, or latext condoms
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both homo and heterosexual couples engage in oral-anal stimulation, which is called what
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rim job :)
really it's called anilingus |
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also know as sodomy, it is the insertion of the penis into the partner's rectum
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anal intercourse
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when performing anal intercourse with a condom, the condom should be changed before inserting it into the vagina to prevent the spread of what into the vagina
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e coli (the same should be done with sex toys)
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a state in which a person refrains from sexual activity
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celibacy
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List an example of how fear of an intimate relationship could cause someone to avoid sexual intimacy
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childhood sexual trauma
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some celibate people simply have a low _________ and prefer to focus their energies elsewhere other than sex
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libido
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The American Psychiatric Association describes eight categories of sexual deviation, or what?
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-paraphilias (these include, exhibitionism, fetishism, frotteurism, pedophilia, sexual masochism, sexual sadism, transvestic fetishism, and voyeurism)
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an infection that is almost always passed through sexual contact
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sexually transmitted infection (STI)
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True or False: Certain STIs can be transmitted throuh casual contact, such as handshaking, touching, coughing, or sharing a glass with someone
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FALSE: They are only spread through sexual contact
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How are STIs spread
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direct contact with a sore or bodily fluids, such as semen, vaginal secretions, or blood that contains pathogens
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A STI may be caused by what?
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bacteria, fungi, vurus, or parasites
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Nearly 2/3 of of all STIs occur in people younger than the age of what
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25
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at least 1 in 10 newly diagnosed HIV cases is in someone over the age of what
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50
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up to what % of women infected with gonorhhea or chlamidia have no symptoms
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90
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What is the only way to find out if someone has an STI?
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obtain a culture (swab gential secretions). If oral or anal sex has occurred, get culture of throat or rectum
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If untreated in women, an STI can travel up through the uterus into the fallopian tubes and cause what
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pelvic inflammatory disease (PID)
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True or False: unchecked PID may cause sterility
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TRUE
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This STI causes genital warts as well as cervical and other cancers
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Human Papilloma Virus (HPV)
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What are the two best ways to avoid an STI
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1. celibacy
2. a committed, monogamous relationship with someone who has never had an STI and has never shared needles |
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painful menstruations caused by strong uterine contractions that cause ischemia of the uterus
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dysmenorrhea
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physical and emotional changes occurring 3 to 14 days prior to the onset if the woman's menstrual period
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PMS :(
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estimates are that ___% to _% of women experience PMS
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50 to 90 %
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True or False: some women feel as though they are on an emotional roller coaster during PMS
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TRUE
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True or False: The best way to deal with PMS is to call in an exorcist
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TRUE
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intimate relatrionships that are not satisfying, even thought they do not involve physical or emotional abuse, are called what?
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loveless marriages or marriages of convenience
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occurs when a person in power makes unwelcome sexual advances that implicitly or explicitly relate to the victim's employment, academic status, or success
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sexual harrassment
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nonconsensual oral, vaginal, or anal penetration
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rape
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Who are the most common rape victims?
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female adolescents and young women
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True or False: Rape can happen to either gender
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TRUE
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True or False: 30 states now agree that rape within a marriage is a crome
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FALSE: all 50 states now agree that rape in a marriage is a crime
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sexual activity between an adult and a person under the age of consent (14 to 18, depending on the state)
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statutory rape
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rape by an acquaintance when the assault occurs during an agreed-on social encounter
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date rape
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who is usually blamed by society whe date rape occurs
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the female
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TRUE OR FALSE: when rape occurs, referral to a local sexual assault support group is critical
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TRUE
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a registered nurse who has recveived special training in the immediate care of assault victims
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Sexual Assault Nurse Examiner (SANE)
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a significant decrease in or absence of both sexual fantasies and sexual activity characterizes decreased sexual desire, also known as what
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low libido
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True or False: Low libido effects only women, and it is always long term
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FALSE: it affects men and women, and can be transient or long term
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AKA painful intercourse, it can result from vaginal dryness
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dyspareunia
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charactyerized by intense involuntary contractions of the perineal muscles, which close the vaginal opening and prevent penile penetration
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vaginismus
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True or False ED is usually caused by a physical problem rather than a psychological one, even though it can be caused by both
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TRUE
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a delay in or absence or orgasm after a normal sexual excitement phase
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orgasmic disorder
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True or False: premature ejaculation may lead top issues with self-esteem, sexual avoidance, and ED
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TRUE
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When using a standard assessment form for assessing sexuality, many forms contain little or no information. FOr this reason you will have to pay attention to the client's __________ and _________ cues to identify and explore relevant areas not on the form.
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verbal, non-verbal
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when you are discussin sexual issues, you must be sure to provide what?
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privacy
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what are the two NANDA nursing diagnoses related to sexual problems
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1. Ineffective Sexuality Patterns
2. Sexual Dysfunction |
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Use this diagnosis when the patient expresses concerns about his own sexuality. Examples include conflict about sexual orientation, fear of acquiring an STI, or not having a partner
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Ineffecive Sexuality Pattern
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Use this diagnosis when there is an actual change in sexual function that the patient views as unsatisfying, unrewarding, or inadequate
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sexual dysfunction
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rapport and _________ are essential to encourage clients to speak openly with you about sensitive or ambarrassing topics
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trust
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True or False: Before you begin teaching, take the time to get to know your client and find out what she already knows about sexuality
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TRUE
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T Or F: you can't get pregnant the first time you have sex
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False
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T Or F: you can tell the size of a man's penis by the size of his feet
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False
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T Or F: You always have symptoms if you have an STI
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False
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T Or F: You can tell from looking at someone if they have an STI. They will be dirty looking.
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False
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A vaginal orgasm is better than a clitoral orgasm.
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False (I'll take the book's word for it)
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name two SSRI meds that have been shown to be effective in treating PMS
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Prozac (fluoxetine)
Zoloft (sertaline) |
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What does the PLISSIT model for teaching/counseling about sexual knowledge deficits stand for
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Permission
Limited Information Soecific Suggestions Intensive Therapy |
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Which of the steps of the PLISSIT model is the nurse qualified to teach
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the first three
(permission, limited information, specific suggestions) |
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What should you do first if you believe that you are being sexually harrassed
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confront your harasser
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if you feel you are unable to confront the person who is harassing you, what should you do?
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1. keep a written record of events
2. report your concerns to the worksite or school official in charge of personnel |
