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44 Cards in this Set

  • Front
  • Back
Sexual orientations
hetorsexual,homosexual,bisexual,transsexual,transvestite
Four phases of sexual response cycle
excitement
plateau
orgasm
resolution
Sexual orientation definition
refers to the preferred gender of the partner of an individual.
Heterosexual
has sex with opposite gender
Homosexual
Has sex with same gender
bisexual
has sex with opposite and same gender
transsexual
has feelings of the opposite sex...feel as if they were born the wrong sex.
transvestite
individual who likes to wear clothing of the opposite sex but most are heterosexual.
four phases of sexual response cycle
excitement
plateau
orgasm
resolution
Excitement
initiated by erotic stimulation and arousal.
plateau (second phase)
greater intensity than excitement phase but not enough to begin orgasm. Clitoris retracts/secretions from penis
Orgasm (Third)
climax of tension that has been building.spasmodic contractions of sexual organs.
Resolution (Fourth)
return to normal body functioning. relaxation, fatigue, and fullfillment are common.
Masterbation
techinque of sexual expression that involves self stimulation
voyeurism
sexual arousal through watching the body of another
sadism
practice of gaining sexual pleasure from inflicting abuse on another person
masochism
sexual pleasure from humiliation of being abused
sadomasochism
acto of practicing inflicting and accepting abuse to gain pleasure.
pedophilia
gaining sexual fullfillment by performing sexual acts with children....GROSS
factors affecting sexuality
developmental,culture, religion,ethics,lifestyle,health state.
Health states affecting sexuality
chronic pain, diabetes,cardiovascular, mobility,colostomy,masectomy,spinal injuries, mental illness, and meds.
Pt requiring sexual history
Care for pregnancy, stds, infertility, contraception, dysfunction, or illness that will affect sexual function
Male sexual dysfunctions
erectile failure-cant get up
premature ejaculation-quickie
Retarded ejaculation-keeps going and going and going
female sexual dysfunctions
inhibited sexual desire
dyspareunia-painful sex
vaginismus-opening to small
vuvlodynia=vulvar discomfort or pain.
obtaining sexual information
description of problem, onset and cause, attempts to fix, and goals of pt.
Watts general levels of sexual history
LEVEL 1
part of comprehensive health history obtained by nurse
Watts general levels of sexual history
LEVEL2
sexual history, obtained by nurse trained in sexuality
Watts general levels of sexual history
LEVEL3
sexual problem history obtained by sex therapist
Watts general levels of sexual history
LEVEL4
psychiatric history obtained by psychiatric nurse clinician
prevention of stds
delay sexual relations, limit partners, abstain from partners with symptoms, if in doubt get tested, use condoms,use clean neddles
sexual harrassment
unwelcome behavior that is sexual or gender based in nature
quid pro quo
means something given or withheld in exchange for something else
Hostile enviroment
workplace behviors of secual or genderbased nature create a hostile enviroment...jokes, pics, emails, innuendoes
patient advances
be self aware, confront and provide feedback, set limits, enforce limits, report and document incident.
harassment by colleagues
confront behavior, document if it continues, consult supervisor, file grievance if is still continues and finally seek legal advice.
Sexuality stages:0-18mths
m/f reinforcement, touching is ok not bad, need affection and tactile stimulation.
Sexuality stages:1-3 yrs
control over bowels, like fondling, identify gender, vocab. related to genitals.
Sexuality stages:4-6 yrs
preference for sexual partners determined, explore body parts, masturbate...ok.
Sexuality stages:6-10 yrs
give clear, factual information, curiosity about sex, same sex friends
Sexuality stages:10-13 yrs
puberty begins, menarche, may test behavior limits
Sexuality stages:13-19
has opp. sex relationships,sexual fantasies, pregnancy increases.
Sexuality stages:20-35
premarital sex is common,begin families,encourage communication of partners, contraception, and stds
Sexuality stages:35-55
bodily changes, couples focus on quality rather than quanity, divorce is common, teach about empty nest syndrome
Sexuality stages:55 and old
orgasms shorter and less, secreations less, fear of loss of sexuality