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25 Cards in this Set

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What are some factors that affect an individual's sexuality?
Physical factors
Relationship factors
Life style factors
Self-esteem Factors
What are some attitudinal hindrances to interracting with patients having different sexual values and lifestyles than the nurse?
-need to reflect on personal views concerning all aspects of sexuality
-need to find a way so that personal views don't hinder the care you give concerning sexual issues.
-nurse needs to be judgemental
What are some methods of caring for patients with challenging sexual behavior?
THE NURSE SHOULD:
-not be judgmental-approval not necessary
-be tolerant but not permissive
-be respectful
-watch nonverbal responses
-privacy essential
-confidentiality essential
-ask question as routine, in a matter-of-fact manner
-continue to be an advocate for your client
What are physical factors affecting an individual's sexuality?
-illness/fatigue
-medications (antihypertensives, antidepresents)
-poor body image
-painful sexual intercource
What are Relationship factors affecting an individual's sexuality?
-control issues
-communication
What are Life Style Factors affecting an individual's sexuality?
-alcohol use
-illegal drug use
-finding time for intimacy
What are Self-Esteem Factors affecting an individual's sexuality?
-history-rape, incest, abuse
-negative role models
-unrealistic expectations
-lack of adequate sex education
What are some Nursing Diagnoses r/t Sexual Functioning?
-anxiety, fear, hopelessness, ineffective coping, interrupted family processes, deficient knowledge (contraception/STD's), sexual dysfuntion, social isolation, ineffective sexuality patterns, risk for other-directed violence, risk for self-directed violence, powerlessness, rape, trauma syndrome/ineffective coping
Gender Identity is the individual's:
1. sexual behavior
2. sexual orinetation
3. sense of being feminine/masculine
4. sense of preferring one sex over the other
4-the first step of gender itdentity deveolopment occurs as the child becomes aware of the differences of the sexes and perceives that he/she is male/female
Sexual health refers to:
1. having no STD's
2. opne positive attitudes toward sexual funtioning
3. using contraception consistently
4. sexual activity w/multiple partners.
2-sexual health can be described as a person's freedom from physical & psychological impairment, the awareness of open & positive attitudes toward sexual functioning, & knowledge about sexuality.
Inability or difficulty in sexual funtioning caused by numerous factors is called:
1. sexual behavior
2. sexual response
3. sexual orientation
4. sexual dysfuntion
4-sexual dysfuntion is defined as the absence of complete sexual funtioning
Sexually transmitted diseases in the industrialized world are increasing each year. The US:
1. has the highest rate of STD's
2. has the lowest rate of STD's
3. is virtually unaffected by STD's
4. Considers STD's a minor health concern
1-the incidence of STD's in the US is increasing each year. the US has the highest rate of STD's in the industrailized world. the prevalence of STD's is a major health concern b/c treatment is costly & the incidence is high in minority populations of low socioeconomic attainment.
Methods of contraception requiring a health care provider intervention include:
1. diaphram & sterilization
2. condoms & hormones
3. cervical caps & condoms
4. sterilization & vaginal spermacides
1-contraceptive methods that require the intervention of a health care provider include hormonal contraception, IUD's, the diaphragm, the cervical cap, & sterilization
Effectiveness rates for oral contraceptives are:
1. 82-95%
2. 82-97%
3. 97-99.9%
4. 65-85%
3-effectiveness rates are reported as follows:
oral contraceptives;97-99.9%
IUD's; 98-99.9%
diaphram; 82-97%
cervical cap; 82-95%
For transmission of HIV infection some exchange of body fluid must occur, particulary:
1. saliva
2. blood
3. semen
4. urine
2-although HIV is present in the majority of body fluids, it is really a blood-bourne pathogen. for transmission of HIV to occur, osme exchange of body fluid, particularly blood, must occur. primary routes of tranmission include contaminated IV needles, anal intercourse, vaginal intercourse, and oral-genital sex, and transfusion of blood and blood products.
The most effective contraception method other than abstinence is:
1. steriliztion
2. oral contraceptives
3. condoms
4. barrier methods of contraception
1-sterlizaiton is the most effecttive contraception method other tan abstinence. it should be considered permanent. female sterilization, or tubal ligation, involves cutting, tying, or otherwise ligating the fallopian tubes. in male sterilization, or vasectome, the vas deferens, which carries the sperm away from the testicles, is cut and tied.
When the nurse is gathering a sexual history from an older adult the nurse must keep in mind:
1. older adults do not usually participate in sexual activity.
2. older men lose fertility.
3. older adults may not reveal intimate details
4. both m/f elders have sexual dysfuntion
3-when caring for older adults, the nurse may adjust his/her assessment approach. when the nurse gathers a sexual history from an older adult, it is important to keep in mind that older adults may have difficulty discussing intimate details w/health care providers. the nurse has the responsibity to help maintain the sexuality of the aged by offering th eopportunity to discuss. often, asking questions on the topic of sexuality in a comfortable, relaxed manner facilitates older adults' discussing their sexual needs.
a useful framework for the nurse in guiding planning and setting priorites regarding sexual activity for a client is the:
1. PLISSIT model
2. NANDA International guidelines
3. NIC & NOC guidelines
4. the nurse's own theory of sexual behavior
1-a useful framework for guiding planning is the PLISSIT model developed by Annon (1976). in this model there are progressively more involved levels of intervention. At this level of recognition, the nurse's role would be to refer the client to a qualified practitioner, such as a social worker or sex counselor, for individualized therapy.
what does PLISSIT method stand for?
P-permission giving.
LI-limited information, which involves providing basic information regarding sexuality and sexual funcitoning.
SS-specific suggestions
IT-intensive therapy
PLISSIT:
During assessment the nurse's questions can bring up the topic of sexuality and can give the individual permission to talk about sexual concerns. SS-the nurse provides specific suggestions regarding a sexual concern or issue, or the concern expressed might be one that the nurse is not equipped to address. in this case the nurse should refer to another health care provider.
At what development stage is it particularily important for children reared in single parent families to be exposed to same sex adults?
1. infancy
2. toddlerhood & preschool yrs
3. school age
4. adolescence
2-toddlerhood & preschool yrs
in the school age child, learning & reinforcement of gender-appropriate behaviors are most commonly derived from:
1. parents
2. teachers
3. siblings
4. peers
4-peers
which statement about sexual response in the older adult is correct?
1. the resolution phase is slower.
2. the orgasm phase is prolonged
3. the plateau phase is prolonged
4. the refractory phase is more rapid.
3-the plateau phase is prolonged
the least effective means of preventing pregnancy is:
1. coitus interrruptions
2. calendar (rhythm) method
3. body temperature method
4. mucus method
1-coitus interruptions
the only 100% effective method to avoid contracting a disease through sex is:
1. using condoms
2. avoiding sex w/partners @ risk
3. knowing the sexual partner's health history
4. abstinence
4-abstinence