3.7 Sexuality- Textbook Flashcards
Table 21.1 cue cards
what are 5 signs that sexual play may go beyond typical
- not age appropriate behav
- prolonged behav
- child looks anxious, guilty, extremely aroused
- child forced into sexual play
- child knows more than appropriate about sex for age
Is the sexual development of youth with intellectual and physical developmental disabilities is the same as those without such physical or cognitive limitations?
yes
focus on the developmental level rather than chronological
age when determining appropriateness of sexual behavior.
FYI-
Those with disabilities have the same desires to make decisions and foster fulfilling relationships with others.
Their abilities to develop healthy sexual
identities and engage in sexual behaviors often largely hinge on society’s comfort and proactive support concerning their right for healthy sexual expression, rather than on their disability itself.
At what visits should sexuality and sexual maturation be integrated into visits with teens
all health maintenance visits
When taking a sexual history from a youth how should the provider start
by reassuring that sexual questions are a normal part of the history
“I’m going to ask you a few personal ques-
tions about your life and well-being that I ask all my patients.”
Should the provider use slang when discussing sex with teens
no- use medial sexual terms
define sex as oral, anal, vaginal
FYI
* Use open-ended questions. Questions that contain “why” can require a level of analysis beyond the capabilities of teens operating at a concrete level of cognition.
- Avoid assumptions of heteronormativity. Instead, ask questions
such as “When you think of people to whom you are sexually attracted, are they males, females, both, neither, or are you not sure yet?”
Should you take a comprehensive sexual hisotry at first visit
no- can be lengthy, personal, invasive, anxiety provoking. Ask important questions and work at it over many visits
How should you phrase questions that may be emotionally laden
in a way that lets pt know their experience may not be exceptional
Phrase questions that may be emotionally laden in a way that lets clients know that their experience may not be exceptional (e.g., “Many people have been sexually abused or molested as children; has this happened to you?”).
When asking sensitive questions how should you phrase the question
in a way that nomalizes it
“How often do you masturbate?” is better than “Do you masturbate?”
Table 21.2 red falgs for sexual beahviour
Box 21.6 sexual development: content children should know
