Ch. 34 Sexuality Flashcards

1
Q
A
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2
Q

the first three years of life are essential in the development of ?

A

gender identity. the child identifies with the parent of the same sex and develops a complementary relationship with parent of opposite sex

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3
Q

when do children become aware of differences between genders

A

infancy and early childhood

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4
Q

why should school aged children be well informed about emotional and physical changes associated with puberty

A

bc it decreases their anxiety as the changes start to happen if they already know what to expect

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5
Q

what is important during school age years

A

education about puberty and how men and women act with one another

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6
Q

what are the constant questions that puberty/adolescents ask

A

am i normal? will i be accepted?

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7
Q

what is one reason many adolescents are sexually active

A

bc many believe that sex helps them achieve goals of intimacy, relationships, and pleasure

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8
Q

should adolescents be held accountable for their decision making

A

yes

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9
Q

what age group do individuals explore their primary sexual orientation (gay, straight, bi)

A

puberty/adolescents

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10
Q

what age group lead to concerns about sexual attractiveness

A

middle age concern about looks

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11
Q

what does perimenopausal lead to

A

dec levels of estrogen, diminished vag lubrication, dec vag elasticity

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12
Q

what is dyspareunia

A

pain during intercourse

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13
Q

inc age in men leads to

A

delayed ejaculation, inc in postejaculatory refractory period

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14
Q

when do sex problems start happening

A

middle adulthood

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15
Q

what is young adulthood a period for

A

more exploration of sex (positions, partners)

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16
Q

when do ppl have to adjust to children leaving the house

A

middle adult hood

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17
Q

what correllation is there between sexual activity and health in older ppl

A

positive correllation

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18
Q

which forms of contraceptive require a prescription

A

hormonal contraceptives, IUDs, the diaphragm, the cervical cap, and sterilization

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19
Q

how do hormonal contraceptives work

A

alter the hormonal environment to prevent ovulation, thicken cervical mucus, and thin the lining of the uterus

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20
Q

who inserts an IUD

A

a health care provider

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21
Q

what is the primary mechanism by which IUDs prevent pregnancy

A

contain copper or progesterone that stops the sperm from fertilizing the egg

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22
Q

what does progesterone do to the uterus

A

inc cervical mucus thickness and alter the lining of the uterus

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23
Q

how does a diaphragm work

A

provides a a barrier over the cervical opening

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24
Q

women need to be refitted for a diaphragm after a change in how much weight gain/loss

A

more than 10 lbs

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25
Q

which one can stay in the vagina longer? diaphragm or cervical cap

A

cervical cap. the diaphragm only goes in right before sex then comes out after

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26
Q

other than abstinence which type of contraception is most effective?

A

sterilization like vasectomy or tubal ligation

27
Q

what is tubal ligation

A

female sterilization that involves cutting, tying the fallopian tubes

28
Q

what happens in a vasectomy

A

the vas deferens (whcih carries the sperm away from the testicles) is cut and tied

29
Q

In females, sterilization is referred to as __________ __________, whereas in males, it is referred to as __________.

A

tubal ligation, vasectomy

30
Q

About 19 million people in the United States are diagnosed each year with a sexually transmitted infection (STI); almost half of them are how old?

A

15-24

31
Q

Black and Hispanic populations are diagnosed with STIs more or less frequently than whites

A

more

32
Q

women have more or less complications associated with STIs than men

A

more

33
Q

People most likely to be infected share one key characteristic:

A

unprotected sex with multiple partners

34
Q

which STIs are caused by bacteria and are usually curable with antibiotics

A

Gonorrhea, chlamydia, syphilis, and pelvic inflammatory disease (PID)

35
Q

which STIs are viral

A

human papillomavirus (HPV) (genital warts) and herpes simplex virus (HSV) type II (genital herpes), human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS)

36
Q

How are STIs transmitted

A

during intimate sexual contact, Any contact with another person’s body fluids around the head or an open lesion on the skin, anus, or genitalia can transmit an STI.

37
Q

common symptoms of STIs

A

include discharge from the vagina, penis, or anus; pain during sex or when urinating; blisters or sores in the genital area; and fever.

38
Q

HIV primary routes of transmission

A

include contaminated IV needles, anal intercourse, vaginal intercourse, oral-genital sex, and transfusion of blood and blood products.

39
Q

what is the primary infection stage of HIV

A

the first stage, lasts about a month, person experiences flulike symptoms

40
Q

what is the second phase of HIV and what happens

A

the clinical latency phase, there are no symptoms

41
Q

what is the last phase of HIV and what happens

A

AIDS, begins to show symptoms of disease, if left untreated die within 10 years

42
Q

Most common STI in United States

A

Human papillomavirus infection (HPV):

43
Q

how is HPV spread

A

spread through direct contact with warts, semen, or other fluids

44
Q

most HPV infections are ?

A

asymptomatic and self limiting

45
Q

where are genital warts commonly found

A

in cervix and vagina of woman; on penis and scrotum of male

46
Q

what is the most commonly reported bacterial STI

A

chlamydia

47
Q

why do Most chlamydia infections go undiagnosed and untreated

A

bc its asymptomatic

48
Q

which population is less likely to use condoms and more likely to progress to AIDS from HIV due to lack of treatment

A

latinos

49
Q

how many pregnancies are unplanned

A

half of all

50
Q

factors that influence contraceptive effectiveness

A

method of contraception, couple’s understanding of the method, consistency of use, compliance with method’s requirements.

51
Q

what age group do the unplanned pregnancies occur most in

A

teenagers and women over 40

52
Q

D. Caucasian women aged 42 to 53

A

Answer: A+B Hispanic women aged 15 to 24 + African American men aged 15 to 24

53
Q

what is infertility

A

Inability to conceive after 1 year of unprotected intercourse

54
Q

Cues that raise a question of possible sexual abuse include

A

extreme jealousy and refusal to leave a woman’s presence

55
Q

the overall appearance of the person accused of sexual abuse is:

A

sometimes that of a very concerned and caring husband or boyfriend, when the underlying reason for this behavior is very different.

56
Q

One of the most common sex problems affecting women of all ages is

A

hypoactive sexual desire disorder (HSDD).

57
Q

The incidence of sexual dysfunction in the general population is estimated to be as high as ?% in men and ?% in women.

A

40 men, 45 women

58
Q

an age related decrease in testosterone often results in

A

decreased tone of the erectile tissues

59
Q

what does the PLISSIT assessment help nurses discuss with their patients

A

helps nurses discuss a patients sexuality issues

60
Q

most nursing interventions that enhance sexual health require?

A

providing education

61
Q

D. Include questions related to sexual function.

A

D

62
Q

True or False: Chlamydia is the most common STI in the United States.

A

Answer: False

63
Q

? and ? create situational stressors that often affect a person’s sexuality.

A

illness, surgery