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Fundamentals 2 > Chapter 16: Sexuality and Intimacy > Flashcards

Chapter 16: Sexuality and Intimacy Flashcards

1
Q

A decline in testosterone levels with aging

A

Andropause

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2
Q

Painful intercourse

A

Dyspareunia

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3
Q

The inability to attain and maintain an erection of the penis sufficient to engage in sexual intercourse

A

Erectile dysfunction

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4
Q

Replacement of estrogen and/or progestin hormone that is no longer being made by the body

A

Hormone replacement therapy (HRT)

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5
Q

The permanent cessation of menses for at least 1 year

A

Menopause:

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6
Q

The several years prior to the onset of menopause

A

Perimenopause

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7
Q

Time beginning 12 months after the last menstrual cycle

A

Postmenopause

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8
Q

An interest in sex WAS considered __ and ___

A

sinful and highly improper

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9
Q

Society viewed sexual expression outside of wedlock as __ and __

A

disgraceful and indecent

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10
Q

T/F: Sex is now viewed as a natural, good, and beautiful shared experience.

A

true

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11
Q

T/F: The stigma attached to premarital sex been greatly reduced but also increasing numbers of unmarried couples are living together with society’s acceptance

A

True

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12
Q

“natural,” “good,” and “beautiful” are terms used to describe:

A

the sexual experiences of older individuals.

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13
Q

When the topic of sex and older adults is confronted, much __ and __ concerning sex reappear.

A

ignorance and prejudice

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14
Q

Respect for older adults as vital, sexual beings is minimized by:

A
  • the lack of privacy afforded to them
  • the lack of credence given to their sexuality
  • the lack of acceptance, respect, and dignity granted to their continued sexual expression.
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15
Q

One consequence of myths about sex in older adulthood is that older adults may not __

A

receive respect as sexual beings.

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16
Q

The incidence of acquired immunodeficiency syndrome (AIDS) has increased more than twice as quickly in people over age __ than in younger adults, and this older population accounts for ___ of the human immunodeficiency virus (HIV)/AIDS cases in the United States.

A

50

1/5

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17
Q

44% percent of the new HIV infections from persons over age 55 are among __ or __.

A

gay or bisexual men.

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18
Q

Older individuals have had a lifetime of experience with the expectation that MEN are to be:

A

aggressive, independent, and strong

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19
Q

Older individuals have had a lifetime of experience with the expectation that WOMEN are to be:

A

pretty, gentle, and dependent on their male counterparts.

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20
Q

The baby boomers changed those views as the women’s liberation movement encouraged women to be:

A

independent, strong, and on equal terms with men in the home and workplace

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21
Q

___ also encompasses much more than physical acts. It includes love, warmth, caring, and sharing between individuals; seeing beyond gray hair, wrinkles, and other manifestations of aging; and the intimate exchange of words and touches by sexual human beings.

A

sexuality

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22
Q

Feeling important to and wanted by another person promotes __, __, and ___.

A

security, comfort, and emotional well-being

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23
Q

With the multiple losses that older adults experience, the ___ and ___ derived from a meaningful relationship are especially significant.

A

Comfort and satisfaction

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24
Q

___ includes love, warmth, caring, and sharing between people and identification with a sexual role.

A

Sexuality

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25
Q

There is a ___ in sexual responsiveness and a reduction in the frequency of orgasm.

A

decrease

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26
Q

Older men are ____ to erect, mount, and ejaculate.

A

slower

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27
Q

Older women may experience ___ as a result of less lubrication, decreased distensibility, and thinning of the vaginal walls.

A

dyspareunia (painful intercourse)

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28
Q

Many older women gain a new interest in sex, possibly because they ___

A
  • no longer have to fear an unwanted pregnancy

- or because they have more time and privacy with their children grown and gone.

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29
Q

T/F: Premature ejaculation is an age-related change.

A

FALSE

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30
Q

Premature ejaculation occurs when:

A

ejaculation occurs before or just after penetration of the vagina by the penis.

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31
Q

With good health and the availability of a partner, sexual activity can continue well into the ___ decade and beyond.

A

seventh

32
Q

Menopause occurs for most women around the ___ decade of life

A

fifth

33
Q

Menopause has been “medicalized” because it is considered a:

A

problem or condition that must be treated.

34
Q

__ are redefining the norms for aging

A

baby boomers

35
Q

Western society tends to prize the physical beauty of youth over the inner beauty of age, which can lead to:

A

women in the 50/60’s feeling unattractive, unappreciated, and underutilized.

36
Q

__ occurs when estrogen levels fall and the reduced number of ovarian follicles lose their ability to respond to gonadotropic hormone stimulation.

A

Menopause

37
Q

Before menopause, the main source of estrogen is __, which is produced by the ovaries.

A

estradiol

38
Q

When the ovaries decline in function, most estrogen is obtained through the conversion of __ to ___ in the skin and adipose tissue.

A

androstenedione to estrone

39
Q

Due to the increased risk of breast cancer and breast cancer mortality, EPT (estrogen-progesterone therapy) should be limited to __ to __ years of use

A

3 to 5

40
Q

ET (estrogen therapy) carries lower risk and can be used for approximately __ years.

A

7

41
Q

Estrogen can also be used to prevent ____.

A

osteoporosis

42
Q

T/F: The use of EPT or ET is recommended in postmenopausal women.

A

False

43
Q

A standardized extract of rhapontic rhubarb (Rheum rhaponticum) has been shown through a placebo-controlled study to significantly reduce ___.

A

hot flashes and other symptoms of menopause

44
Q

Andropause begins around the __ decade of life.

A

third

45
Q

Difference of andropause and menopause besides gender?

A

Andropause does not occur in all men and when it does occur, it is a slower process.

46
Q

When testosterone levels fall to low levels, the body increases the production of __ and __ in an effort to increase testosterone.

A

FSH and LH

47
Q

The low testosterone levels are not only associated with reduced sexual function but also a higher risk for ___ and ___.

A

type 2 diabetes and cardiovascular disease

48
Q

The unavailability of a partner, ageism, changes in body image, boredom, misconceptions, physical conditions, medications, and cognitive impairments are among the factors that can interfere with ___ ___ in later life.

A

sexual function

49
Q

By 65 years of age, there are how many men to women?

By 85 years?

A
  • 7 men to 10 women

- 1 man to 5 women

50
Q

Most older ___ are married, and most older ___ are widowed.

A

men

women

51
Q

Negative attitudes from society, fear of losing sexual abilities, concerns about body image, relationship issues, and misconceptions held by older adults themselves can impair __ __.

A

sexual function

52
Q

Aging persons need realistic explanations that occasional impotence is ___ nor ___.

A

neither unusual nor an indication that one is “too old for sex.”

53
Q

T/F: There is a point where you’re too old for sex.

A

FALSE

54
Q

Some adults fear over the potential loss of ___ ___ permanently.

A

sexual function

55
Q

The fear of being unattractive and rejected may cause older adults to avoid encountering such situations and assume a __ __ __.

A

sexually inactive role.

56
Q

T/F: The hurdle of building new sexual relationships can be so great that many older people may find it easier to repress their sexual needs.

A

True

57
Q

Misconceptions are often responsible for creating obstacles to a fulfilling sex life in old age and can include the following:

A
  • Erections are not possible after prostatectomy.
  • Penile penetration can be harmful to a woman after a hysterectomy.
  • Menopause eliminates sexual desire.
  • Sex is bad for a heart condition.
  • After a hip fracture, intercourse can refracture the bone.
  • Sexual ability and interest are lost with age.
58
Q

Commonly referred to as “impotence”

A

Erectile Dysfunction

59
Q

This condition affects as many as 35% of men between the ages of 40 and 70 years, with an increased prevalence with age

A

Erectile Dysfunction

60
Q

Erectile dysfunction can have multiple causes, including:

A

atherosclerosis, diabetes, hypertension, multiple sclerosis, thyroid dysfunction, alcoholism, renal failure, structure abnormalities (e.g., Peyronie’s disease), medications, and psychological factors

61
Q

Discomfort, interference with ejaculation

A

Prostatitis

62
Q

What type of prostatectomy: Used for prostate cancer. May remove whole prostate.
A SHORT CUT IS USED FOR SURGEON TO INSERT TOOLS.

A

“Open”-type prostatectomy

63
Q

__ disease is related to the following symptoms: Painful, dorsal bending of penis from fibrous scarring associated with inflammatory process.

A

Peyronie’s disease

64
Q

Symptoms of ___ _ ___ include: pain, inhibition of erection, and scarring that narrows urethral outlet.

A

Infections of genitalia

65
Q

Decrease in sexual interest secondary to the loss of potency can result from what condition?

A

Parkinsonism

66
Q

Cord compression from arthritic changes can cause __.

A

Impotency (erectile dysfunction)

67
Q

Discomfort, dribbling urine can be caused from what condition?

A

Cystocele

68
Q

In women, pain and difficulty with penile penetration can be caused by a __ __.

A

Prolapsed uterus

69
Q

In women, a decreased level of estrogen leads to:

A

Excessive vaginal dryness

70
Q

___ demonstrates the scope of erectile dysfunction and the desire of men to correct this problem

A

Viagra

71
Q

Inappropriate behavior, such as undressing and masturbating in public areas and grabbing and making sexual comments to strangers, can occur. They may accuse his or her spouse of being a stranger improperly trying to share the bed and may misunderstand care procedures for sexual advances. What disease is this associated with?

A

Dementia

72
Q

A willingness on the nurse’s part to discuss sex openly with older people demonstrates __, __, and __.

A

recognition, acceptance, and respect for their sexuality

73
Q

The nurse can also promote practices that can enhance sexual function, including:

A

regular exercise, good nutrition, limited alcohol intake, ample rest, stress management, good hygiene and grooming practices, and enjoyable foreplay.

74
Q

Their is a tendency for older men to marry ___

A

younger women

75
Q

Their is a lack of partner, particularly for ___

A

older women

76
Q

A ___ ___, is when the bladder drops from its normal position in the pelvis and pushes on the wall of the vagina

A

prolapsed bladder

Fundamentals 2 (16 decks)

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