Chapter 24 - Sexuality

Question 1

Which STD? Transmission: vaginal, oral, or anal sex or during vaginal delivery. May be totally asymptomatic, flu like symptoms, genital discharge in men or woman accompanies by burning with urination

Answer 1

Chlamydia

Question 2

Which STD? Transmission: Contact what the mouth, penis, vagina, or anus. May be asymptomatic, genital discharge, burning and pain

Answer 2

Gonorrhea

Question 3

Which STD? Transmission: Contact with sores during an outbreak or with infected skin between periods of outbreak

Answer 3

Genital herpes

Question 4

Which STD? Transmission: Vaginal, oral, or anal sex or genital to genital contact. may be totally asymptomatic, especially in males. They vary in size and shape, can undergo transformation to various forms of cancer in both men and women

Answer 4

Human Papillomavirus (HPV)

Question 5

Which STD? Transmission: Direct contact with sore during vaginal, oral, or anal sex. Three stages. Begins with sores, advances to rash with mucous membrane lesions, and ends with a late, late stage affecting the CNS, may lead to blindness, paralysis, and psychosis

Answer 5

Syphilis

Question 6

Phentytoin (Dilantin, Tegretol) can have a sedating effect and cause a decrease in sexual desire and function

Answer 6

Anticonvulsants

Question 7

Tricyclics, monoamine oxidase inhibitors (MAOIs) and lithium can cause male impotence and some reduction in testosterone levels. Selective serotonin repute inhibitors (SSIRIs) side effects may include delayed ejaculation, absent or delayed orgasm, and diminished sexual desire

Answer 7

Antidepressants

Question 8

The sedative effect can be associated with decreased desire and reduced female vaginal lubrication

Answer 8

Antihistamines

Question 9

ACE inhibitors, alpha and beta blockers, and calcium channel blockers may decrease male and female desire and cause erectile dysfunction

Answer 9

Antihypertensives

Question 10

These drugs may reduce desire and cause ED and ejaculation dysfunction

Answer 10

Antipsychotics

Question 11

These drugs relax smooth muscles, which may lead to male impotence

Answer 11

Antispasmodics

Question 12

Increased dependance can result in further sexual impairment. ED and ejaculation dysfunction are common. Decreased male and female desire and decreased testosterone and semen production are other possible adverse effects

Answer 12

Narcotics

Question 13

A moderate amount reduces inhibition and may improve sexual function, increased consumption leads to reduced sexual function. Chronic results in male impotence, permanent dysfunction , and sterility. In females, reduced desire and orgasmic dysfunction are possible

Answer 13

Alcohol

Question 14

Initially, this drug may cause reduced inhibitions and increased sexual function, with chronic use, sexual desire is decreased in both males and females an male impotence may occur

Answer 14

Marijuana

Question 15

PLISSIT

Answer 15

P - Obtaining PERMISSION to initiate sexual discussion. LI - Provide the LIMITED INFORMATION needed to function sexually. SS - Giving SPECIFIC SUGGESTIONS for the person to proceed with several relations. IT - Providing INTENSIVE THERAPY surrounding the issues of sexuality for the patient

Question 16

two nursing diagnoses frequently used to focus on issues of sexuality are

Answer 16

sexual dysfunction and ineffective sexuality pattern

Question 17

the state in which an individual experiences a change in sexual function…that is viewed as unsatisfying, unrewarding, or inadequate

Answer 17

sexual dysfunction

Question 18

expression of concern regarding one’s own sexual activities

Answer 18

ineffective sexuality pattern Eg. Ineffective sexuality pattern r/t absent role model as AEB reporting difficulty with sexual activities. Ineffective sexuality pattern r/t absent role model AEB reprint difficulty with sexual activities. Ineffective sexual pattern r/t impaired relationship with significant other AEB the patient’s stating, “I can’t be a man with my wife”