Chapter 24 study guide

Question 1

An individual who is sexually active with parents of either sex

Answer 1

Bisexual

Question 2

The outward behavior of a person as a male or female and the perception of what constitutes gender-appropriate actions

Answer 2

Gender role

Question 3

A term most often associated with male homosexuality

Answer 3

Gay

Question 4

A person’s attraction to his or her own sex, the opposite sex, or both sexes with choosing a sexual partner

Answer 4

Homosexual

Question 5

A person who has the desire to dress in the clothes of and be accepted as a member of the opposite sex

Answer 5

Transvestite

Question 6

A person who has an overwhelming desire to be the opposite sex

Answer 6

Transsexual

Question 7

Having a gender identity or gender perception different from one’s phenotypic gender

Answer 7

Transgendered

Question 8

A person who has sexual interest in or sexual intercourse exclusively with partners of the opposite sex

Answer 8

sexual orientation

Question 9

Refers exclusively to female homosexuality

Answer 9

Lesbian

Question 10

A person who has sexual interest in or sexual intercourse exclusively with members of his/her own sex

Answer 10

Heterosexual

Question 11

The nurse is teaching patients about contraception. Identify which methods can be discussed for each of the following: Barrier methods, prescriptive, and sterilization.

Answer 11

Barrier methods- male/female condoms, and spermicide products
prescriptive- oral contraceptives, hormonal injection, vagina ring, the patch, cervical cap
Sterilization- tubal ligation, vasectomy

Question 12

How is infertility defined?

Answer 12

not conceived after 12 months of contraceptives free intercourse if the female is younger than 34 or after 6 months of contraceptive free intercourse if the female is older than 35 years of age

Question 13

What are the areas of concern for sexual education?

Answer 13

contraception, unwanted pregnancy, STDs, HIV, sexual abuse, and sexual orientation

Question 14

What factors influence how a person identifies with gender?

Answer 14

family experiences and values, association with or lack of a relationship with the same-sex parent, parental identification of gender from birth, self-concept, and confidence about one’s sexuality

Question 15

For sexually transmitted diseases (STD) what are the possible signs and symptoms of an STD and how the risk of transmission can be reduced?

Answer 15

genital discharge or sores, burning and pain on urination, and CNS manifestations ( late stage syphilis). Abstinence and the use of condoms reduces the risk of disease transmission

Question 16

In addition to sexual transmission, how can HIV be transmitted?

Answer 16

through IV needles and transfusion of infected blood products

Question 17

How does a chronic illness affect sexual function? Work issues? poor body image?

Answer 17

Decreased intimacy, personal stress and/or stress with partner, reduction in the frequency of sexual relations.
Work issues- fatigue, decreased intimacy, personal stress and /or stress with partner, reduction in the frequency or satisfaction of sexual relations
poor body image- lack of intimacy, personal stress, changes in frequency or satisfaction of sexual relations

Question 18

what are health characteristics of older adults?

Answer 18

There is continued interest in sex, vaginal secretions are reduced, and more time in necessary for erection

Question 19

A tool to assist nurses to become more comfortable with assessment of sexual health in the PLISSIT model. What is the meaning of the acronym?

Answer 19

Obtaining PERMISSION from the patient to initiate sexual discussion
Providing the LIMITED INFORMATION needed to function sexually
Giving SPECIFIC SUGGESTIONS for the individual to proceed with sexual relations
Providing INTENSIVE THERAPY surrounding the issues of sexuality for the patient

Question 20

What areas should be included in the sexual history for a patient?

Answer 20

patient’s past and current health and sexual practices, as well as medications that may impact sexual function, the reproductive history, STD history, sexual dysfunction history, sexual health self-care practices, frequency and technique of breast self-examination and/or testicular self-examination and sexual identity, self-concept, and self-esteem

Question 21

How does culture and religion influence sexuality and the nursing implications? environment?

Answer 21

Culture and religion- influence family structure, roles within the family, who are the dominant figure is within the structure, and how and whether sexuality is displayed. Guilt and resentment may result from the cultural or religious constraints
Nursing- be knowledgeable about cultural and religious variances and expressions of sexuality. Remain nonjudgemental. Teach this information to patients and family
Environment- Privacy may be an essential element for both sexual discussion and sexual activity
Nursing- comply with all privacy guidelines. Respect the patient. Provide a nonjudgmental environment

Question 22

a. To maintain a chain of evidence, the SANE/SART collects what?
b. The SANE and SART work with the patient to:

Answer 22

a. DNA evidence, seminal fluid, physical injury, blood and urine evidence, rape kit
b. Education and information regarding information on your prophylactic treatment against pregnancy.

Question 23

what are the correct statement of domestic violence?

Answer 23

Leaving a domestic violence situation can be just as dangerous as staying, total and complete privacy must be maintained during screening, patient and family safety is the top priority, and victims may not accept written information from the nurse

Question 24

The nurse is aware that sexuality is part of growth and development. The preschooler’s interest in gender sexuality is characterized by which of the following?

Answer 24

Asking questions associated with sex

Question 25

A 58-year old female asks the nurse what she can do is promote healthy sexual relations. On the basis of the patient’s age, the nurse responds by saying:

Answer 25

“using a water-based lubricant may be useful”

Question 26

A patient states that she is afraid that she and her husband will not be able to maintain a healthy sexual relationship now that they have a baby in the house. To assist these patients, it would be most helpful for the nurse to first know:

Answer 26

how comfortable they are in communicating their feelings to each other

Question 27

On completion of an assessment of a patient in the medical clinic the nurse documents that the patient has dyspareunia on the basis of the patient’s desire

Answer 27

recurrent genital pain during intercourse

Question 28

An adolescent female student who is sexually active visits the office of the school nurse. Which of the following statements best reflects her understanding of the effective use of contraception devices?

Answer 28

“I use a diaphragm and contraceptive cream”

Question 29

A school nurse is responsible for teaching adolescents about STDs.When discussing chlamydia, the nurse instructs the students that it is:

Answer 29

treated with a full course of antibiotics

Question 30

The nurse is conducting a sexual history with a patient who is scheduled for cardiac surgery. The patient tells the nurse that he is nervous about resuming sexual activities. The nurse uses therapeutic communication with the patient when responding:

Answer 30

“You are expressing a very normal concern- perhaps we could discuss your feelings further”

Question 31

A female nurse is working with a male patient. During the administration of medications, the male patient acts out sexually to the female nurse who is caring for him, The nurse should:

Answer 31

Stop the action and tell the patient how you feel about the inappropriate behavior.