Chapter 45 Sexuality

Question 1

identify factors that affect an individual’s sexuality

Answer 1

developmental considerations.
relationships, lifestyle
cognition and perception
culture, values, beliefs, religion, ethics.
previous experience
self-concept, childbearing considerations
STDs, other health conditions (eg.hypertension, hysterectomy)

Question 2

Assess how your personal beliefs and values about human sexuality affect your ability to deliver competent, compassionate and respectful care to patients with sexual problems.

Answer 2

Nurse needs to be comfortable with his or her own sexuality to provide nonjudgmental care. The nurse needs a solid knowledge foundation about sexual orientation and sexual preference to develop an appropriate, unbiased plan of care.

Question 3

perform a sexual assessment, using suggested interview questions and appropriate physical assessment skills.

Answer 3

sexual history, disease affecting sexuality, be aware of any clues by asking vague questions, specific questions.
use “allowing” statements and open ended questions, desensitize, use matter-fact-manner. explain terms or employ terms used by patient and keep a sense of humor about terms.

Question 4

A problem that prevents an individual or couple from engaging in or enjoying sexual intercourse and orgasm

Answer 4

sexual dysfunction

Question 5

name some types of sexual dysfunctions

Answer 5

erectile dysfunction
premature ejaculation
retarded ejaculation
inhibited sexual desire
dyspareunia
vaginismus
vulvodynia

Question 6

The inability of a man to attain or maintain erection to such an extent that he cannot have satisfactory intercourse.

Answer 6

erectile dysfunction

Question 7

A condition in which a man consistently reaches ejaculation or orgasm before or soon after entering the vagina.

Answer 7

premature ejaculation

Question 8

A inability to ejaculate into the vagina or delayed intravaginal ejaculation.

Answer 8

retarded ejaculation

Question 9

Consists of an inhibition in sexual arousal so that congestion and vaginal lubrication are absent or minimal.

Answer 9

inhibited sexual desire

Question 10

dyspareunia

Answer 10

painful intercourse

Question 11

A rare condition in which the vaginal opening closes tightly and prevents penile penetration.

Answer 11

vaginismus

Question 12

This condition is due to involuntary spastic contractions of the muscles at and around the vaginal opening and the levator ani muscles.

Answer 12

vaginismus

Question 13

chronic vulvar discomfort or pain characterized by burning, stinging, irritation, or rawness of the female genitalia that interferes with sexual activity. little is known about it causes

Answer 13

vulvodynia

Question 14

describe assessment priorities for erectile dysfunction (impotence)

Answer 14

history of diabetes, spinal cord trauma, alcoholism, surgical procedure, cardiovascular disease.
use of certain medications (antihypertensive, antidepressants).
mental depression.
information regarding the degree of impotence, length of time of disorder

Question 15

what are some assessment priorities for premature ejaculation

Answer 15

assess what patient defines as dysfunction and ability to control ejaculation.
assess any causative relationship factors such as anxiety, guilt, lack of time and new partner.

Question 16

what are assessment priorities for patient with retarded ejaculation.

Answer 16

history of neurologic disorders, Parkinson’s disease, or use of certain medications.
factors such as anxiety, guilty, lack of time and new partner.

Question 17

describe assessment priorities for patients with inhibited sexual desire.

Answer 17

use of oral contraceptives or other hormonal therapy, use of alcohol or certain medications.
history of sexual abuse, rape or incest, depression, or other sexual dysfunctions.
assess any other contributing or relationship factors.

Question 18

assessment priorities for patient with orgasmic dysfunction

Answer 18

assess knowledge level regarding sexual response cycle and anatomy.
communication between patient and partner.
usual sexual pattern and behavior.
other contributing factors

Question 19

assessment priorities for patient with dyspareunia

Answer 19

history of diabetes, hormonal imbalance, vagina infection, endometriosis, urethritis, cervicitis or rectal lesions.
use of antihistamines, alcohol, tranquilizers or illicit drugs.
patient’s ability for vaginal lubrication during sexual act.
use of coital positions, cosmetic or chemical irritants.

Question 20

Assessment priorities for patient with vaginismus

Answer 20

assess pattern of sexual activity, how often, level of arousal, orgasm.
history of sexual abuse, feelings regarding partner.
assess any other causative factors, such as fear of pregnancy, guilt, anxiety.
Physical assessment of internal and external genitalia.

Question 21

contrast different types of sexual expression

Answer 21

Masturbation (self-stimulation)
vaginal intercourse
anal intercourse
oral-genital stimulation

Question 22

The achievement of sexual arousal by looking at the body of another.

Answer 22

voyeurism

Question 23

The practice of gaining sexual pleasure while inflicting abuse on another person.

Answer 23

Sadism

Question 24

Gaining sexual pleasure from the humiliation of being abused.

Answer 24

Masochism

Question 25

Sadomasochism

Answer 25

The act of practicing sadism and masochism together (biting, hitting, spanking, whipping, pinching)

Question 26

describe five best nursing practices in which the nurse can educate the patient about sexuality

Answer 26

self-awareness
self-examination
sex education
responsible sex/STIs
contraceptive use/unwanted pregnancy.

Question 27

what are some nursing implications for the older adult and sexuality?

Answer 27

sexual activity need not be hindered by age.
Teach couples that adaptation to bodily changes is possible with use of comfortable position for intercourse and increase time for stimulation.
teach alternatives to coitus, such as caressing, hugging, and stroking.
encourage couples to continue their intimate relationships for as long as they desire.

Question 28

This is a type of harassment initiated by a person in a position of authority who offers either direct or indirect reward or punishment based on the granting of sexual favors.

Answer 28

Quid pro quo harassment

Question 29

“Quid pro quo”

Answer 29

something given or withheld in exchange for something else.

Question 30

unwelcome behavior that is sexual or gender-based in nature

Answer 30

sexual harassment

Question 31

occurs when behaviors of sexual or gender-base nature create a hostile, intimidating environment.

Answer 31

Hostile environment harassment

Question 32

what are some effects of harassment.

Answer 32

Anger, helplessness, worthlessness, guilt.

Question 33

How should a nurse respond to inappropriate sexual behavior by a patient?

Answer 33

An assertive response that supports the nurse in maintaining his or her self-respect and encourages the patient to accept responsibility for his or her behavior.
be self-aware, confront, set limits, enforce the stated limits, report.