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NURS 4500: Final Material > Class 11: Sexual Health History > Flashcards

Class 11: Sexual Health History Flashcards

1
Q

define: sex positivity

A
  • respect and valuing the client’s experiences & goals for their sexuality
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2
Q

what should be included in discussing sexual health (5)

A
  • reduce stigma
  • collaborate
  • non-judgmental
  • value pts contributions and goals
  • make them feel safe & comfortable
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3
Q

what should be included in reducing stigma when discussing sexual health (4)

A
  • implicit bias
  • self-reflection & mindfulness
  • challenge stereotypes
  • empathy & deep listening
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4
Q

describe implicit bias

A

.. (osmosis video)

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5
Q

what should be demonstrated when talking w client about sexual health

A
  • use harm reduction & trauma informed approach
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6
Q

who should discussions about sexual health be done with?

A

everyone –> tailor to age & needs of client

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7
Q

discussing sexual health should be part of.. (2)

A
  • routine annual visits
  • and incidental visits which relate to the topic (i.e contraceptive visits)
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8
Q

what is important when for sexual health discussions w youth

A
  • care should be low barrier
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9
Q

what are the 5 P’s of sexual health history

A

Partners
Practices
Protection
Past history of STIs
Pregnancy prevention

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10
Q

the enviro when discussing sexual health history should be

A
  • be inclusive to gender diverse individuals
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11
Q

why is it important to assess Partners when discussing sexual health (3)

A

helps to determine:
- risk
- need for STI test
- sexual health education

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12
Q

what questions should be asked r/t Partners when discussing sexual health (5)

A
  • are you currently sexually active? if no, in the past?
  • can you tell me about the person or people you have sex with?
  • do you have sex with people with a vagina? with a penis?
  • how many people have you had sex with in the past 2 months?
  • ask if there have been any sexual assaults they wish to expose
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13
Q

why is it important to use the word “people” rather than “partner” when asking about Partners & sexual health

A
  • not all sex is consensual, so partners may be an incorrect term
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14
Q

why is it important to ask about Practices when discussing sexual health (3)

A

help to understand:
- the risk for STIs for the individual
- guides testing choices/recommendations
- recommendations for safer sex practices

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15
Q

what should be asked r/t Practices when discussing sexual health (3)

A
  • do you engage in penetrative sex? receptive or insertive?
  • types of sexual activity: oral, vaginal, anal, toys
  • other practices
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16
Q

what other practices should be asked about when discussing Practices (5)

A
  • use of condoms/barriers
  • IV drug use
  • substance use
  • engagement w sex trade
  • incarceration

higher risk, ex. increased risk for hep C

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17
Q

when asking questions in discussions about sexual health, we should preface questions with…

A
  • “the reason i am asking this is because”
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18
Q

what is imp to note related to use of toys

A
  • sharing toys puts you at risk for STIs
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19
Q

what is an effective method of preventing HIV transmission during sexual intercourse

A
  • condoms used consistently & correctly
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20
Q

what should be asked r/t Protection when discussing sexual health

A
  • “how do you keep yourself safe from STIs and pregnancy” OR “what methods do you use to protect against STIs and pregnancy” (rather than asking about only birth control)
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21
Q

what should pts be educated on r/t condoms (3)

A
  • teach clients how to properly put on a condom
  • use water or silicone-based lubricant (no oil lubricant)
  • use a new condom for each act (ex. vaginal to oral, different people in threesome)
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22
Q

what is a dental dam?

A

A square sheet of latex placed over the vagina to allow for oral sex without STI transmission

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23
Q

what diseases can be transmitted thru receiving or performing oral sex on a penis (5)

A
  • syphilis
  • herpes
  • HPV
  • gonorrhea
  • chlamydia
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24
Q

what can be transmitted thru receiving or performing oral sex on the vagina/vulva/genitals (3)

A
  • syphilis
  • herpes
  • HPV
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25
Q

what should be asked r/t Past history of STIs when discussing sexual health (4)

A
  • has there been prior STI testing
  • prior STI? treatment?
  • have they ever had an HIV test?
  • have they discussed STI testing & concerns w their current partners?
26
Q

what are STBBIs

A
  • sexually transmitted and blood borne infectionsq
27
Q

what are examples of STBBIs (7)

A
  • chlamydia
  • gonorrhea
  • syphilis
  • HIV
  • Hep B and C
  • HSV (herpes simplex)
  • HPV (human papilloma virus)
28
Q

which 2 STBBIs are not routinely tested

A
  • HSV
  • HPV
29
Q

what is imp when discussing pregnany prevention during sexual health discussions (2)

A
  • avoid assumptions (ex. people who are married to someone w a vasectomy can be having sex w other people, never assume someone is not in need to a sexual health history)
  • use neutral language
30
Q

what should be asked r/t Pregnancy Prevention when discussing sexual health

A
  • ask abt the need for pregnancy prevention
  • if have any needs for contraception
31
Q

in r/t pregnancy prevention, same sex partners may want info on…

A
  • pregnancy options
32
Q

what is included in risk reduction r/t sexual health (8)

A
  • regular STI testing
  • pregnancy prevention
  • choose lower risk sexual activities
  • PrEP
  • reduce # of partners
  • condoms on hand & use them properly
  • reduce substance use
  • communication & consent –> talk to partners
33
Q

what is PrEP

A
  • pre-exposure prophylaxis
  • anti-retro viral med taken prior to unprotected sex to prevent HIV
34
Q

what should be asked r/t sexual health and wellbeing (3)

A
  • ask about general sexual function & satisfaction
  • any concerns they may have
  • any questions or concerns related to sexual identity or sexual orientation
35
Q

what should be assessed in the physical exam r/t sexual health (5)

A
  • know your breasts
  • mammograms
  • testicular self exam
  • pelvic exam for female genitalia
  • genital exam for male genitalia
36
Q

what is included in “know your breast” r/t the physical exam (3)

A

anyone w breast tissue should alert HCP if any new:
- lumps
- bumps
- changes to skin

37
Q

when do mammograms start?

A
  • at age 50
38
Q

what age range is the highest risk for testicular cancer

A

15-29

39
Q

what are some signs of testicular cancer (3)

A
  • new lumps
  • consistency
  • pain
40
Q

a pelvic exam may be required for… (2)

A
  • lesions
  • infections
41
Q

describe the frequency of breast exams

A
  • dont encourage monthly breast self exams anymore
42
Q

if a lesion is present, what needs to be done?

A
  • needs to be swabbed
43
Q

anyone who is a sexual contact of a person with a confirmed positive for an STI should be…

A
  • tested
  • and treated as required
44
Q

what STBBIs should be tested by testing blood (3)

A
  • syphilis
  • HIV
  • Hep B and C
45
Q

what STBBIs should be tested by urine or a swab of urethra (2)

A
  • chlamydia
  • gonorrhea
46
Q

what is imp to note with urine test for chlamydia & gonorrhea

A
  • if pt has voided within the last hr, the urine test is not going to be valid
47
Q

what STBBIs should be tested by swabbing a lesion

A
  • herpes simplex virus (HSV)
48
Q

HSV can be mistake for?? why?

A
  • syphilis –> presents in early stage as an ulcerative lesion
49
Q

describe pain in HSV versus syphilis

A
  • syphilis is not painful & HSV is
50
Q

what is an additional diagnostic test done for STBBIs

A
  • cervical cytology (pap test)
51
Q

pap tests are started at what age & what individuals

A
  • age 21 for anyone who is sexually active (delayed until someone is sexually active)
52
Q

how often are pep tests repeated?

A
  • repeated every 3 years unless pap test is abnormal
53
Q

an abnormal pap test may trigger…

A
  • testing for HPV
54
Q

if a patient’s partner has chlamydia or gonorrhea, what is done?

A
  • treat them immediately before testing, especially if you think they won’t present to the clinic again
55
Q

what is included Prevention r/t sexual health (3)

A
  • safer sex
  • HPV vaccination
  • Hep A and B vaccination for those at risk
56
Q

what is included in safer sex practices (4)

A
  • condoms
  • dental dams
  • reduce # of partners
  • regular testing to screen for STIs
57
Q

what is the most common virus transmitted sexually?

A
  • HPV –> majority of people will have it at some point in life
58
Q

how can HPV be transmitted?

A
  • from non-penetrative sex
59
Q

describe symptoms in people w HPV

A
  • most are asymptomatic
60
Q

until the age of ___, HPV vaccination is free

A

age 26

61
Q

some HPV virus stains can cause.. (2)

A
  • cancer
  • genital warts
62
Q

hep A and B vaccination is given if…

A
  • you have had an STI in the past
  • not specifically linked to # of sexual partners

NURS 4500: Final Material (16 decks)

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