Finish Strong Final Exam - Chapter 16

Question 1

Sexuality is an (ADL or IADL)?

Answer 1

ADL

Question 2

Generally between the ages of 40 and 50, women experience

Answer 2

menopause

Question 3

The therapist may use various frameworks and models to address sexuality issues in health care. Among the earliest and most prevalent is the ____ model.

Answer 3

PLISSIT

Question 4

What does P in PLISSIT stand for?

Answer 4

Permission

Question 5

What does LI in PLISSIT stand for?

Answer 5

Limited Information

Question 6

What does SS in PLISSIT stand for?

Answer 6

Specific suggestions

Question 7

What does IT in PLISSIT stand for?

Answer 7

intensive therapy

Question 8

Sexual function is controlled by the ____________

Answer 8

brain, spinal cord, and peripheral nerves

Question 9

Control of libido and sexual pleasure are mediated by several areas in the _______

Answer 9

cortex, midbrain, and brainstem

Question 10

__________ are caused by direct stim to the penis and may occur without conscious awareness, even in the absence of penile sensation.

Answer 10

Reflexogenic erections

Question 11

_______ originate from mental activity such as sexual fantasies and stimulating visual input and do not require direct penile sensation.

Answer 11

Psychogenic erections

Question 12

Why is sexuality an OT thing?

Answer 12

ADLs - getting back to various roles

Question 13

This consists of reassuring pts that their actions and feelings are normal and acceptable.

Answer 13

permission

Question 14

T/F - Wait for the pt to bring up sexual issues.

Answer 14

F - that is not enough; the therapist must let the pt know that expressing sexual concerns is acceptable.

Question 15

T/F - the best time to bring up sexuality is at the inital eval, when other ADL issues are being addressed. This should be done by the COTA.

Answer 15

F - it should be done by the evaluating OT

Question 16

This level of intervention is often concerned with dispelling myths or misconceptions about sexuality. It may be related to facts about the effect of disability on sexuality and sexual function.

Answer 16

Limited information

Question 17

This level of care aims at solving the specific problem.

Answer 17

specific suggestions

Question 18

T/F - If the pt’s problems are beyond the scope of goal-oriented specific suggestions, he or she may require intensive therapy. This level of intervention is based on specialized treatment well within the scope of the OT.

Answer 18

F - it’s beyond most OT’s scope of practice

Question 19

T/F - The literature indicates that many health care workers are exposed to inappropriate sexual behavior on the part of the patients during their careers, and they often lak training in dealing with these behaviors.

Answer 19

T

Question 20

Why would a pt flirt, say sexual jokes, or innuendos towards a COTA?

Answer 20

They are indirectly expressing doubts and concerns about sexuality after disability

Question 21

What 3 things are required for competency in sexuality intervention?

Answer 21

comfort, knowledge, and skill

Question 22

Symptoms: This can create problems during sex becaus the individual may not be able to tolerate prolonged activity.

Answer 22

Low endurance

Question 23

Symptoms: Many movement patterns are restricted and sexual positions will be limited by reduced range of motion

Answer 23

Loss of mobility and contractures

Question 24

This can affect the sexual relationship through the lack of erogenous stimulation in the affected area

Answer 24

loss of sensation

Question 25

Lubricated condoms or water-based lubricants are recommended for __________.

Answer 25

inadequate vaginal lubrication

Question 26

Place a ring at the base of the penis to help maintain blood flow in cases of

Answer 26

Erectile dysfunction