Lecture: Sexuality

Question 0

What influences a person’s attitude towards sexuality?

Answer 0

Religious beliefs, values of society, the media and the family

Question 1

Define sexual health.

Answer 1

State of physical, emotional, mental and social well-being in relation to sexuality

Question 2

Define sexual orientation.

Answer 2

Predominant pattern of a person’s sexual attraction over time

Question 3

What type of sexuality issue is most common during infancy and early childhood?

Answer 3

Gender identity

Question 4

What type of sexuality issue is most common during school-aged years?

Answer 4

Questions

Question 5

What type of sexuality issues are most common during puberty/adolescence?

Answer 5

Emotional and physical changes

Question 6

What type of sexuality issue is most common during young adulthood?

Answer 6

Emotional maturation

Question 7

What type of sexuality issue is most common during middle adulthood?

Answer 7

Concerns with attractiveness

Question 8

What type of sexuality issue is most common with older adults?

Answer 8

Physiological sexual response changes (with aging, but aging does not lead to diminished sexuality)

Question 9

What types of physical changes in sexuality occur in women during middle adulthood?

Answer 9

Decreased estrogen levels lead to diminished vaginal lubrication and decreased vaginal elasticity, often leading to dyspareunia (pain during intercourse) or decreased desire for sexual activity

Question 10

What types of physical changes in sexuality occur in men as they age?

Answer 10

Increase in postejaculatory refractory period and delayed ejaculation

Question 11

What types of physical changes in sexuality affect both genders of older adulthood?

Answer 11

The excitement phase is prolonged (longer to reach an orgasm), refractory time following orgasm is longer, reduced availability of sex hormones

Question 12

How is sexual activity related to physical health in older adults?

Answer 12

They are positively correlated

Question 13

What types of nonprescription contraceptive methods are available?

Answer 13

Abstinence, barrier methods (spermicidals, condoms), rhythm

Question 14

What types of contraceptives require health care provider interventions?

Answer 14

Hormonal contraception, IUD, diaphragm, cervical cap, sterilization

Question 15

How does hormonal contraception prevent pregnancy?

Answer 15

Alters the hormonal environment to prevent ovulation, thicken cervical mucus, and/or thin the lining of the uterus

Question 16

How is tubal ligation performed?

Answer 16

A woman’s Fallopian tubes are cut, tied, or ligated

Question 17

How is a vasectomy performed?

Answer 17

A man’s vas deferens, which carries sperm away from the testicles, is cut and tied

Question 18

What is the most at risk age group to be diagnosed with an STI?

Answer 18

15 - 24; Almost half of those diagnosed each year fall into this age group

Question 19

Which STIs are usually curable?

Answer 19

Syphilis, gonorrhea, chlamydia, trichomoniasis; however, some of these may be developing axb resistant strains

Question 20

What factor is most likely to increase your risk for contracting an STI?

Answer 20

Unprotected sex with multiple partners

Question 21

What is the most common STI in the United States?

Answer 21

Human Papilloma Virus (HPV)

Question 22

Define infertility.

Answer 22

Inability to conceive after 1 year of unprotected intercourse

Question 23

Define sexual dysfunction.

Answer 23

Absence of complete sexual functioning

Question 24

Define PLISSIT

Answer 24

Permission to discuss sexuality issues, Limited Information related to sexual health problems being experienced, Specific Suggestions (only when nurse is clear about the problem, Intensive Therapy (referral to professional with advanced training if necessary)