Sexual Healh Flashcards
1
Q
A
2
Q
What are techniques to use to avoid making assumptions?
A
- be careful with assumptions
- validate with the patient first
- watch pronouns
- mirror the client language
3
Q
what does the general sexual assessment interview contain
A
- Asking if the person is sexually active
- pain upon intercourse
- do they have autonomy with intercourse
- are they satisfied with sexual intercouse
- do they have problems with sex
- do they have any general questions
4
Q
when would you conduct a physical sexual assessment
A
- any changes to genitals, anus, mouth
- suspicion of STBBI or UTI
- need for PAP test
- request for birth control
- abnormal self-breast or testicular exam
5
Q
what does altered sexual function mean
A
- decreased in sexual desire or arousal
- organismic disorders
- pain related to sex
6
Q
What are causes of decreased sexual desire and arousal
A
- medications
- medical conditions
- psychiatric conditions
- relationships
- aging process
- testosterone deficiency
7
Q
what are counselling options for decreased sexual desire and arousal
A
- couples therapy
- sex therapy
- psychotherapy
- lifestyle changes
- exercise, yoga, meditation
- improving body image and self-esteem
- pelvic physical therapy
8
Q
What are medications that can help with decreased sexual desire
A
- hormones therapy (specifically post-menopausal)
- androgen therapy
- serotonergic or dopaminergic medications
9
Q
what is an orgasmic disorders
A
- significant delay, reduced intensity or absence of orgasm
- unable to ejaculate withing 30 minuted of continous sexual stimulation
- premature ejaculation
10
Q
what is the management for premature ejaculation
A
- squeze-pause technique
- stop-start method
- condoms
- SSRIs
- topical anesthetics
- sex therapy
11
Q
what is the management for erectile dysfunction
A
- erectogenic drugs
- vaccum constriction devices
- urethral suppositories
- penile implants
- sex therapy
12
Q
what are manifestations/causes of dyspareunia in women
A
- vaginal scars
- pain at the vulva
- allergic reactions
- skin conditions and infections
- inadequate lubrication
- thinning of vaginal wall with age
13
Q
what are the causes of dyspareunia with men
A
- adhesions under the foreskin
- allergic reactions
- infections
- prostate problems
- inflammation and scarring of the penis
13
Q
A
14
Q
treatment of dyspaneuria in women
A
- adress the underlying cause
- lubrication
- vaginal dilators
- pelvic floor physiotherapy
- topical meds
- sex and psychotherapy
15
Q
dyspaneuria treatment in men
A
- adress the underlying cause
- surgical interventions
- pain medications
- psychotherapy and sex therapu
16
Q
what are certain priority nursing problems with dyspaneuria
A
- unrewarding or inadequate sexual experinces
- alteratios in sexual desire, aroudal or orgasmic experiences or lack of satisfaction
- inadequate knowledge related to misinformation and sexual myth
- anxiety related to loss of sexual desire and function
17
Q
What is the PLISSIT model
A
P – Permission: Giving the patient permission to talk openly about their sexual concerns
L – Limited Information: Providing basic information about sexual health
I – Specific Suggestions: Offering tailored suggestions to improve sexual function
SS – Intensive Therapy: Referring the patient to specialized therapy or counseling (PRN)
18
Q
What are the steps for STI risk assessment and Management
A
- nursing assessment to diagnose risk factors
- pre-testing counselling
- testing
- results and post-testing counselling
- treatment, follow-up and health promotion
19
Q
what are questions to ask when determining risk factors
A
- socio-demographic information
- past medixal hx.
- sexual behaviours
- use of protection
- lifestyle habits
- exposure to other biological substances
- last sexual act with risk of STBBI
20
Q
what does pre-test counselling include
A
- the level fo risk and determine what screening is needed
- consent to screening such as modalities, legalities and if the test is positive
- preventitive health counselling
- plan a return visit
21
Q
which STBBIs are tested by swabbing the genetials
A
- chlamydia
- gonorrhea
22
Q
what type of STBBIs can be tested by the blood
A
- syphillis
- Hepatitis B and C
- HIV
23
Q
A
24
what is the post-test counselling for a negative result
- does not rule out infections, immunity and possibility of false negative
- vaccinations, prophylaxis and written information
- help the person make health sexual decision
- evelauate the need for follow-up
25
26
what is the post-test counselling of a positive result
- what is positive and the significance
- abstinence for infections period and the use of condoms
- follow-up regimen and repeats testing 3-6 months
- disclosure to partners
- plan follow-up visit
27
28
what is the post-test counselling for Hep B,C and HIV
- dicuss safe needle programs if they consume drugs
- abstain from giving bloods, no sharing of personal hygiene, take care of cuts and all objects in contact with blood
- avoiding alcohol
- referal to MD
29
what should the follow up include
- prescribe based on protocol
- refer to MD or NP if cannot prescribe
- Refer to support for Hep B and C
30
what is the assessment to be done before prescribing contraception
- medical history
- patient goals
- lifestyle and sexuality assessment
- presencer of contraindications to hormonal contraceptives (BP, pregnancy, PAP, bmi)
- risk factors or presence of STBBIS
31
what are natural methods of contraceptives
- coitus interruptus
- fertility awareness based methods
- lactation amenorrhea
- abstinence
32
what are advatages for condoms
- protect against STI
- available without prescription
33
what are disadvantages with condomns
- reduce sexual spontaneity
- slippages and breaking
- latex-allergies
34
which population is the cervical sponge the most effective in
women with no children since they have a smaller opening to their cervix
35
35
what are hormonal types of contraceptives
- oral contraceptives pills
- vaginal rings
- contraceptive patch
- injectable contraception
- intrauterine contraception
36
which medications reduce effectiveness of birth control
antibiotics
37
what is the teaching for someone starting oral contraceptives
- how it works and side effects
- take is every day at the same time
- beware of othe meds
- not a protection against STBBIs
38
what are contraindications for oral contraceptives
- pregnancy
- breastfeeding
- high blood pressure
- history of thromboembolism
- cardiomyopathy or stroke
- migraines
- diabetes and lupus
- breast cancer and hepatitis
39
what is the teaching for a contraceptive patch
- how it workd and side effects
- changes is every week x3 weeks and one week off
- place on buttox, stomcahs, back or upper arms
- avoid breasts
- can bathe and shower
- no protections from sti
40
what are contraindications for contraceptive patch
- same and pill
- BMI greater than 30
- cutaneous issues
41
teaching for vaginal ring
- insert x3 weeks and 1 week off
- does not protect against STI
42
contraindication of vaginal ring
- same as pill
- vaginal stenosis
- structural anomaly of vagina
- uterine prolapse
43
what are contraindications of IUD
- pregnancy
- septic abortion
- LUPUS or dm
- cancers
- uterine anomaly
- pelvic infection
- cirrhosis or hepatic tumour
- unexplained vaginal bleeding
- ischemic heart disease
44
what prescripbing rights do nurses have with contraception
- can initiate, adjust or renew prescription for hormonal contraception or IUD
- must follow protocole by Quebec
45
what type of symptoms would you refer someone who is on contraceptives
- significant abdominal pain
- thoracic pain and SOB
- significant headaches
- vision problems
- speech issues
- pain in lowe limb
- feeling IUD in vaginal or string change
- sudden fever or malaise
- ischmeic heart disease
46
47
what is the nursing role for sexual assults
priority #1 is to ensure safety
referal to disgnated. center
care, treatment and gathering forensic evidence
support, education and follow-ups
48
what is the care and treatment for sexual assaults
- STBBIS cultures and bloods
- preganacy test
- Adminsiter, ABX, PEPE, HGIB and hep B and plan b
- EMOTIONAL COUNSELLING
- ABUSE assessment
49
how do you gather forensic evidence for sexual assault
- H-T
- oral, anal and vaginal tissues examined
- saliva, hair and fingernail evidence collected
- any types of photography
