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OCN Study > Sexuality > Flashcards

Sexuality Flashcards

1
Q

sexuality should be included in what type of assessment?

A

quality of life

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2
Q

what should be included in sexuality education?

A

possible changes in sexual function because of treatment, anticipatory guidance and suggestions for adapting to the changes expected

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3
Q

integrating the somatic, emotional, intellectual and social aspects of a sexual being is the definition of what?

A

sexual health

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4
Q

what are the components of the PLISSIT model for sexuality counseling?

A

P: permission
LI: limited information
SS: specific suggestions
IT: intensive therapy

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5
Q

one way for a nurse to give permission to the patient to discuss sexuality is by doing what?

A

initiate the discussion of sexuality and how the treatment may affect sexuality

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6
Q

what patient believes must be taken into account when giving specific suggestions about sexuality?

A

cultural and religious beliefs, value systems

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7
Q

what trimester of pregnancy is generally the safest to give chemotherapy?

A

2nd or 3rd

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8
Q

what country septums have a potential for infection in the neutropenic patient?

A

intrauterine devices IUDs, diaphragm

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9
Q

which contraceptive is not recommended in patients that have hormone dependent cancers?

A

hormonal birth control pills

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10
Q

which types of chemotherapy must be avoided during the first trimester of pregnancy?

A

antimetabolites, alkylating agents, folic acid antagonists, radio labeled monoclonal antibodies

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11
Q

can radiation therapy be given to pregnant women?

A

radiation therapy is usually delayed until after delivery, but can be given if fetus can be shielded

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12
Q

besides treatment for cancer, what other considerations must be made in the pregnant patient?

A

the type of diagnostic workup and follow-up tests that need to be done

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13
Q

is a CT scan or MRI more desirable in the pregnant patient?

A

MRI, because there is not radiation exposure

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14
Q

what types of blood tests may not be accurate in the pregnant patient?

A

serum tumor markers

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15
Q

what risks are increased in the fetus when chemotherapy is given?

A

low birth rate, mutagenesis, teratogenic effects

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16
Q

what risks should be assessed for the patient receiving active treatment?

A

thrombocytopenia, disseminated intravascular coagulation, premature delivery

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17
Q

what risks need to be addressed if a mother wants to breastfeed while receiving chemotherapy?

A

potential for immunosuppression, neutropenia to the baby, unknown effect on growth, possible risk of carcinogenesis

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18
Q

breast radiation may cause what problem to the breastfeeding mother?

A

decreased or no breast milk

19
Q

what chemotherapy drugs suppress good gonadal function?

A

lomustine, doxorubicin, melphalan

20
Q

men receiving treatment for Hodgkin’s disease with Adriamycin, Bleomycin, vinblastine, and dacarbazine usually recover fertility true or false

A

true

21
Q

how long may it take for reversal of fertility after receiving chemotherapy?

A

as long as four years

22
Q

high-dose chemotherapy has a low rate of permanent sterility true or false

A

false there is a high rate of permanent sterility

23
Q

does tamoxifen use decrease pregnancy risk?

A

no, and effective birth control needs to be taken during and two months after tamoxifen therapy

24
Q

what dose of radiation therapy to the pelvis leads to permanent sterility in males?

A

> 500 cGy

25
Q

what dose of radiation therapy to the pelvis leads to permanent sterility in females under the age of 40?

A

20 gy fractionated

26
Q

what surgical procedures may lead to changes in sexuality?

A

orchiectomy, penectomy, prostate surgery affecting the prostatic nerve plexus, prostatectomy, hysterectomy

27
Q

what is oophoropexy and how may it help prevent infertility?

A

it is the surgical fixation or suspension of an ovary and it may make it possible to avoid radiation to an ovary

28
Q

what may be done to help preserve male fertility?

A

freezing stem cells from testicular tissue of pre-pubertal males, sperm banking, shielding of gonads during radiation

29
Q

what type of counseling may be necessary for someone that loses fertility

A

grief

30
Q

what effects on sexuality May Androgen suppressive therapy have in males?

A

gynecomastia, feminization, erectile dysfunction, decreased fertility, penile atrophy, decreased libido

31
Q

what are the effects of hormonal therapy of women?

A

decreased vaginal lubrication, change in libido, masculinization, amenorrhea, menopausal symptoms

32
Q

what is the etiology of radiation induced sexual dysfunction?

A

fibrosis to the blood vessels and tissues

33
Q

how do neuropathies affect sexuality?

A

is the ability to touch and feel partner

34
Q

a prostate ectomy may lead to what problems in sexuality?

A

retrograde ejaculation, erectile dysfunction, diminished orgasm intensity, incontinence

35
Q

an orchiectomy may lead to what problems associated with the male genitalia?

A

trophy of the penis, they also decreased libido because of decreased testosterone

36
Q

a cystectomy may cause sexual dysfunction in men or women. What are the potential problems?

A

loss of vaginal lubrication or erectile dysfunction because of nerve damage, change in vaginal diameter and length

37
Q

mastectomy / lumpectomy may lead to sexual dysfunction because of what Associated changes?

A

numbness and affected breast, phantom pain in mastectomy patients, changes in body image

38
Q

how does head and neck surgery affect sexuality?

A

body image changes, changes in speech and communication, may not be able to move head, change and smell / taste, drooling

39
Q

what issues related to sexuality need to be discussed prior to or following ostomy surgery?

A

body image, decreased lubrication and blood flow due to vascular changes, odor

40
Q

a hysterectomy may cause what sexual changes in a woman?

A

Phantom uterine contractions, decreased libido and lubrication, Scar Tissue may cause discomfort with intercourse, body image

41
Q

what are the psychological factors that affect sexuality?

A

anxiety, fear, depression, change in affect / personality, grief, guilt, body image changes

42
Q

what are some physiological factors that may affect sexuality?

A

fatigue, pain, sleep deprivation, constipation / diarrhea, alopecia, fistulas, neuropathy, lymphedema, decreased vaginal lubrication, menopausal symptoms ECT.

43
Q

besides medications that manipulate hormones, what other medications may affect sexuality?

A

narcotics, sedatives, anticholinergic, benzodiazepine, antidepressants

44
Q

what medical interventions are available to help improve sexual functioning?

A

pelvic floor muscle exercise biofeedback, penile implants, penile injections, vacuum devices, vaginal reconstruction

OCN Study (11 decks)

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