Sexuality and Spirituality Flashcards

1
Q

What is Sexual Identity?

What is Gender Identity?

What is Sexual Orientation?

A

Sexual identity - gay, lesbian, bisexual, straight

Gender identity - male, female, both, neither

Sexual orientation - Who a person is emotionally, romantically, or sexually attracted to (e.g., heterosexual, homosexual, bisexual, asexual).

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2
Q

Describe Sexual Development throughout the Lifespan:

Infants
Adolescence
Young/middle adult
Older adults

A

Infants - know their gender

Adolescence - periods, balls drop, hips and breasts develop

Young/middle adult -Sexual activity

Older adults -
May define sexuality more broadly to include
hugging, romantic gestures (giving roses), comfort
warmth, dressing up, joy, spirituality
-Interest in sexual activity is not lost

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3
Q

What are some Factors influencing/impacting Sexuality?

A

1) Family
2) Culture
3) Religion
4) Personal Ethics
5) Health & Illness
6) Medication Effects

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4
Q

Which Clients are at Risk for Altered Sexual Functioning?

A
  • altered body (pregnancy)
  • surgery
  • impaired physical ability from illness, injury
  • side effect of medication
  • physical, psychosocial or emotional or sexual abuse
  • loss of partner
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5
Q

What is the FICA spiritual history Tool?

A

Used to assess a person’s spirituality.

F – Faith/Belief: “Do you consider yourself spiritual or religious?”

I – Importance: “How important is your faith or beliefs in your life?”

C – Community: “Are you part of a spiritual community?”

A – Address in care: “How would you like me to address these in your healthcare plan?

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6
Q

When planning goals for the patient to improve their sexuality, what are some common goals nurses use?

A

-Prevent STDs
- increase knowledge of sexuality & sexual health
-increase satisfaction with level of sexual functioning
-avoid sexual harrassement
-prevent pregnancy

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7
Q

What are two sexual health self examinations the patient can do if the nurse provides teaching?

A
  • Breast Awareness & Mammography
  • Testicular Self Examination
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8
Q

what is the PLISSIT model?

A

PLISSIT = way for nurses to address sexual health concerns.

P – Permission: Give the person permission to talk about their concerns.

LI – Limited Information: Provide basic, relevant info about the issue.

SS – Specific Suggestions: Offer practical advice or tips tailored to their needs.

IT – Intensive Therapy: Refer to a specialist if deeper help is needed.

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9
Q

What is spirituality?

A

-belief in or relationship with some higher power, force, divine being

  • having meaning & purpose in one’s life through connection with others, nature or
    supreme being, drawing on inner resources
  • feeling of connectedness with self, others or something beyond self
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10
Q

True or false: religion and spirituality are the same

A

false

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11
Q

What is the T.R.U.S.T Model for Spiritual Assessment and care?

A

Use the trust model to find out a patient’s spiritual needs:

Traditions (What healing traditions are meaningful for the
patient?)

Reconciliation (What unresolved issues or trauma might be
reconciled?)

Understandings (What patient beliefs influence their health?)

Searching (How is the patient making meaning of their
illness and suffering?)

Teachers (What resources or referrals would be helpful?)

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12
Q

True or False: its more important for nurses to understand instead of assess a patients’ spirituality

A

True

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13
Q

Which of the following answers best demonstrates caring for a
patient’s spiritual needs?

a. Having the same beliefs as the patient
b. Praying for the patient
c. Accepting the patient’s beliefs and experiences
d. Calling for a religious leader if the nurse determines a need

A

C

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14
Q

Which statements are true when considering the spiritual practices of the patient? (Select all that apply.)

a. They have no place in the health care setting.
b. They provide structure and support for the patient.
c. They can be a barrier to providing nursing care.
d. There are many different types.
e. They are dependent on religious beliefs.

A

B D

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15
Q

Which of the following statements best describes establishing presence with a patient?

a. Offering a closeness—physically, psychologically, and spiritually
b. Offering touch
c. The nurse sharing their own spiritual beliefs
d. Performing procedures

A

A

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16
Q

Which of the following best describes spirituality?

a. A structured search for God
b. A different word to describe religion
c. An appropriate term to describe atheists
d. Commonly identified as meaning, purpose, and connectedness

A

D

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17
Q

Which of the following best describes spiritual assessment?

a. It is structured and follows a specific process.
b. It can only be done by a spiritual care provider.
c. It should be flexible, and the depth of the assessment is dependent on the circumstances.
d. It is the first component of the nursing assessment.

A

C

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18
Q

Which of the following best describe relational practice? (Select all that apply.)

a. Creates the environment for spiritual care
b. Allows the nurse to create clear boundaries
c. Is unlikely if the patient and nurse hold different spiritual beliefs
d. Is not a component of spiritual care
e. Is respectful, compassionate, and authentic inquiry into the
experience of another

19
Q

How can nurses develop and maintain their own spirituality?

A

Use spiritual practices like:
* Reflective journaling
* Meditation or prayer
* mindfulness (awareness of the prent moment/ be present)

20
Q

What is religion?

What is spirituality?

A

Religion - an organized system of beliefs by a group of people

Spirituality - personal beleifs

21
Q

True or false: Sexual development is a process beginning in infancy and
involves some level of sexual behaviour or growth in all developmental stages.

22
Q

True or false: The physiological sexual response changes with aging, but aging does not lead to diminished sexuality.

23
Q

Sexual health refers
to:
a. Having no STIs
b. Awareness of and positive attitudes toward sexual functioning
c. Using contraception all the time
d. Frequent sexual activity
e. Abstinence from sexual activity

24
Q

Inability or difficulty in sexual functioning caused by numerous factors is called:

a. Sexual behaviour
b. Sexual response
c. Sexual identity
d. Sexual orientation
e. Sexual dysfunction

25
Erectile dysfunction is a common adverse effect of which of the following? (Select all that apply.) a. Antihypertensive medications b. Heart disease c. Depression d. Exercise e. Diet
A B C
26
Gender identity is the individual’s: a. Sexual behaviour b. Sexual orientation c. Sense of being a woman, man, non-binary, or gender-fluid d. Sense of preferring one gender over another e. Sexual identity
C
27
The most valuable tool that the nurse can use when providing sexual health care is: a. Knowledge of right and wrong sexual behaviours b. Effective, nonjudgemental communication c. Nursing diagnoses d. Firm personal convictions about what constitutes normal sexual behaviour e. Referral to a physician
B
28
When the nurse is gathering a sexual history from an older person, they must keep in mind that: (Select all that apply.) a. Older persons do not usually participate in sexual activity. b. Older individuals with male genitalia always lose fertility. c. Older persons may have difficulty discussing intimate matters. d. Nurses may hold assumptions and biases about older people’s sexuality. e. Both older individuals with male and female genitalia are sexually dysfunctional
C and D
29
A nurse is providing education about changes in sexual response with age. Which statement made by the patient indicates the need for further information? a. “Health conditions such as diabetes and hypertension have little effect on sexual functioning and desire.” b. “It usually takes longer to reach an orgasm.” c. “Many medications can interfere with sexual function.” d. “Most of the normal changes in function are related to alterations in circulation and hormone levels.” e. “As people age, sexual function and desires may change.”
A
30
What is sexual behaviour? Sexuality Behavior High Risk?
masturbation, hugging, kissing, manual stimulation of a partner, vaginal or anal penetration, oral-genital stimulation, oral-anal stimulation, sexual excitement while looking at erotica, and telephone or “cyber” sex Risk for infection, unintended pregnancy, or injury is increased. Unsafe sex includes anal-penile or vaginal-penile intercourse without a condom
31
What would you do if you were touched inappropriately by one of your Patients?
-Determine reason for behaviour -do not ignore or overlook what is happening -Communicate clearly and firmly that behaviour is unacceptable & will not be tolerated -Set firm limits using direct eye contact & say "Don't do that" -Identify the behaviour that you expect: E.g. My name is _____, please call me by name and not “honey” “Please keep yourself covered” -report it
32
To holistically care for patients, nurses must understand the difference between religion and spirituality. How does religious care help patients? A. It maintains their belief systems and worship practices. B. It helps them develop a relationship with a higher being or life force. C. It establishes a cultural connectedness with the purpose of life. D. It achieves the balance needed to maintain health and well-being.
A
33
True or False: Patients with healthy inner spirtuality were less likely to experience depression and interpersonal conflicts
true
34
What is palliative care?
End of life care that aims to releive suffering
35
What is an advanced directive?
A plan for someones end of life. It may include a DNR and a substitue decision maker.
36
What is holism?
unity and balance of the mind, body, and spirit and social dimensions we more than the sum of the component parts
37
What is the difference between maintaining and developing spirituality?
Developing - learning what gives your life meaning and purpose Includes recognizing when you feel most connected, peaceful, or purposeful. Maintaining - sustaining and nurturing what you’ve already discovered Involves ongoing practices like journaling, meditation, prayer, nature walks, etc.
38
What is presence?
Being fully present in the moment
39
What is transcendance?
an awareness of something beyond oneself that gives meaning in life’s experience
40
when it is necessary for a nurse to involve a spiritual leader or make a referral to a spiritual care provider?
When the patient has spiritual distress If the patient asks for spiritual support
41
Consider the perspective of spirituality when caring for Indigenous peoples (Elders/healers)
Respect the role of Elders and Healers Acknowledge the harm of colonization & residential schools Understand that spirituality is deeply connected to all parts of life Support traditional practices and culturally safe care Follow the Calls to Action for reconciliation in health care
42
True or False: The CNA does not have scientific evidence stating that spirituality is linked to positive health outcomes
False
43
Is it appropriate to share my own beliefs with patients, whether they are the same or different from theirs?
Only share your beliefs if the patient asks and it’s beneficial to them Always center the patient’s needs, not your personal views Provide nonjudgmental support
44
How do I respond to what I perceive to be unhelpful spiritual beliefs (e.g., when individuals feel that they are being punished by God or resist health care treatment because they believe they will be divinely healed)?
Respect the patient’s right to make informed decisions, even if they conflict with medical advice Educate without judgment to support understanding and choice Continue care with compassion and respect, regardless of the belief