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Health And Illness Exam 1 > Sexuality and STI’s Concept 22 & Chapter 52 > Flashcards

Sexuality and STI’s Concept 22 & Chapter 52 Flashcards

1
Q

Sexuality

A

Meaning the action or fact of being sexual, and sexual feelings which then transformed into sexual identity and sexual orientation.

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2
Q

Sex

A

One of four primary drives that also include thirst, hunger, and avoidance of pain

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3
Q

Sexuality acts

A

Occurs when behaviors include genitalia and erogenous zones

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4
Q

Sexual identity

A

Whether one is a male or female based on biological sexual characteristics

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5
Q

Gender identity

A

How one views ones gender as masculine or feminine, socially derived from experience with the family, friends, an society

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6
Q

Sexual orientation

A

How one views ones self in terms of being emotionally, romantically, sexually, and affectionately to an individual of a particular gender

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7
Q

Sexual heavier

A

How one responds to sexual impulses and desires

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8
Q

Highest risk for STI

A

Adolescents, intellectual and developmental disabilities, newly unpartnered, and LGBT communities

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9
Q

Female examination

A

Pelvic exams are very uncomfortable and vulnerable for the patients.
First one should occur at brith and should confirm the sex of the patient
Puberty and beyond is when the gynecologist exams begin

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10
Q

Clinical management

A

Reducing STI’s and prevention

Primary: Teach people how to improve and prevent illness, patient counseling, and referrals, vaccinations
Secondary: screening for STI’s, and intimate partner violence
Tertiary: collaborative interventions

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11
Q

Collaborative interventions (already happened)

A

Pharmacotherapy: Antibiotics, Hormone replacement therapy, Phosphodiesterase-5 inhibitors
Surgical procedures: hysterectomy, penile implant surgery, minor procedures
Cognitive-behavioral therapy

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12
Q

Reproduction

A

Are highly interrelated to sexuality. Puberty, contraception, STI’s, safer sex practices, fertility, and infertility

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13
Q

Sexual response

A

Motivation, arousal, genital congestion, orgasm, and resolution

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14
Q

STI’s

A

Are infectious diseases that are spread through sexual contact with the penic, vagina, anus, mouth, or sexual fluids of an infected person. Must UCLA tissues in the genitals, rectum, and mouth are especially susceptible to the bacteria and viruses that cause STI’s.

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15
Q

Bacterial infections

A

Chlamydial, gonorrhea, syphilis

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16
Q

Viral infections

A

Genial herpes, genetically warts, HIV, AIDS, Hep B and C, molluscum

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17
Q

Parasitic/protozoan infection

A

Trichomoniasis

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18
Q

High risk populations

A

Women, men who have sex with men, adolescents and young adults, victims of sexual assault

19
Q

High risk behaviors

A

Having new or multiple sexual partners, having more than one sexual partner, having sexual partners who have had others, sharing needles, alcohol or drug dependence or abuse, inconsistency or incurrent use of condoms or other barrier methods

20
Q

High risk medical history

A

Not being vaccinated, having one STI is a risk factor for getting another

21
Q

Incidence of STIs

A

African Americans represent 52% of cases of chlamydia and 47% of cases of syphilis, 39% herpes, 69% of gonococcal cases

22
Q

Factors influencing African American disparities

A

Social and economic disparities, fear and distrust

23
Q

Chlamydia infections

A

Most common STI in the US
Caused by gram-negative bacterium and intracellular pathogen. Exposure through exposure to sexual fluids during vaginal, anal or oral sex. Ejaculation does not have to occur for this infection to be transmitted

Treated by doxycycline (vibramycin) for 7 days

24
Q

Urethritis

A

Caused by chlamydia and is an infection in the males urethra

25
Q

Cervicitis

A

Infection in the fable cervix due to chlamydia

26
Q

Gonococcal infections

A

Approx 800,000 infections per year

Caused by a gram-negative bacterial. Can be transmitted by exposure to sexual fluids. Men in urethra and women in the cervix usually.

27
Q

Clinical manifestations of gonococcal

A

Women are usually asymtomatic, pain in joints, lethargic, has vaginal discharge after sex, vaginal bleeding, dysuria, and redness and swelling can occur

28
Q

Gonococcal conjunctivitis

A

Causes babies to go blind

29
Q

Trichomoniasis

A

Caused by a Protozoan (worm). One of the most common in the world. More common among women

Causes bleeding after sex, painful urination

30
Q

Genital herpes infection

A

Lifelong and incurable infection

HSV1 (waist up) cold sores
HSV2 (waist down) genital and leads to genital warts

31
Q

Primary episode of herpes

A

Incubation stage of 2 days to 2 weeks

32
Q

Predromal stage

A

The period before lesions appear, burning, itching, or tingling on site of inoculation

33
Q

Vesicular stage herpes

A

Multiple small and painful vesicles appear of buttock, inner thigh, penis, scrotum, etc.

34
Q

Ulcerative stage herpes

A

Lesions rupture and form shallow, moist ulceration

35
Q

Final stage of herpes

A

Spontaneous crusting and epithelialization of the erosions occur

36
Q

Drug therapy for genital herpes

A

Recurrent and Primary and suppressive: Acyclovir, valacyclovir, and famiciclover.
Sever infection: acyclovir IV until clinical improvement, followed by oral antiviral therapy

37
Q

Syphilis

A

The great pretender because It can mimic a number of other diseases

38
Q

Primary syphilis

A

Infectivity: highly infectious
Single or multiple chancres of penis, vulva, etc. 10-90 days after inoculation
Drainage of microorganisms into the lymph nodes
3-6 weeks long

39
Q

Secondary syphilis

A 
Flu like symptoms
Mucous patches in mouth, tongue or cervix 
Rash 
Anogenital condylomata 
1-2 years
40
Q

Latent syphilis

A

Noninfectious
Absence of signs or symptoms
Throughout life

41
Q

Late syphilis

A

Noninfectious
1-20 years after initial infection
Gummas (lesions affecting any organ of body)
Cardiovascular: aneurysms, heart valve insufficiency, heart failure, aortitis
Neurosyphilis: can occur at any stage of syphilis
General paresis: personality changes from minor to psychotic, tremors, physical and mental deterioration
Tabes dorsalis (damaged joints

42
Q

Nursing diagnosis for STIs

A

Risk for infection related to lack of knowledge about modes of STI transmission, failure to practice, safer sex, and engaging in other high-risk behaviors

Anxiety

Ineffective health maintenance

Lack of support

43
Q

Highest risk for HIV infection

A

Client who shares the same equipment to snort or smoke drugs

44
Q

Admitted after general paresis develops a complication of syphilis. Should be treated with

A

Penicillin therapy

Health And Illness Exam 1 (5 decks)

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