sexuality & family relationships

Question 1

sexual health

Answer 1

the integration of the somatic, emotional, intellectual, and social aspects of sexual being in ways that are positively enriching and that enhance personality, communication and love

Question 2

sexuality

Answer 2

how a person exhibits and experiences maleness or femaleness

Question 3

gender identity

Answer 3

the inner sense a person has of being male or female

Question 4

dysphoria

Answer 4

a diagnosis characterized by “a marked incongruence between” a persons gender assigned at birth and their gender

Question 5

heterosexual

Answer 5

sexual fulfillment with a person of the opposite gender

Question 6

homosexual

Answer 6

sexual fulfillment with a person of the same gender

Question 7

bisexual

Answer 7

sexual fulfillment with both opposite sex and same sex partners

Question 8

transgender

Answer 8

sex they are assigned at birth incompletely describes or fails to describe them

Question 9

developmental aspects of sexuality: infancy birth-18 months

Answer 9

given gender assignment, needs affection and tactile stimulation, gradually differentiates self from others, self-manipulation of genitals is a normal behavior

Question 10

developmental aspects of sexuality: toddler 1-3

Answer 10

develops gender identity; identifies own gender, establishes control over bowel and bladder

Question 11

developmental aspects of sexuality: preschooler 4-6

Answer 11

becomes increasingly aware of self, explores the body of self and others

Question 12

developmental aspects of sexuality: school aged 6-10

Answer 12

attachment to the parent of the opposite sex, tendency toward same sex friends, learning and reinforcement of gender appropriate behaviors most commonly derived from peers

Question 13

developmental aspects of sexuality: preadolescence 10-13

Answer 13

puberty begins for most boys and girls, menarche begins, may test behavioral limits

Question 14

developmental aspects of sexuality: adolescence 13-19

Answer 14

primary and secondary sex characteristics develop, may begin to take part in sexual activity, act risk for pregnancy and STIs

Question 15

developmental aspects of sexuality: sound adult 25-35

Answer 15

cohabitation and/or marriage, couples share financial responsibilities/ household tasks, develop own value system and respect values of others

Question 16

developmental aspects of sexuality: adult 35-55

Answer 16

bodily changes/ menopause, focus on quality; sexual satisfaction may increase, may have grown children/ empty nest

Question 17

developmental aspects of sexuality: late adult 55+

Answer 17

orgasms may become shorter/ vaginal secretions decrease, may feel need to conform to stereotypes regarding aging, fear of loss of sexual abilities, may require counseling about adapting to limitations

Question 18

heath related factors

Answer 18

STIs, sexual dysfunction, DM, CV disease, diseases of the joints and mobility, surgery and body image, spinal cord injury, chronic pain, medications

Question 19

obtaining sexual information

Answer 19

provide privacy, sit close, speak in a quiet, relaxed objective tone of voice, use eye contact & open body posture, opened ended questions then specific, use language used by the pt

Question 20

BETTER model acronym: B

Answer 20

bring up the topic of sexuality

Question 21

BETTER model acronym: E

Answer 21

explain that you are concerned with all aspects of pts lives

Question 22

BETTER model acronym: T

Answer 22

tell pt that sexual dysfunction can happen; that you will address their concerns

Question 23

BETTER model acronym: T

Answer 23

timing is important to address sexuality with each visit

Question 24

BETTER model acronym: E

Answer 24

educate pts about the side effects of their treatments

Question 25

BETTER model acronym: R

Answer 25

record your assessment and interventions in the pts medical record

Question 26

forms or sexual harassment

Answer 26

environmental (hostile environment); unwelcome sexually oriented and gender based behaviors, sexual bantering/ joking/ offensive pictures & language/ sexual innuendoes/ sexual behavior

Question 27

responding to pt advances: strategies for inappropriate client behavior

Answer 27

be self aware, confront and provide feedback to the patient, set limits, enforce stated limits, report and document the incident/ submit it to your supervisor

Question 28

responding to harassment

Answer 28

confront behavior immediately, document the behavior, consult your supervisor, file a grievance, seek legal advice if efforts are unsuccessful

Question 29

family definition

Answer 29

any group of people who live tougher and depend on one another for physical, emotional and financial support/ members share common values, occupy specific positions, interact over time and have diverse strengths and needs

Question 30

nuclear family

Answer 30

traditional family; two parents and their children

Question 31

extended family

Answer 31

includes aunts, uncles, and grandparents

Question 32

blended family

Answer 32

two parents and their unrelated children from previous relationships- may have a concern over speed at which all members must initially adapt to their new living arrangement

Question 33

single parent family

Answer 33

may be separated, divorced, widowed, or never married- availability of child care when a parent becomes ill is a major family concern

Question 34

cohabitated family

Answer 34

people living together without being married

Question 35

factors affecting family function

Answer 35

economic resources, homelessness, acute illness, chronic illness, abuse, substance abuse