SEXUALITY, LOVE, & BELONGING

Question 1

how to help pts who are with sexuality issues post MI & in other health-related situations

Answer 1

1. risk for fear following heart surgery for alterations in heart function
2. suggest when to resume activity & helpful positions

Question 2

gender role

Answer 2

outward expression of a person and sense of maleness/femaleness as well as expression of what is perceived as gender appropriate behavior

Question 3

gender identity

Answer 3

1. inner self-image of M/F
2. develops over time
3. imitate
4. role models
5. what I feel I am

Question 4

sexual orientation

Answer 4

preference for one sex or another

Question 5

strategies for effective assessment of needs R/T sexuality, love, & belonging

Answer 5

1. self-knowledge/comfort w sexuality
2. accept sexuality as important area for nsg intervention
3. work w clients
4. knowledge base of sexuality
5. communication skills
6. teaching

Question 6

WHO definition of a person who is sexually healthy

Answer 6

1. a state of physical, mental, & social well-being R/T sexuality
2. requires not merely the absence of dz, dysfunction, of infirmity

Question 7

Msg actions if a pt behaves in a sexually inappropriate way to the nurse

Answer 7

1. communicate that the behavior is not acceptable
2. set firm limits
3. refocus pt
4. report to change nurse
5. clarify consequence

Question 8

climacteric

Answer 8

1. differences in gender

2. reproductive capacity terminates (menopause & andropause)

Question 9

vaginismus

Answer 9

involuntary spasm of outer 1/3 of vaginal muscles making penetration painful or impossible

Question 10

impotence

Answer 10

AKA erectile dysfunction

-inability to achieve maintain erection long enough to engage in intercourse

Question 11

dyspareunia

Answer 11

pain during or after intercourse

Question 12

pedophilia

Answer 12

adult’s sexual desire for a child

Question 13

vulvodynia

Answer 13

chronic, unexplained pain in the area around the opening of the vagina.

often a burning sensation, this type of pain is usually provoked by touch or pressure, such as intercourse or prolonged sitting

Question 14

vestibulitis

Answer 14

an inflammation of the opening of the vagina, vulvar vestibule, and the periandular and sub epithelial storm characterized by a burning sensation and painful intercourse

Question 15

factors affecting a hospitalized pt’s love, belonging, & sexuality needs

Answer 15

1. new med (ED)
2. altered body image R/T trauma or disfiguration, impaired physical ability, loss of partner, lack of knowledge R/T sexual functioning & sterility

Question 16

NANDA Dx R/T sexuality needs

Answer 16

1. ineffective sexual pattern

2. sexual dysfunction

Question 17

teaching R/T STD & safe sex in general

Answer 17

1. safe sex
2. understand danger of STDs and benefits of using condom/birth control methods to reduce risk of pregnancy or dz
3. teach self-exam to promote early detection