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Fundamentals 2 Pt. 2 > T3: Sexuality and Intimacy (CH. 16) > Flashcards

T3: Sexuality and Intimacy (CH. 16) Flashcards

1
Q

Sex is a ___ subject with many older adults.

A

controversial

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2
Q

In the past there was very limited information on __.

A

sexuality

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3
Q

Replacement of estrogen and/or progestin hormone that is no longer being made by the body

A

hormone replacement therapy (HRT)

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4
Q

The permanent cessation of menses for at least 1 year

A

Menopause

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5
Q

The several years prior to the onset of menopause

A

Perimenopause

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6
Q

Time beginning 12 months after the last menstrual cycle

A

Postmenopause

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7
Q

When the topic of sex and older adults is confronted, much ___ and ___ concerning sex reappear.

A

ignorance

prejudice

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8
Q

One consequence of myths about sex in older adulthood is that older adults may not receive ___ as sexual beings.

A

respect

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9
Q

Myths, ignorance, ___, and prejudice are injustices

toward older adults.

A

misconceptions

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10
Q

Subtle or blatant violations of respect to older adults’ __ __.
are common

A

sexual identity

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11
Q

Older adults are entitled to same dignity and respect as sexual beings that are afforded to persons to other ___.

A

ages

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12
Q

Stereotypical views toward sex in late life lead to safe sex issues being ___.

A

ignored

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13
Q

Menopause is an important __ in a woman’s life.

A

transition

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14
Q

Menopause:

  • More than a ___ experience
  • Awakening of __, __, and __.
  • Physical beauty of youth versus inner beauty of __.
A

physiological
body, mind, and spirit
age

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15
Q

Effective management of physical aspects lead to a positive passage rather than __ detour of symptoms.

A

distressing

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16
Q

Symptoms related to estrogen loss and menopause:

A
  • hot flashes
  • fatigue
  • new onset of migraines
  • heart palpitations
  • restless leg syndrome
  • vaginal dryness, itching
  • insomnia
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17
Q

The issues of risks and benefits for various women when they use hormone therapy have been ___ clear.

A

less

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18
Q

With hormone therapy, there was evidence that many women experienced higher __ risks.

A

heart

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19
Q

Additional research findings suggested that women who started HRT within 10 years of menopause appeared to have a ___ risk of heart attack and breast cancer, whereas women who began taking hormones 10 or more years past menopause had a significantly ___ risk of heart problems.

A

lower

higher

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20
Q

People who take estrogen alone have a __ risk than if estrogen and progestin are taken together.

A

lower

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21
Q

___ play key roles in guiding women through changes with menopause.

A

Nurses

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22
Q

Self acceptance helps women realize the significance of caring for and nurturing ___.

A

self

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23
Q

With self-acceptance, impossible expectations and pretense can be __ __, unleashing more meaningful and creative aspects of later life.

A

let go

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24
Q

Self-acceptance can provide the security to broaden their perspectives and purposes and deepen their ___ with others and a higher power.

A

connections

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25
Q

Testosterone levels decline in men

A

Andropause

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26
Q

Does andropause occur in all men?

A

No

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27
Q

Low testosterone levels in older men can result in what 4 things?

A

reduced muscle

mass, energy, strength, and stamina

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28
Q

What are some changes that andropause can lead to?

A

Erectile dysfunction, breast enlargement, osteopenia,

osteoporosis, and shrinkage of testes

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29
Q

One misconception about sex is that older adults are ___

A

not interested in nor capable of sex.

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30
Q

Nurses ned to promote understanding of older adults’ ___.

A

sexuality

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31
Q

Medical and nursing assessments lack inquiry of sexual history and
___.

A

activity

32
Q

Health professionals lack ___ in discussing sex with any age group.

A

experience

33
Q

General pattern of sexual behavior remains ___ throughout life.

A

consistent

34
Q

Sexuality must be viewed in the context of individual’s __ __ experience.

A

total life

35
Q

Nurses need to recognize and respect sex-specific __ of older adults identity.

A

roles

36
Q

Sexuality encompasses more than just __ acts.

A

physical

37
Q

Intimacy include __, __, caring, and __.

A

love, warmth, and sharing

38
Q

Intimacy includes exchange of words and ___.

A

touch

39
Q

Intimacy can include feeling __ and __ by another person.

A

important

wanted

40
Q

Multiple __ have a significant effect on intimacy.

A

losses

41
Q

Regular sexual expression for both sexes is important in promoting sexual capacity and ___.

A

function

42
Q

Age-related changes do have impact on sexual ___.

A

function

43
Q

__, __, and __ variables have impact on older adults’

ability to remain sexually active.

A

Physical, emotional, and social

44
Q

Comprehensive nursing assessment includes sexual __.

A

history

45
Q

Sensitivity to sexual function and identity promotes ___.

A

wellness

46
Q

Lack of partner is particularly for ___.

A

women

47
Q

By 65 years of age, there are how many men to women?
By 85 years?

A
  • 7 men to 10 women


- 1 man to 5 women

48
Q

Most older ___ are married, and most older ___ are widowed.

A

Men, women

49
Q

Aging persons need realistic explanations that occasional impotence is ___ nor ___.

A

neither unusual nor an indication that one is “too old for sex.”

50
Q

Negative attitudes from society, fear of losing sexual abilities, concerns about body image, relationship issues, and misconceptions held by older adults themselves can impair __ __.

A

Sexual function

51
Q

Some adults fear over the potential loss of ___ ___ permanently.

A

Sexual function

52
Q

Commonly referred to as “impotence”

A

Erectile dysfunction

53
Q

Erectile dysfunction can have multiple causes, including:

A

atherosclerosis, diabetes, hypertension, multiple sclerosis, thyroid dysfunction, alcoholism, renal failure, structure abnormalities (e.g., Peyronie’s disease), medications, and psychological factors

54
Q

Discomfort, interference with ejaculation

A

Prostatitis

55
Q

What type of prostatectomy: Used for prostate cancer. May remove whole prostate.
A SHORT CUT IS USED FOR SURGEON TO INSERT TOOLS.

A

Open- type

56
Q

Inappropriate behavior, such as undressing and masturbating in public areas and grabbing and making sexual comments to strangers, can occur. They may accuse his or her spouse of being a stranger improperly trying to share the bed and may misunderstand care procedures for sexual advances. What disease is this associated with

A

Dementia

57
Q

disease is related to the following symptoms: Painful, dorsal bending of penis from fibrous scarring associated with inflammatory process.


A

Peyronie’s

58
Q

Andropause begins around the __ decade of life.

A

third

59
Q

Difference of andropause and menopause besides gender?

A

Andropause does not occur in all men and when it does occur, it is a slower process.

60
Q

When testosterone levels fall to low levels, the body increases the production of __ and __ in an effort to increase testosterone.

A

FSH and LH

61
Q

Menopause occurs for most women around the ___ decade of life.

A

Fifth

62
Q

__ occurs when estrogen levels fall and the reduced number of ovarian follicles lose their ability to respond to gonadotropic hormone stimulation.

A

Menopause

63
Q

When the ovaries decline in function, most estrogen is obtained through the conversion of __ to ___ in the skin and adipose tissue.

A

Androstenedione to estrone

64
Q

Before menopause, the main source of estrogen is __, which is produced by the ovaries

A

Estradiol

65
Q

ET (estrogen therapy) carries lower risk and can be used for approximately __ years.

A

7

66
Q

Estrogen can also be used to prevent ____

A

Osteoporosis

67
Q

There is a tendency for men to marry ___ women.

A

younger

68
Q

What are some psychological barriers for intimacy and the older adult?

A
  • negative attitudes from society
  • fear of losing sexual abilities
  • concerns about body image
  • relationship issues
  • misconceptions by older adults
69
Q

Nurses need to communicate and advocate for preserving sexual ___.

A

capabilities

70
Q

Which disease most commonly causes erectile dysfunction in the
older adult population?

A

Diabetes

71
Q

A chronic complication of diabetes is ___, which

can cause a decrease in innervation and thus erectile dysfunction.

A

neuropathy

72
Q

___ can affect potency, libido, orgasm, and ejaculation.

A

Medications

73
Q

Various ___ can affect sexual function.

A

medications

74
Q

The nurse should evaluate medications when new __ __ occurs.

A

sexual dysfunction

75
Q

Holding, caressing, and exchanging loving words as means for sexual ___.

A

satisfaction

76
Q

__ is beneficial for males.

A

masturbation

Fundamentals 2 Pt. 2 (26 decks)

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