Week 5: sexuality

Question 1

Define if these are true regarding sexuality
- Sexuality is unique to the individual
* Is the core of who we are, and is
dynamic throughout the lifetime
* Learning and understanding sexuality and sexual wellbeing of patients is an important part of providing holistic care
* How people experience and express themselves as sexual beings
* Includes how we express that sense of gender, whom we are attracted to, and who is attracted to us

Answer 1

all are true

Question 2

what type of care is important when we are thinking about sexuality in a patient

Answer 2

hollistic care is very important

Question 3

what is the definition of world health organization ?

Answer 3

“A central aspect of being human throughout life encompasses sex, gender identifies and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction.”

Question 4

select all that is true regarding world health organization

“A central aspect of being human throughout life encompasses sex, gender identifies and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction.

Sexuality is experienced and expressed in thoughts, fantasies, desires, beliefs, attitudes, behaviors, practices, roles and relationships.
While sexuality can include all of these dimensions, not all of them are always experienced or expressed.

Sexuality is influenced by the interaction of biological, phycological, social, economic, political, cultural, legal, historical, religious and spiritual factors.”

Answer 4

all are true

Question 5

Canadian institutes of health research definition

Answer 5

Sex refers to a set attributes in humans and animals.

Question 6

It is primarily associated with physical and physiological features including chromosomes, gene expression, hormone levels and function, and reproductive/sexual anatomy. Who’s definition is this created by ?

Answer 6

Canadian institutes of health research

Question 7

Define if this is true or false regarding sexuality by canadian institutes of health research :

Sex is usually categorized as female or male but there is variation, not reffered to as intersex.

Answer 7

false, it is referred to as intersex.

Question 8

These characteristics are defined by who’s organization?
* Sexuality is a word we use to talk about how we understand our bodies and how we understand our relationships.

• This understanding includes all aspects of who we are – our values and beliefs, bodies, desires, relationships, gender and our thoughts and feelings about all of these.
• Because our sexuality is made up of so many different components, our understanding of our own sexuality is ever-changing and unique to each person.

Answer 8

The sexuality education resource center of manitoba

Question 9

Sex is NOT the same as gender is that true ? ( SERC)

Answer 9

yes that is true

Question 10

select all that is true
Gender Definition by Canadian Institute of Health Research (CIHR)

• Sex is NOT the same as gender (SERC)
• Gender refers to socially or culturally defined ideas about masculinity and femininity. (SERC)
• Gender identity is about how someone thinks and feels about the gender they are. (SERC)
• Gender identity is self-determined, and may change over a person’s lifetime. (SERC)

Answer 10

all true

Question 11

what do we want to isolate as a society in terms of sexuality ?

Answer 11

the binary gender idea for example blue for a boy , pink for a girl

Question 12

what is SAAB ? and what does it stand for

Answer 12

sex assigned at birth is what it stands for

this is a medically assigned identity often attributed directly to the presence or absence of a penis

Question 13

What does this characteristics undergo to? :

Sex encompasses many traits that include genitals, chromosomal make- up, hormones and internal and external reproductive organs.

Answer 13

Sex Assigned at birth - SAAB

Question 14

true or false. Variation does not exist within sex assigned at birth.

Answer 14

false, it does!

Question 15

Sexuality includes multiple components including but not limited to what components ?

Answer 15

sexual attraction
romantic attraction
sexual behaviours

Question 16

define what sexual attraction
romantic attraction
sexual behaviours mean ?

Answer 16

the gender ( s) someone is physically attracted to

the gene(s) someone is emotionally attracted to

The gender (s) someone prefers to engage in sexual activities with.

Question 17

what are the sexuality spectrum that undergoes questioning and aromantic

Answer 17

questioning
- bisexual
-lesbian
-queer
-pansexual
-gay
-heterosexual;
-homosexual;
-asexual

Aromantic
- biromantic
-heteroromantic
-panromantic
-questioning
-gayromantic/homoromantic

Question 18

there are many components that need to be considered when discussing gender, such as what ?

Answer 18

gender identity
gender expression
gender reception

Question 19

gender identity
gender expression
gender reception
define what they mean

Answer 19

your internal sense of being a man, woman, both, neither or otherwise

how one presents their internal gender to the world. Includes dress, behaviours, mannerisms, hair, etc.

How others view/see your gender

Question 20

what undergoes gender spectrum

Answer 20

agender
man
woman
cisgender
nonbinary
pangender
genderqueer
genderfluid
feminine
androgynous
masculine

Question 21

what is asexual or ACE ?

Answer 21

are those that typically do not experience sexual attraction to other are not sexually dysfunctional

Question 22

Definitions related to the concept of sexuality :
define

bisexual
gay
gender identity
heterosexuality
homosexuality
intersex
lesbian
LGBTQ

Answer 22

a person who is attracted to two genders

men attracted to men.

the gender that a person sees oneself as
sexual, emotional, and or romantic

attraction to a sex other than your own

sexual, emotional , and or/romantic
attraction tot he same sex

clinical term which describes the biological state of having discordance in sexual rogans ( having both a penis and ovaries) referred to hermaphrodite before

a woman who is attracted to woman

lesbian, gay, bisexual. transgender, queer

Question 23

what is pansexual ?

Answer 23

a person who is fluid in sexual orientation and or gender or sex identity

Question 24

what is queer and sex and sex identity and sexual orientation?

Answer 24

queer= a term refer to the entire LGBTQ community

sex= a biological term refers to a person based on their anatomy

Sex identity = the sex that a person sees themselves as a person can refuse to labels themselves as a sex

sexual orientation - the deep seated direction of one’s sexual ( eortic) attraction. It is on a continuum and not a set of absolute categories, sometimes referred to as affection orientation or sexuality

Question 25

Trans female/woman

Answer 25

a male to female transition (MTF)

Question 26

Transgender

Answer 26

an adjective that applies to people who feel that their assigned sex ( biological sex ) does not amtch theit tru identity

Question 27

Transsexual

Answer 27

a clinical term that has historically has been used to describe those transgender people who sought medical intervention for gender affirmation

Question 28

trans male/man

Answer 28

a female to man transition

Question 29

what does 2SLGBTQIA+

Answer 29

2S= two spirit= within some indigenous cultures means a person wth both a feminine and masculine spirit living in the same body

+ ( plus ) = is inclusive of people who identify as part of sexual and gender diverse communities, who use additional terminologies

Question 30

define these terms :

transgender
and non binary

Answer 30

describes a person whose gender identity and sex assigned at birth do not correspond based on traditional expectations.

describes a person whose gender identity falls outside of the traditional gender binary structure

Question 31

what is NB or enby ?

Answer 31

non binary ( adjective)

Question 32

what is two-spirit ( noun)

Answer 32

two spirit peoples are individuals whose spirit embodied masculine and feminine traits

Question 33

in the following name what is wrong and what is right :

❑ There are only two genders
❑ Gender, gender identity and or expression
doesn’t change
❑ Everyone should be classified as male or female
❑Transgender individuals are confused or going through a phase
❑You must have hormone treatment or surgery to be transgender
❑All transgender individuals want to be on hormones or have gender affirmation surgery

Answer 33

they are all wrong, none of them is true. These are known as myths and false beliefs in the society.

Question 34

what is gender affirming care ?

Answer 34

According to WHO It encompasses a range of social, psychological, behavioral, and medical interventions “designed to support and affirm an individual’s gender identity” when it conflicts with the gender they were assigned at birth.

The interventions help transgender people align various aspects of their lives — emotional, interpersonal, and biological — with their gender identity.

Question 35

what is the umbrella that undergoes gender affirming care ?

Answer 35

• Using language and pronouns that affirm the clients gender identity
• Providing a clinical space which is welcoming to transgender/nonbinary individuals
• Having staff in all areas who are trained in gender affirming care
• Medical procedures that align with one’s gender identity and this can include surgery or hormone treatment Surgical procedures (mastectomy, phalloplasty, orchiectomy, facial feminization, filler injections) ,laser hair removal, hormone therapy, or counseling, social networking and support groups, social transition, legal transition.
• Gender affirming care is not just a new word for “sex change” or “sex- reassignment” but refers to the holistic approach that addresses a person’s mental and physical well-being.

Question 36

What are the techniques used for best practices for gender affirming care ?

Answer 36

a = never assume
a= ask the patient what they prefer to reffer to them
u= use neutral language
m= mirror the language they use
a= apologize if you use the wrong pronouns

Question 37

define if this is true or false when it comes to sexual response.

• In the past sexual response was indetified by physiological measures but since then pyschosocial and sociological factors including motivation and desire inform present day models of sexual response

Answer 37

true

Question 38

Sexual response
motivation–> arousal –> genital congestion–> orgasm–>resolution
define what these concepts mean

Answer 38

libido, sexual drive, desire–> “turned on”, release of neurotransmitters, sexual excitement–> parasympathethic nervous sytem, vaso-congestion, genital swelling—> pelvic floor contractions, ejaculation, neurotransmitters released —> sense of wellbeing, muscle relaxation

Question 39

Define which are true amongst age- related differences in sexuality

• Described as a developmental process beginning at conception and ending at death
• Sexuality Is influenced by the dynamic combination of biological, societal, cultural and familial factors
• Early awareness of sexual self as an aspect of self- identity begins in adulthood
• Development of human sexuality can be observed through the socially defined stages of childhood, preadolescence, adolescence and adulthood

Answer 39

the third one is false, it starts in infancy

Question 40

Common attributes of sexual development are

Answer 40

1. gender identity
   2.sexual response
2. capacity for meaningful, intimate relationships

Question 41

Age related differences
this is when sexual exploration of genitals, erections and vaginal lubrication occurs

• this is also when attitudes and behaviours by family are captured
• positive physical contact and quality of relationships develop

Answer 41

childhood ( birth to 7 years old)

Question 42

What happens in preadolescence ( 8 - 12 years) what do they develop in terms of sexuality ?

Answer 42

social division of boys and girls
- sexual curiosity with same sex
- many ids engage in masturbation 38-40%

Question 43

What happens in adolescence ( 13- 19 years) ?

Answer 43

puberty
learning and managed physical and emotional aspects
psychosocial factos
gender identity and sexual identity
sexual fluidity

Question 44

which stage is this ?
This is when sexual maturation
continues
effectively communicate
informed decisions
family planning
sexual lifestyles
sexual desire ongoing with age

Answer 44

adulthood ( 20 + years)

Question 45

what is the scope of sexuality

Answer 45

wellbeing ( sexual function )
ill- being ( sexual dysfunction )

Question 46

True or false. Practitioners often equate positive sexual functioning with the sexual response cycle rather than considering the psychological and emotional components of what truly makes up an optimal sexual encounter

Answer 46

true

Question 47

Sexual wellbeing ( sexual function ) define what is means

Answer 47

These findings illustrate that optimal sexuality is not necessarily about technique or skill but, rather, about attitude, positive behaviours and healthy relationships.

Question 48

sexual ill being ( sexual dysfunction )
what are the factors linked to it ?

Answer 48

physiological facctors
psychosocial factors
environmental factors
maturational factors

Question 49

What are some examples of sexual ill being of each categories ?
physiological facctors
psychosocial factors
environmental factors
maturational factors

Answer 49

physiological
- alternation in the physiological function of the body systems
- acute illness infection, surgery, trauma, loss of o=immobility, medications
-pregnancy
-process of aging

Pyschosocial factors
- adverse childhood events, trauma
-any stressor that impacts the human pysche has the potential to result in sexual dysfunction ( fear, anxiety)

Maturational factor
- Knowledge deficit ( related to sexuality, birth control, safer sex practices and changes with aging )
- lack of social skills can interfere with establishing intimate and social relationships necessary for growth and development

Environmental factors
- Environment pollutants and chemicals can depress sexual function
-Patient environment like social isolation and lack of privacy, absence of partner

Question 50

risk factors of sexual involvement
who’s population at risk?

Answer 50

Population at risk
- adolescents
-persons living with disabilities ( cognitive, developmental and physical
- newly unpartnered

Question 51

risk factors of sexual involvement ? who’s individuals at risk ?

Answer 51

those who do not practice” safe sex”
use of drugs alcohol and marijuana
-related to impaired judgement and less throughfulness related to sex
- underlying medical conditions- chronic health conditions or medications use
vulnerability - social location - risk for exploitation

Question 52

what are the 5 P’s for sexual health history ?

Answer 52

partners
practice
protection ( from infection)
past ( history of infection)
prevention ( of pregnancy)

Question 53

Nurse role in engaging in the topic of sexuality ( how we treat our patients )

We have Thinking back to sexual well being and sexual ill-being, what personal values, beliefs, cultural, family expectations, and experiences that might influence how you respond to sexuality
what else do you have to implement ?

Answer 53

check our biases, assumptions and judgements

nursing actions
- assessment
-primary intervention
-secondary intervention
-collaborative interventions interdisciplinary