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Nurs 243 > TEST 4 > Flashcards

TEST 4 Flashcards

1
Q

Intimate partner violence

A

Psychological, physical, or sexual harm by current or former spouse or partner​

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2
Q

Psychological abuse​

A

Criticize, insult, humiliate, or ridicule; destroy another’s property; threaten or harm pets; control or monitor spending and activities; or isolate person from family or friends

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3
Q

Children of intimate partner violence (IPV) victims:

A

“secondary victimization”​

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4
Q

Sexual violence/assault​

A

Any form of non-consenting sexual activity​

Rape is most severe form of sexual assault

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5
Q

Stalking​

A

Repeated unwanted contact, attention, and harassment​

Crime of intimidation

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6
Q

Exhibitionism​

A

abuser shows a body part

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7
Q

Voyeurism

A

Wants to see child naked/performing acts

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8
Q

Social learning theory (intergenerational transmission of violence)

A

Children witnessing violence in homes often perpetrate violent behavior in families as adults

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9
Q

What would be the nursing assessment for a victim of violence

A

Conducting a safety assessment first​

The Danger Assessment Screen

Screening for violence and abuse​

Physical health assessment​

Sexual assault nurse examiner (SANE)​

Emergency contraception, or prophylactic treatment for HIV or sexually transmitted diseases

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10
Q

Sexuality

A

Life force that encompasses all that is male or female

Sensuality, pleasure and pleasuring, intimacy, trust, communication, love and affection, attractiveness

Influence on self-concept and how one relates to others

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11
Q

Biosexual identity:

Gender identity:

Sex role identity:

Sexual orientation:

A

Biosexual identity: anatomy and physiology of being male or female​

Gender identity: conviction of belonging to male or female gender​

Sex role identity: gender role; outward expression of gender​

Sexual orientation: sexual attraction to opposite, same, or both sexes

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12
Q

Sex-determining gene

In boys -

In girls - ​

After the male organs are formed, a temporary rise in …

A

on Y chromosome​

In boys, testosterone present, leading to formation of penis, prostate, and scrotum​

In girls, absence of testosterone leading to formation of ovaries​

After the male organs are formed, a temporary rise in testosterone levels causes permanent sexual organization of the brain (different than in girls) reflected in behaviors after birth​

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13
Q

Sexual desire:

Parasympathetic control of ​

Sympathetic control of

Sex hormones:

During sexual arousal:

A

Sexual desire: integration of CNS and autonomic nervous system​

Parasympathetic control of arousal ​

Sympathetic control of orgasmic discharge​

Sex hormones: influence on desire for both genders​

During sexual arousal: increased heart rate, blood pressure, respiration, and myotonia for both genders

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14
Q

Male sexual response

3 steps

Arousal and ejaculation facilitated by…

A

1st - Visual stimulation, fantasies, memories or physical stimulation  parasympathetic release of chemicals​

2nd - Dilation of penile arteries  inflow of blood to corpora cavernosa + high intrapenile nitric oxide  stiffening and elongation of the penis​

3rd -Continued stimulation  semen emission and ejaculation​

Arousal and ejaculation facilitated by dopaminergic activity; inhibited by serotonergic systems

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15
Q

Woman sexual response

3 steps

A

1st - Fantasies, visual stimulation, and physical stimulation leading to sexual arousal​

**Physical stimulation appears to be more important​

2nd - Parasympathetic release  increased blood flow to female genitalia leading to lubrication of vagina and some enlargement of the breasts and clitoris​

3rd - Estrogens and progestins are involved in female sexual functioning; androgens are needed by both genders to maintain arousal

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16
Q

Sexual health/wellness

A

“a state of physical, emotional, mental and social well-being in relation to sexuality.”

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17
Q

What can lead to sexual dysfunction

A

Unhealthy lifestyle and obesity, tobacco smoking, alcohol-use and – substance-use disorders and chronic stress

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18
Q

The DSM-5 identifies the following as sexual disorders: ​

4 - MEN
3 - FEMALE

A

-delayed ejaculation (DE),
-erectile disorder,
-male hypoactive sexual desire disorder,
-premature ejaculation (PE)​

-female orgasmic disorder,
female sexual interest/arousal disorder,
-genito-pelvic pain/penetration disorder​

19
Q

Female Orgasmic disorder

Define
Etiology
Care
Safety issues:

A

Inability to experience orgasm​
​
-Genital or pelvic pathology, trauma, surgery​, Systemic diseases, chronic pain, general debility​

-CNS depressants, psychiatric disorders, inflammatory disorders, pregnancy, antidepressants, antihypertensives, substance use​

-Sexual anxiety and guilt, anger, hostility or indifference to partner, depression, excessive or intrusive thoughts​

-Cultural expectations, religious prohibitions

SAFETY: Suicide ideation

20
Q

What are the psychosocial interventions for female orgasmic disorder

A

Psychosocial Interventions​
Counseling​
Sex education​
Problem solving​
Referrals​
Education ​
Health care practices​
Dynamics of sexual responses

21
Q

Male orgasmic disorder

Define
Etiology
Care

A

Persistent or recurrent delay in achieving orgasm after normal excitement​. Can include PE and erectile dysfunction​

Often viewed as psychological reaction to negative attitudes about sex, interpersonal problems, or fear of consequences​

Specialized counseling​ / Vibratory and electrical stimulation​ / Psychotherapy

22
Q

Ejaculatory dysfunction

Define
Etiology
Care

A

PE: Inability to control ejaculation before or shortly after penetration

Cause: Unknown

Care: Medication and behavioral strategies

23
Q

Erectile dysfunction

Define
Etiology
Care

A

Inability to achieve or maintain erection sufficient for satisfactory completion of sexual activity​

Biologic theories​

Psychological theories​

Care: Pharmacologic agents & Behavioral interventions

24
Q

What are the interventions for erectile dysfunction

A

Lifestyle changes: adequate nutrition, rest, exercise, weight loss if necessary​

PDE5 inhibitors (sildenafil, vardenafil, tadalafil, and avanafil)​

Intracavernosal pharmacotherapy​

Alprostadil microsuppository

25
Q

Female sexual arousal disorder

Define
Interventions

A

Persistent or recurrent inability to attain or maintain adequate lubrication–swelling response until completion of sexual activity​

Intervention: Focus on factors contributing to lack of arousal & Cognitive behavioral therapy ​

26
Q

Male hypoactive sexual desire disorder

Define
Etiology
Treatment

A

Uninterested in sex, inability to be “turned on,” no sexual gratification​

Associated with psychological distress, stressful life events, relationship difficulties or medication​

Treatment approaches may include individual and couples therapy, sex-therapy techniques, clinical hypnosis, cognitive behavioral therapy, guided fantasy exercises, and sexual assertiveness training

27
Q

Genito-pelvic pain/ penetration disorder

A

persistent or recurrent difficulties with vaginal penetration during intercourse, marked vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts, or significant fear or anxiety about the vulvovaginal or pelvic pain in anticipation of, during or as a result of vaginal penetration ​

28
Q

Dyspareunia​

Vaginismus​

A

Dyspareunia​

Genital pain associated with sexual intercourse​

Vaginismus​

Psychologically induced spastic, involuntary constriction of the perineal and outer vaginal muscles

29
Q

Paraphilas

Define
Types
Treatment

A

“intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners characterized by recurrent, intense sexual urges, fantasies, or behaviors involving unusual objects, activities, or situations” ​

Include voyeurism, exhibitionism, frotteurism, sexual masochism, sexual sadism, pedophilia, and fetishism, disorders (see Table 35.1)​

Treatment of paraphilias is rarely sought by the individual; rather, it is a result of the psychosocial or criminal ramifications​

Often found to be chronic and lifelong

30
Q

voyeurism

A

peeping on other people

31
Q

exhibitionism

A

Flash private parts

32
Q

frotteurism

A

Rub up on people in a sexual way in crowded areas

33
Q

Gender dysphoria

A

Strong and persistent identification with the opposite sex and desire or perception that one is of that gender​

Persistent discomfort about one’s assigned sex or sense of inappropriateness in the gender role of that sex

34
Q

Steps in Masters and Johnson human sexual response cycle

Excitement
Plateau
Orgasm
Resolution

A

Excitement - erotic feelings lead to penile erection and vaginal lubrication

Plateau - sexual pleasure, increased muscle tension, HR, and blood flow to gentiles

Orgasm - ejaculation / rhythmic contractions

Resolution - gradual return of organs and body systems to nonaroused state

35
Q

What is the dual control model for sex

A

focuses on individual variability and proposes that sexual responses involve an interaction between sexual excitment and sexual inhibition

36
Q

FDA approved drug for generalized hypoactive sexual desire disorder

A

flibanserin

drug studied for premenopausal woman

37
Q

Fetishism

A

Object such as underwear or foot apparel used for sexual arousal

38
Q

Sexual masochism

hypoxyphilia

A

act of being humiliated, beaten, bound

hypoxyphilia - oxygen deprived by noose, bag, chest compression or drug

39
Q

Sexual sadism

A

Causing physical or psychological suffering to another

Restraints, rape, burning, stabbing, strangle, torture and murder

40
Q

What are the goals of treatment for co-occuring disorders

A

Comprehensive recovery plan for the complex problems presented

41
Q

What is the flow of clinical course and relapse for co-occuring disorder

A

-Psych symptoms occur
-Symptoms worsen
-Coping is ineffective
-Anxiety and increased discomfort
-Substance abuse
-Consequences occur
-Abstinence is attempted

42
Q

What are the stages of treatment for co-occuring disorder

A

Engagement​

Persuasion or motivation​

Active treatment​

Relapse prevention

43
Q

What is Assertive Community Treatment ACT?

A

Expeiernced professionals (psych nurse, psychologist, etc) go to high risk individuals

Help with finding housing, individualized plans to manage stress, etc

44
Q

What personality disorder is the highest risk for developing a co-occuring substance abuse disorder

A

antisocial personality disorder

Nurs 243 (7 decks)

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