Ch. 34 Sexuality

Question 2

the first three years of life are essential in the development of ?

Answer 2

gender identity. the child identifies with the parent of the same sex and develops a complementary relationship with parent of opposite sex

Question 3

when do children become aware of differences between genders

Answer 3

infancy and early childhood

Question 4

why should school aged children be well informed about emotional and physical changes associated with puberty

Answer 4

bc it decreases their anxiety as the changes start to happen if they already know what to expect

Question 5

what is important during school age years

Answer 5

education about puberty and how men and women act with one another

Question 6

what are the constant questions that puberty/adolescents ask

Answer 6

am i normal? will i be accepted?

Question 7

what is one reason many adolescents are sexually active

Answer 7

bc many believe that sex helps them achieve goals of intimacy, relationships, and pleasure

Question 8

should adolescents be held accountable for their decision making

Answer 8

yes

Question 9

what age group do individuals explore their primary sexual orientation (gay, straight, bi)

Answer 9

puberty/adolescents

Question 10

what age group lead to concerns about sexual attractiveness

Answer 10

middle age concern about looks

Question 11

what does perimenopausal lead to

Answer 11

dec levels of estrogen, diminished vag lubrication, dec vag elasticity

Question 12

what is dyspareunia

Answer 12

pain during intercourse

Question 13

inc age in men leads to

Answer 13

delayed ejaculation, inc in postejaculatory refractory period

Question 14

when do sex problems start happening

Answer 14

middle adulthood

Question 15

what is young adulthood a period for

Answer 15

more exploration of sex (positions, partners)

Question 16

when do ppl have to adjust to children leaving the house

Answer 16

middle adult hood

Question 17

what correllation is there between sexual activity and health in older ppl

Answer 17

positive correllation

Question 18

which forms of contraceptive require a prescription

Answer 18

hormonal contraceptives, IUDs, the diaphragm, the cervical cap, and sterilization

Question 19

how do hormonal contraceptives work

Answer 19

alter the hormonal environment to prevent ovulation, thicken cervical mucus, and thin the lining of the uterus

Question 20

who inserts an IUD

Answer 20

a health care provider

Question 21

what is the primary mechanism by which IUDs prevent pregnancy

Answer 21

contain copper or progesterone that stops the sperm from fertilizing the egg

Question 22

what does progesterone do to the uterus

Answer 22

inc cervical mucus thickness and alter the lining of the uterus

Question 23

how does a diaphragm work

Answer 23

provides a a barrier over the cervical opening

Question 24

women need to be refitted for a diaphragm after a change in how much weight gain/loss

Answer 24

more than 10 lbs

Question 25

which one can stay in the vagina longer? diaphragm or cervical cap

Answer 25

cervical cap. the diaphragm only goes in right before sex then comes out after

Question 26

other than abstinence which type of contraception is most effective?

Answer 26

sterilization like vasectomy or tubal ligation

Question 27

what is tubal ligation

Answer 27

female sterilization that involves cutting, tying the fallopian tubes

Question 28

what happens in a vasectomy

Answer 28

the vas deferens (whcih carries the sperm away from the testicles) is cut and tied

Question 29

In females, sterilization is referred to as __________ \_\_\_\_\_\_\_\_\_\_, whereas in males, it is referred to as \_\_\_\_\_\_\_\_\_\_.

Answer 29

tubal ligation, vasectomy

Question 30

About 19 million people in the United States are diagnosed each year with a sexually transmitted infection (STI); almost half of them are how old?

Answer 30

15-24

Question 31

Black and Hispanic populations are diagnosed with STIs more or less frequently than whites

Answer 31

more

Question 32

women have more or less complications associated with STIs than men

Answer 32

more

Question 33

People most likely to be infected share one key characteristic:

Answer 33

unprotected sex with multiple partners

Question 34

which STIs are caused by bacteria and are usually curable with antibiotics

Answer 34

Gonorrhea, chlamydia, syphilis, and pelvic inflammatory disease (PID)

Question 35

which STIs are viral

Answer 35

human papillomavirus (HPV) (genital warts) and herpes simplex virus (HSV) type II (genital herpes), human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS)

Question 36

How are STIs transmitted

Answer 36

during intimate sexual contact, Any contact with another person's body fluids around the head or an open lesion on the skin, anus, or genitalia can transmit an STI.

Question 37

common symptoms of STIs

Answer 37

include discharge from the vagina, penis, or anus; pain during sex or when urinating; blisters or sores in the genital area; and fever.

Question 38

HIV primary routes of transmission

Answer 38

include contaminated IV needles, anal intercourse, vaginal intercourse, oral-genital sex, and transfusion of blood and blood products.

Question 39

what is the primary infection stage of HIV

Answer 39

the first stage, lasts about a month, person experiences flulike symptoms

Question 40

what is the second phase of HIV and what happens

Answer 40

the clinical latency phase, there are no symptoms

Question 41

what is the last phase of HIV and what happens

Answer 41

AIDS, begins to show symptoms of disease, if left untreated die within 10 years

Question 42

Most common STI in United States

Answer 42

Human papillomavirus infection (HPV):

Question 43

how is HPV spread

Answer 43

spread through direct contact with warts, semen, or other fluids

Question 44

most HPV infections are ?

Answer 44

asymptomatic and self limiting

Question 45

where are genital warts commonly found

Answer 45

in cervix and vagina of woman; on penis and scrotum of male

Question 46

what is the most commonly reported bacterial STI

Answer 46

chlamydia

Question 47

why do Most chlamydia infections go undiagnosed and untreated

Answer 47

bc its asymptomatic

Question 48

which population is less likely to use condoms and more likely to progress to AIDS from HIV due to lack of treatment

Answer 48

latinos

Question 49

how many pregnancies are unplanned

Answer 49

half of all

Question 50

factors that influence contraceptive effectiveness

Answer 50

method of contraception, couple's understanding of the method, consistency of use, compliance with method's requirements.

Question 51

what age group do the unplanned pregnancies occur most in

Answer 51

teenagers and women over 40

Question 52

D. Caucasian women aged 42 to 53

Answer 52

Answer: A+B Hispanic women aged 15 to 24 + African American men aged 15 to 24

Question 53

what is infertility

Answer 53

Inability to conceive after 1 year of unprotected intercourse

Question 54

Cues that raise a question of possible sexual abuse include

Answer 54

extreme jealousy and refusal to leave a woman's presence

Question 55

the overall appearance of the person accused of sexual abuse is:

Answer 55

sometimes that of a very concerned and caring husband or boyfriend, when the underlying reason for this behavior is very different.

Question 56

One of the most common sex problems affecting women of all ages is

Answer 56

hypoactive sexual desire disorder (HSDD).

Question 57

The incidence of sexual dysfunction in the general population is estimated to be as high as ?% in men and ?% in women.

Answer 57

40 men, 45 women

Question 58

an age related decrease in testosterone often results in

Answer 58

decreased tone of the erectile tissues

Question 59

what does the PLISSIT assessment help nurses discuss with their patients

Answer 59

helps nurses discuss a patients sexuality issues

Question 60

most nursing interventions that enhance sexual health require?

Answer 60

providing education

Question 61

D. Include questions related to sexual function.

Answer 61

D

Question 62

True or False: Chlamydia is the most common STI in the United States.

Answer 62

Answer: False

Question 63

? and ? create situational stressors that often affect a person's sexuality.

Answer 63

illness, surgery