Sexual and Gender Identilty Dyshphoria

Question 1

Paraphilia’s- definition

Answer 1

Recurrent intense sexual urges, fantasies or behaviors that involve objects, activities or situations and causes clinically significant or impartment in functioning. it involves acts that are outside what society considers normal, necessary for the individual to experience sexual excitement.

Question 2

characteristics of paraphilia

Answer 2

present at least months, recurrent, intense, sexually arousing fantasies, sexually urges or behaviors, usually involve non human and non-consenting partners, frequent in males

Question 3

Sexual Aversion Disorder

Answer 3

persistent or recurrent extreme discomfort with or avoidance of most or all genital contact with a partner.

Question 4

Sexual aversion disorder manifestations

Answer 4

phobic reaction to real or anticipated sexual activity , common in women, nausea, diarrhea, profuse perspiration, and palpitations, and palpitations

Question 5

Interventions for sexual aversion disorder

Answer 5

build a trusting relationship with the patient so they can start to understand source of aversion, develop understanding of significance of the relationship.

Question 6

Frotterism Definition

Answer 6

Rub or touch non-consenting person, men usually

Question 7

Fetishism definition

Answer 7

Focus on objects ; ex shoes bras stockings intimately associated with a human body, associated with someone close to them in their childhood, usually a female, may replace a partner

Question 8

Gender identity disorder- definition

Answer 8

strong and persistent cross gender indemnification- show characteristics of and interest in activities of the opposite gender( from biological appearance) and relate better to opposite gender

Question 9

collaborative management in gender identity disorder

Answer 9

hormone therapy for 1-2 years after surgery, supportive before and after surgery, cognitive behavioral therapy- to teach and think like and behave like opposite sex

Question 10

Paraphilia general goal of nursing care

Answer 10

view as client with a disorder of behavior, deviation instead of judging the person, acknowledge acceptance of own sexuality, self restrain from impulsive or compulsive behaviors( limit setting), prevention of socially unacceptable behaviors, address major complain presenting problem often depression and sexual identity issues including personal judgment of self worth, optimize level of functioning social skills, prevention of self harm, ask client view of the impact the sexual disorder has on their current symptoms

Question 11

Paraphilia nursing interventions

Answer 11

journal feelings, identify triggers, mileu management - helps reduce client tendency to isolate, CBT- desensitization or averse conditioning ( noxious odors or frightening scenes during sexual fantasies , develop new sexual response pattern, reinforcement or aversion technique, teach it is an illness to family and client, convey acceptance and refer to specialists,

Question 12

Pharmacologic interventions for paraphilia

Answer 12

anti- androgens ; devo vera,
anti-testosterone ( best for those with high sex drive)
SSRI’s Fluvoxamine, TCA Clomipramine( anafranil)

Question 13

Male organismic disorder

Answer 13

persistent or recurrent delay in achieving orgasm after normal excitement. inability to ejaculate within the vagina with full arousal and penile erection

Question 14

Premature ejaculation

Answer 14

inability to delay ejaculation less than 5 minutes of coital entry

Question 15

female sexual arousal disorder

Answer 15

persistent or recurrent inability to maintain lubrication until completion of sexual activity
Interventions include to treat factors contributing, CBT, and referral to woman’s HCP

Question 16

What does PLISSIT stand for in sex therapy?

Answer 16

Permission, limited therapy, specific suggestions and intensive therapy.

Question 17

At what age does sense of maleness or females usually established ?

Answer 17

at age 3

Question 18

Transsexualism

Answer 18

stronger degree or level of gender dysphoria, individual wishes to change his or her anatomical sexual characters tics to those of the opposite sex

Question 19

Pedophilia

Answer 19

sexual act with pre-pubescent child(

Question 20

Voyeurism

Answer 20

“pepping tom” seek sexual arousal by viewing others in intimate situations, usually secretly, often addicted to porn also.

Question 21

Exhibitionism

Answer 21

illegal intentional display of genital in public space. hopes victim will be sexually aroused also, rarely contact victim

Question 22

transverse fetishism

Answer 22

sexual satisfaction by dressing opposite gender related to someone the individual is in close associated with. do not desire sexual gender change

Question 23

Sexual sadism

Answer 23

sexual satisfaction from physical or psychological suffering including humiliating the victim

Question 24

Sexual masochism

Answer 24

consenting partners for sadist, sexual satisfaction from being humiliated beaten, bound or made to suffer