Sexuality and STI’s Concept 22 & Chapter 52

Question 1

Sexuality

Answer 1

Meaning the action or fact of being sexual, and sexual feelings which then transformed into sexual identity and sexual orientation.

Question 2

Sex

Answer 2

One of four primary drives that also include thirst, hunger, and avoidance of pain

Question 3

Sexuality acts

Answer 3

Occurs when behaviors include genitalia and erogenous zones

Question 4

Sexual identity

Answer 4

Whether one is a male or female based on biological sexual characteristics

Question 5

Gender identity

Answer 5

How one views ones gender as masculine or feminine, socially derived from experience with the family, friends, an society

Question 6

Sexual orientation

Answer 6

How one views ones self in terms of being emotionally, romantically, sexually, and affectionately to an individual of a particular gender

Question 7

Sexual heavier

Answer 7

How one responds to sexual impulses and desires

Question 8

Highest risk for STI

Answer 8

Adolescents, intellectual and developmental disabilities, newly unpartnered, and LGBT communities

Question 9

Female examination

Answer 9

Pelvic exams are very uncomfortable and vulnerable for the patients.
First one should occur at brith and should confirm the sex of the patient
Puberty and beyond is when the gynecologist exams begin

Question 10

Clinical management

Answer 10

Reducing STI’s and prevention

Primary: Teach people how to improve and prevent illness, patient counseling, and referrals, vaccinations
Secondary: screening for STI’s, and intimate partner violence
Tertiary: collaborative interventions

Question 11

Collaborative interventions (already happened)

Answer 11

Pharmacotherapy: Antibiotics, Hormone replacement therapy, Phosphodiesterase-5 inhibitors
Surgical procedures: hysterectomy, penile implant surgery, minor procedures
Cognitive-behavioral therapy

Question 12

Reproduction

Answer 12

Are highly interrelated to sexuality. Puberty, contraception, STI’s, safer sex practices, fertility, and infertility

Question 13

Sexual response

Answer 13

Motivation, arousal, genital congestion, orgasm, and resolution

Question 14

STI’s

Answer 14

Are infectious diseases that are spread through sexual contact with the penic, vagina, anus, mouth, or sexual fluids of an infected person. Must UCLA tissues in the genitals, rectum, and mouth are especially susceptible to the bacteria and viruses that cause STI’s.

Question 15

Bacterial infections

Answer 15

Chlamydial, gonorrhea, syphilis

Question 16

Viral infections

Answer 16

Genial herpes, genetically warts, HIV, AIDS, Hep B and C, molluscum

Question 17

Parasitic/protozoan infection

Answer 17

Trichomoniasis

Question 18

High risk populations

Answer 18

Women, men who have sex with men, adolescents and young adults, victims of sexual assault

Question 19

High risk behaviors

Answer 19

Having new or multiple sexual partners, having more than one sexual partner, having sexual partners who have had others, sharing needles, alcohol or drug dependence or abuse, inconsistency or incurrent use of condoms or other barrier methods

Question 20

High risk medical history

Answer 20

Not being vaccinated, having one STI is a risk factor for getting another

Question 21

Incidence of STIs

Answer 21

African Americans represent 52% of cases of chlamydia and 47% of cases of syphilis, 39% herpes, 69% of gonococcal cases

Question 22

Factors influencing African American disparities

Answer 22

Social and economic disparities, fear and distrust

Question 23

Chlamydia infections

Answer 23

Most common STI in the US
Caused by gram-negative bacterium and intracellular pathogen. Exposure through exposure to sexual fluids during vaginal, anal or oral sex. Ejaculation does not have to occur for this infection to be transmitted

Treated by doxycycline (vibramycin) for 7 days

Question 24

Urethritis

Answer 24

Caused by chlamydia and is an infection in the males urethra

Question 25

Cervicitis

Answer 25

Infection in the fable cervix due to chlamydia

Question 26

Gonococcal infections

Answer 26

Approx 800,000 infections per year Caused by a gram-negative bacterial. Can be transmitted by exposure to sexual fluids. Men in urethra and women in the cervix usually.

Question 27

Clinical manifestations of gonococcal

Answer 27

Women are usually asymtomatic, pain in joints, lethargic, has vaginal discharge after sex, vaginal bleeding, dysuria, and redness and swelling can occur

Question 28

Gonococcal conjunctivitis

Answer 28

Causes babies to go blind

Question 29

Trichomoniasis

Answer 29

Caused by a Protozoan (worm). One of the most common in the world. More common among women Causes bleeding after sex, painful urination

Question 30

Genital herpes infection

Answer 30

Lifelong and incurable infection HSV1 (waist up) cold sores HSV2 (waist down) genital and leads to genital warts

Question 31

Primary episode of herpes

Answer 31

Incubation stage of 2 days to 2 weeks

Question 32

Predromal stage

Answer 32

The period before lesions appear, burning, itching, or tingling on site of inoculation

Question 33

Vesicular stage herpes

Answer 33

Multiple small and painful vesicles appear of buttock, inner thigh, penis, scrotum, etc.

Question 34

Ulcerative stage herpes

Answer 34

Lesions rupture and form shallow, moist ulceration

Question 35

Final stage of herpes

Answer 35

Spontaneous crusting and epithelialization of the erosions occur

Question 36

Drug therapy for genital herpes

Answer 36

Recurrent and Primary and suppressive: Acyclovir, valacyclovir, and famiciclover. Sever infection: acyclovir IV until clinical improvement, followed by oral antiviral therapy

Question 37

Syphilis

Answer 37

The great pretender because It can mimic a number of other diseases

Question 38

Primary syphilis

Answer 38

Infectivity: highly infectious Single or multiple chancres of penis, vulva, etc. 10-90 days after inoculation Drainage of microorganisms into the lymph nodes 3-6 weeks long

Question 39

Secondary syphilis

Answer 39

``` Flu like symptoms Mucous patches in mouth, tongue or cervix Rash Anogenital condylomata 1-2 years ```

Question 40

Latent syphilis

Answer 40

Noninfectious Absence of signs or symptoms Throughout life

Question 41

Late syphilis

Answer 41

Noninfectious 1-20 years after initial infection Gummas (lesions affecting any organ of body) Cardiovascular: aneurysms, heart valve insufficiency, heart failure, aortitis Neurosyphilis: can occur at any stage of syphilis General paresis: personality changes from minor to psychotic, tremors, physical and mental deterioration Tabes dorsalis (damaged joints

Question 42

Nursing diagnosis for STIs

Answer 42

Risk for infection related to lack of knowledge about modes of STI transmission, failure to practice, safer sex, and engaging in other high-risk behaviors Anxiety Ineffective health maintenance Lack of support

Question 43

Highest risk for HIV infection

Answer 43

Client who shares the same equipment to snort or smoke drugs

Question 44

Admitted after general paresis develops a complication of syphilis. Should be treated with

Answer 44

Penicillin therapy