Week 10: Sexual Assessment

Question 1

What Factors Influence sexual and reproductive health

Answer 1

• Individual
• Family- we teach how we been taught
• community (broad context)
• determinants of health
• culture
• policy

Question 2

Lifespan Considerations

Answer 2

• Childbearing years (should stop being said, not everyone has children or could have them at varying ages)
• newborns and infants
• children and adolescents
  - Tanner staging (watching out for land mark ages)
  - Puberty
  - Menarche (menstrations)
• Older adults
• cultural considerations

Question 3

Gathering a Sexual Health History

Answer 3

RAPPORT FIRST, ASSESSMENT LATER
- adopt their lingo
- ask open questions without obligation
- Consider your language
- reflect your own comfort level
- remain matter of fact
- client might be uncomfortable, work with it
- never make assumptions
- remain non-judgmental in your questions AND responses
- check body language and facial expressions

Question 4

What are the 3 decent Questions? (decent questions to ask)

Answer 4

1. have you been sexually active in the past year?
2. do you have sex with men, women, or both?
3. How many people have you had sex with in the past year?

Question 5

If they have multiple partners/new partners, what questions may you ask?

Answer 5

STI/HIV protection
- partners
- substance abuse
- history of STI
- Trauma/Violence
- Pregnancy plans/protection
- Sexual function and satisfaction
- anything else in concern

Question 6

If they have a long term monogamous partner, what questions may you ask?

Answer 6

• pregnancy plans/protection
• Trauma/violence
• Sexual function and satisfaction
• anything else of concern

Question 7

If they are not sexually active, what questions may you ask?

Answer 7

• past partners (if patient is new)
• anything else of concern

Question 8

What acronym is used for sexual risk assessment?

Answer 8

The 5 P’s (PPPPP)
- partners
- practice
- Past history of STDs
- Protection from STI’s
- Pregnancy plans

Question 9

Considerations of Sexual orientation & Gender Identity

Answer 9

• how does client identify?
• ask about preferred pronouns
• Don’t make assumptions about the client’s identification (pronouns/gender) and who they’re attracted to

Question 10

Physical Assessment

Answer 10

• The setting will changes the nurse’s role in physical assessment will vary depending on
• very intimate assessment
• Right to chaperone if desired
• Remember to strive for as much privacy as possible
• matter of fact approach
• Again, ne aware of language during the physical assessment - “relax”

Question 11

Screening for Abuse

Answer 11

• better to ask questions about specific behaviours because the word “abuse” can be misunderstood
• take the burden on yourself and allow patients the opportunity to share.
  - Sometimes, the people who have experienced “_____” as children were told to keep it a secret and that makes it hard for them to talk about it.
• Past abuse matters too. This is where the trauma and violence informed care is important

Question 12

Health Promotion

Answer 12

• safer sex guidelines immunizations (Gardasil-9 for HPV)
• Breast self examination
• Testicular Self Examination
• Pap smears
• PSA testing