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303 Final Exam

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cdunbar4's version from 2016-08-08 02:57

Section

Sexuality
Question Answer
5 components of sexual health:1. Sexual self-concept 2. Body image 3. Gender ID 4. Gender role behavior; 5. Freedoms & responsibilities
Sexual characteristics + NC: Birth-18m given gender assignment M or F; genitals sensitive to touch; males have erections, females have vaginal secretions. NC: self-manipulation is normal
Sexual characteristics + NC: Toddler 1-3 years continues develop gender ID and able to ID own gender. NC: body exploration is normal, use names for body parts
Sexual characteristics + NC: Preschooler 4-5 years more aware of self, explores own and others body parts; learns to control feelings & behavior; focuses love on parent of other sex. NC: answer ?s about where babies come from with simple answers. Overreaction of parents to exploration of genitals can lead to feelings that masturbation is "bad"
Sexual characteristics + NC: School age 6-12 years Relates more to parents & friends of same gender; ↑ self-awareness; desires privacy and continues self-stimulation. NC: provide ample opportunity for discussions about sex and reproduction for parents and child. Answer any questions with factual data.
Sexual characteristics + NC: Adolescence 12-18 years primary and secondary sex characteristics develop. Menarche, masturbation & sexual activity is explored. ↑ RF STIs. NC: Give more info. about body changes & STIs/BC. Dating helps prep for adult roles.
Sexual characteristics + NC: Young adult 18-40 years Sexual activity common, est. own lifestyle/values; homo ID est. mid-20s; couples share tasks/finances. NC: need more info. about unwanted pregnancy & STIs. Communication key to relationship issues.
Sexual characteristics + NC: Middle adult 40-65 years ↓ hormone production. Menopause b/t 40-55; climacteric in men occurs gradually; quality of sex becomes more imp; est. independent moral & ethical standards NC: may need help adjusting to new roles; may require counseling; encourage cpls to look at positive outlooks.
Sexual characteristics + NC: Late adulthood 65+ interest in sexual activity often continues; sexual activity may be less frequent; women's vaginal secretions diminish & breasts atrophy; men produce fewer sperm & need more time to achieve erection & ejaculate. NC: continue to be sexually active; cpls may need to adapt sex needs to physical limitations
Sexual Orientationone's attraction to people of the same sex, other sex or both sexes
IntersexA condition born with which there are CI among chromosomal sex, gonadal sex, internal organs & external genital appearance.
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Section 2

Question Answer
alcoholmoderate: ↑ sex function; chronic: ↓ sex desire, orgasmic & erectile dysfunction
Alpha-blockersinability to ejaculate
Amphetamines↑ sexual drive; delayed orgasm
Amyl nitratereported enhanced orgasm; vasodilation & fainting
Anabolic steroids↓ sex drive, shrinking of testicles & infertility in men
Anti-anxiety agents↓ sexual desire; orgasmic dysfunction in women; delayed ejaculation
Anti-convulsants↓ sexual desire; reduced sexual response
Anti-depressants↓ sexual desire; orgasmic/ejaculation delay; painful erection
Anti-histamines↓ sexual vag lubrication; ↓ desire
Anti-hypertensives↓ sexual desire; erectile failure; ejaculation dysfunction
Anti-psychotics↓ sexual desire; orgasmic dysfunction in women; delayed ejaculation; ejaculatory failure
Barbituatesin low doses, ↑ sexual pleasure; larges doses ↓ sexual desire & orgasmic/ejac dysfunction
Beta Blockers↓ sexual desire;
Cardiotonics↓ sexual desire;
Cocaine↑ intensity of sexual experience; chronic use → ↓ sexual desire/function
Diuretics↓ vag lubrication; ↓ sexual desire; erectile dysfunction
Marijuanaprolonged use ↓ testosterone levels & reduces sperm production
Narcoticsinhibited sexual desire & response; erectile & ejaculatory dysfunctions
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Section

Sexuality
Question Answer
dysmenorrheapainful menstruation d/t powerful uterine contractions that cause ischemia & cramping pain
androgynyflexibility in gender roles; belief that most characteristics & behaviors are human qualities that shouldn't be limited to one specific gender or the other.
hypoactive sexual desire disorderdeficiency in or absence of sexual fantasies and low interest or total lack of interest in sexual activity
sexual aversion disordersevere distaste for sexual activity or the thought of it; creates a phobia
dyspareuniapain during or immediately after intercourse
vaginismusinvoluntary spasm of the outer 1/3 of vaginal muscles, making penetration of the vagina painful & sometimes impossible.
vulvodyniaconstant, unremitting burning that is localized to the vulva with an acute onset. Has problems sitting, standing and sleeping r/t the intensity of pain
vestibulitis severe pain upon touch or entry into vagina
female orgasmic disordersexual response stops before orgasm occurs; the associated anxiety and anger compounds the problem
PLISSIT modelPermission giving; LI limited information; SS specific suggestions and IT intensive therapy
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Section

Death
Question Answer
Kubler-Ross stages of griefDenial, Anger, Bargaining, Depression and Acceptance
Difference b/t palliative care and hospice carePalliative: work with pt. still receiving curative tx (chemo to extend life or to cure) Hospice: <6m to live, is part of palliative care.
Clinical signs of impending death:variable consciousness; abnormal breathing; ↑sleep; muscle relaxation; slowing of circulation; dysphagia; incontinence ↓ UO; ↓ appetite/thirst
actual lossrecognized by others
perceived lossexperienced by one person, cannot be seen by others
anticipatory lossexpereinced loss before the loss actually occurs
Nursing Implications r/t: Denialverbally support client, do not reinforce denial; ensure you do not share in the client's denial
Nursing Implications r/t: Angerhelp client understand anger is a normal response to feelings of loss and powerlessness; do not take anger personal; allow client to have control over their lives
Nursing Implications r/t: Bargaining listen attentively, encourage client to talk to relieve guilt & irrational fear; offer spiritual support if appropriate
Nursing Implications r/t: Depressionallow client to express sadness; nonverbal communication; convey caring by light touch
Nursing Implications r/t: Acceptancehelp family and friends understand client's ↓need to socialize; encourage client to participate as much as possible in tx program
Rigor Mordis 2-4 hours post death; be sure to put body in anatomical position & put in dentures, etc before family arrives and rigor mortis sets in
Clinical sign of impending death r/t: Muscles↓ muscle tone (relaxation of face muscles, diff. speaking, swallowing, gag reflex, ↓ activ. of GI)
Clinical sign of impending death r/t: Circulation↓ sensation, pulse weak and slow, ↓ BP, cyanosis in extremities, cold in feet first, then hands, ears and nose (unless client has fever, then they'd be warmer)
Clinical sign of impending death r/t: Respirationsrapid shallow, irregular or abnormally slow; noisy breathing d/t collecting of mucus in throat; mouth breathing, dry oral mucus membranes
Clinical sign of impending death r/t: Sensoryblurred vision; impaired senses of taste and smell
algor mortisgradual ↓ of body's temperature after death (about 1.8F per hour); skin loses elasticity and can easily be broken when removing tape/adhesives
livor mortiswhen RBCs brk dwn and release hemoglobin, it discolors surrounding tissues, usually appears in LE
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