Psych Test 3: Human Sexuality

gender dysphoria

Definitions - _________________ __________________ is when biological sex does NOT match gender identity.

paraphilia

Definitions - ___________________: Sexual behavior outside of what society sees as normal.

2-3

Development of Human Sexuality Which age group is described below - Children know their gender

birth-12

Development of Human Sexuality Which age group is described below - Masculinity and femininity plus gender roles are culturally-defined

late childhood and preadolescence

Development of Human Sexuality Which age group is described below - May be characterized by heterosexual or homosexual play

10-12

Development of Human Sexuality Which age group is described below - Preoccupied with pubertal changes and the beginnings of romantic interest in others

4-5

Development of Human Sexuality Which age group is described below - They engage in heterosexual play

sense of oneself

Gender - Gender is one's ____________ __________ _____________________ as either a man, woman, or other gendered.

dissipates; adolescence; without; strong desire; resist; later childhood; adolescence; distress; distress; depression; anxiety

Gender Dysphoria Course and Epidemiology - Prevalence is estimated overall at 0.5 percent, but underreporting is possible - Transgender ideation and expression sometimes _________________ after early childhood; however, if it persists into _________________________, it appears to be an established identity. - Some transgender live __________________ altering their bodies, others have _____________ _________________ to alter their body. Symptomatology - Some children may ________________ wearing clothing or playing with toys that are typical for their assigned sex. --> This is often part of normal childhood behavior UNLESS the behaviors persist into _________________ _______________________ and _________________________. ** Gender dysphoria is not diagnosed unless symptoms of ____________________ emerge. --> _______________ with gender identity, _______________________ related to desire to be opposite gender, disgust with one's own genitals, or ___________________ related to others learning about their gender identity.

self-perception; opposite; comfortable; cross-dressing; repugnant; hormonal; surgical gender reassignment; depression; anxiety

Gender Dysphoria in Adults (1) - Individual has _________-___________________ of being of __________________ gender - Does not feel _________________________ wearing the clothing of assigned sex and often engage in ____________-__________________ - May find his or her own genitals _____________________. - May repeatedly submit requests to health-care system for _______________ and __________________ ___________________ ___________________________. - _____________________ and _________________ are common

therapy; psychological; two years; hormonal; psychosocial; accepting

Gender Dysphoria in Adults (2) Treatment Issues - Some seek ____________________ to learn how to cope with altered sexual identity. - Some desire hormonal therapy and surgical gender reassignment. - They must do certain things before this reassignment: --> Extensive _________________________ testing and counseling --> Live in the role of the desired gender for __________ ____________. --> ____________________ therapy - Nursing Care --> Focus on ________________________ Needs --> Our job is to help patient by being _____________________ of their new identity.

call 911

If registered sex offender picks up kid at school you know they have no relationship to that child what should you do?

report it to social services (mandatory)

If you suspect child has been sexually abused what should you do?

sex; gender; basic human need; personality

Introduction - A person's ____________ is one of two categories (male or female) that is assigned at birth based on the appearance of external genitalia. - ____________________ is one's sense of oneself as either a man, woman, or other gendered. - Sexuality is a _____________ _________________ _______________ and an innate part of the total _____________________.

at least 16 years old and at least 5 years older than the victim

Paraphilic Disorders - To have pedophilic disorder the molester must be?

depo-provera

Paraphilic Disorders Treatment Modalities - Which medication can be helpful for paraphilic disorder because it lowers the frequency and intensity of inappropriate sexual thoughts and fantasies. **Especially helpful for those with pedophilic disorder**

SSRIs

Paraphilic Disorders Treatment Modalities - Which medication can be helpful for paraphilic disorder because it reduces sexual appetite?

lupron depot

Paraphilic Disorders Treatment Modalities - Which medication can be helpful for paraphilic disorder because it works similar to depo-provera by lowering the frequency and intensity of inappropriate sexual thoughts and fantasies

depo-provera, lupron depot, SSRIs

Paraphilic Disorders Treatment Modalities - Which three medications may be used for paraphilic disorders?

androgens; depo-provera; lupron depot; SSRIs; cognitive behavioral therapy; psychoeducation; family; couples

Paraphilic Disorders Treatment Modalities Biological Treatment - The focus of this therapy is on blocking or decreasing the level of circulating ______________________. --> __________-____________________: Lowers the frequency and intensity of inappropriate sexual thoughts and fantasies --> ________________ ___________: Similar to Depo-Provera --> _____________: Reduce sexual appetite - Psychotherapy --> _________________ __________________ ____________________ especially helpful because can help person learn new sexual responses. - ___________________________ - _______________ or ____________________ therapy

transvestic disorder

Paraphilic Disorders Which Paraphilic Disorder is Described Below? - Dressing in clothing associated with the opposite sex. --> Only disorder if it causes lots of emotional distress to the person.

fetishistic disorder

Paraphilic Disorders Which Paraphilic Disorder is Described Below? - Erotic stimulation or sexually arousing fantasies involving contact with non-living objects (e.g., shoes, stockings)

sexual masochism disorder

Paraphilic Disorders Which Paraphilic Disorder is Described Below? - Intense sexual arousal from sexually humiliating the other or making them suffer

pedophilic disorder

Paraphilic Disorders Which Paraphilic Disorder is Described Below? - Ongoing sexual attraction to prepubescent or early pubescent children --> Molester is at least 16 years of age and at least 5 years older than the victim **ILLEGAL

sexual sadism disorder

Paraphilic Disorders Which Paraphilic Disorder is Described Below? - Sexual arousal from the physical or psychological pain of another - Usually non-consenting adults

frotteuristic disorder

Paraphilic Disorders Which Paraphilic Disorder is Described Below? - Sexual arousal from touching/rubbing against a nonconsenting person

voyeuristic disorder

Paraphilic Disorders Which Paraphilic Disorder is Described Below? - Sexual arousal from watching an unsuspecting person disrobe or naked

exhibitionistic disorder

Paraphilic Disorders Which Paraphilic Disorder is Described Below? - Exposure of one's genitals to a nonconsenting individual - Masturbation may occur during the incident

stress; anxiety; medications; medical conditions; psychosocial; cultural; history; open-ended; nonjudgemental

Predisposing Factors to Sexual Dysfunctions Biological Factors - A LOT of factors can cause sexual dysfunction: --> ____________ --> ___________________ --> ___________________________ --> __________________ __________________ --> _________________________ factors --> _______________________ factors - This is why we must take a good _____________________ by asking ___________-___________________ questions in a ______________________________ way.

male; female; birth; genitalia

Sex - A person's sex is one of two categories (___________ or ___________________) that is assigned at ____________ based on the appearance of external ____________________.

sexual history; privacy; nonjudgmental; professional; relaxed; eye contact; preferences; values; open-ended; uncross

Sexual Disorders Recognize Cues - An assessment tool for gathering a ___________________ __________________ is used. - Additional information should be gathered for those patients who have medical or surgical conditions that may affect their sexuality. - Assessment Key Principles --> Provide _________________ --> _________________________ attitude --> ________________________, but still ___________________ with good ___________ ___________________. --> Ask about ________________________ or social ______________. --> Use ___________-___________________ questions. --> __________________ arms!!

normal; 6 months; distress; functioning; law enforcement

Sexual Disorders: Paraphilic Disorders - Paraphilia: Sexual behavior outside of what society considers _____________________. - Paraphilia is only labeled a paraphilic disorder --> When specific types of sexual fantasies or behaviors are recurrent for at least ________ ______________. --> Cause the individual clinically significant _________________ or impairment in social, occupational, or other important areas of ___________________________. **People with paraphilic disorders usually come in contact with ___________ _______________________ before healthcare.

alcohol; cocaine

Sexual Dysfunctions - Sexual dysfunctions can also be caused by substances especially _____________________ and ________________________.

antihypertensives, antipsychotics, anticonvulsants, antidepressants

Sexual Dysfunctions - Which classes of meds may cause sexual dysfunction?

yohimbine

Sexual Dysfunctions Erectile Disorder Treatment Modalities - What is a natural remedy that may be used to treat erectile dysfunction?

sildenafil, tadalafil, vardenafil

Sexual Dysfunctions Erectile Disorder Treatment Modalities - Which three medications may be used to treat erectile dysfunction?

sensate focus; group; hypnotherapy; systemic desensitization; testosterone; penile implantation

Sexual Dysfunctions Erectile Disorder Treatment Modalities - ___________________ __________________ exercises - _______________ therapy - _________________________ - __________________ ______________________: Decreases fear associated with sex. - _____________________: Hormonal replacement - __________________ ____________________________

testosterone; cognitive; behavioral; relationship; sensate focus

Sexual Dysfunctions Treatment Modalities Depends on Type of Disorder - ___________________________ - __________________ therapy - _____________________ therapy - _______________________ therapy - ___________________ __________________ therapy: Touching exercises focused on sensory aspects so you let go of preconceived notions.

female orgasmic disorder, delayed ejaculation, early ejaculation

Sexual Dysfunctions What are the orgasmic disorders?

erectile disorder

Sexual Dysfunctions What are the sexual arousal disorders?

female sexual arousal disorder, male hypoactive sexual desire disorder

Sexual Dysfunctions What are the sexual desire disorders?

Genito-pelvic pain/penetration disorder

Sexual Dysfunctions What are the sexual pain disorders?

desire; excitement; orgasm; resolution

Sexual Dysfunctions (1) - Usually occur as a problem in one of the following phases of the sexual response cycle --> Phase I: _____________ --> Phase II: _______________________ --> Phase III: ________________ --> Phase IV: _______________________

6 months; distress; maintaining erection; pain

Sexual Dysfunctions (2) Sexual Desire Disorders - Female sexual interest/arousal disorder - Male hypoactive sexual desire disorder - Lack of interest in sexual activity or inability to have erection for at least __________ ______________ with __________________. Sexual Arousal Disorder - Erectile disorder: Difficulty _____________________ ______________________. Orgasmic Disorders - Female orgasmic disorder - Delayed ejaculation - Early ejaculation Sexual Pain Disorder - Genito-pelvic pain/penetration disorder - Person has difficulty with vaginal intercourse because of the ____________. Substance/medication - Induced sexual dysfunction

phase I

Sexual Response Cycle Which phase of the sexual response cycle is described below? - Desire

phase II

Sexual Response Cycle Which phase of the sexual response cycle is described below? - Excitement

phase III

Sexual Response Cycle Which phase of the sexual response cycle is described below? - Orgasm

phase IV

Sexual Response Cycle Which phase of the sexual response cycle is described below? - Resolution

preventive; therapeutic; educational

Sexuality - Influences our thoughts, actions, and interactions and is involved in aspects of physical and mental health. - Nurses can integrate information on sexuality by focusing on interventions. --> ___________________: HPV vaccine. --> _____________________: Counseling, discussion, assessment. --> _______________________: Class on STD prevention

true

True or False - Those with pedophilic disorder take part in illegal acts

true

True or False - You should NEVER assume a patient is heterosexual.

true

True or False - You should teach parents that masturbation is normal.

LGBTQ+

Variations In Sexual Orientation - __________________ acronym describes range of preferences --> Lesbian --> Gay --> Bisexual --> Transgender --> Queer (questioning) --> Intersexual --> Asexual --> Other descriptors

dignity; right

Variations in Sexual Orientation - Health care providers must ensure that those of all sexual orientations receive care with _________________, which is the _____________ of every human being.

lesbian or gay

Variations in Sexual Orientation Which variation is described below? - Same-sex relationships

bisexual

Variations in Sexual Orientation Which variation is described below? - Sometimes referred to as ambisexual - Patient engages in sexual activity with members of both genders

heterosexual

Variations in Sexual Orientation Which variation is described below? - The quality or characteristic of being sexually or romantically attracted exclusively to people of the other sex.

tell me more

What is example of open-ended response?

gender dysphoria

What is incongruence between sex and identity formally called?

take a really good history (can be caused by a multitude of factors)

When a patient comes in with sexual dysfunction what must you do as a nurse?