42 Questions
What is the primary goal of obtaining permission from the patient to initiate a sexual discussion?
To respect the patient's autonomy and comfort level
Which nursing diagnosis is supported by the data 'absent role model, reports texting sexually explicit material to friends, describes unprotected sexual intercourse encounters'?
Problematic Sexual Behavior
What is a key aspect of planning in sexual health nursing?
Developing an individualized plan of care with realistic goals and measurable outcome criteria
What is included in health education for sexual health?
Pap smears, clinical breast exams, mammograms, testicular self-examination, and prostate examination
What is the primary goal of risk prevention in sexual health?
To recognize and prevent STDs
What is an important aspect of patient counseling in sexual health?
Addressing sexual desire and performance issues, as well as sexual abuse
What is essential for evaluating the outcomes of the plan of care?
Direct patient information
What is a key aspect of managing sexual harassment?
Maintaining ethical and legal standards
What is the primary focus of the nurse's role in organ donation?
Working collaboratively with the patient/family and other interprofessionals
During which stage of sexual development do children adopt biologic gender behaviors?
School-age years
What is the primary function of the prostate gland in the male reproductive system?
To produce semen
What is the term for the experience of gender, which may or may not correspond with the sex assigned at birth?
Gender identity
What is the term for the state of physical, emotional, mental, and social well-being in relation to sexuality?
Sexual health
What is the term for the methods through which individuals express themselves sexually?
Sexual expression
What is the term for the cycle of sexual arousal and orgasm in females?
Four-phase response cycle
What is the term for a device used to prevent pregnancy by blocking the entrance to the uterus?
Diaphragm
What is the term for infections acquired as a result of sexual intercourse or other intimate contact with an infected person?
Sexually transmitted infections
What is the primary goal of educating patients about sexuality and sexual health?
To foster healthy attitudes and behaviors towards sexuality
What is an essential aspect of suture training for perineal laceration?
Special training according to an established protocol
What is a key role of a registered nurse in nursing education programs?
Guiding and supervising students
What is the primary goal of health education as a nursing practice?
Teaching individuals, families, and communities
What is an essential aspect of the Philippine Constitution's Bill of Rights?
The right to equal protection of the laws
What is the primary purpose of a search warrant in the Philippine Constitution?
To determine probable cause personally by the judge
What is protected under the Philippine Constitution's Bill of Rights?
The right to privacy of communication and correspondence
What is an essential aspect of the Philippine Constitution's Bill of Rights?
The right to life, liberty, and property with due process of law
What is a key principle of the Philippine Constitution's Bill of Rights?
The right to be secure in their persons, houses, papers, and effects
What is essential when telling the family that the patient has died?
Being honest and compassionate
What is a key aspect of basic nursing care for a patient who is imminently dying?
Providing a high level of caring and compassion
What is a characteristic of nearing death awareness?
Reporting visions of deceased persons
What is a consideration in postmortem care?
Following agency policy and state practice guidelines
What is essential in caring for the family at the time of death?
Providing collaborative care
What is a key aspect of bereavement support?
Assessing grief reactions and risk factors for complicated grief
What is the focus of evaluation in end-of-life care?
The goals of the person and the family unit
What is an indicator of effective grieving?
Ability to talk about the meaning of their loss
What is the effect of antibiotics on anesthetic agents?
Potentiate their action
What is the risk associated with anticoagulants in surgery?
Increased risk of hemorrhage
What is the effect of anticonvulsants on anesthetic agents?
Alter their metabolism
What is the effect of antidepressants on blood pressure during anesthesia?
Decrease blood pressure
What is the effect of antihypertensives on the cardiovascular system during anesthesia?
Cause bradycardia, hypotension, and impaired circulation
What is the risk associated with corticosteroids in surgery?
Adrenal atrophy and reduced ability to withstand stress
What is the effect of diuretics on electrolyte balance during anesthesia?
Potentiate electrolyte imbalance
What is the effect of herbal substances on anesthesia?
Interact with anesthesia and cause adverse effects
Study Notes
End of Life Care
- Families who are fearful need an increased level of support by various members of the interprofessional team.
- Telling the family that the patient has died should be done in an open and honest manner with compassion and support.
Care of the Patient Who is Imminently Dying
- Basic nursing care measures should be provided with a high level of caring and compassion, including:
- Bathing
- Oral care
- Turning and repositioning
- Controlling symptoms
Nearing Death Awareness
- People who are experiencing nearing death awareness may appear confused and report speaking to or seeing already deceased persons.
Postmortem Care
- Be aware of agency policy and state practice guidelines about pronouncement of death.
- Follow any organ donation or autopsy procedures.
- Remove unnecessary items and clean the room.
- Ask the family whether any religious or cultural practices need to be followed during physical care of the body.
Care of the Family at the Time of Death
- Be present and provide collaborative care.
- Allow the family time with the deceased.
- Offer to call for spiritual support.
Bereavement Support
- Assess grief reactions and risk factors for complicated grief.
- Provide follow-up bereavement support and referrals.
- Encourage parents to hold a deceased infant or child.
Evaluation
- Focuses on the consideration of the goals of that person and the family unit.
- Consider the specific loss, related factors, and risk factors for potential decreased quality of life.
- People who are grieving need to demonstrate that they can talk about the meaning of their loss, use available support systems, and deal with the loss.
The Role of the Nurse in Organ Donation
- Recognize a potential situation in which organ donation may be a possibility.
- Work collaboratively with the patient/family and other inter professionals throughout the process.
Human Sexuality
Sexual Development
- Infancy and early childhood: trust develops.
- School-age years: children adopt biologic gender behaviors.
- Puberty: education and guidance are needed.
- Young adults: focus on intimacy and sexuality.
- Middle adulthood: focus on social and emotional changes, physical changes may alter sexuality and sexual function.
- Older adults: continue to enjoy sexual relationships.
Normal Structure and Function of the Male and Female Reproductive Systems
- Male reproductive system:
- External: scrotum, penis
- Internal: seminal vesicles, testes, prostate
- Female reproductive system:
- External: vulva
- Internal: vagina, uterus, fallopian tubes, ovaries
- Menstruation: monthly cycle, prepares for pregnancy
- Breasts: influenced by estrogen and progesterone, organs of lactation
Sex, Sexuality, and Gender Identity
- Sex: term for sexual intercourse; self-image of gender
- Sexuality: encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy, and reproduction
- Gender identity: experience of gender, which may or may not correspond with the sex assigned at birth
- Sexual health: state of physical, emotional, mental, and social well-being in relation to sexuality
- Sexual expression: methods through which individuals express themselves sexually
Sexual Response
- Female: sexual response cycle has four phases, no refractory phase, issues: dyspareunia, vaginismus, and anorgasmia
- Male: sexual response cycle has five phases, includes a refractory phase, issues: erectile dysfunction and premature ejaculation
Contraception Options
- Nonprescription: abstinence, timing, barriers
- Prescription: hormonal, diaphragm, intrauterine device, cervical cap, surgical sterilization
Sexually Transmitted Infections (STIs)
- Acquired as a result of sexual intercourse or other intimate contact with an infected person
- Identification of an STI can be difficult because symptoms may go unnoticed or ignored
- STIs include conditions caused by bacteria, viruses, protozoa, and fungi.
Assessment
- Assessment tool: P-LISSIT model
- P: Obtaining permission from the patient to initiate sexual discussion
- LI: Providing the limited information needed to function sexually
- SS: Giving specific suggestions for the person to proceed with sexual relations
- IT: Providing intensive therapy surrounding the issues of sexuality for the patient
- Managing sexual harassment
This quiz covers the implementation and evaluation of end of life care, including providing support to families, delivering news with compassion, and basic nursing care measures for dying patients.
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