Exam (elaborations)
Older Adult Final Exam questions and answers.
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Older Adult Final Exam questions and answers.
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Older Adult Final Exam questions and answers1.Which statement made by a nurse reflects a lack of understanding regarding sexual intimacy and the
older adult patient?
a. "Older adults express less interest in intimacy as both acute and chronic illnesses develop."
b. "Sexual expression is considered an enhancement to the quality of the older adult's life."
c. "Expressing sexual needs may be difficult or impossible for some older adults."
d. "Interest in physical contact tends to persist throughout life for both genders." - Answer - A
2. A 70-year-old female patient shares with the nurse her concern that recently it takes more time to
achieve an orgasm. The nurse responds most therapeutically when answering:
a. "You've described a common result of aging for both men and women."
b. "If you experience difficulty achieving orgasms, you should discuss that with your doctor."
c. "Your body produces fewer sex hormones now, and you need more stimulation to climax."
d. "I understand your concern. Let's talk more about the changes you've noticed." - Answer - C
3. A type 2 insulin-dependent diabetic 70-year-old recently lost his wife and is experiencing impotence.
Besides educating the patient on the normal effects of aging on sexual function, the nurse should
initially include information regarding:
a. the effect that stress has on sexual performance.
b. the effect of diabetes mellitus on the vascular system.
c. the link between depression and sexual dysfunction.
d. sexual dysfunction related to long-term use of insulin. - Answer - B
4. Upon entering the room of a cognitively impaired older adult patient, the nurse observes that he is
exposed and rubbing his genitals. The nurse's initial concern is to:
a. alert staff to be aware of this new behavior.
b. provide the patient with privacy.
,c. assess him for possible pain and fever.
d. provide a verbal cue for him to stop the behavior. - Answer - C
5. To effectively assess an older adult patient's sexual needs, the nurse must initially:
a. reflect on personal feelings that create barriers to effective communication with the patient.
b. be familiar with the sexual needs of the older adult population.
c. assess the patient's physical capacity to engage in sexual activities.
d. inform the patient of the personal nature of the detailed questioning this assessment requires. -
Answer - A
6. An older adult patient recovering from a radical prostatectomy is discussing his postsurgical care plan
with the nurse when he expresses concern about long-term impotence. The nurse initially responds:
a. "I'd suggest a consult with a sexuality counselor for you and your partner."
b. "When you've healed sufficiently, we can discuss prosthetic devices that help."
c. "There are medications called phosphodiesterase inhibitors that minimize that problem."
d. "While postsurgical erectile dysfunction is likely, it is generally temporary." - Answer - D
7. The charge nurse on an extended care unit recognizes an immediate need for additional unit
education regarding sexuality and the older adult when overhearing a staff member state:
a. "I've had to tell her to stop touching my breasts twice today."
b. "Someone needs to tell him to keep his pants zipped."
c. "I realize they have needs, but I'm not sure how to handle that."
d. "It's sad that Alzheimer disease causes them to become sexual perverts." - Answer - D
8. An older adult female patient who has multiple sexual partners asks the nurse if the risk for
contracting HIV really does increase as we age. The nurse shows the best understanding of this risk
when responding:
a. "Any time one engages in sex with multiple partners, the risk for contracting HIV increases."
b. "Changes in vaginal tissue and immune function increase the risk, especially if sex is unprotected."
c. "Unless you are engaging in unprotected oral sex, your risk does not increase substantially."
d. "Yes, your risk of contracting a sexually transmitted disease (STD) including HIV, dramatically increases
as you age." - Answer - B
,9. Through the open door of the patient's room, the nurse observes a male patient and his long-term
partner in a romantic embrace. The nurse's priority intervention is directed toward:
a. reinforcing for the staff the patient's intimacy needs.
b. explaining to the patient the challenges that his relationship poses for the staff.
c. offering to discuss the barriers to intimacy that the patient and his partner face.
d. quietly closing the door to address the patient's right to privacy. - Answer - D
10. The gerontologic nurse wants to begin assessing concerns related to sexuality among the population
of patients seen in the clinic. What action by the nurse is best?
a. Give the patients questionnaires to fill out.
b. Get permission to discuss sexuality with them.
c. Tell the patients you are now assessing sexuality.
d. Ask the patients if they have concerns about sex. - Answer - B
11. The nursing manager feels that intimacy needs are not being assessed or addressed by the staff on
the unit. What action by the manager is best?
a. Tell the staff sexuality is expected to be assessed.
b. Provide the staff with education on sexuality.
c. Obtain tools for staff to use when assessing sexuality.
d. Allow those with cultural objections to opt out. - Answer - B
12. The nurse notes the patient's chart lists "dyspareunia" as a complaint. What teaching does the nurse
plan to provide?
a. Use of water-soluble lubricants
b. Performing Kegel exercises
c. Deep breathing and relaxation
d. Use of antifungal medications - Answer - A
13. The nurse using the permission, limited information, specific suggestions, and intensive therapy
(PLISSIT) model offers specific suggestions when:
a. Referring the patient to a sex therapist.
, b. Discussing over-the-counter lubricants.
c. Teaching safer sex practices.
d. Discussing sexual positioning after hip surgery. - Answer - D
14. The patient who recently had a radical prostatectomy has the nursing diagnosis of ineffective
sexuality patterns. What assessment by the nurse best indicates that the goals for this diagnosis have
been met?
a. Patient states he can live without sex.
b. Patient says that impotence is temporary.
c. Patient states his needs are being met.
d. Patient asks about medication for ED. - Answer - C
15. An older adult has begun dating after being widowed for many years. The adult confides to the nurse
about having several sexual partners. What action by the nurse is best?
a. Warn the patient that the family may not appreciate the situation.
b. Teach the patient about safer sexual practices including condoms.
c. Ask the patient if there are any medical concerns related to sex.
d. Tell the patient he or she may begin to have feelings of guilt. - Answer - B
16. What information about sexuality is contrary to research on sexuality in older men?
a. Erections are not as firm.
b. It takes longer to obtain erections.
c. Erectile dysfunction is inevitable.
d. Ejaculation may not be a strong. - Answer - C
17. A patient with arthritis has difficulty participating is sex because of joint pain and stiffness. What
action by the nurse is best?
a. Suggest a warm shower prior to sexual activity.
b. Ask the patient if he or she needs more pain medication.
c. Explore other ways of expressing sexuality.
d. Refer the patient to a rheumatologist. - Answer - A
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