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Eliopoulos - Gerontological Nursing 8th Ed - Sexuality and Intimacy Exam
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Eliopoulos - Gerontological Nursing 8thEd - Sexuality and Intimacy Exam
Origin: Chapter 12- Sexuality and Intimacy, 1
Chapter: 12
Client Needs: C
Cognitive Level: Analysis
Difficulty: Easy
Integrated Process: Nursing process
Objective: 1
Page and Header: 144, Attitudes Toward Sex and Older Adults
1. Which statement best captures the predominant societal view of sexuality in general
and sexuality in older adults? - Answers -A) Sexuality has recently become valued and
normalized in both older and younger adults.
B) There is an acknowledgment that sexual interest and activity do not necessarily
decline with age.
C) There is societal recognition that the overall importance of sexuality remains high
across the life span.
D) Stigma and prejudice around sexuality in older adults persists despite changes in the
societal view of sexuality in general.
Ans: D
Feedback:
Inaccuracies and misconceptions around sexuality and older adults persist, despite
profound changes in the societal views of the topic of sexuality in general. Sexuality is
not commonly valued or recognized by society, and interest and activity are presumed
to decline and even disappear in older age.
Origin: Chapter 12- Sexuality and Intimacy, 2
Chapter: 12
Client Needs: B
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Teaching/learning
Objective: 1
Page and Header: 144, Attitudes Toward Sex and Older Adults
2. The nurse who cares for patients at an assisted living facility is planning a program to
address safer sex in older adults. Why would this program be important? (Select all that
apply.) - Answers -A) Susceptibility to sexually transmitted infections (STIs) increases
with age.
B) HIV/AIDS is spreading more quickly among older adults than among younger adults.
C) Older adults frequently forego condom use because the risk of pregnancy does not
exist.
, D) Many older adults assume that STIs are problems of younger adults only.
E) Because of the hormonal changes that accompany menopause, older women are in
fact more prone to sexually transmitted diseases than younger adults.
Ans: B, C, D
Feedback:
Older adults often forego condom use and assume STIs are not a problem, despite the
increasing incidence of HIV/AIDS in older adults. Susceptibility to STIs does not
necessarily increase in older adults in general or in older women specifically. In the
older population, the use of condoms is often avoided because the risk of pregnancy
does not exist. Hormonal changes in menopause do not increase an older woman's
susceptibility to sexually transmitted diseases.
Origin: Chapter 12- Sexuality and Intimacy, 3
Chapter: 12
Client Needs: D3
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Teaching/learning
Objective: 2
Page and Header: 146, Symptom Management and Patient Education
3. A female patient asks about using hormone replacement therapy (HRT) for
menopausal symptoms but is concerned about the risks. How can the health care
provider best guide the patient decision to begin or forego HRT? - Answers -A) "The
significant increases in the risk of heart disease make HRT a risky treatment that is best
avoided."
B) "You won't likely be increasing your risk of heart disease if you begin HRT, but
neither will you be preventing."
C) "The overall effectiveness of HRT in alleviating the unwanted changes that following
menopause has been disproven."
D) "HRT can best be described as a tradeoff, where menopausal symptoms decrease
but there is a significantly increased risk of hip fractures and breast cancer."
Ans: B
Feedback:
Although women can feel reassured that they are not increasing their risk for
cardiovascular disease by using hormones to treat symptoms as they go through
menopause, it is not wise to extrapolate from the data that women should take
hormones for the prevention of heart disease. HRT is not noted to increase the risk of
breast cancer or hip fractures, while the effectiveness at relieving symptoms of low
estrogen is significant. The health care provider would be unlikely to categorically rule
out HRT as a treatment option, but would more likely weigh the potential risks and
benefits with the client.
Origin: Chapter 12- Sexuality and Intimacy, 4
Chapter: 12
Client Needs: C
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing process
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