GERO Exam #2 questions and
answers graded A+
The major impediment to a satisfying sex life at any age is lack of ________. - correct answer
✔✔a partner
Five aspects of intimacy - correct answer ✔✔commitment
affective intimacy
cognitive intimacy
physical intimacy
mutuality
Affective intimacy involves a feeling characterized by a deep sense of love, caring, compassion
and positive attraction
for one another. Commitment is the extent to which partners in a relationship perceive their
relationship as ongoing for an indefinite period
Chronic pain and ________ are two common problems that have deleterious effects on sexual
activity and older adults - correct answer ✔✔osteoarthritis
Arthritis in the hip joint presents the greatest challenge to satisfying sexual activity but it can be
ameliorated by changes in coital position, use of heat applications, and timing during the day
when joints are less painful
if an older adult can climb __#__ flights of stairs or walk at a rate of __#__ miles per hour
without chest pain or shortness of breath, he or she should have no cardiac problems during
sexual intercourse - correct answer ✔✔2 flights
,2 miles
T/F
If a sexual parter has less stable vital signs, particularly BP they should be positioned on top. -
correct answer ✔✔FALSE
Drug Alert
A wide range of medications can have negative effects on sexual expression, including many.....?
- correct answer ✔✔antipsychotics, tricyclic antidepressants, monoamine oxidase inhibitors,
diuretics, beta-blockers, ACE inhibitors, and clonidine
Dyspareunia - correct answer ✔✔painful intercourse for the older woman, may be related to
decreased vaginal lubrication, extension of the labia, and lack of elevation of the uterus during
sexual arousal
Practice Pearl
(just flip it) - correct answer ✔✔The nurse should be prepared for nervous giggles or outright
laughter when discussing sexuality with an older adult. Many people think that older adults do
not and should not have sexual needs or desires. It is important to assure patients that a wide
range of feelings about sexuality are appropriate for seniors, just as they are for younger people
Diabetes mellitus and sex with the older adult - correct answer ✔✔It is correlated with erectile
dysfunction in the man and even greater reduction of lubrication in the woman
PLISSIT model - correct answer ✔✔--A Model of intervention for sexual concerns.
P: stands for permission, in which the nurse validates the older adult's desire for sexual activity.
, LI: is limited information, and the nurse offers specific, factual information pertinent to the
older patient
SS stands for specific suggestions, such as coital positions or timing of pain medication
IT is intensive therapy, which requires a referral to an advanced practice nurse or other expert
a score of at least __#__ on the Mini Mental State Exam is a prerequisite - correct answer
✔✔14 out of 30
Erectile Dysfunction (ED) affectes nearly __% of men over the age of ____. - correct answer
✔✔70%
70 years old
reasons causing decreases in lean muscle mass include: (3) - correct answer ✔✔decreased
activity
decreased anabolic hormones
decreased nutrition
Often see a increase in body fat
loss of muscle mass can lead to functional decline. an increase in weakness leads to (2) - correct
answer ✔✔slower walking
increased risk for falls
Ostopenia - correct answer ✔✔low bone density can lead to osteoporosis (bones become more
porous and brittle)
answers graded A+
The major impediment to a satisfying sex life at any age is lack of ________. - correct answer
✔✔a partner
Five aspects of intimacy - correct answer ✔✔commitment
affective intimacy
cognitive intimacy
physical intimacy
mutuality
Affective intimacy involves a feeling characterized by a deep sense of love, caring, compassion
and positive attraction
for one another. Commitment is the extent to which partners in a relationship perceive their
relationship as ongoing for an indefinite period
Chronic pain and ________ are two common problems that have deleterious effects on sexual
activity and older adults - correct answer ✔✔osteoarthritis
Arthritis in the hip joint presents the greatest challenge to satisfying sexual activity but it can be
ameliorated by changes in coital position, use of heat applications, and timing during the day
when joints are less painful
if an older adult can climb __#__ flights of stairs or walk at a rate of __#__ miles per hour
without chest pain or shortness of breath, he or she should have no cardiac problems during
sexual intercourse - correct answer ✔✔2 flights
,2 miles
T/F
If a sexual parter has less stable vital signs, particularly BP they should be positioned on top. -
correct answer ✔✔FALSE
Drug Alert
A wide range of medications can have negative effects on sexual expression, including many.....?
- correct answer ✔✔antipsychotics, tricyclic antidepressants, monoamine oxidase inhibitors,
diuretics, beta-blockers, ACE inhibitors, and clonidine
Dyspareunia - correct answer ✔✔painful intercourse for the older woman, may be related to
decreased vaginal lubrication, extension of the labia, and lack of elevation of the uterus during
sexual arousal
Practice Pearl
(just flip it) - correct answer ✔✔The nurse should be prepared for nervous giggles or outright
laughter when discussing sexuality with an older adult. Many people think that older adults do
not and should not have sexual needs or desires. It is important to assure patients that a wide
range of feelings about sexuality are appropriate for seniors, just as they are for younger people
Diabetes mellitus and sex with the older adult - correct answer ✔✔It is correlated with erectile
dysfunction in the man and even greater reduction of lubrication in the woman
PLISSIT model - correct answer ✔✔--A Model of intervention for sexual concerns.
P: stands for permission, in which the nurse validates the older adult's desire for sexual activity.
, LI: is limited information, and the nurse offers specific, factual information pertinent to the
older patient
SS stands for specific suggestions, such as coital positions or timing of pain medication
IT is intensive therapy, which requires a referral to an advanced practice nurse or other expert
a score of at least __#__ on the Mini Mental State Exam is a prerequisite - correct answer
✔✔14 out of 30
Erectile Dysfunction (ED) affectes nearly __% of men over the age of ____. - correct answer
✔✔70%
70 years old
reasons causing decreases in lean muscle mass include: (3) - correct answer ✔✔decreased
activity
decreased anabolic hormones
decreased nutrition
Often see a increase in body fat
loss of muscle mass can lead to functional decline. an increase in weakness leads to (2) - correct
answer ✔✔slower walking
increased risk for falls
Ostopenia - correct answer ✔✔low bone density can lead to osteoporosis (bones become more
porous and brittle)
