ELIOPOULOS EXAM SCRIPT PREMIUM
QUESTIONS AND SOLUTIONS GRADED A+
●● 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.)
Answer: 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?
, Answer: 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
QUESTIONS AND SOLUTIONS GRADED A+
●● 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.)
Answer: 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?
, Answer: 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
