Older Adult Final Exam Questions & Answers 100% Correct!

1.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." - ANSWERSA 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." - ANSWERSC 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. - ANSWERSB 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. - ANSWERSC 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. - ANSWERSA 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." - ANSWERSD 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." - ANSWERSD