Older Adult Final Exam questions and answers
1.Which hstatement hmade hby ha hnurse hreflects ha hlack hof hunderstanding hregarding hsexual hintimacy
hand hthe holder hadult hpatient?
a. h"Older hadults hexpress hless hinterest hin hintimacy has hboth hacute hand hchronic hillnesses hdevelop."
b. h"Sexual hexpression his hconsidered han henhancement hto hthe hquality hof hthe holder hadult's hlife."
c. h"Expressing hsexual hneeds hmay hbe hdifficult hor himpossible hfor hsome holder hadults."
d. h"Interest hin hphysical hcontact htends hto hpersist hthroughout hlife hfor hboth hgenders." h- hAnswer h-
h h hA
2. hA h70-year-old hfemale hpatient hshares hwith hthe hnurse hher hconcern hthat hrecently hit htakes hmore
htime hto hachieve han horgasm. hThe hnurse hresponds hmost htherapeutically hwhen hanswering:
a. h"You've hdescribed ha hcommon hresult hof haging hfor hboth hmen hand hwomen."
b. h"If hyou hexperience hdifficulty hachieving horgasms, hyou hshould hdiscuss hthat hwith hyour hdoctor."
c. h"Your hbody hproduces hfewer hsex hhormones hnow, hand hyou hneed hmore hstimulation hto hclimax."
d. h"I hunderstand hyour hconcern. hLet's htalk hmore habout hthe hchanges hyou've hnoticed." h- hAnswer h-
h h hC
3. hA htype h2 hinsulin-dependent hdiabetic h70-year-old hrecently hlost hhis hwife hand his hexperiencing
himpotence. hBesides heducating hthe hpatient hon hthe hnormal heffects hof haging hon hsexual hfunction,
hthe hnurse hshould hinitially hinclude hinformation hregarding:
a. hthe heffect hthat hstress hhas hon hsexual hperformance.
b. hthe heffect hof hdiabetes hmellitus hon hthe hvascular hsystem.
c. hthe hlink hbetween hdepression hand hsexual hdysfunction.
d. hsexual hdysfunction hrelated hto hlong-term huse hof hinsulin. h- hAnswer h- h h hB
,4. hUpon hentering hthe hroom hof ha hcognitively himpaired holder hadult hpatient, hthe hnurse hobserves
hthat hhe his hexposed hand hrubbing hhis hgenitals. hThe hnurse's hinitial hconcern his hto:
a. halert hstaff hto hbe haware hof hthis hnew hbehavior.
b. hprovide hthe hpatient hwith hprivacy.
c. hassess hhim hfor hpossible hpain hand hfever.
d. hprovide ha hverbal hcue hfor hhim hto hstop hthe hbehavior. h- hAnswer h- h h hC
5. hTo heffectively hassess han holder hadult hpatient's hsexual hneeds, hthe hnurse hmust hinitially:
a. hreflect hon hpersonal hfeelings hthat hcreate hbarriers hto heffective hcommunication hwith hthe
hpatient.
b. hbe hfamiliar hwith hthe hsexual hneeds hof hthe holder hadult hpopulation.
c. hassess hthe hpatient's hphysical hcapacity hto hengage hin hsexual hactivities.
d. hinform hthe hpatient hof hthe hpersonal hnature hof hthe hdetailed hquestioning hthis hassessment
hrequires. h- hAnswer h- h h hA
6. hAn holder hadult hpatient hrecovering hfrom ha hradical hprostatectomy his hdiscussing hhis hpostsurgical
hcare hplan hwith hthe hnurse hwhen hhe hexpresses hconcern habout hlong-term himpotence. hThe hnurse
hinitially hresponds:
a. h"I'd hsuggest ha hconsult hwith ha hsexuality hcounselor hfor hyou hand hyour hpartner."
b. h"When hyou've hhealed hsufficiently, hwe hcan hdiscuss hprosthetic hdevices hthat hhelp."
c. h"There hare hmedications hcalled hphosphodiesterase hinhibitors hthat hminimize hthat hproblem."
d. h"While hpostsurgical herectile hdysfunction his hlikely, hit his hgenerally htemporary." h- hAnswer h- h h hD
7. hThe hcharge hnurse hon han hextended hcare hunit hrecognizes han himmediate hneed hfor hadditional
hunit heducation hregarding hsexuality hand hthe holder hadult hwhen hoverhearing ha hstaff hmember
hstate:
a. h"I've hhad hto htell hher hto hstop htouching hmy hbreasts htwice htoday."
b. h"Someone hneeds hto htell hhim hto hkeep hhis hpants hzipped."
c. h"I hrealize hthey hhave hneeds, hbut hI'm hnot hsure hhow hto hhandle hthat."
d. h"It's hsad hthat hAlzheimer hdisease hcauses hthem hto hbecome hsexual hperverts." h- hAnswer h- h h hD
,8. hAn holder hadult hfemale hpatient hwho hhas hmultiple hsexual hpartners hasks hthe hnurse hif hthe hrisk
hfor hcontracting hHIV hreally hdoes hincrease has hwe hage. hThe hnurse hshows hthe hbest hunderstanding
hof hthis hrisk hwhen hresponding:
a. h"Any htime hone hengages hin hsex hwith hmultiple hpartners, hthe hrisk hfor hcontracting hHIV
hincreases."
b. h"Changes hin hvaginal htissue hand himmune hfunction hincrease hthe hrisk, hespecially hif hsex his
hunprotected."
c. h"Unless hyou hare hengaging hin hunprotected horal hsex, hyour hrisk hdoes hnot hincrease
hsubstantially."
d. h"Yes, hyour hrisk hof hcontracting ha hsexually htransmitted hdisease h(STD) hincluding hHIV,
hdramatically hincreases has hyou hage." h- hAnswer h- h h hB
9. hThrough hthe hopen hdoor hof hthe hpatient's hroom, hthe hnurse hobserves ha hmale hpatient hand hhis
hlong-term hpartner hin ha hromantic hembrace. hThe hnurse's hpriority hintervention his hdirected htoward:
a. hreinforcing hfor hthe hstaff hthe hpatient's hintimacy hneeds.
b. hexplaining hto hthe hpatient hthe hchallenges hthat hhis hrelationship hposes hfor hthe hstaff.
c. hoffering hto hdiscuss hthe hbarriers hto hintimacy hthat hthe hpatient hand hhis hpartner hface.
d. hquietly hclosing hthe hdoor hto haddress hthe hpatient's hright hto hprivacy. h- hAnswer h- h h hD
10. hThe hgerontologic hnurse hwants hto hbegin hassessing hconcerns hrelated hto hsexuality hamong hthe
hpopulation hof hpatients hseen hin hthe hclinic. hWhat haction hby hthe hnurse his hbest?
a. hGive hthe hpatients hquestionnaires hto hfill hout.
b. hGet hpermission hto hdiscuss hsexuality hwith hthem.
c. hTell hthe hpatients hyou hare hnow hassessing hsexuality.
d. hAsk hthe hpatients hif hthey hhave hconcerns habout hsex. h- hAnswer h- h h hB
11. hThe hnursing hmanager hfeels hthat hintimacy hneeds hare hnot hbeing hassessed hor haddressed hby
hthe hstaff hon hthe hunit. hWhat haction hby hthe hmanager his hbest?
a. hTell hthe hstaff hsexuality his hexpected hto hbe hassessed.
b. hProvide hthe hstaff hwith heducation hon hsexuality.
c. hObtain htools hfor hstaff hto huse hwhen hassessing hsexuality.
d. hAllow hthose hwith hcultural hobjections hto hopt hout. h- hAnswer h- h h hB
, 12. hThe hnurse hnotes hthe hpatient's hchart hlists h"dyspareunia" has ha hcomplaint. hWhat hteaching
hdoes hthe hnurse hplan hto hprovide?
a. hUse hof hwater-soluble hlubricants
b. hPerforming hKegel hexercises
c. hDeep hbreathing hand hrelaxation
d. hUse hof hantifungal hmedications h- hAnswer h- h h hA
13. hThe hnurse husing hthe hpermission, hlimited hinformation, hspecific hsuggestions, hand hintensive
htherapy h(PLISSIT) hmodel hoffers hspecific hsuggestions hwhen:
a. hReferring hthe hpatient hto ha hsex htherapist.
b. hDiscussing hover-the-counter hlubricants.
c. hTeaching hsafer hsex hpractices.
d. hDiscussing hsexual hpositioning hafter hhip hsurgery. h- hAnswer h- h h hD
14. hThe hpatient hwho hrecently hhad ha hradical hprostatectomy hhas hthe hnursing hdiagnosis hof
hineffective hsexuality hpatterns. hWhat hassessment hby hthe hnurse hbest hindicates hthat hthe hgoals hfor
hthis hdiagnosis hhave hbeen hmet?
a. hPatient hstates hhe hcan hlive hwithout hsex.
b. hPatient hsays hthat himpotence his htemporary.
c. hPatient hstates hhis hneeds hare hbeing hmet.
d. hPatient hasks habout hmedication hfor hED. h- hAnswer h- h h hC
15. hAn holder hadult hhas hbegun hdating hafter hbeing hwidowed hfor hmany hyears. hThe hadult hconfides
hto hthe hnurse habout hhaving hseveral hsexual hpartners. hWhat haction hby hthe hnurse his hbest?
a. hWarn hthe hpatient hthat hthe hfamily hmay hnot happreciate hthe hsituation.
b. hTeach hthe hpatient habout hsafer hsexual hpractices hincluding hcondoms.
c. hAsk hthe hpatient hif hthere hare hany hmedical hconcerns hrelated hto hsex.
d. hTell hthe hpatient hhe hor hshe hmay hbegin hto hhave hfeelings hof hguilt. h- hAnswer h- h h hB
16. hWhat hinformation habout hsexuality his hcontrary hto hresearch hon hsexuality hin holder hmen?
a. hErections hare hnot has hfirm.
1.Which hstatement hmade hby ha hnurse hreflects ha hlack hof hunderstanding hregarding hsexual hintimacy
hand hthe holder hadult hpatient?
a. h"Older hadults hexpress hless hinterest hin hintimacy has hboth hacute hand hchronic hillnesses hdevelop."
b. h"Sexual hexpression his hconsidered han henhancement hto hthe hquality hof hthe holder hadult's hlife."
c. h"Expressing hsexual hneeds hmay hbe hdifficult hor himpossible hfor hsome holder hadults."
d. h"Interest hin hphysical hcontact htends hto hpersist hthroughout hlife hfor hboth hgenders." h- hAnswer h-
h h hA
2. hA h70-year-old hfemale hpatient hshares hwith hthe hnurse hher hconcern hthat hrecently hit htakes hmore
htime hto hachieve han horgasm. hThe hnurse hresponds hmost htherapeutically hwhen hanswering:
a. h"You've hdescribed ha hcommon hresult hof haging hfor hboth hmen hand hwomen."
b. h"If hyou hexperience hdifficulty hachieving horgasms, hyou hshould hdiscuss hthat hwith hyour hdoctor."
c. h"Your hbody hproduces hfewer hsex hhormones hnow, hand hyou hneed hmore hstimulation hto hclimax."
d. h"I hunderstand hyour hconcern. hLet's htalk hmore habout hthe hchanges hyou've hnoticed." h- hAnswer h-
h h hC
3. hA htype h2 hinsulin-dependent hdiabetic h70-year-old hrecently hlost hhis hwife hand his hexperiencing
himpotence. hBesides heducating hthe hpatient hon hthe hnormal heffects hof haging hon hsexual hfunction,
hthe hnurse hshould hinitially hinclude hinformation hregarding:
a. hthe heffect hthat hstress hhas hon hsexual hperformance.
b. hthe heffect hof hdiabetes hmellitus hon hthe hvascular hsystem.
c. hthe hlink hbetween hdepression hand hsexual hdysfunction.
d. hsexual hdysfunction hrelated hto hlong-term huse hof hinsulin. h- hAnswer h- h h hB
,4. hUpon hentering hthe hroom hof ha hcognitively himpaired holder hadult hpatient, hthe hnurse hobserves
hthat hhe his hexposed hand hrubbing hhis hgenitals. hThe hnurse's hinitial hconcern his hto:
a. halert hstaff hto hbe haware hof hthis hnew hbehavior.
b. hprovide hthe hpatient hwith hprivacy.
c. hassess hhim hfor hpossible hpain hand hfever.
d. hprovide ha hverbal hcue hfor hhim hto hstop hthe hbehavior. h- hAnswer h- h h hC
5. hTo heffectively hassess han holder hadult hpatient's hsexual hneeds, hthe hnurse hmust hinitially:
a. hreflect hon hpersonal hfeelings hthat hcreate hbarriers hto heffective hcommunication hwith hthe
hpatient.
b. hbe hfamiliar hwith hthe hsexual hneeds hof hthe holder hadult hpopulation.
c. hassess hthe hpatient's hphysical hcapacity hto hengage hin hsexual hactivities.
d. hinform hthe hpatient hof hthe hpersonal hnature hof hthe hdetailed hquestioning hthis hassessment
hrequires. h- hAnswer h- h h hA
6. hAn holder hadult hpatient hrecovering hfrom ha hradical hprostatectomy his hdiscussing hhis hpostsurgical
hcare hplan hwith hthe hnurse hwhen hhe hexpresses hconcern habout hlong-term himpotence. hThe hnurse
hinitially hresponds:
a. h"I'd hsuggest ha hconsult hwith ha hsexuality hcounselor hfor hyou hand hyour hpartner."
b. h"When hyou've hhealed hsufficiently, hwe hcan hdiscuss hprosthetic hdevices hthat hhelp."
c. h"There hare hmedications hcalled hphosphodiesterase hinhibitors hthat hminimize hthat hproblem."
d. h"While hpostsurgical herectile hdysfunction his hlikely, hit his hgenerally htemporary." h- hAnswer h- h h hD
7. hThe hcharge hnurse hon han hextended hcare hunit hrecognizes han himmediate hneed hfor hadditional
hunit heducation hregarding hsexuality hand hthe holder hadult hwhen hoverhearing ha hstaff hmember
hstate:
a. h"I've hhad hto htell hher hto hstop htouching hmy hbreasts htwice htoday."
b. h"Someone hneeds hto htell hhim hto hkeep hhis hpants hzipped."
c. h"I hrealize hthey hhave hneeds, hbut hI'm hnot hsure hhow hto hhandle hthat."
d. h"It's hsad hthat hAlzheimer hdisease hcauses hthem hto hbecome hsexual hperverts." h- hAnswer h- h h hD
,8. hAn holder hadult hfemale hpatient hwho hhas hmultiple hsexual hpartners hasks hthe hnurse hif hthe hrisk
hfor hcontracting hHIV hreally hdoes hincrease has hwe hage. hThe hnurse hshows hthe hbest hunderstanding
hof hthis hrisk hwhen hresponding:
a. h"Any htime hone hengages hin hsex hwith hmultiple hpartners, hthe hrisk hfor hcontracting hHIV
hincreases."
b. h"Changes hin hvaginal htissue hand himmune hfunction hincrease hthe hrisk, hespecially hif hsex his
hunprotected."
c. h"Unless hyou hare hengaging hin hunprotected horal hsex, hyour hrisk hdoes hnot hincrease
hsubstantially."
d. h"Yes, hyour hrisk hof hcontracting ha hsexually htransmitted hdisease h(STD) hincluding hHIV,
hdramatically hincreases has hyou hage." h- hAnswer h- h h hB
9. hThrough hthe hopen hdoor hof hthe hpatient's hroom, hthe hnurse hobserves ha hmale hpatient hand hhis
hlong-term hpartner hin ha hromantic hembrace. hThe hnurse's hpriority hintervention his hdirected htoward:
a. hreinforcing hfor hthe hstaff hthe hpatient's hintimacy hneeds.
b. hexplaining hto hthe hpatient hthe hchallenges hthat hhis hrelationship hposes hfor hthe hstaff.
c. hoffering hto hdiscuss hthe hbarriers hto hintimacy hthat hthe hpatient hand hhis hpartner hface.
d. hquietly hclosing hthe hdoor hto haddress hthe hpatient's hright hto hprivacy. h- hAnswer h- h h hD
10. hThe hgerontologic hnurse hwants hto hbegin hassessing hconcerns hrelated hto hsexuality hamong hthe
hpopulation hof hpatients hseen hin hthe hclinic. hWhat haction hby hthe hnurse his hbest?
a. hGive hthe hpatients hquestionnaires hto hfill hout.
b. hGet hpermission hto hdiscuss hsexuality hwith hthem.
c. hTell hthe hpatients hyou hare hnow hassessing hsexuality.
d. hAsk hthe hpatients hif hthey hhave hconcerns habout hsex. h- hAnswer h- h h hB
11. hThe hnursing hmanager hfeels hthat hintimacy hneeds hare hnot hbeing hassessed hor haddressed hby
hthe hstaff hon hthe hunit. hWhat haction hby hthe hmanager his hbest?
a. hTell hthe hstaff hsexuality his hexpected hto hbe hassessed.
b. hProvide hthe hstaff hwith heducation hon hsexuality.
c. hObtain htools hfor hstaff hto huse hwhen hassessing hsexuality.
d. hAllow hthose hwith hcultural hobjections hto hopt hout. h- hAnswer h- h h hB
, 12. hThe hnurse hnotes hthe hpatient's hchart hlists h"dyspareunia" has ha hcomplaint. hWhat hteaching
hdoes hthe hnurse hplan hto hprovide?
a. hUse hof hwater-soluble hlubricants
b. hPerforming hKegel hexercises
c. hDeep hbreathing hand hrelaxation
d. hUse hof hantifungal hmedications h- hAnswer h- h h hA
13. hThe hnurse husing hthe hpermission, hlimited hinformation, hspecific hsuggestions, hand hintensive
htherapy h(PLISSIT) hmodel hoffers hspecific hsuggestions hwhen:
a. hReferring hthe hpatient hto ha hsex htherapist.
b. hDiscussing hover-the-counter hlubricants.
c. hTeaching hsafer hsex hpractices.
d. hDiscussing hsexual hpositioning hafter hhip hsurgery. h- hAnswer h- h h hD
14. hThe hpatient hwho hrecently hhad ha hradical hprostatectomy hhas hthe hnursing hdiagnosis hof
hineffective hsexuality hpatterns. hWhat hassessment hby hthe hnurse hbest hindicates hthat hthe hgoals hfor
hthis hdiagnosis hhave hbeen hmet?
a. hPatient hstates hhe hcan hlive hwithout hsex.
b. hPatient hsays hthat himpotence his htemporary.
c. hPatient hstates hhis hneeds hare hbeing hmet.
d. hPatient hasks habout hmedication hfor hED. h- hAnswer h- h h hC
15. hAn holder hadult hhas hbegun hdating hafter hbeing hwidowed hfor hmany hyears. hThe hadult hconfides
hto hthe hnurse habout hhaving hseveral hsexual hpartners. hWhat haction hby hthe hnurse his hbest?
a. hWarn hthe hpatient hthat hthe hfamily hmay hnot happreciate hthe hsituation.
b. hTeach hthe hpatient habout hsafer hsexual hpractices hincluding hcondoms.
c. hAsk hthe hpatient hif hthere hare hany hmedical hconcerns hrelated hto hsex.
d. hTell hthe hpatient hhe hor hshe hmay hbegin hto hhave hfeelings hof hguilt. h- hAnswer h- h h hB
16. hWhat hinformation habout hsexuality his hcontrary hto hresearch hon hsexuality hin holder hmen?
a. hErections hare hnot has hfirm.
