Test Bank
Basic Geriatric Nursing 8thEdition
Test Bank
Basic Geriatric Nursing 8thEdition
MULTIPLE RESPONSE
1. Which factor can alter the sexual practice of older adults? (Select all that apply.)
a. Altered health status
b. Sexual desire
c. Erectile dysfunction
d. Loss of sexual partner
e. Slowed sexual response time
ANS: A, C, D, E
The desire for sexual activity does not diminish with aging. An older adult can have difficulty with altered
health response, erectile dysfunction, loss of sexual partner and slower sexual response time.
DIF: 7 REF: p. 278 OBJ: 1
TOP: Age-Related Sexual Impairment KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. Which age-related change of the female reproductive system can affect sexual intercourse?
(Select all that apply.)
a. Pruritus vulvae
b. Atrophic vaginitis
,Test Bank
Basic Geriatric Nursing 8thEdition
c. Frequent yeast infections
d. Dyspareunia
e. Decreased response time
ANS: A, B, C, D
The response time is not decreased. All of the other options are age-related changes in the female that
affect satisfactory intercourse.
DIF: 7 REF: p. 279 OBJ: 1
TOP: Age-Related Impediments to Intercourse
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. Menopausal hormone therapy (MHT) can increase the risk of women developing which
condition? (Select all that apply.)
a. Stroke
b. Myocardial infarction
c. Liver disorders
d. Cancer
e. Bone demineralization
ANS: A, B, C, D
Bone demineralization is not a risk associated with hormone therapy, which is prescribed to prevent
bone demineralization.
DIF: 8 REF: p. 279 OBJ: 1
TOP: Hormone Replacement Therapy Risks
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
,Test Bank
Basic Geriatric Nursing 8thEdition
4. Which age-related change is common in older men and affect sexuality? (Select all that apply.)
a. Erections take longer to achieve and are less firm than in younger years.
b. Orgasm takes longer to achieve.
c. Orgasm occurs at each intercourse.
d. Erection loss occurs immediately after orgasm.
e. There is an increase in time between orgasms.
ANS: A, B, D, E
Orgasms are not always achieved with each intercourse.
DIF: 7 REF: p. 279 OBJ: 1 TOP: Sexual Impairment
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. Which drug can contribute to erectile dysfunction? (Select all that apply.)
a. Calcium channel blockers
b. Pancreatic enzyme replacement
c. Antihistamines
d. Antiparkinson drugs
e. Antidepressants
ANS: A, C, E
Antihypertensives, antihistamines, and SSRIs all have a negative effect on sexual function.
DIF: 7 REF: p. 280 OBJ: 2
, Test Bank
Basic Geriatric Nursing 8thEdition
TOP: Medication and Sexual Function KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
6. Which is a factor that can discourage marriage between older adults? (Select all that apply.) a.
Children‘s fear of losing inheritance
b. Financial loss in case of remarriage
c. Loyalty to deceased partner
d. The lack of opportunity for sexual expression outside of marriage
e. Religious and personal values that inhibit cohabitation
ANS: A, B, C
Lack of opportunity for sexual expression outside of marriage and distaste for cohabitation are factors
that might encourage marriage rather than impede it.
DIF: 7 REF: p. 281 OBJ: 1
TOP: Caregivers and the Sexuality of Older Adults KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
7. The home health nurse takes into consideration the concern of aging LGBTQ couples, which
includes which concern? (Select all that apply.) a. Ability to pay for prescriptions
b. The health care system‘s focus on heterosexuality as the norm
c. Concern that end of life care may not allow recognition of their relationship/marriage
d. Fear of discrimination based on sexual orientation, resulting in substandard health care
e. Lack of mental health support for the surviving spouse or partner at the end of life
ANS: B, C, D, E
LGBTQ couples face the same financial concerns as all older couples. All other options are possible
problems related to the health care of older LGBTQ couples.
DIF: 7 REF: p. 281 OBJ: 5
TOP: Marriage and the Older Adult KEY: Nursing Process Step: Planning
Basic Geriatric Nursing 8thEdition
Test Bank
Basic Geriatric Nursing 8thEdition
MULTIPLE RESPONSE
1. Which factor can alter the sexual practice of older adults? (Select all that apply.)
a. Altered health status
b. Sexual desire
c. Erectile dysfunction
d. Loss of sexual partner
e. Slowed sexual response time
ANS: A, C, D, E
The desire for sexual activity does not diminish with aging. An older adult can have difficulty with altered
health response, erectile dysfunction, loss of sexual partner and slower sexual response time.
DIF: 7 REF: p. 278 OBJ: 1
TOP: Age-Related Sexual Impairment KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. Which age-related change of the female reproductive system can affect sexual intercourse?
(Select all that apply.)
a. Pruritus vulvae
b. Atrophic vaginitis
,Test Bank
Basic Geriatric Nursing 8thEdition
c. Frequent yeast infections
d. Dyspareunia
e. Decreased response time
ANS: A, B, C, D
The response time is not decreased. All of the other options are age-related changes in the female that
affect satisfactory intercourse.
DIF: 7 REF: p. 279 OBJ: 1
TOP: Age-Related Impediments to Intercourse
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. Menopausal hormone therapy (MHT) can increase the risk of women developing which
condition? (Select all that apply.)
a. Stroke
b. Myocardial infarction
c. Liver disorders
d. Cancer
e. Bone demineralization
ANS: A, B, C, D
Bone demineralization is not a risk associated with hormone therapy, which is prescribed to prevent
bone demineralization.
DIF: 8 REF: p. 279 OBJ: 1
TOP: Hormone Replacement Therapy Risks
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
,Test Bank
Basic Geriatric Nursing 8thEdition
4. Which age-related change is common in older men and affect sexuality? (Select all that apply.)
a. Erections take longer to achieve and are less firm than in younger years.
b. Orgasm takes longer to achieve.
c. Orgasm occurs at each intercourse.
d. Erection loss occurs immediately after orgasm.
e. There is an increase in time between orgasms.
ANS: A, B, D, E
Orgasms are not always achieved with each intercourse.
DIF: 7 REF: p. 279 OBJ: 1 TOP: Sexual Impairment
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. Which drug can contribute to erectile dysfunction? (Select all that apply.)
a. Calcium channel blockers
b. Pancreatic enzyme replacement
c. Antihistamines
d. Antiparkinson drugs
e. Antidepressants
ANS: A, C, E
Antihypertensives, antihistamines, and SSRIs all have a negative effect on sexual function.
DIF: 7 REF: p. 280 OBJ: 2
, Test Bank
Basic Geriatric Nursing 8thEdition
TOP: Medication and Sexual Function KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
6. Which is a factor that can discourage marriage between older adults? (Select all that apply.) a.
Children‘s fear of losing inheritance
b. Financial loss in case of remarriage
c. Loyalty to deceased partner
d. The lack of opportunity for sexual expression outside of marriage
e. Religious and personal values that inhibit cohabitation
ANS: A, B, C
Lack of opportunity for sexual expression outside of marriage and distaste for cohabitation are factors
that might encourage marriage rather than impede it.
DIF: 7 REF: p. 281 OBJ: 1
TOP: Caregivers and the Sexuality of Older Adults KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
7. The home health nurse takes into consideration the concern of aging LGBTQ couples, which
includes which concern? (Select all that apply.) a. Ability to pay for prescriptions
b. The health care system‘s focus on heterosexuality as the norm
c. Concern that end of life care may not allow recognition of their relationship/marriage
d. Fear of discrimination based on sexual orientation, resulting in substandard health care
e. Lack of mental health support for the surviving spouse or partner at the end of life
ANS: B, C, D, E
LGBTQ couples face the same financial concerns as all older couples. All other options are possible
problems related to the health care of older LGBTQ couples.
DIF: 7 REF: p. 281 OBJ: 5
TOP: Marriage and the Older Adult KEY: Nursing Process Step: Planning
