Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 12- Sexuality and Intimacy
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Which statement best captures the predominant societal view of sexuality in general and sexuality in older adults? | |
| A) | Sexuality has recently become valued and normalized in both older and younger adults. | |
| B) | There is an acknowledgment that sexual interest and activity do not necessarily decline with age. | |
| C) | There is societal recognition that the overall importance of sexuality remains high across the life span. | |
| D) | Stigma and prejudice around sexuality in older adults persists despite changes in the societal view of sexuality in general. | |
| Ans: | D | |
| Feedback: | ||
| Inaccuracies and misconceptions around sexuality and older adults persist, despite profound changes in the societal views of the topic of sexuality in general. Sexuality is not commonly valued or recognized by society, and interest and activity are presumed to decline and even disappear in older age. | ||
| 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 |
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| 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.) | |
| 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 |
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| 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? | |
| 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 Integrated Process: Nursing process Objective: 3 Page and Header: 149, Sexual Behavior and Roles |
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| 4. | The nurse wants to acknowledge and accommodate the sexual needs of older residents in a long-term care facility. Which statement provides the most accurate guide for the nurse’s practice? | |
| A) | Erectile dysfunction drugs can be used to significantly enhance older adults’ lack of interest in sex. | |
| B) | The nurse should gently and creatively seek to liberate older adults from the rigid gender roles of their youth. | |
| C) | The nurse should remember that the general pattern and character of sexual behavior and identity is consistent throughout the life. | |
| D) | The nurse should recognize that older adults experience an increased desire for emotional comfort and intimacy along with an accompanying decrease in desire for physical, sexual activity. | |
| Ans: | C | |
| Feedback: | ||
| Sexual interest and identity is generally consistent throughout the life span. It is not the nurse’s role to deliberately seek to change residents’ gender identities, and interest in physical sexual activity does not necessarily wane. It would be inappropriate and ineffective to attempt to create sexual interest through the use of erectile dysfunction drugs. | ||
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