Chapter 13: Sexuality and Aging

Chapter 13: Sexuality and Aging

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which statement made by a nurse reflects a lack of understanding regarding sexual intimacy and the older adult patient?

ANS:  A

Although the need to express interest in sexuality continues among older adults, they face several barriers to sexual expression, including problems arising from low desire, aging, disease, and medications; societal beliefs; and changes in social circumstances. Sexuality remains important as people age and develop chronic and acute illnesses.

DIF:    Understanding (Comprehension)      REF:   Page 241        OBJ:   13-1

TOP:   Teaching-Learning                          MSC:  Psychosocial Integrity

2. A 70-year-old female patient shares with the nurse her concern that recently it takes more time to achieve an organism. The nurse responds most therapeutically when answering:

ANS:  C

In both genders, the reduced availability of sex hormones in older adults results in less rapid and less extreme vascular responses to sexual arousal. The nurse should first share this information with the patient then offer to talk more about concerns. Although this is a normal finding, simply stating this does not give the woman much information. The nurse should be willing to discuss sexual concerns with the patient and not just pass the patient along to someone else.

DIF:    Understanding (Comprehension)      REF:   Page 223        OBJ:   13-1

TOP:   Teaching-Learning                          MSC:  Physiologic Integrity

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:

ANS:  B

Erectile dysfunction (ED) can occur at any age. This patient’s chronic illness and its effect on the vascular system have priority when educating the patient about possible causes of ED. After discussing physiologic causes of ED, the nurse can then turn to psychosocial causes. Physical issues take priority over psychosocial ones.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   13-4

TOP:   Teaching-Learning                          MSC:  Physiologic Integrity

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:

ANS:  C

Dementia may result in unmet sexual needs resulting in such behavior; however, this behavior may also indicate pain, hyperthermia, or the need to be freed from a restrained situation. Later the nurse can inform staff of the behavior, particularly if it is a new behavior, and ensure the patient has privacy. There is no need to cue the patient to stop this behavior as long as it is done in a private setting.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   13-5

TOP:    Nursing Process: Assessment    MSC:   Physiologic Integrity