Chapter 16: Sexuality and Aging

Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold

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Chapter 16: Sexuality and Aging

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The nurse is aware that sexuality:
a. becomes absent with age.
b. remains part of life until death.
c. as expressed through intercourse is not possible after the age of 65 years.
d. must be expressed in sexual intercourse.

 

ANS:   B

Sexuality is an integral part of the makeup of each person. Although sexual expression may change, the need for sexual affection does not diminish. Intercourse is only one method of sexual expression.

 

DIF:    Cognitive Level: Knowledge REF:    259      OBJ:    1

TOP:    Sexuality         KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

  1. The nurse counsels the 70year-old female who has remained on hormone replacement therapy (HRT) that she needs to have a:
a. semiweekly douche to wash out cervical debris.
b. liver function assessment annually.
c. mammogram biannually.
d. Pap smear annually.

 

ANS:   D

Persons on HRT should have an annual Pap smear and mammogram.

DIF:    Cognitive Level: Application REF:    259      OBJ:    1

TOP:    Hormone Replacement Therapy         KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. The nurse evaluates a need for further instruction to reduce the symptoms of vaginal dryness when the 70year-old patient says:
a. “Vaseline was good enough for my mother. It’s good enough for me.”
b. “I use a water-soluble lubricant to aid intercourse.”
c. “I’m trying an estrogen cream to see if it works.”
d. “I’ll let you know how wild yams work for vaginal dryness.”

 

ANS:   A

Vaseline and petroleum products should be avoided because they do nothing for long-term dryness.

DIF:    Cognitive Level: Application REF:    260      OBJ:    4

TOP:    Vaginal Dryness                     KEY:   Nursing Process Step: Evaluation

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies

 

  1. The nurse identifies the person most likely to experience erectile dysfunction as the 65year-old who has _____ sexually active in earlier years.
a. diabetes and was very
b. irritable bowel syndrome and was minimally
c. chronic pancreatitis and was very
d. osteoarthritis and was moderately

 

ANS:   A

Diabetic men are at risk for erectile dysfunction even at young ages.

DIF:    Cognitive Level: Analysis      REF:    260      OBJ:    4

TOP:    Erectile Dysfunction               KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

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