Question 1

What drugs can contribute to erectile dysfunction? (Select all that apply.)

Accepted Answer

A)  calcium channel blockers 
B)  Pancreatic enzyme replacement 
C)  Antihistamines 
D)  Antiparkinson drugs 
E)  Antidepressants 
A)  calcium channel blockers 
B)  Pancreatic enzyme replacement 
C)  Antihistamines 
D)  Antiparkinson drugs 
E)  Antidepressants A, C, E

Question 2

The nurse teaches that some persons have found relief from postmenopausal discomfort by using phytoestrogens. In what food can phytoestrogens be found?

Accepted Answer

A)  Mangos 
B)  Soybeans 
C)  Broccoli 
D)  Lima beans 
A)  Mangos 
B)  Soybeans 
C)  Broccoli 
D)  Lima beans B

Question 3

The nurse is conducting an admission assessment with an older adult. What can affect sexual function? (Select all that apply.)

Accepted Answer

A)  Increasing age 
B)  Grief 
C)  Illness 
D)  Religion 
E)  Physical changes 
A)  Increasing age 
B)  Grief 
C)  Illness 
D)  Religion 
E)  Physical changes A, B, C, E

Question 4

What questions would be appropriate for the nurse to ask in order to assess sexual function? (Select all that apply.)

Accepted Answer

A)  "How many alcoholic beverages do you drink a day?" 
B)  "What over-the-counter and prescription medications do you take?" 
C)  "How often do you engage in sexual activity?" 
D)  "Have you had any recent health problems?" 
E)  "When do you see your significant other?" 
A)  "How many alcoholic beverages do you drink a day?" 
B)  "What over-the-counter and prescription medications do you take?" 
C)  "How often do you engage in sexual activity?" 
D)  "Have you had any recent health problems?" 
E)  "When do you see your significant other?"

Question 5

A 72-year-old patient is on menopausal hormone therapy (MHT). What should the nurse suggest for the patient?

Accepted Answer

A)  Semiweekly douche to wash out cervical debris 
B)  Liver function assessment annually 
C)  Mammogram biannually 
D)  Pap smear annually 
A)  Semiweekly douche to wash out cervical debris 
B)  Liver function assessment annually 
C)  Mammogram biannually 
D)  Pap smear annually

Question 6

The nurse is counseling a 70-year-old patient regarding vaginal dryness. Which statement by the patient would indicate a need for further teaching?

Accepted Answer

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." 
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."

Question 7

What would be an appropriate statement regarding sexuality for a married couple upon their admission to a long-term care facility?

Accepted Answer

A)  "How often do you have intercourse?" 
B)  "Do you have any sexual concerns related to your admission here?" 
C)  "What can we do to keep your sex life active?" 
D)  "Any sexual activity should be done in private." 
A)  "How often do you have intercourse?" 
B)  "Do you have any sexual concerns related to your admission here?" 
C)  "What can we do to keep your sex life active?" 
D)  "Any sexual activity should be done in private."

Question 8

What age-related changes are common in older men and affect sexuality? (Select all that apply.)

Accepted Answer

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. 
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.

Question 9

The horrified CNA runs to the nursing station and says, "Do you know what Mr. and Mrs. Smith are doing? They're having sex right there in room 210!" What would be the best response of the nurse?

Accepted Answer

A)  Knock discreetly on the door and enter the room. 
B)  Call the charge nurse to report inappropriate sexual activity. 
C)  Request an order from the primary health care provider to allow intercourse. 
D)  Give the CNA a "Do Not Disturb" sign to put on the door of room 210. 
A)  Knock discreetly on the door and enter the room. 
B)  Call the charge nurse to report inappropriate sexual activity. 
C)  Request an order from the primary health care provider to allow intercourse. 
D)  Give the CNA a "Do Not Disturb" sign to put on the door of room 210.

Question 10

What medical condition is known to contribute to erectile dysfunction?

Accepted Answer

A)  Diabetes 
B)  Irritable bowel syndrome 
C)  Chronic pancreatitis 
D)  Osteoarthritis 
A)  Diabetes 
B)  Irritable bowel syndrome 
C)  Chronic pancreatitis 
D)  Osteoarthritis

Question 11

Why does the nurse stress the importance of advance directives to a 70-year-old gay man who has been in a monogamous relationship for 20 years?

Accepted Answer

A)  All persons older than 60 years should have advance directives. 
B)  Gay and lesbian couples are estranged from their families. 
C)  Life partners frequently abandon unions when terminal illness occurs. 
D)  Life partners have no legal standing in many states. 
A)  All persons older than 60 years should have advance directives. 
B)  Gay and lesbian couples are estranged from their families. 
C)  Life partners frequently abandon unions when terminal illness occurs. 
D)  Life partners have no legal standing in many states.

Question 12

What is true of sexuality?

Accepted Answer

A)  It becomes absent with age. 
B)  It remains part of life until death. 
C)  As expressed through intercourse is not possible after the age of 65 years. 
D)  It must be expressed in sexual intercourse. 
A)  It becomes absent with age. 
B)  It remains part of life until death. 
C)  As expressed through intercourse is not possible after the age of 65 years. 
D)  It must be expressed in sexual intercourse.

Question 13

A cognitively impaired man is openly masturbating in the dayroom of a long-term care facility. What is the most appropriate statement by the nurse?

Accepted Answer

A)  "This is inappropriate behavior in public areas." 
B)  "Oh my God! Don't you know that will make you go blind?" 
C)  "I think you may need some privacy" and take him to his room. 
D)  "Here's a blanket for your legs" and cover his lap with it. 
A)  "This is inappropriate behavior in public areas." 
B)  "Oh my God! Don't you know that will make you go blind?" 
C)  "I think you may need some privacy" and take him to his room. 
D)  "Here's a blanket for your legs" and cover his lap with it.

Question 14

A 65-year-old male, although he is having painful symptoms related to a benign enlargement of the prostate, refuses to consider a prostatectomy because he fears that the surgery will cause erectile dysfunction. What information can the nurse provide as reassurance?

Accepted Answer

A)  A prostatectomy will enhance sexual function. 
B)  New techniques for a prostatectomy do not damage nerves. 
C)  The prostate has nothing to do with erection or seminal fluid production. 
D)  Erectile dysfunction following a prostatectomy is entirely psychological. 
A)  A prostatectomy will enhance sexual function. 
B)  New techniques for a prostatectomy do not damage nerves. 
C)  The prostate has nothing to do with erection or seminal fluid production. 
D)  Erectile dysfunction following a prostatectomy is entirely psychological.

Question 15

What constraints may prevent an older widow from engaging in sexual activity? (Select all that apply.)

Accepted Answer

A)  Older women outnumber older adult men by 4:1. 
B)  There is an expectation that men should initiate contact. 
C)  Display of sexual interest is considered improper. 
D)  Older women do not desire sexual expression. 
E)  Older women associate sexual activity with marriage. 
A)  Older women outnumber older adult men by 4:1. 
B)  There is an expectation that men should initiate contact. 
C)  Display of sexual interest is considered improper. 
D)  Older women do not desire sexual expression. 
E)  Older women associate sexual activity with marriage.

Question 16

The CNA tearfully reports that a resident deliberately exposes himself to her and makes lewd suggestions. What would be an appropriate modification to this patient's plan of care?

Accepted Answer

A)  Assign only males to care for the resident. 
B)  Chastise the resident for lewd behavior. 
C)  Restrain the hands of the resident during routine care. 
D)  Modify clothing choices to one-piece garments or elastic waist trousers. 
A)  Assign only males to care for the resident. 
B)  Chastise the resident for lewd behavior. 
C)  Restrain the hands of the resident during routine care. 
D)  Modify clothing choices to one-piece garments or elastic waist trousers.

Question 17

The home health nurse takes into consideration the concerns of aging gay and lesbian couples, which include __________. (Select all that apply.)

Accepted Answer

A)  health care providers being willing to discuss a homosexual union 
B)  the health care system's focus on heterosexuality as the norm 
C)  difficulty finding senior housing as a homosexual couple 
D)  fear of discrimination based on sexual orientation, resulting in substandard health care 
E)  delay of entry to a long-term care facility because of the possibility of not being able to share a room 
A)  health care providers being willing to discuss a homosexual union 
B)  the health care system's focus on heterosexuality as the norm 
C)  difficulty finding senior housing as a homosexual couple 
D)  fear of discrimination based on sexual orientation, resulting in substandard health care 
E)  delay of entry to a long-term care facility because of the possibility of not being able to share a room

Question 18

What factors can alter the sexual practice of older adults? (Select all that apply.)

Accepted Answer

A)  Altered health status 
B)  Inability to achieve orgasm 
C)  Erectile dysfunction 
D)  Loss of sexual partner 
E)  Slowed sexual response time 
A)  Altered health status 
B)  Inability to achieve orgasm 
C)  Erectile dysfunction 
D)  Loss of sexual partner 
E)  Slowed sexual response time

Question 19

What statement by a 65-year-old man who had a myocardial infarction 6 months ago would indicate a need for further teaching?

Accepted Answer

A)  "I'm enjoying the same sexual activities now as I did before my heart attack." 
B)  "I'm still pretty cautious, but our sex lives are very satisfactory." 
C)  "I've been told that I'm at risk for another heart attack if we have sex." 
D)  "My heart medications have caused erectile dysfunction, but we've found other methods of sexual expression." 
A)  "I'm enjoying the same sexual activities now as I did before my heart attack." 
B)  "I'm still pretty cautious, but our sex lives are very satisfactory." 
C)  "I've been told that I'm at risk for another heart attack if we have sex." 
D)  "My heart medications have caused erectile dysfunction, but we've found other methods of sexual expression."

Question 20

The nurse makes it clear to older adults in a long-term care facility that condoms are available from the medicine cart on request for which reason?

Accepted Answer

A)  To guarantee safe sex practices. 
B)  To reduce the incidence of sexually transmitted illnesses (STIs). 
C)  To show acceptance of sexual expression. 
D)  To prevent soiling bed linens or furniture. 
A)  To guarantee safe sex practices. 
B)  To reduce the incidence of sexually transmitted illnesses (STIs). 
C)  To show acceptance of sexual expression. 
D)  To prevent soiling bed linens or furniture.

What drugs can contribute to erectile dysfunction? (Select all that apply.)

The nurse teaches that some persons have found relief from postmenopausal discomfort by using phytoestrogens. In what food can phytoestrogens be found?

The nurse is conducting an admission assessment with an older adult. What can affect sexual function? (Select all that apply.)

What questions would be appropriate for the nurse to ask in order to assess sexual function? (Select all that apply.)

A 72-year-old patient is on menopausal hormone therapy (MHT). What should the nurse suggest for the patient?

The nurse is counseling a 70-year-old patient regarding vaginal dryness. Which statement by the patient would indicate a need for further teaching?

What would be an appropriate statement regarding sexuality for a married couple upon their admission to a long-term care facility?

What age-related changes are common in older men and affect sexuality? (Select all that apply.)

The horrified CNA runs to the nursing station and says, "Do you know what Mr. and Mrs. Smith are doing? They're having sex right there in room 210!" What would be the best response of the nurse?

What medical condition is known to contribute to erectile dysfunction?

Why does the nurse stress the importance of advance directives to a 70-year-old gay man who has been in a monogamous relationship for 20 years?

What is true of sexuality?

A cognitively impaired man is openly masturbating in the dayroom of a long-term care facility. What is the most appropriate statement by the nurse?

A 65-year-old male, although he is having painful symptoms related to a benign enlargement of the prostate, refuses to consider a prostatectomy because he fears that the surgery will cause erectile dysfunction. What information can the nurse provide as reassurance?

What constraints may prevent an older widow from engaging in sexual activity? (Select all that apply.)

The CNA tearfully reports that a resident deliberately exposes himself to her and makes lewd suggestions. What would be an appropriate modification to this patient's plan of care?

The home health nurse takes into consideration the concerns of aging gay and lesbian couples, which include __________. (Select all that apply.)

What factors can alter the sexual practice of older adults? (Select all that apply.)

What statement by a 65-year-old man who had a myocardial infarction 6 months ago would indicate a need for further teaching?

The nurse makes it clear to older adults in a long-term care facility that condoms are available from the medicine cart on request for which reason?

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating With Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment of Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self-Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-Of-Life Care

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters

Exam 16: Sexuality and Aging

What drugs can contribute to erectile dysfunction? (Select all that apply.)

The nurse teaches that some persons have found relief from postmenopausal discomfort by using phytoestrogens. In what food can phytoestrogens be found?

The nurse is conducting an admission assessment with an older adult. What can affect sexual function? (Select all that apply.)

What questions would be appropriate for the nurse to ask in order to assess sexual function? (Select all that apply.)

A 72-year-old patient is on menopausal hormone therapy (MHT). What should the nurse suggest for the patient?

The nurse is counseling a 70-year-old patient regarding vaginal dryness. Which statement by the patient would indicate a need for further teaching?

What would be an appropriate statement regarding sexuality for a married couple upon their admission to a long-term care facility?

What age-related changes are common in older men and affect sexuality? (Select all that apply.)

The horrified CNA runs to the nursing station and says, "Do you know what Mr. and Mrs. Smith are doing? They're having sex right there in room 210!" What would be the best response of the nurse?

What medical condition is known to contribute to erectile dysfunction?

Why does the nurse stress the importance of advance directives to a 70-year-old gay man who has been in a monogamous relationship for 20 years?

What is true of sexuality?

A cognitively impaired man is openly masturbating in the dayroom of a long-term care facility. What is the most appropriate statement by the nurse?

A 65-year-old male, although he is having painful symptoms related to a benign enlargement of the prostate, refuses to consider a prostatectomy because he fears that the surgery will cause erectile dysfunction. What information can the nurse provide as reassurance?

What constraints may prevent an older widow from engaging in sexual activity? (Select all that apply.)

The CNA tearfully reports that a resident deliberately exposes himself to her and makes lewd suggestions. What would be an appropriate modification to this patient's plan of care?

The home health nurse takes into consideration the concerns of aging gay and lesbian couples, which include __________. (Select all that apply.)

What factors can alter the sexual practice of older adults? (Select all that apply.)

What statement by a 65-year-old man who had a myocardial infarction 6 months ago would indicate a need for further teaching?

The nurse makes it clear to older adults in a long-term care facility that condoms are available from the medicine cart on request for which reason?

Trends and Issues

Theories of Aging

Physiologic Changes

Health Promotion, Health Maintenance, and Home Health Considerations

Communicating With Older Adults

Maintaining Fluid Balance and Meeting Nutritional Needs

Medications and Older Adults

Health Assessment of Older Adults

Meeting Safety Needs of Older Adults

Cognition and Perception

Self-Perception and Self-Concept

Roles and Relationships

Coping and Stress

Values and Beliefs

End-Of-Life Care

Care of Aging Skin and Mucous Membranes

Elimination

Activity and Exercise

Sleep and Rest

Filters