Exam 13: Sexuality and Aging

The patient who recently had a radical prostatectomy has the nursing diagnosis of ineffective sexuality patterns.What assessment by the nurse best indicates that the goals for this diagnosis have been met?

What information about sexuality is contrary to research on sexuality in older men?

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

A patient lives in a long-term care facility and has mild dementia.The patient has been showing interest in another resident.What action by the nurse is best?

A patient with arthritis has difficulty participating is sex because of joint pain and stiffness.What action by the nurse is best?

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:

The nurse using the permission,limited information,specific suggestions,and intensive therapy (PLISSIT)model offers specific suggestions when:

The nurse notes the patient's chart lists "dyspareunia" as a complaint.What teaching does the nurse plan to provide?

The family of a resident in an assisted living facility contacts the director to say they are "appalled" that the resident is allowed to have pornographic magazines in the room.What response by the director is most appropriate?

The charge nurse on an extended care unit recognizes an immediate need for additional unit education regarding sexuality and the older adult when overhearing a staff member state:

The nurse is learning about postmenopausal changes that can affect sexuality in women.Which of the following are included? (Select all that apply. )

The nurse working in long-term care knows there are several barriers to sexual expression for older patients.Which of the following are barriers? (Select all that apply. )

An older male patient is seen in the family practice clinic and tells the nurse he no longer takes his metoprolol (Toprol)because "it interferes with my lifestyle." What action by the nurse is best?

A male patient takes carbamazepine (Tegretol).The spouse reports sexual dysfunction,but the patient adamantly denies he has this problem.What response by the nurse is best?

Through the open door of the patient's room,the nurse observes a male patient and his long-term partner in a romantic embrace.The nurse's priority intervention is directed toward:

An older adult has begun dating after being widowed for many years.The adult confides to the nurse about having several sexual partners.What action by the nurse is best?

An older adult female patient who has multiple sexual partners asks the nurse if the risk for contracting HIV really does increase as we age.The nurse shows the best understanding of this risk when responding:

To effectively assess an older adult patient's sexual needs,the nurse must initially:

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:

The nursing manager feels that intimacy needs are not being assessed or addressed by the staff on the unit.What action by the manager is best?