Chapter 16 Sexuality and Aging

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Chapter 16  Sexuality and Aging

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. What is true of sexuality?

  1. It becomes absent with age.
  2. It remains part of life until death.
  3. As expressed through intercourse is not possible after the age of 65 years.
  4. It 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: p. 261 OBJ: 1 TOP: Sexuality KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

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

  1. Semiweekly douche to wash out cervical debris
  2. Liver function assessment annually
  3. Mammogram biannually
  4. Pap smear annually

ANS: D
Persons on hormone therapy should have an annual Pap smear and mammogram.

DIF: Cognitive Level: Application REF: p. 262 OBJ: 1
TOP: Hormone Replacement Therapy KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

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

  1. “Vaseline was good enough for my mother. It’s good enough for me.”
  2. “I use a water-soluble lubricant to aid intercourse.”
  3. “I’m trying an estrogen cream to see if it works.”
  4. “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: p. 262 OBJ: 4
TOP: Vaginal Dryness KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity: Pharmacological Therapies

4. What medical condition is known to contribute to erectile dysfunction? a. Diabetes

  1. Irritable bowel syndrome
  2. Chronic pancreatitis
  3. Osteoarthritis

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

DIF: Cognitive Level: Comprehension REF: p. 262 OBJ: 4
TOP: Erectile Dysfunction KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation

5. 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 make him impotent. What information can the nurse provide as reassurance?

  1. A prostatectomy will enhance sexual function.
  2. New techniques for a prostatectomy do not damage nerves.
  3. The prostate has nothing to do with erection or seminal fluid production.
  4. Impotence following a prostatectomy is entirely psychological.

ANS: B
Newer techniques do not damage nerves as was once the case when impotence following surgery was a real risk.

DIF: Cognitive Level: Application REF: pp. 262-263 OBJ: 1
TOP: Erectile Dysfunction KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation

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