Chapter 16 Sexuality and Aging

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Chapter 16  Sexuality and Aging

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. The nurse is aware that sexuality:

  1. becomes absent with age.
  2. remains part of life until death.
  3. as expressed through intercourse is not possible after the age of 65 years.
  4. 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:PhysiologicalIntegrity:PhysiologicalAdaptation

2. The nurse counsels the 70-year-old female who has remained on hormone replacement therapy (HRT) that she needs to have a:

  1. semiweekly douche to wash out cervical debris.
  2. liver function assessment annually.
  3. mammogram biannually.
  4. 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

3. The nurse evaluates a need for further instruction to reduce the symptoms of vaginal dryness when the 70-year-old patient says:

  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.

Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.

Test Bank 16-2 DIF: Cognitive Level: Application REF: 260 OBJ: 4

TOP: Vaginal Dryness KEY:
MSC: NCLEX:PhysiologicalIntegrity:PharmacologicalTherapies

4. The nurse identifies the person most likely to experience erectile dysfunction as the 65- year-old who has _____ sexually active in earlier years.

  1. diabetes and was very
  2. irritable bowel syndrome and was minimally
  3. chronic pancreatitis and was very
  4. 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:PhysiologicalIntegrity:PhysiologicalAdaptation

5. The 65-year-old male who, 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. The nurse reassures him that:

  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: 260 OBJ: 1
TOP: Erectile Dysfunction KEY: Nursing Process Step: Implementation MSC: NCLEX:PhysiologicalIntegrity:PhysiologicalAdaptation

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