Exam Questions and Correct
Answers | New Update
1.Which statement made by a nurse reflects a lack of understanding
regarding sexual intimacy and the older adult patient?
a. "Older adults express less interest in intimacy as both acute and
chronic illnesses develop."
b. "Sexual expression is considered an enhancement to the quality of
the older adult's life."
,c. "Expressing sexual needs may be difficult or impossible for some
older adults."
d. "Interest in physical contact tends to persist throughout life for both
genders." - ANSWER ✔✔A
2. A 70-year-old female patient shares with the nurse her concern that
recently it takes more time to achieve an orgasm. The nurse responds
most therapeutically when answering:
a. "You've described a common result of aging for both men and
women."
b. "If you experience difficulty achieving orgasms, you should discuss
that with your doctor."
c. "Your body produces fewer sex hormones now, and you need more
stimulation to climax."
d. "I understand your concern. Let's talk more about the changes you've
noticed." - ANSWER ✔✔C
3. A type 2 insulin-dependent diabetic 70-year-old recently lost his wife
and is experiencing impotence. Besides educating the patient on the
normal effects of aging on sexual function, the nurse should initially
include information regarding:
,a. the effect that stress has on sexual performance.
b. the effect of diabetes mellitus on the vascular system.
c. the link between depression and sexual dysfunction.
d. sexual dysfunction related to long-term use of insulin. - ANSWER
✔✔B
4. 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:
a. alert staff to be aware of this new behavior.
b. provide the patient with privacy.
c. assess him for possible pain and fever.
d. provide a verbal cue for him to stop the behavior. - ANSWER ✔✔C
5. To effectively assess an older adult patient's sexual needs, the nurse
must initially:
a. reflect on personal feelings that create barriers to effective
communication with the patient.
b. be familiar with the sexual needs of the older adult population.
c. assess the patient's physical capacity to engage in sexual activities.
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, d. inform the patient of the personal nature of the detailed questioning
this assessment requires. - ANSWER ✔✔A
6. An older adult patient recovering from a radical prostatectomy is
discussing his postsurgical care plan with the nurse when he expresses
concern about long-term impotence. The nurse initially responds:
a. "I'd suggest a consult with a sexuality counselor for you and your
partner."
b. "When you've healed sufficiently, we can discuss prosthetic devices
that help."
c. "There are medications called phosphodiesterase inhibitors that
minimize that problem."
d. "While postsurgical erectile dysfunction is likely, it is generally
temporary." - ANSWER ✔✔D
7. 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:
a. "I've had to tell her to stop touching my breasts twice today."
b. "Someone needs to tell him to keep his pants zipped."
c. "I realize they have needs, but I'm not sure how to handle that."