Test Bank for Basic Geriatric
Nursing 8th Edition by
Patricia A. Williams
{Chapter 16-20}
Chapter 16: Sexuality and Aging
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. What statement by a 65-year-old man who had a myocardial infarction 6 months ago
would indicate a need for further teaching?
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.”
ANS: C
, Fear, rather than an actual threat, can cause cessation of sexual relations following a
heart attack.
DIF: 5 REF: p. 280 OBJ: 2 TOP: Illness and Sexual Function
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. 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?
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
ANS: B
STIs can still be transmitted in the older adult. Nothing can guarantee safe sex
practices.
DIF: 5 REF: p. 281 OBJ: 7 TOP: STDs and the Older Adult
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
3. 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!” Which response is
appropriate for the nurse to make?
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 physician to allow intercourse.
d. Give the CNA a “Do Not Disturb” sign to put on the door of room 210.
, ANS: D
Privacy should be protected for appropriate sexual expression. Orders and notifying
the charge nurse are not necessary, but recording the event in the nursing notes as a
conjugal visit is suggested.
DIF: 4 REF: p. 282 OBJ: 7 TOP: Privacy
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4. A cognitively impaired man is openly masturbating in the dayroom of a long-term care
facility. Which statement will the nurse make?
a. “This is inappropriate behavior in public areas.”
b. “Oh my! 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.
ANS: C
A person who is masturbating in public should be taken to his room for privacy.
DIF: 6 REF: p. 282 OBJ: 7 TOP: Masturbation
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
5. Which comment regarding sexuality is appropriate for a married couple upon their
admission to a long-term care facility?
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.”
, ANS: B
Asking about sexuality in broad terms using open-ended questions communicates a
willingness to discuss the issue.
DIF: 4 REF: p. 282 OBJ: 7 TOP: Sexual Concerns
KEY: Nursing Process Step: implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
6. Which statement is true of sexuality?
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.
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: 1 REF: p. 278 OBJ: 1 TOP: Sexuality
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
7. The CNA tearfully reports that a resident deliberately exposes himself to her and makes
lewd suggestions. Which modification would be appropriate to make to this patient’s plan
of care?
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.
Nursing 8th Edition by
Patricia A. Williams
{Chapter 16-20}
Chapter 16: Sexuality and Aging
Williams: Basic Geriatric Nursing, 8th Edition
MULTIPLE CHOICE
1. What statement by a 65-year-old man who had a myocardial infarction 6 months ago
would indicate a need for further teaching?
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.”
ANS: C
, Fear, rather than an actual threat, can cause cessation of sexual relations following a
heart attack.
DIF: 5 REF: p. 280 OBJ: 2 TOP: Illness and Sexual Function
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. 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?
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
ANS: B
STIs can still be transmitted in the older adult. Nothing can guarantee safe sex
practices.
DIF: 5 REF: p. 281 OBJ: 7 TOP: STDs and the Older Adult
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
3. 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!” Which response is
appropriate for the nurse to make?
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 physician to allow intercourse.
d. Give the CNA a “Do Not Disturb” sign to put on the door of room 210.
, ANS: D
Privacy should be protected for appropriate sexual expression. Orders and notifying
the charge nurse are not necessary, but recording the event in the nursing notes as a
conjugal visit is suggested.
DIF: 4 REF: p. 282 OBJ: 7 TOP: Privacy
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
4. A cognitively impaired man is openly masturbating in the dayroom of a long-term care
facility. Which statement will the nurse make?
a. “This is inappropriate behavior in public areas.”
b. “Oh my! 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.
ANS: C
A person who is masturbating in public should be taken to his room for privacy.
DIF: 6 REF: p. 282 OBJ: 7 TOP: Masturbation
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
5. Which comment regarding sexuality is appropriate for a married couple upon their
admission to a long-term care facility?
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.”
, ANS: B
Asking about sexuality in broad terms using open-ended questions communicates a
willingness to discuss the issue.
DIF: 4 REF: p. 282 OBJ: 7 TOP: Sexual Concerns
KEY: Nursing Process Step: implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
6. Which statement is true of sexuality?
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.
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: 1 REF: p. 278 OBJ: 1 TOP: Sexuality
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
7. The CNA tearfully reports that a resident deliberately exposes himself to her and makes
lewd suggestions. Which modification would be appropriate to make to this patient’s plan
of care?
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.
