M7 Sexuality and Intimacy Ch. 31

A client experiencing menopausal symptoms asks what dietary changes can be made to reduce the manifestations of menopause. Which suggestion by the nurse would be most appropriate?

"Eat whole grains, nuts, and soybeans rich in plant estrogens."

A female client asks about using hormone replacement therapy (HRT) for menopausal symptoms but is concerned about the risks. Which response by the nurse would be appropriate in helping to guide the client's decision making process?

"HRT should be individualized based on your age, time since menopause, and the potential risks and benefits."

A gerontological nurse is conducting a presentation for nursing staff on supporting the sexual needs of the long-term care clients. After the presentation, the nurse determines that the teaching was successful based on which statement by the staff?

"It refers to the identification with a socialized gender role."

A 70-year-old male client has erectile dysfunction, but he tells the nurse that he is no longer interested in sexual activity. Which response by the nurse would be most appropriate?

"It's probably a good idea to have a physical exam to find out what might be causing your erectile dysfunction."

A gerontological nurse overhears several staff members talking about the topic of older adults and sex. Which statement would lead the nurse to develop a program for teaching the staff?

"Most women lose interest in sex after menopause."

While completing an assessment of a female client who recently became a widow, the client states, "I want to have a fulfilling sex life but I am afraid I won't have a desire for sex and I am afraid of hurting myself." Which response by the nurse would be appropriate?

"Sex can cause a broken hip to fracture again so you have to be careful."

The nurse manager overhears several staff members making inaccurate comments about the sexuality of older clients. Which comment would the nurse manager need to address with teaching?

"Total loss of vaginal lubrication makes sexual intercourse impossible for older women."

An older male client has disclosed to the nurse his recent inability to achieve an erection. Which response by the nurse would be appropriate?

"We should check that this is not the result of something we can change."

A nurse is assessing several male clients. Which client would the nurse most likely identify as having the highest risk of erectile dysfunction?

A 68-year-old who has poorly controlled type 2 diabetes

A nurse is administering medications to several older adult clients. Which client would the nurse identify as being susceptible to decreased libido or sexual function resulting from the medication?

A 77-year-old client who takes a loop diuretic and a beta-adrenergic receptor blocker for the treatment of chronic hypertension

An older male client asks, "What can I do to prevent andropause?" Which recommendation(s) will the nurse provide the client? Select all that apply. A. Moderate alcohol intake. B. Get enough sleep. C. Avoid sources of stress. D. Stay active. E. Eat a balanced diet.

A. Moderate alcohol intake. B. Get enough sleep. C. Avoid sources of stress. D. Stay active. E. Eat a balanced diet.

A female client is experiencing hot flashes and anxiety since beginning menopause. Which intervention(s) would be appropriate for the nurse to suggest to help the client manage her symptoms? Select all that apply. A. Using meditation B. Cutting down on exercise C. Taking rhapontic rhubarb D. Engaging in T'ai Chi E. Reducing sleep to 6 hours a night

A. Using meditation D. Engaging in T'ai Chi

Which action(s) will the nurse take to help an older adult client decrease pain during intercourse? Select all that apply. A. Encourage the client to use condoms during sex. B. Discuss masturbation to increase blood flow to the area. C. Recommend the use of a lubricant during sex. D. Counsel the client to stop having sexual relations. E. Identify positions that cause less pain.

B. Discuss masturbation to increase blood flow to the area. C. Recommend the use of a lubricant during sex.

A nurse who cares for older adult clients at an assisted living facility is planning a program to address safer sex in older adults. The nurse determines the need for this program based on which concept(s)? Select all that apply. A. Susceptibility to sexually transmitted infections (STIs) dramatically increases with age. B. HIV/AIDS is spreading more quickly among older adults than among younger adults. C. Older adults frequently forego condom use because the risk of pregnancy does not exist. D. Many older adults assume that sexually transmitted infections (STIs) are problems affecting younger adults. E. Older women are in fact more prone to sexually transmitted infections than younger adults due to hormonal changes.

B. HIV/AIDS is spreading more quickly among older adults than among younger adults. C. Older adults frequently forego condom use because the risk of pregnancy does not exist. E. Older women are in fact more prone to sexually transmitted infections than younger adults due to hormonal changes.

A client who experienced a myocardial infarction 6 months ago tells the nurse, "I didn't realize that my sexual life would be over so early in life." When responding to the client, which information would be appropriate for the nurse to include? Select all that apply. A. Encouraging the client to cultivate hobbies B. Teaching the client about alternative positions to avoid strain C. Instructing the client to avoid large meals for several hours before sex D. Advising the client to take medications, as prescribed, for peak effectiveness during sex E. Encouraging the client to speak to a psychologist about the issue

B. Teaching the client about alternative positions to avoid strain C. Instructing the client to avoid large meals for several hours before sex D. Advising the client to take medications, as prescribed, for peak effectiveness during sex

While obtaining a sexual history from an older female client, the nurse uncovers a loss of sexual desire. Which intervention(s) will the nurse include in the care plan? Select all that apply. A. Reassure client that sexual desire decreases with age. B. Discuss changing partners to increase desire. C. Encourage client to set aside time for intimacy. D. Recommend exploring the use of sex toys to increase pleasure. E. Counsel client to limit exercise to increase energy for sex.

C. Encourage client to set aside time for intimacy. D. Recommend exploring the use of sex toys to increase pleasure.

A gerontological nurse is preparing a presentation for a group of older adults at a local senior center. Which area would the nurse address in the presentation as a reason why many older adults have difficulty finding a sex partner? Select all that apply. A. Most men are married to older women. B. There are two times more men over age 65 than women. C. Most older men are married while older women are widowed. D. The number of older women exceeds the number of older men. E. Most women marry men who are significantly older than themselves.

C. Most older men are married while older women are widowed. D. The number of older women exceeds the number of older men. E. Most women marry men who are significantly older than themselves.

A female client who has gone through menopause asks why estrogen levels change during and after menopause. Which information would the nurse most likely include when explaining to the client about estrogen in a postmenopausal woman?

Conversion of androstenedione to estrone occurs in the skin and fatty tissue

A nurse working in a long-term care facility is caring for an older adult client in a same-sex marriage. After the spouse visits, the client's roommate makes disparaging comments. Which action should the nurse take?

Discuss moving the roommate to another room to avoid the conflict.

Two clients of a long-term care facility have been married for over 50 years and lived in the same house until health problems caused them to be admitted to the facility. They are currently assigned to different rooms. Which action by the nursing staff would best facilitate the couple's sexuality?

Facilitate a move into the same room if possible

A gerontological nurse is assessing an older adult client who has just arrived at the long-term care facility. Which action will the nurse take to begin a sexual health assessment?

Gain the client's permission.

An older adult client who has recently become a widow reports a sudden onset of erectile dysfunction during a visit to the senior health center. Which assessment would the nurse perform first?

His new medications

The nurse is helping an older female client understand the difficulty of finding a sexual partner at this time in her life. Which statement would the nurse most likely include in the discussion?

Most men are married and most women are widowed

The nurse manager learns that an older male and older female client in an assisted living facility are spending time together in a locked room. Which response by the nurse would be most appropriate in this situation?

Nothing. The clients have a right to privacy.

A female client believes she is experiencing menopausal symptoms but the health care provider wants to perform additional testing. Which finding would suggest the need for additional testing?

Occasional weakness and numbness on her right side

During an interview, an older adult client with erectile dysfunction tells the nurse, "I am too old for sex." The nurse should focus the assessment on which set of conditions?

impotence and anxiety

A client explains a lack of interest in sex since the spouse passed away 3 years ago. After completing the health history, which finding would the nurse suspect as contributing to the client's lack of interest in sex?

prescribed antidepressants