A nurse is providing education to a group of older adults about sexuality and aging.

Which of the following information should the nurse include?

Older adults have less need for intimacy and affection than younger adults.

Older adults may experience changes in sexual response or function due to physiological factors.

Older adults should avoid sexual activity if they have any chronic diseases or disabilities.

Older adults are at lower risk for sexually transmitted infections than younger adults.

Answer and Explanation

The Correct Answer is B

The correct answer is B.

Older adults may experience changes in sexual response or function due to physiological factors. This is because aging can affect the sex organs, hormones, blood flow, and nerve signals that are involved in sexual arousal and performance. These changes do not mean that older adults cannot enjoy a satisfying sex life, but they may require some adjustments or treatments to overcome any difficulties.

Choice A is wrong because older adults have the same need for intimacy and affection as younger adults, and sexuality is an important component of emotional and physical intimacy that can enhance well-being and quality of life.

Choice C is wrong because older adults with chronic diseases or disabilities can still have sexual activity, as long as they are comfortable and safe. They may need to consult with their health care providers about any precautions or modifications they should make to accommodate their conditions.

Choice D is wrong because older adults are not at lower risk for sexually transmitted infections (STIs) than younger adults. In fact, older adults may be more vulnerable to STIs due to lower immune function, thinner vaginal tissues, lack of condom use, and other factors.

Therefore, older adults should practice safe sex and get tested regularly for STIs.

Normal ranges for sexual response or function vary widely depending on the individual, the partner, the situation, and other factors.

There is no one standard or ideal way to experience sexuality and intimacy in older adulthood. The most important thing is to communicate openly with one’s partner and health care provider about any concerns or preferences, and to seek help if needed.

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Correct Answer is ["A","B","C","E"]

Explanation

The correct answer isA, B, C, and E.

The nurse should ask the client about medications, vision problems, home environment, and urinary incontinence as these are all factors that could contribute to falls in older adults.

• Medicationscan increase the risk of falls because they can cause side effects such as drowsiness, dizziness, confusion, or low blood pressure.Some medications that can increase the risk of falls include sedatives, antidepressants, antihypertensives, diuretics, and anticholinergics.

• Vision problemscan impair the ability to see obstacles, judge depth and distance, or adjust to changes in light.Some vision problems that can increase the risk of falls include cataracts, glaucoma, macular degeneration, and diabetic retinopathy.

• Home environmentcan pose safety hazards that can cause tripping, slipping, or losing balance.Some home hazards that can increase the risk of falls include loose rugs, clutter, poor lighting, slippery floors, uneven surfaces, and lack of handrails or grab bars.

• Urinary incontinencecan lead to rushed movements to the bathroom or frequent nighttime trips that can increase the risk of falls.Urinary incontinence can be caused by various factors such as bladder infections, prostate problems, pelvic floor weakness, or medication side effects.

Choice D is wrong because thyroid function is not a direct factor that contributes to falls in older adults.However, thyroid disorders such as hyperthyroidism or hypothyroidism can affect other factors such as muscle strength, bone density, heart rate, or blood pressure that can indirectly increase the risk of falls.

Normal ranges for thyroid function tests vary depending on the laboratory and the method used.However, a common reference range for thyroid-stimulating hormone (TSH) is 0.4 to 4.0 mIU/L and for free thyroxine (FT4) is 0.8 to 1.8 ng/dL.

A. Trust vs mistrust. B. Generativity vs stagnation. C. Ego integrity vs despair. D. Identity vs role confusion.

Correct Answer is C

Explanation

The correct answer is C.

Ego integrity vs despair.

According to Erikson’s psychosocial theory, older adults face the challenge of looking back on their lives and evaluating their accomplishments and failures.

If they feel satisfied with their life course, they achieve a sense of ego integrity, which is a feeling of wholeness and coherence.

If they feel regretful or dissatisfied, they experience despair, which is a sense of hopelessness and bitterness.

Choice A is wrong because trust vs mistrust is the first stage of Erikson’s theory, which occurs in infancy.

It involves developing a basic sense of trust in oneself and others based on the quality of caregiving.

Choice B is wrong because generativity vs stagnation is the seventh stage of Erikson’s theory, which occurs in middle adulthood.

It involves contributing to society and the next generation through work, parenting, or other activities.

Choice D is wrong because identity vs role confusion is the fifth stage of Erikson’s theory, which occurs in adolescence.

It involves developing a stable and coherent sense of self and one’s role in society.

Normal ranges for Erikson’s stages are:.

• Trust vs mistrust: birth to 18 months.

• Autonomy vs shame and doubt: 18 months to 3 years.

• Initiative vs guilt: 3 to 6 years.

• Industry vs inferiority: 6 to 12 years.

• Identity vs role confusion: 12 to 18 years.

• Intimacy vs isolation: 18 to 40 years.

• Generativity vs stagnation: 40 to 65 years.

• Ego integrity vs despair: 65 years and older.

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A nurse is providing education to a group of older adults about sexuality and aging. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing an older adult client who has osteoporosis and reports frequent falls. The nurse should ask the client about which of the following factors that could contribute to falls? (Select all that apply.).

Correct Answer is ["A","B","C","E"]

Explanation

According to Erikson’s psychosocial theory, what is the main developmental task of older adults?

Correct Answer is C

Explanation

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A nurse is providing education to a group of older adults about sexuality and aging.

Which of the following information should the nurse include?