A nurse is teaching an older adult client about the myths and stereotypes that affect sexuality in later life.

Which of the following statements by the client indicates an understanding of the teachi

The correct answer is A, B, and C.

These interventions are appropriate for enhancing the sexuality of an older adult couple because they address the effects of aging, chronic diseases, medications, and environmental factors on sexual function and intimacy.

The nurse should educate the couple about the normal physiological changes that occur with aging, such as decreased vaginal lubrication, erectile dysfunction, and longer refractory periods.

The nurse should also inform the couple about how certain medical conditions (such as diabetes, hypertension, arthritis, or depression) and medications (such as antihypertensives, antidepressants, or antihistamines) can affect sexual desire, arousal, and performance.

The nurse should encourage the couple to explore alternative ways of expressing intimacy and affection, such as cuddling, kissing, caressing, or oral stimulation.

The nurse should also provide the couple with a private, comfortable and safe environment for sexual activity, such as a quiet room with adequate lighting, temperature, and ventilation.

Choice D is wrong because prescribing medications or devices to improve sexual performance or satisfaction is not within the scope of nursing practice.

The nurse should refer the couple to a physician or a sex therapist if they need pharmacological or mechanical interventions for sexual dysfunction.

Choice E is wrong because discouraging the couple from discussing their sexual concerns or expectations is contrary to promoting healthy sexuality and intimacy.

The nurse should facilitate open and honest communication between the couple and their health care providers about their sexual needs, preferences, and goals.

The nurse should also provide the couple with accurate and reliable information and resources about sexuality in older adults.

Normal ranges for sexual function and satisfaction vary widely among individuals and couples depending on their age, health status, lifestyle, relationship quality, and personal values.

Therefore, the nurse should not impose any rigid or unrealistic standards or expectations on the couple.

Instead, the nurse should respect the couple’s autonomy and dignity and support them in achieving their optimal level of sexual well-being.

The correct answer isA.

“I guess I shouldn’t let my age or society’s expectations limit my sexual expression.” This statement indicates that the client has a positive and realistic attitude about sexuality in later life, and does not let ageist sexual stereotypes affect their sexual health and wellness.

Choice B is wrong because it reflects a myth that sex is not important or appropriate for older adults.This myth can lead to internalized stigma and reduced sexual activity, which can have negative consequences for physical and mental health.

Choice C is wrong because it implies that the decline in sexual interest and ability is inevitable and unavoidable.

This is another myth that can discourage older adults from seeking help or exploring alternatives for their sexual problems.In fact, many factors can affect sexual function and satisfaction, such as medications, chronic conditions, lifestyle habits, relationship issues, etc., and some of them can be modified or treated.

Choice D is wrong because it suggests that older adults can only have sex with someone of the same age and marital status as them.

This is a stereotype that limits the diversity and expression of sexuality in later life.Older adults can have sex with anyone they choose, as long as it is consensual and safe.