The nurse is caring for a client who is concerned about sexual performance.

Nursing Interview

A 70-year-old male client reported that he is concerned about declining sexual performance.

The nurse is engaging in client education to explain internal causes of withdrawal from sexual activity later in life. Which of the following internal causes should the nurse discuss? Select all that apply.

(Select All that Apply.)

Stress

Low testosterone levels

Substance use

Lack of sleep

Answer and Explanation

Correct Answer : B

A.   Stress can affect sexual performance, but it's not exclusively an internal factor. Stress can be caused by both internal and external factors.
B.   Low testosterone levels are an internal factor that can significantly impact sexual performance in aging males. Testosterone decline is a natural part of aging and can affect libido and sexual function.
C.   Substance use can affect sexual performance, but it's not solely an internal cause as it often involves external factors related to the intake of substances.
D.   Lack of sleep affects overall health, but it can also be influenced by external factors and is not strictly an internal cause.
E.   Chronic diseases such as diabetes, cardiovascular diseases, and others can have internal physiological effects that impact blood flow, nerve function, and overall health, contributing to declines in sexual performance later in life.

Nursing Test Bank

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Correct Answer is D

Explanation

A. Listening to speech primarily assesses cranial nerves related to speech and articulation, not cranial nerve II.
B. Identifying scented aromas assesses the olfactory nerve.
C. Clenching teeth primarily assess cranial nerve V (trigeminal nerve).
D. Cranial nerve II is the optic nerve responsible for vision. Testing visual acuity using a Snellen chart assesses this nerve's function.

A. Brainstem B. Cerebellum C. Extrapyramidal tract D. Thalamus

Correct Answer is B

Explanation

A. The brainstem is responsible for basic life functions like breathing and heart rate but isn't primarily associated with balance and coordination.
B. The cerebellum plays a crucial role in coordination, balance, and fine motor control. Issues here can result in problems with balance and coordination.
C. The extrapyramidal tract involves motor control but is not specifically responsible for balance and coordination.
D. The thalamus primarily serves as a relay center for sensory information but is not directly related to balance and coordination.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?

Correct Answer is D

Explanation

A client tells the nurse about being very unsteady and has difficulty in maintaining balance. The nurses recognize which area of the brain is involved and require further assessment.

Correct Answer is B

Explanation

A client reports pain in the left wrist after falling while playing basketball. After assessing the wrist, which of the following assessment finding would make the nurse suspect a fracture?

The nurse is assessing a client who reports cessation of menses. The nurse should document the cessation of menses in the client's record as:

The nurse is assessing a client's joint for range of movement after falling in the shower. The nurse asks the client to move the right arm away from the center of the body. The nurse correctly documents the joint movement as?

An adolescent male is brought to the emergency department with complaints of excruciating pain in his left testicle. Which of the following should be the priority action by the nurse?

A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve V?

The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?

The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings?