Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider MEDICAL SURGICAL NURSING When planning discharge teaching for a young adult, the nurse should include the potential health problems common in this age group. What should the nurse include in this teaching plan? a) Kidney dysfunction b) Cardiovascular diseases c) Eye problems, such as glaucoma d) Accidents, including their prevention 1. 4 Accidents are common during young adulthood because of immature judgment and impulsivity associated with this stage of development. 1 Kidney dysfunction is not a problem specific to any onestage of growth. 2 Cardiovascular disease is a common health problem in middle adulthood. 3 Glaucoma is a common health problem in the older adult. Client Need: Health Promotion and Maintenance; Cognitive Level: Application; Integrated Process: Teaching/Learning; Nursing Process: Planning/Implementation; Reference: Ch 5 , General Nursing Care of Young Adults 2. What principle of teaching specific to an older adult should the nurse consider when providing instruction to such a client recently diagnosed with diabetes mellitus? ANSWERS AND RATIONALES Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider a) Knowledge reduces general anxiety. b) Capacity to learn decreases with age. c) Continued reinforcement is advantageous. d) Readiness of the learner precedes instruction. c) Neurologic aging causes forgetfulness and a slower response time; repetition increases learning. 1, 4 This principle is applicable to all learning regardlessof the client’s age. 2 Learning occurs, but it may take longer. Client Need: Health Promotion and Maintenance; Cognitive Level: Application; Integrated Process: Teaching/Learning; Nursing Process: Planning/Implementation; Reference: Ch 5 , General Nursing Care of Middle -Older and Old -Older Adults 3. A 76-year-old male client asks the nurse about the chances of getting osteoporosis like his wife. Which is the best response by the nurse? a) “This is only a problem for women.” b) “Exercise is a good way to prevent this problem.” c) “You are not at risk because of your small frame.” d) “You might think about having a bone density test.” d) Osteoporosis is not restricted to women; it is a potential major health problem of all older adults; estimates indicate that half of all women have at least one osteoporotic fracture, and the risk in men is Estimated between 13% and 25%; a bone mineraldensity (BMD) measurement assesses the mass Bone per unit volume or how tightly the bone is packed. 1 Osteoporosis also can occur in men. 2 Exercise maydecrease the occurrence of, but will not prevent, osteoporosis; a regimen including weight -bearing exercises is advised. 3 A small frame is a risk factor forosteoporosis. Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider Client Need: Health Promotion and Maintenance; Cognitive Level: Application; Integrated Process: Teaching/Learning; Nursing Process: Planning/Implementation; Reference: Ch 5 , General Nursing Care of Middle -Older and Old -Older Adults 4. What is the priority when working with a group of middle - aged adult clients? a) Cessation of smoking b) Prevention of infection c) Abstinence from alcohol d) Decreasing high-density lipoproteins levels a) Smoking is a major risk factor for cardiovascular disease and hypertension, major health problems of middle -age adults. 2 Middle -age adults are not at greater risk for infection. 3 Alcohol intake should be limited, but total abstinenceis not required for prevention of health problems. 4 HDL levels should be increased to help prevent cardiovascular disease. Client Need: Health Promotion and Maintenance; Cognitive Level: Application; Nursing Process: Planning/Implementation; Reference: Ch 5 , The Middle -Older and Old -Older Adult, Data Base 5. Which factor does the nurse consider most likely contributes to the increased incidence of hip fractures in older adults? a) Carelessness b) Fragility of bone c) Sedentary existence d) Rheumatoid diseases Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider positions that may be uncomfortable or parts of the body you ’d prefer not to have touched or penetrated. In this reflection, try not to think about what your partner might want; really focus on you. Having a clear sense of self allows for more open communication and honest negotiation around what ’s ok or possible.3 Know Yourself Take some time to know your sexual self. How do you turn yourself on? What clothes make you feel sexy or desirable? Where do you like to be touched and how? Do you prefer the lights on? Is there music that gets you in the mood? Enhancing self -awareness and sexual confidence is the first step in being able to communicate with a partner. It’s also important to think about things that are off limits. Consider b) Bones become more fragile because of loss of bone density associated with the aging process; this often is associated with lower circulating levels of estrogens or testosterone. 1 Carelessness is a characteristic applicable to certain individuals rather than to people within a developmental level. 3 Although prolonged lack of weight -bearing activity is associated with bone demineralization, hip fractures also occur in active older adults. 4 Rheumatoiddiseases can affect the skeletal system but do not increasethe incidence of hip fractures. Client Need: Health Promotion and Maintenance; Cognitive Level: Application; Nursing Process: Assessment/Analysis; Reference: Ch 5 , The Middle -Older and Old -Older Adults, Data Base 6. Which age-related change should the nurse consider when ▶ formulating a plan of care for an older adult? Select all that apply. a) Difficulty in swallowing b) Increased sensitivity to heat c) Increased sensitivity to glare d) Diminished sensation of pain e) Heightened response to stimuli 1. Answer: c, d. 1 There should be no interference with swallowing in older individuals. 2 Older individuals tend to feel the cold and rarely complain of the heat. 3 Changes in theciliary muscles, decrease in pupil size, and a more rigid pupil sphincter contribute to an increased sensitivity to glare. 4 This may make an older individual unaware ofa serious illness, thermal extremes, or excessive pressure. 5 There is a decreased response to stimuli in the olderindividual.