Eliopoulos - Gerontological Nursing 8th Ed -
Sexuality and Intimacy Questions And
Answers
Origin: Chapter 12- Sexuality and Intimacy, 1
Chapter: 12
Client Needs: C
Cognitive Level: Analysis
Difficulty: Easy
Integrated Process: Nursing process
Objective: 1
Page and Header: 144, Attitudes Toward Sex and Older Adults
1. Which statement best captures the predominant societal view of sexuality in general and
sexuality in older adults? A) Sexuality has recently become valued and normalized in both
older and younger adults.
B) There is an acknowledgment that sexual interest and activity do not necessarily decline with
age.
C) There is societal recognition that the overall importance of sexuality remains high across the
life span.
D) Stigma and prejudice around sexuality in older adults persists despite changes in the societal
view of sexuality in general.
, Eliopoulos - Gerontological Nursing 8th Ed -
Sexuality and Intimacy Questions And
Answers
Ans: D
Feedback:
Inaccuracies and misconceptions around sexuality and older adults persist, despite profound
changes in the societal views of the topic of sexuality in general. Sexuality is not commonly
valued or recognized by society, and interest and activity are presumed to decline and even
disappear in older age.
Origin: Chapter 12- Sexuality and Intimacy, 2
Chapter: 12
Client Needs: B
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Teaching/learning
Objective: 1
Page and Header: 144, Attitudes Toward Sex and Older Adults
2. The nurse who cares for patients at an assisted living facility is planning a program to address
safer sex in older adults. Why would this program be important? (Select all that apply.) A)
Susceptibility to sexually transmitted infections (STIs) increases with age.
, Eliopoulos - Gerontological Nursing 8th Ed -
Sexuality and Intimacy Questions And
Answers
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 STIs are problems of younger adults only.
E) Because of the hormonal changes that accompany menopause, older women are in fact more
prone to sexually transmitted diseases than younger adults.
Ans: B, C, D
Feedback:
Older adults often forego condom use and assume STIs are not a problem, despite the increasing
incidence of HIV/AIDS in older adults. Susceptibility to STIs does not necessarily increase in
older adults in general or in older women specifically. In the older population, the use of
condoms is often avoided because the risk of pregnancy does not exist. Hormonal changes in
menopause do not increase an older woman's susceptibility to sexually transmitted diseases.
Origin: Chapter 12- Sexuality and Intimacy, 3
Chapter: 12
Client Needs: D3
Cognitive Level: Analysis
Difficulty: Difficult
, Eliopoulos - Gerontological Nursing 8th Ed -
Sexuality and Intimacy Questions And
Answers
Integrated Process: Teaching/learning
Objective: 2
Page and Header: 146, Symptom Management and Patient Education
3. A female patient asks about using hormone replacement therapy (HRT) for menopausal
symptoms but is concerned about the risks. How can the health care provider best guide the
patient decision to begin or forego HRT? A) "The significant increases in the risk of heart
disease make HRT a risky treatment that is best avoided."
B) "You won't likely be increasing your risk of heart disease if you begin HRT, but neither will
you be preventing."
C) "The overall effectiveness of HRT in alleviating the unwanted changes that following
menopause has been disproven."
D) "HRT can best be described as a tradeoff, where menopausal symptoms decrease but there is a
significantly increased risk of hip fractures and breast cancer."
Ans: B
Feedback:
Although women can feel reassured that they are not increasing their risk for cardiovascular
disease by using hormones to treat symptoms as they go through menopause, it is not wise to
extrapolate from the data that women should take hormones for the prevention of heart disease.
HRT is not noted to increase the risk of breast cancer or hip fractures, while the effectiveness at
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