Which of the following older adult clients is most likely to have ...

[eruditmonkey@yahoo.com]

Which of the following older adult clients is most likely to have physiologic barriers to sexual wellness?
 
  A) One who has chronic obstructive pulmonary disease and a recent MI
  B) One who has early stages of lung cancer and who is being treated for hypothyroidism
  C) One who had an ostomy created several years ago as treatment for colon cancer
  D) One who recently recovered from urinary tract infection that progressed to urosepsis

Question 2

A 52-year-old woman discusses her menstrual cycles with the nurse. The client states that she still has menses, but that she never knows when they might begin or end. Which of the following is the most appropriate response by the nurse?
 
  A) It sounds like you are frustrated with this change; it is a difficult part of life.
  B) Reproduction is no longer possible so that is one thing less to worry about.
  C) We can't say how long this perimenopausal phase might last.
  D) You are in the postmenopausal cycle and should expect further changes.

[TDubDCFL]

Answer to Question 1

Ans: A
Chronic obstructive pulmonary disease and coronary heart disease are associated with sexual dysfunction. The other noted health problems are not associated with physiologic barriers to sexual health and function. Early stages of lung cancer symptoms include cough, which potentially produces bloody sputum, not shortness of air. The ostomy may psychologically impact a client, but not physiologically. Recovered urinary tract infection/urosepsis would not specifically cause a physiologic barrier.

Answer to Question 2

Ans: C
Perimenopause refers to the several years before menopause when women begin experiencing changes in menstrual cycles. The client doesn't express frustration, nor does she sound like she is worrying about reproduction (which still could happen, even with low probability). Menopause typically occurs around the age of 49 to 51 years and postmenopause begins 12 months after last period.