The charge nurse on an extended care unit recognizes an immediate ...

[sarasara]

The charge nurse on an extended care unit recognizes an immediate need for additional unit education regarding sexuality and the older adult when overhearing a staff member state
 
  a. I've had to tell her to stop touching my breasts twice today.
  b. Someone needs to tell him to keep his pants zipped.
  c. I realize they have needs, but I'm not sure how to handle that.
  d. It's sad that Alzheimer disease causes them to become sexual perverts.

Question 2

A patient is diagnosed with bilateral osteoarthritis of the knees. To best address the long-term risk for falls, the nurse encourages the patient to
 
  a. use assistive mobility devises when ne-cessary.
  b. report exacerbation of symptoms promptly.
  c. add a daily walk to exercise the knees ap-propriately.
  d. take analgesic medication as prescribed to manage joint pain.

[katheyjon]

Answer to Question 1

D
Although staff education about the sexuality and intimacy of older adults should include recognition of cues, desires, and interest in sexual activities, it needs to immediately address eliminating stereotypes, such as the dirty old man or perverts. The nurse is within his or her rights to limit behavior that includes touching inappropriately. A male patient may need to be reminded to keep his pants zipped. The staff member who is unsure how to help with sexual needs is expressing a legitimate concern.

Answer to Question 2

D
If joint pain develops and remains untreated, it can cause older adults to become sedentary or immobile. This phenomenon of disuse and muscle atrophy contributes to muscle weakness and can lead to an increase in falls. The other statements are also appropriate, but the patient's pain needs to first be managed before determining if assistive devices are needed. Walking will help build strength, but the patient won't do it if it hurts too much. Reporting symptoms does not di-rectly affect falling.

[sarasara]

Correct answers!

[katheyjon]

Great! Please up vote