A young nursing student is assessing an older patient. The nurse ...

[urbanoutfitters]

A young nursing student is assessing an older patient. The nurse questions whether or not to take a sexual history. What response by the faculty is best?
 
  a. Since procreation is not an issue, you do not need to discuss this.
  b. Only discuss this topic if you are comfortable in doing so.
  c. Ask the patient if he or she wants to talk about sexuality.
  d. Sexuality is a basic human need and needs to be assessed.

Question 2

The nurse working with older adults encourages them to stay healthy. What instruction by the nurse takes priority?
 
  a. Eat at least seven servings of produce a day.
  b. Get at least 8 hours of sleep a night.
  c. Get some exercise at least most days of the week.
  d. Stay away from people who are ill.

[bhavsar]

Answer to Question 1

ANS: D
Sexuality is a basic human need. The faculty should tell the student to complete the assessment. Procreation is not an issue at this time; however, this does not eliminate the need to discuss sexual issues. Asking permission may be an important part of taking a sexual history, but that response is implying the student can get out of the assessment if the patient is agreeable. The student needs practice to improve his/her comfort with this assessment.

Answer to Question 2

ANS: D
One normal age-related change seen in the older adult is decreased immune function. The older adult should place high priority on avoiding illness by staying away from people who are sick and avoiding large crowds during peak communicable illness periods. The other instructions are also relevant but do not address this age-related change.

[urbanoutfitters]

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[bhavsar]

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