Author Question: Two older residents of a long term care facility are engaged in a romantic relationship. The ... (Read 74 times)

gonzo233 · **on:** Jul 11, 2018

Two older residents of a long term care facility are engaged in a romantic relationship. The resi-dents are both cognitively intact. A nurse finds the two residents engaging in sexual activity.

The response of the nurse includes which of the following? (Select all that apply.)
a. Inform the residents that they cannot en-gage in a sexual relationship while they are residents of the facility.
b. Provide a safe private area where the resi-dents can engage in sexual activity.
c. Ignore the residents' activity.
d. Provide education for the residents using the PLISSIT model.
e. Contact the family members of the resi-dents in order to get consent from them.

Question 2

A nurse practitioner is using the PLISSIT model to guide a discussion of sexuality with an older patient in the geriatric clinic. Which of the following are congruent with the PLISSIT model? (Select all that apply.)

a. What concerns or questions do you have about fulfilling your sexual needs?
b. Let me tell you about the impact of your cardiac disease on sexual activity.
c. I have a few suggestions on lubricants that might make intercourse more com-fortable for you.
d. Most older adults are not comfortable talking about sexuality, but it is important to do so.
e. It is not unusual to have difficulty per-forming sexually as you age.

macagn · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: B, D
Residents in a long term care facility have the right to engage in sexual activity. The role of the nursing staff is to provide a safe and private area for the residents and to provide education on safe sexual practices and be open to answering questions and providing information to the resi-dents. Ignoring the residents' activity is not an appropriate response. Calling the residents' family members is also not appropriate as they are cognitively intact and able to make their own deci-sions.

Answer to Question 2

ANS: A, B, C
The PLISSIT model is a helpful guide for discussion of sexuality with older adults. The steps of the model are Permission: Obtain permission from the client to initiate sexual discussion, Limited Information: Provide the limited information to function sexually, Specific Suggestions: Offer suggestions for dealing with problems, Intensive Therapy: Refer as appropriate for complex problems that require specialist intervention. Option A falls into the permission step, option B falls into the limited information step, and option C falls into the specific suggestion step. Op-tions D and E do not fall into any of the steps of this model.