What intervention should a nurse implement when an older male ...

[hubes95]

What intervention should a nurse implement when an older male diagnosed with dementia is ob-served masturbating in the unit's dayroom?
 
  a. Remove the resident from the dayroom and complete an assessment of his behav-ior.
  b. Cover the resident's lap with a blanket and leave him in the dayroom.
  c. Counsel the resident by telling him that his behavior is inappropriate.
  d. Distract the resident so that he will stop the behavior.

Question 2

The partner of a client comments, Our sex life will certainly suffer now that he's had a heart at-tack. Which statement is the basis for the nurse's response?
 
  a. The client should no longer have sexual relations because of the demand on his heart.
  b. The energy expenditure during sex is equivalent to briskly climbing six flights of stairs.
  c. People with heart disease reduce their sexual activity out of fear of their condi-tion.
  d. The couple will benefit from attending a cardiac support group.

[lkoler]

Answer to Question 1

ANS: A
When sexually inappropriate behavior occurs, it should be assessed, like any other behavior, as to cause, precipitating factors, and response to interventions. It is appropriate to remove the resident from the dayroom because the behavior may be distressing to staff and other residents. Covering the resident with a blanket and leaving him in the dayroom does not address the cause of the be-havior, and it might be distressing for other residents and staff. The resident has dementia and is not capable of altering his behavior based on the information that it is inappropriate. Distracting the resident will only temporarily interrupt the behavior.

Answer to Question 2

ANS: C
Many individuals are not given adequate information regarding the impact of illness on sexual relations and therefore are fearful and reduce sexual activity. Changes might be needed in order to accommodate the illness, but curtailing sexual relations is not necessary. The energy expended during sex is not equivalent to briskly climbing six flights of stairs. And while the couple may benefit from attending a support group, that fact does not address the immediate situation.

[hubes95]

Gracias!

[patma1981]

Excellent