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.
Nurse-patient interaction; nonverbal communication
A parish nurse checks the blood pressure of a church member
The nurse cares for the postop client in the postanesthesia care unit (PACU).
Example of Health Care Services
Nursing care plan - risk for infection
100-Unit Insulin Syringe