A type 2 insulin-dependent diabetic 70-year-old recently lost his ...

[mikaylakyoung]

A type 2 insulin-dependent diabetic 70-year-old recently lost his wife and is experiencing impotence. Besides educating the patient on the normal effects of aging on sexual function, the nurse should initially include information regarding
 
  a. the effect that stress has on sexual per-formance.
  b. the effect of diabetes mellitus on the vas-cular system.
  c. the link between depression and sexual dysfunction.
  d. sexual dysfunction related to long-term use of insulin.

Question 2

An 80-year-old woman has found a lump in her breast and is in the clinic. What question by the nurse is most appropriate?
 
  a. How long have you had this lump?
  b. If it's cancer, are you willing to treat it?
  c. Do you have cancer in your family?
  d. Are you having any pain right now?

[hanadaa]

Answer to Question 1

B
Erectile dysfunction (ED) can occur at any age. This patient's chronic illness and its effect on the vascular system have priority when educating the patient about possible causes of ED. After discussing physiologic causes of ED, the nurse can then turn to psychosocial causes. Physical issues take priority over psychosocial ones.

Answer to Question 2

B
All questions are appropriate; however, for a woman this age, further testing is not recommended unless the patient is willing to go through with treatment for cancer. Tumors in older women tend to be slow growing and quality of life is a bigger priority.

[mikaylakyoung]

Thanks for the timely response, appreciate it

[Joy Chen]

Wow, this really help