A nurse who provides care in a geriatric setting understands the ...

[jhjkgdfhk]

A nurse who provides care in a geriatric setting understands the importance of promoting and facilitating sexual health and relationship needs in older adult clients.
 
  The nurse is currently conducting an intake interview and admission assessment of a new client. How should the nurse best begin the assessment of this client's sexuality?
 
  A) If you could describe your marriage in just a few words, how would you do that, Mrs. Carvalho?
  B) Would you describe yourself as being satisfied with your sexual health, Mrs. Carvalho?
  C) I'd like to ask you some questions about sex and relationships, Mrs. Carvalho. Would you be comfortable with that?
  D) Have you given thought to ways that you want to maintain your sexual health, Mrs. Carvalho?

Question 2

Which of the following aspects of older adult clients' cognitive and functional declines is suggestive of dementia syndrome of depression rather than dementia?
 
  A) A client fixates on his physical disabilities, talking about them at great length.
  B) A client has experienced slow and subtle loss of cognition and function.
  C) A client's mood and behavior have become uncharacteristic but unpredictable in recent months.
  D) A client has developed coping strategies to conceal and accommodate cognitive losses.

[wergv]

Answer to Question 1

Ans: C
The PLISSIT model is commonly used to assess and manage sexuality issues of older adults. According to this model, a discussion and assessment of sexuality begins with asking permission of the client to initiate such a discussion.

Answer to Question 2

Ans: A
Clients with dementia syndrome of depression tend to focus on their disabilities rather than concealing them. The diagnosis is characterized by a rapid onset and large fluctuations in cognition and behavior.