Author Question: Which of the following assessment findings of a male client age 77 years should signal the nurse to ... (Read 35 times)

dmcintosh · **on:** Jul 23, 2018

Which of the following assessment findings of a male client age 77 years should signal the nurse to a potentially pathologic finding, rather than a normal age-related change?

A) The client is oriented to person and place but is unsure of the month.
B) The client states that his urine stream is less strong than in the past.
C) The client claims to hear high-pitched sounds less clearly than earlier in life.
D) The client's gait is slow and his posture appears stooped.

Question 2

The staff at a long-term care facility have made minimal effort to secure a shared room for a couple in their late 80s, who have been married for several decades.

The manager states, I'm sure that bedroom activity is the last thing on their mind these days. How should the nurse best respond to the manager's characterization of sexuality in older adults?

A) They might not be as active as in years past, but sexuality is still important for older people.
B) It's actually a myth that older adults have sex less often than younger adults.
C) There's no reason that we should assume they're less interested than when they first got married.
D) Their sexual activity has probably stopped by now, but they still need companionship.

sierrahalpin · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A

Age-related physiologic changes include a weakening of bladder emptying, presbycusis, and a slow gait that may be accompanied by stooped posture. Disorientation to time, however, should always prompt the nurse to perform further assessment and should never be considered a normal accompaniment to the aging process.

Answer to Question 2

Ans: A

Although sexual activity may be less frequent, the ability to perform and enjoy sexual activity lasts well into the 90s in healthy older adults. However, it is unlikely that interest remains at the same level as when the couple was first married.