Author Question: An elderly male client comes to the clinic and states to the nurse that he hasn't been interested in ... (Read 78 times)

Coya19@aol.com · **on:** Jul 23, 2018

An elderly male client comes to the clinic and states to the nurse that he hasn't been interested in sexual intercourse lately. He states: I guess this is part of getting old, too.

What should the nurse understand about decreased sexual interest in elderly clients?
1. It does decrease and gradually disappears.
2. It should not be taken as seriously as if the client were a younger person.
3. It is caused by decreased hormone activity and there is little that can be done about it.
4. It decreases but does not disappear.

Question 2

An older adult client comes to the clinic with reports of not being able to hold her urine, stating: I feel so terrible. This shouldn't happen at my age. The nurse's best response is:

1. You shouldn't feel badly. Lots of people have this trouble.
2. You'll probably have to start wearing incontinent briefs. Then you won't be worried about accidents.
3. Getting old isn't much fun, is it?
4. There could be a number of causes for this. I need to ask you some more questions about it.

Jody Vaughn · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Libido may decrease but not disappear.
Rationale 2: If an older man reports a loss in sexual interest, the nurse should be as concerned as when a younger man reports a loss in sexual activity.
Rationale 3: Decrease in hormone secretion and activity is a normal aging process, but there may be treatment measures that can help if this is the case.
Rationale 4: The major age-related change in sexual response is timing. It takes longer to become sexually aroused, longer to complete intercourse, and longer before sexual arousal can occur again.

Answer to Question 2

Correct Answer: 4
Rationale 1: This option inappropriately attempts to minimize the client's concerns.
Rationale 2: Incontinent briefs are useful products for people who have UI, but the cause for all cases must be investigated.
Rationale 3: The client already feels badlythe nurse only makes this feeling worse by adding guilt on top of it.
Rationale 4: Elders may be susceptible to urinary incontinence (UI) because of changes in the kidney and bladder. UI is never normal and the nurse must promptly investigate the cause, onset, and any other symptoms.