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Free NCLEX-PN Exam Braindumps (page: 20)

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PDF with 1015 Questions

When an elder client asks the nurse whether he will be capable of sexual activity in old age, the best response by the nurse is ______________.

  1. “Elder adults are psychologically and physically capable of engaging in sexual activity regardless of age- related changes.”
  2. “If you haven’t been sexually active throughout your life, you will not be able to participate in sexual activity in old age.”
  3. “When intercourse isn’t possible, many of your sexual needs can be met through intimacy and touch.”
  4. “You might find it takes longer for you to achieve an erection, but you can maintain it for a longer time.”

Answer(s): A

Explanation:

To provide the best response, the nurse must identify what the elder is asking. Concern is being expressed about whether elders can engage in sexual activity.
The most therapeutic response by the nurse is Choice “Elder adults are psychologically and physically capable of engaging in sexual activity regardless of age-related changes.”. In this choice, the nurse acknowledges that elders can physically engage in sexual activity and have no psychological barriers to the same.
All of the other choices contain facts but are not the best initial response. Choice “Elder adults are psychologically and physically capable of engaging in sexual activity regardless of age-related changes.” opens the conversation for the expression of further concerns about sexual issues.
Choice “If you haven’t been sexually active throughout your life, you will not be able to participate in sexual activity in old age.” is true; past sexual function is predictive of sexual function in elder adults. An elder adult must have been sexually active as a younger adult to engage in intercourse in old age. This does not mean, however, that the elder adult cannot experience sexual intimacy in other ways.
The need for intimacy is especially important for elder adults. If they have lost meaningful relationships or are having difficulty with intercourse, they might be able to experience intimacy through touch. As males age, they find it takes longer to achieve an erection, but that when it’s achieved, the erection lasts longer. In addition, elder males require direct stimulation to achieve an erection.



The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except ______________.

  1. disclose the information before the child knows or suspects
  2. be comfortable with your sexual preference first
  3. have the discussion in a quiet place where interruptions are unlikely
  4. explain how your relationship with the child changes because of the discussion

Answer(s): D

Explanation:

Children of gay and lesbian parents should be reassured that their relationship with their parent will not change because of the discussion.
Choices “disclose the information before the child knows or suspects”, “be comfortable with your sexual preference first” and “have the discussion in a quiet place where interruptions are unlikely” are all important aspects of the disclosure.
As children grow, they might have additional questions. Preschool children might not understand the absence of a father or mother. Schoolage children might be troubled that their family isn’t like their friends’ families.
Adolescents might become reluctant to discuss it or accept it even though they expressed acceptance at an earlier age. In general the earlier children are informed, the easier it is for them to accept and assimilate the information. Nurses need to be nonjudgmental and learn how to express and accept these differences so that they can keep the nurse-child-family relationship intact.



When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?

  1. polyandry
  2. soronal
  3. nonsororal
  4. sororate

Answer(s): B

Explanation:

The practice of polygamy refers to having multiple wives or husbands.
When there are multiple wives who are sisters, the polygamy is designated as soronal. When the wives are not sisters it is nonsororal.
Polyandry refers to multiple husbands and is rare. Some cultures practice a polygamy designated as sororate. Sororate polygamy specifies that a husband must marry his wife’s sister if she dies. These marriages are successive rather than concurrent.



A mother has come to the pediatric clinic concerned about the recent outbreak of West Nile Virus. The ages of her children are 5, 7, and 10. The mother has asked the nurse what she can do to prevent her children from contracting this illness.

Which piece of information is best to provide the mother with?

  1. The children should wear long sleeves and long pants while outside.
  2. Apply insect repellant containing DEET when the children are outside.
  3. Remove standing water from the property.
  4. All of the above.

Answer(s): D

Explanation:

It is recommended that the children wear insect repellant containing DEET and long-sleeve shirts and long pants when they are outside.
Removing standing water from areas around where the children play can help decrease the number of breeding mosquitoes.
These are the only known methods of prevention at this time.






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