Chapter 21

Question 0

comfort of touching depends on…

Answer 0

1. location of touch
2. situation
3. social status
4. culture
5. age

Question 1

this sense is 10x stronger than verbal or emotional contact

Answer 1

touch

Question 2

task oriented instrumental touch

Answer 2

procedural touch

Question 3

comfort, reassurance

Answer 3

nonprocedural touch

Question 4

zone involving genitalia

Answer 4

intimate zone

Question 5

zone involving face, neck, front of body

Answer 5

vulnerable zone

Question 6

zone involving mouth, wrists, feet

Answer 6

consent zone

Question 7

zone involving hands, arms, shoulders, back

Answer 7

social zone

Question 8

becomes more powerful in old age as other sensual experiences are diminished and direct sexual experience is not possible or available

Answer 8

tactile hunger

Question 9

people can survive extreme sensory deprivation as long as…

Answer 9

sensory experiences of skin are maintained

Question 10

• powerful healer and tool that nurses can use to satisfy “touch hunger” of older people
• can serve as means of providing sensory stimulation, reducing anxiety, relieving physical and psychological pain, comforting the dying, as well as sexual expression

Answer 10

therapeutic touch

Question 11

parts of intimacy

Answer 11

• commitment
• affective intimacy
• cognitive intimacy
• physical intimacy
• love and affection

Question 12

sexuality includes

Answer 12

• sexual desire
• activity
• attitudes
• body image
• gender role activity

Question 13

with age, men become…

Answer 13

1. comfortable with tenderness
2. more dependent on marriage
3. more willing to accommodate to preserve peace

Question 14

with age, women become..

Answer 14

1. more assertive

2. more self confident

Question 15

factors that influence sexual behavior of older adults

Answer 15

1. cultural
2. biological
3. psychosocial
4. environmental factors

Question 16

factors affected attitudes on intimacy and sexuality

Answer 16

1. family dynamics and upbringing
2. cultural beliefs
3. religious beliefss

Question 17

myths about sexuality and women

Answer 17

1. masturbation is immature
2. menopause is death of women sexuality
3. hysterectomy creates physical disability sexually
4. sex has no role in lives of elderly
5. sexual expression in old age taboo
6. elderly too old and frail to engage in sex
7. elderly considered lecherous
8. sex is unimportant or over
9. do not want to discuss sexuality

Question 18

sexuality in older person shiftss from procreation to emphasis on..

Answer 18

• companionship
• physical nearness
• intimate communication
• pleasure seeking physical relationship

Question 19

less likely to seek out health services

Answer 19

lesbian, gay, bisexual, transgender

Question 20

biological changes with aging for women

Answer 20

1. menopause

2. dyspareunia from vaginal dryness and thinning of the vaginal tissue

Question 21

biological changes with aging for men

Answer 21

1. change in firmness of erection
2. decreased need for ejaculation with each orgasm
3. refractory period extended

Question 22

inability to achieve and sustain erection of sufficient for satisfactory sexual intercourse in at least 50% or more attempts

Answer 22

erectile dysfunction

Question 23

meds that have revolutionized treatment for ED

Answer 23

1. sildenafil (viagra)
2. vardenafil (levitra)
3. tadalafil (cialis)

Question 24

causes of erectile dysfunction

Answer 24

1. vascular problems 2. endocrine problems 3. neurological problems 4. structural abnormalities of penis 5. depression 6. zinc deficiency 7. alcoholism 8. diabetes 9. meds 10. psychological problems

Question 25

strategies that may assist in continued sexual activity

Answer 25

- timing of interccourse - oral or anal sex - masturbation - appropriate pain relief - different sexual positions

Question 26

environmental factors affecting intimacy and sexuality affecting intimacy and sexuality in long term care

Answer 26

-lack of privacy absence of suitable partner -family and staff attitudes

Question 27

hiv high risk behaviors

Answer 27

1. men who have had sex with men after 1975 2. men and women reporting unprotected sex with multiple partners 3. past or present injection drug users 4. persons being treated for sti's 5. persons with history of blood transfusions between 1978-185

Question 28

plissit model as guide for discussion of sexuality in older adults

Answer 28

1. permission 2. limited info 3. specific suggestions 4. intensive therapy