Sample Questions and Answers
What is a potential risk factor for elder abuse related to the sexuality of older adults?
A) Strong support systems and regular social interaction.
B) Dependency on caregivers who may have control over the older adult’s sexual activity or autonomy, which can lead to exploitation or abuse.
C) Financial independence and autonomy.
D) Involvement in community activities and family engagement.
Answer: B
How can caregivers support older adults in maintaining a satisfying sexual relationship?
A) Discourage all sexual activity to avoid health complications.
B) Encourage older adults to communicate openly with their partners about their sexual desires and needs, and assist with any physical challenges that may arise.
C) Focus solely on physical aspects of intimacy, ignoring emotional connection.
D) Prevent older adults from seeking help for any sexual health issues.
Answer: B
Which of the following is a challenge when providing sexual health care for older adults with cognitive impairments such as dementia?
A) Cognitive impairments typically have no impact on sexual health.
B) Cognitive impairments can affect the ability of older adults to communicate their sexual needs, understand their preferences, and recognize boundaries, requiring sensitive care and intervention.
C) Cognitive impairments improve the ability to express sexual desires clearly.
D) Caregivers should ignore sexual behavior in older adults with dementia because it’s unrelated to cognitive impairment.
Answer: B
What is one strategy for promoting sexual health and intimacy for older adults in long-term care facilities?
A) Prevent all forms of physical intimacy among residents.
B) Encourage residents to discuss their sexual health concerns, respect privacy, and support intimate relationships while ensuring safety and consent.
C) Assume all residents are uninterested in sexual activity.
D) Disregard residents’ personal preferences regarding intimacy.
Answer: B
What is an important factor when addressing sexual health for older adults living with chronic illness or disabilities?
A) Ignore any sexual health concerns since the illness or disability will make sexual activity impossible.
B) Provide tailored guidance that addresses the unique challenges related to sexual functioning, ensuring that older adults maintain dignity, autonomy, and pleasure within the context of their conditions.
C) Discourage any discussion of sexual needs due to potential discomfort.
D) Assume that older adults with chronic illness no longer desire sexual intimacy.
Answer: B
What is a common myth about older adults and sexuality?
A) Older adults are still capable of enjoying and engaging in healthy sexual relationships.
B) Older adults no longer have any interest in or capacity for sexual activity.
C) Older adults continue to have emotional and physical needs related to intimacy.
D) Sexual dysfunction can be addressed in older adults with appropriate treatment.
Answer: B
What is one way to enhance the quality of care for older adults in terms of their sexual health?
A) Limit discussions about sexual health, assuming it is no longer relevant for older adults.
B) Ensure that healthcare providers are educated and trained to address sexual health concerns, provide support for emotional and physical intimacy, and respect the autonomy and dignity of older adults.
C) Encourage older adults to suppress any sexual desires or interests.
D) Discourage older adults from seeking sexual health care.
Answer: B
What is the role of sexual counseling in addressing the needs of older adults?
A) Sexual counseling is not necessary for older adults.
B) Sexual counseling can help older adults address concerns related to aging, relationship changes, sexual dysfunction, and emotional well-being to improve their quality of life.
C) Sexual counseling only benefits younger adults.
D) Sexual counseling should focus solely on physical therapy without considering emotional aspects.
Answer: B
How does the prevalence of sexually transmitted infections (STIs) change among older adults?
A) STIs are less common among older adults because they no longer engage in sexual activity.
B) The prevalence of STIs is increasing among older adults due to factors such as increased life expectancy, sexual activity, and lack of safe sex practices.
C) Older adults are immune to STIs because of their age.
D) STIs are only a concern for young people and do not affect older adults.
Answer: B
What is the impact of caregiving on the sexual health of older adults in caregiving relationships?
A) Caregiving has no impact on the sexual health of older adults.
B) Caregiving relationships can create emotional strain, leading to a decrease in sexual activity or intimacy for both caregivers and care recipients.
C) Caregiving always improves sexual health by providing greater support.
D) Caregivers should avoid addressing sexual health concerns to focus solely on physical health.
Answer: B
What are some common factors that affect the sexual health of older women?
A) Only psychological factors affect the sexual health of older women.
B) Physical health, hormonal changes (like menopause), emotional well-being, and social factors all play a role in shaping the sexual health of older women.
C) Older women have no sexual health concerns after menopause.
D) Only social factors affect the sexual health of older women.
Answer: B
How does depression affect the sexual health of older adults?
A) Depression has no effect on sexual health in older adults.
B) Depression can lead to decreased libido, difficulty in sexual performance, and a general disinterest in sexual activity.
C) Depression improves sexual health by increasing libido.
D) Depression only affects physical health, not sexual health.
Answer: B
What is an important consideration when addressing the sexuality of older adults in nursing homes or long-term care facilities?
A) Assume that all older adults in long-term care are not interested in sexual activity.
B) Ensure that older adults’ rights to sexual expression are respected, while maintaining safety, privacy, and consent.
C) Prevent all sexual activity among residents to avoid complications.
D) Disregard any concerns related to sexual health because older adults are less likely to engage in sexual activity.
Answer: B
How can healthcare providers approach discussions of sexuality with older adults who are hesitant to talk about it?
A) Force the conversation to ensure all topics are covered.
B) Create a comfortable, non-judgmental environment and encourage open communication, allowing older adults to express concerns at their own pace.
C) Avoid bringing up the topic at all since it may make the older adult uncomfortable.
D) Assume that older adults are not interested in discussing sexuality.
Answer: B
What is the effect of social isolation on the sexual health of older adults?
A) Social isolation has no effect on sexual health.
B) Social isolation can lead to depression, reduced libido, and a decrease in sexual activity, negatively affecting sexual health.
C) Social isolation improves sexual health by reducing the opportunity for sexual exposure.
D) Social isolation only affects physical health, not sexual health.
Answer: B
Which of the following strategies is most effective in managing sexual health in older adults with chronic illnesses like arthritis or heart disease?
A) Avoid all sexual activity due to health risks.
B) Educate older adults about safe sexual practices that accommodate their physical limitations and provide counseling to address emotional and relationship aspects.
C) Discourage sexual activity to prevent complications from chronic illness.
D) Assume that chronic illness negates the desire or ability for sexual activity.
Answer: B
What is the impact of substance use disorders on sexual functioning in older adults?
A) Substance use disorders have no impact on sexual health in older adults.
B) Substance use disorders can impair sexual performance, reduce libido, and contribute to emotional and relationship difficulties.
C) Substance use disorders improve sexual performance and satisfaction in older adults.
D) Substance use disorders only affect physical health, not sexual health.
Answer: B
What is the importance of addressing sexuality in older adults with disabilities?
A) Sexuality is not relevant to older adults with disabilities.
B) Addressing sexuality in older adults with disabilities is important to ensure that they have access to the information, resources, and support needed to maintain a fulfilling sexual life.
C) Older adults with disabilities should be discouraged from engaging in sexual activity.
D) Disabilities completely eliminate the possibility of sexual activity for older adults.
Answer: B
Which of the following is true about elder abuse in the context of sexuality?
A) Sexual abuse of older adults is rare and not a significant concern.
B) Elder sexual abuse is a serious issue that may involve caregivers or others in positions of power, and it should be reported and addressed immediately.
C) Sexual abuse is only an issue for younger adults, not older adults.
D) Sexual abuse does not impact the emotional well-being of older adults.
Answer: B
How can family dynamics affect the sexual health of older adults?
A) Family dynamics have no impact on sexual health.
B) Family dynamics, such as support or conflict, can significantly influence emotional well-being, sexual activity, and overall sexual health in older adults.
C) Family dynamics always improve sexual health in older adults.
D) Family dynamics are only important for younger adults, not older adults.
Answer: B
What is a key factor in maintaining a positive sexual experience for older adults in long-term care settings?
A) Restrict sexual activity to avoid any potential health risks.
B) Provide opportunities for private, safe spaces for sexual expression and support resident autonomy and sexual preferences.
C) Assume that all older adults are no longer interested in sexual activity.
D) Prevent any discussions related to sexuality to avoid discomfort.
Answer: B
What is the role of hormonal therapy in addressing sexual health issues for older women?
A) Hormonal therapy is not useful for older women and should be avoided.
B) Hormonal therapy can help alleviate symptoms of menopause, such as vaginal dryness, which can improve sexual comfort and function.
C) Hormonal therapy should be prescribed to all older women to improve sexual health, regardless of their symptoms.
D) Hormonal therapy only addresses physical health, not sexual health.
Answer: B
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