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A nurse is assessing the risk factors for sexually transmitted infections (STIs) in older adult clients.

Which of the following factors should the nurse consider?

(Select all that apply.).

Decreased immune system function with aging.

Lack of knowledge or awareness about STIs.

Reduced use of condoms or other barrier methods.

Increased number of sexual partners or casual encounters.

Increased vaginal dryness or atrophy with menopause.

Answer and Explanation

Correct Answer : A,B,C,D

The correct answer is A, B, C and D.

These are all factors that can increase the risk of sexually transmitted infections (STIs) in older adult clients.

A. Decreased immune system function with aging. This can make older adults more susceptible to infections and less able to fight them off.

B. Lack of knowledge or awareness about STIs.

Older adults may not have received adequate education or information about STIs, their symptoms, prevention and treatment. They may also have misconceptions or stigma about STIs that prevent them from seeking help or testing.

C. Reduced use of condoms or other barrier methods.

Older adults may not perceive themselves as at risk of STIs or may not know how to use condoms correctly or consistently. They may also face barriers such as cost, availability, embarrassment or partner resistance to using condoms.

D. Increased number of sexual partners or casual encounters.

Older adults may have more opportunities for sexual activity due to factors such as divorce, widowhood, online dating, travel or retirement. They may also engage in sexual behaviors that expose them to multiple or unknown partners, such as sex work, drug use or group sex.

Choice E is wrong because increased vaginal dryness or atrophy with menopause is not a risk factor for STIs in older adult clients.

While this condition can cause discomfort, pain or bleeding during sexual intercourse, it does not increase the likelihood of acquiring or transmitting an STI. However, it may affect the quality of life and sexual satisfaction of older women and their partners, and may require medical attention or lubrication products.

: Johnson BK.

Sexually transmitted infections and older adults. J Gerontol Nurs 2013;39(11):53-60. : World Health Organization (WHO).

Sexually transmitted infections (STIs). 2022 Aug 22. : Journal of Gerontological Nursing (JGN).

Sexually Transmitted Infections and Older Adults.

2013 Sep 18.

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Correct Answer is D

Explanation

The correct answer is D.

Decreased mental status.Dehydration in elderly people can cause confusion, disorientation, or drowsiness due to the loss of water and electrolytes from the body.

These symptoms can affect the cognitive function and alertness of the client.Dehydration can also lead to complications such as kidney problems, electrolyte imbalances, or low blood pressure.

Choice A is wrong because increased skin turgor is not a sign of dehydration.

Skin turgor is the ability of the skin to return to its normal shape after being pinched or pulled.Dehydration causes decreased skin turgor, meaning the skin stays tented or wrinkled after being pinched.

Choice B is wrong because decreased pulse rate is not a sign of dehydration.Dehydration causes increased pulse rate, as the heart has to work harder to pump blood to the vital organs when there is less fluid in the body.

Choice C is wrong because increased urine output is not a sign of dehydration.Dehydration causes decreased urine output, as the kidneys try to conserve water and produce more concentrated urine.

The urine may also be darker in color than normal.

Normal ranges for fluid intake and output vary depending on age, weight, activity level, and health status.

However, a general guideline is to drink at least eight 8-ounce glasses of water per day and produce at least 30 mL of urine per hour.

A. Older adults have less need for intimacy and affection than younger adults. B. Older adults may experience changes in sexual response or function due to physiological factors. C. Older adults should avoid sexual activity if they have any chronic diseases or disabilities. D. Older adults are at lower risk for sexually transmitted infections than younger adults.

Correct Answer is B

Explanation

The correct answer is B.

Older adults may experience changes in sexual response or function due to physiological factors.This is because aging can affect the sex organs, hormones, blood flow, and nerve signals that are involved in sexual arousal and performance.These changes do not mean that older adults cannot enjoy a satisfying sex life, but they may require some adjustments or treatments to overcome any difficulties.

Choice A is wrong because older adults have the same need for intimacy and affection as younger adults, and sexuality is an important component of emotional and physical intimacy that can enhance well-being and quality of life.

Choice C is wrong because older adults with chronic diseases or disabilities can still have sexual activity, as long as they are comfortable and safe.They may need to consult with their health care providers about any precautions or modifications they should make to accommodate their conditions.

Choice D is wrong because older adults are not at lower risk for sexually transmitted infections (STIs) than younger adults.In fact, older adults may be more vulnerable to STIs due to lower immune function, thinner vaginal tissues, lack of condom use, and other factors.

Therefore, older adults should practice safe sex and get tested regularly for STIs.

Normal ranges for sexual response or function vary widely depending on the individual, the partner, the situation, and other factors.

There is no one standard or ideal way to experience sexuality and intimacy in older adulthood.The most important thing is to communicate openly with one’s partner and health care provider about any concerns or preferences, and to seek help if needed.

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A nurse is assessing the risk factors for sexually transmitted infections (STIs) in older adult clients. Which of the following factors should the nurse consider? (Select all that apply.).

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A nurse is assessing the risk factors for sexually transmitted infections (STIs) in older adult clients.

Which of the following factors should the nurse consider?

(Select all that apply.).