The nurse is caring for a client who is concerned about sexual performance.

Nursing Interview

A 70-year-old male client reported that he is concerned about declining sexual performance.

The nurse is engaging in client education to explain internal causes of withdrawal from sexual activity later in life. Which of the following internal causes should the nurse discuss? Select all that apply.

(Select All that Apply.)

Stress

Low testosterone levels

Substance use

Lack of sleep

Answer and Explanation

Correct Answer : B

A.   Stress can affect sexual performance, but it's not exclusively an internal factor. Stress can be caused by both internal and external factors.
B.   Low testosterone levels are an internal factor that can significantly impact sexual performance in aging males. Testosterone decline is a natural part of aging and can affect libido and sexual function.
C.   Substance use can affect sexual performance, but it's not solely an internal cause as it often involves external factors related to the intake of substances.
D.   Lack of sleep affects overall health, but it can also be influenced by external factors and is not strictly an internal cause.
E.   Chronic diseases such as diabetes, cardiovascular diseases, and others can have internal physiological effects that impact blood flow, nerve function, and overall health, contributing to declines in sexual performance later in life.

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Correct Answer is D

Explanation

A. The basal ganglia are involved in motor control and learning but not specifically in controlling voluntary movement.
B. Motor pathways do not directly synapse in the thalamus; the thalamus serves as a relay station for sensory information.
C. The cerebellum is primarily involved in coordination, balance, and muscle control, not in speech and emotions.
D. The hypothalamus plays a crucial role in regulating body temperature, controlling hunger, thirst, fatigue, and regulating sleep cycles.

A. "With aging, a large amount of subcutaneous fat is lost, which gives the appearance of decreased height." B. "With aging, the spine is not as flexible, which doesn't permit the individual to stand as tall." C. "With aging, the cartilage between the bones in the spine gets worn down, which causes decreased height." D. "With aging, thickening of the intervertebral disks occurs, which causes pressure breakdown of the spinal vertebrae."

Correct Answer is C

Explanation

A. Loss of subcutaneous fat might contribute to changes in appearance but is not primarily responsible for the decrease in height with aging.
B. Reduced spinal flexibility may contribute to posture changes but doesn’t sufficiently explain the decrease in height.
C. With aging, the intervertebral discs and cartilage between spinal bones wear down, leading to a decrease in height due to changes in the spine's structure.
D. Thickening of intervertebral discs is not a typical occurrence with aging and does not explain the decrease in height.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client on different areas of the brain. The nurse recognizes that which of the following statements concerning areas of the brain is correct?

Correct Answer is D

Explanation

During a community screening event for bone density, an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?

Correct Answer is C

Explanation

The nurse suspects that a client has carpal tunnel syndrome and prepares to conduct the Phalen test. What instructions should the nurse give the client to perform the Phalen test?

A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?

The nurse is teaching a male client about the reproductive system. The nurse recognizes that which structure secretes a thin, milky alkaline fluid to enhance the viability of sperm?

A 60-year-old man has been told that he has benign prostatic hypertrophy (BPH). He expresses that his friend just died from prostate cancer and that he is concerned about dying from cancer. Which of the following is an appropriate response by the nurse?

During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes that this finding could indicate a problem with which organ?

The nurse is completing a neurological assessment on a client who suffered from a motor vehicle accident (MVA). Which of the following findings should the nurse report to the practitioner immediately?

A nurse is assessing a client who has lactose intolerance. Which of the following will the nurse recognize as clinical findings associated with lactose intolerance? Select all that apply: