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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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Cranial Nerve XI (Accessory nerve) is not involved in tongue movement; it controls muscles involved in head and shoulder movement.
B. Eye movement and control relate more to Cranial Nerves III, IV, and VI, which control eye muscles.
C. Hearing is primarily assessed by Cranial Nerve VIII (Vestibulocochlear nerve).
D. Cranial Nerve XI innervates the sternocleidomastoid and trapezius muscles, enabling movements like head turning and shoulder shrugging against resistance.

A. Bone spur B. Crepitation C. Tendonitis D. Fluid in the knee joint

Correct Answer is B

Explanation

A. A bone spur is a bony projection often caused by joint damage, but it does not typically produce audible crunching or grating sounds.
B. Crepitation refers to a crunching, grating, or popping sound or sensation that occurs with movement of a joint. It's often associated with conditions like osteoarthritis.
C. Tendonitis involves inflammation of a tendon and may cause pain or tenderness, but it does not typically produce audible sounds like crepitation.
D. Fluid in the knee joint might cause swelling and limited movement, but it does not usually produce audible crunching or grating sounds.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?

Correct Answer is D

Explanation

A client states, "I can hear a crunching or grating sound when I kneel and have difficulty getting out of bed in the morning because of pain and stiffness." Which of the following should the nurse expect as an assessment finding?

Correct Answer is B

Explanation

The nurse is assessing a client's joint for range of movement after falling in the shower. The nurse asks the client to move the right arm away from the center of the body. The nurse correctly documents the joint movement as?

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 performing a rectal examination on a client and finds a firm, irregularly shaped mass. Which of the following is the next action the nurse should take?

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?

The nurse is assessing the male genital organ. The nurse recognizes that which of the following is an accessory glandular structure for the male genital organs?

The nurse is assessing a female client who reports painful menstruation. Which of the following should the nurse document in the client's record about painful menstruation?

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?