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.

Stress

Low testosterone levels

Substance use

Lack of sleep

Chronic disease

Answer and Explanation

Correct Answer : B,E

Choice A rationale: Stress can be a factor affecting sexual function, but it is not exclusively an internal cause. External factors like stress can influence internal physiological processes.

Choice B rationale: Low testosterone levels can contribute to declining sexual performance in aging males. Testosterone levels tend to decrease with age, affecting sexual function.

Choice C rationale: Substance use can affect sexual performance, but it is not exclusively an internal cause. It involves external factors influencing the body's internal processes.

Choice D rationale: Lack of sleep can impact overall health, including sexual function, but it is not exclusively an internal cause.

Choice E rationale: Chronic diseases, especially those affecting cardiovascular health and diabetes, can impact sexual performance. The nurse should discuss the potential influence of chronic diseases on the client's concerns.

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Correct Answer is B

Explanation

Choice A rationale: Observing for facial symmetry is more relevant to Cranial Nerve VII (facial nerve).

Choice B rationale: Cranial nerve III (oculomotor nerve) is responsible for pupillary constriction. The nurse should check the pupillary response to light to assess the function of this cranial nerve.

Choice C rationale: Testing visual acuity is not specific to Cranial Nerve III but is more associated with Cranial Nerve II (optic nerve).

Choice D rationale: Eliciting the gag reflex is related to Cranial Nerve IX (glossopharyngeal nerve) and X (vagus nerve), not Cranial Nerve III.

A. Glasgow Coma Scale B. Complete neurological examination C. Muscular examination D. Neurologic recheck examination

Correct Answer is B

Explanation

Choice A rationale: The Glasgow Coma Scale is used to assess the level of consciousness, not specific weakness in the extremities.

Choice B rationale: A complete neurological examination is appropriate to assess the client's weakness in the left arm and leg. This examination includes evaluating motor function, sensory function, coordination, reflexes, and cranial nerve function.

Choice C rationale: A muscular examination may focus on specific muscle groups but may not provide a comprehensive assessment of neurological function.

Choice D rationale: A neurologic recheck examination is not a standardized term and may not cover all aspects of a complete neurological assessment.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?

Correct Answer is B

Explanation

A client comes to the clinic and reports having weakness in the left arm and leg for the past week. The nurse should perform which type of neurological exam?

Correct Answer is B

Explanation

The nurse is performing a scrotal assessment on a male client. Which of the following findings of the scrotum should the nurse recognize as abnormal?

The nurse is assessing a client who reports an abnormal sensation of burning or tingling in extremities. Which of the following should the nurse document in the client's record?

The physician comments that the client has abdominal borborygmi. The nurse recognizes that which of the following is the best description of borborygmi?

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?

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 teaches a client that there are shock absorbers in the back to cushion the spine and to help it move. The client understands that which of the following is another name for shock absorbers:

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?

A client tells the nurse about being very unsteady and has difficulty in maintaining balance. The nurses recognizes that which area of the brain is involved and requires further assessment?