The correct answer is D.

“I don’t need to worry about sexually transmitted infections at my age.” This statement indicates a need for further education because older adults are still at risk of contracting sexually transmitted infections (STIs) if they are sexually active and do not use protection. According to the National Institute on Aging, STIs can affect anyone who is sexually active, regardless of age, and some STIs may not have any symptoms. Therefore, older adults should use condoms or other barrier methods to prevent STIs, and get tested regularly if they have multiple partners or a new partner.

Choice A is wrong because it is a correct statement.

“I know that my sexual response may be slower or less intense as I age.” This statement shows that the client has realistic expectations about the normal changes in sexual function that occur with aging. As people age, their bodies change, and their sexual response may take longer or require more stimulation. This does not mean that they cannot enjoy sex or intimacy, but they may need to adapt to these changes and communicate with their partner.

Choice B is wrong because it is not necessarily a sign of a need for education.

“I sometimes feel depressed or anxious about my sexual performance.” This statement reflects the client’s emotional state, which can affect their sexuality and intimacy. Some older adults may feel insecure about their aging bodies, their sexual abilities, or their attractiveness to their partner.

These feelings are normal and understandable, but they can also interfere with sexual satisfaction and intimacy.

The client may benefit from counseling or therapy to address these feelings, but they do not indicate a lack of knowledge about sexuality.

Choice C is wrong because it is a correct statement.

“I use lubricants and different positions to make sex more comfortable.” This statement shows that the client is aware of some strategies to cope with the physical changes that can affect sexual comfort in older adults. For example, vaginal dryness is a common problem for older women, especially after menopause, and it can make sex painful or uncomfortable. Using lubricants can help reduce friction and increase pleasure. Similarly, changing positions can help avoid discomfort or injury caused by arthritis or other conditions that affect mobility or flexibility.

Normal ranges for sexual activity and satisfaction vary widely among older adults, depending on their individual preferences, health status, relationship status, and other factors.

There is no one right way to express sexuality or intimacy in older age, as long as it is safe, consensual, and enjoyable for both partners.