An older male patient has disclosed to the nurse his recent inability to achieve an erection. How ...

An older male patient has disclosed to the nurse his recent inability to achieve an erection. How should the nurse respond to the patient's statement?
 
  A) It's not unusual for older men to have the problem occasionally, but we need to make sure that it's not the result of something we can change..
  B) This is a very normal part of the aging process. Are there other ways of achieving sexual fulfillment that you and your wife could try?
  C) It's a myth that older men have difficulty gaining and maintaining erections, so a thorough medical investigation is likely the best plan..
  D) This is often an unintended result of medications. Try withholding your medications for a few days and see if the problem resolves itself..

Question 2

The circulation of the lungs is through the
 
  a. coronary arteries and coronary veins.
  b. celiac arteries and celiac veins.
  c. pulmonary arteries and pulmonary veins.
  d. carotid arteries and jugular veins.

Question 3

Mr. Romanov is a 69-year-old man who was diagnosed with angina pectoris 2 years ago. With adherence to treatment, he has been largely able to maintain his chosen lifestyle.
 
  However, in recent weeks, he has been forced to limit his physical activity, take more rests, and refrain from going for walks. What phase in the trajectory model of chronic illness is Mr. Romanov currently experiencing?
  A) Trajectory onset
  B) Acute
  C) Crisis
  D) Unstable

Question 4

A 71-year-old woman with a longstanding diagnosis of emphysema developed community-acquired pneumonia 3 weeks ago and was admitted to the hospital for treatment.
 
  A combination of respiratory therapy and IV antibiotics has resolved the woman's infection and she is now preparing to return to the home she shares with her husband. What phase in the trajectory model of chronic illness is this patient currently experiencing?
  A) Unstable
  B) Crisis
  C) Acute
  D) Comeback

Question 5

The nurse manager of a subacute geriatric unit of a hospital recognizes the need to reduce the incidence of pressure ulcers in patients on the unit.
 
  Which of the following protocols and procedures are associated with a decreased risk of pressure ulcers? (Select all that apply.) A) All patients are turned every 2 hours both during the day and during the night.
  B) Care providers are encouraged to lift rather than slide patients during transfers.
  C) Staff is discouraged from turning patients who are using a pressure-reducing mattress.
  D) Records of food and fluid intake are kept for each patient.
  E) Oils are added to patient baths and lotions applied thereafter.

Question 6

The nurse manager overhears health care providers make inaccurate comments about the sexuality of older patients. Which comment should the nurse correct or follow up with teaching?
 
  A) Overall, sex takes longer for older men than younger men..
  B) Older people are less sexually responsive than young people..
  C) Both men and women have orgasms less often than younger people do..
  D) Sexual intercourse is usually not physically possible for older women because vaginal lubricant production ceases with menopause..