CHAPTER 11

Question 1

In a youth oriented country, elders are not seen as

Answer 1

sexual beings

Question 2

healthcare professionals often consider elder sexuality

Answer 2

insignificant

Question 3

sexual _____ are not taken and may assume sexual _____ is a side of old age

Answer 3

histories
dysfunction

Question 4

sexual _____ is more than intercourse

Answer 4

expression

Question 5

sexual expression includes

Answer 5

fantasy
masturbation
genital/oral/anal expression
hugs
flirting
enjoying erotic stories & pictures

Question 6

gradual decline in ______ but _____ remains the same

Answer 6

frequency
quality

Question 7

masturbation is beneficial both

Answer 7

physiologically and psychologically

Question 8

factors affecting elder sexuality

Answer 8

availability of a partner (many are widowed or ill)
health problems & medications
relationship communication issues
psychological issues: boredom, fatigue, fear

Question 9

for men, sexual desire is

Answer 9

slower

Question 10

for women, vaginal lubrication

Answer 10

declines

Question 11

four phases of sexual response

Answer 11

excitement
plateau (sexual tension, extreme level)
orgasm
resolution

Question 12

for elder men- plateau was longer so they hold _______ ______.

Answer 12

erections longer

Question 13

for elder women, resolution and orgasm are

Answer 13

shorter

Question 14

“use it or lose it” theory

Answer 14

applies

Question 15

many elders grew up believing homosexuality was a

Answer 15

mental illness

Question 16

homosexuals may experience

Answer 16

discrimination in health care

Question 17

RESPECT

Answer 17

practices & polices
educate admin & staff
unlearn homophobia & heterosexism
promote diversity
explore & evaluate areas for con. learning
change beliefs & attitudes
transition to diversity friendly facility

Question 18

define “________” in a way to allow partners to make decisions for frail elders; partners must seek legal rights

Answer 18

family

Question 19

many elders in institutions do not desire

Answer 19

sexual expression

Question 20

(elders in institutions) there are many barriers such as _________ & ________.

Answer 20

lack of privacy
lack of available partners

Question 21

protect ________ elders

Answer 21

vulnerable

Question 22

______ ______ may affect both the ill person & the well person in regards to sexuality

Answer 22

chronic illness

Question 23

changing ________ can increase opportunity for sexual expression

Answer 23

medication

Question 24

________ is the key to sexuality in any relationship

Answer 24

communication

Question 25

effects of chronic illness on sexuality

Answer 25

heart disease
hypertension
stroke
cancer
diabetes
arthritis

Question 26

many believe sex will cause a

Answer 26

heart attack

Question 27

hypertension can increase the ______ of _____

Answer 27

incidence of impotence

Question 28

can also cause impotence:

Answer 28

medications (diuretics)

Question 29

debilitating strokes can lead to reduced

Answer 29

sexual function & satisfaction

Question 30

diabetes is the most common cause of

Answer 30

impotence

Question 31

if impotence occurs even with diabetes under control, recovery is

Answer 31

unlikely

Question 32

education should include _________ that may reduce pain

Answer 32

alternate sexual positions

Question 33

a warm bath may increase

Answer 33

flexibility

Question 34

many medications reduce

Answer 34

sexual desire

Question 35

many medications increase the difficulty in

Answer 35

achieving an orgasm

Question 36

alcohol has a _____ effect on sexual ______ in men and women

Answer 36

negative
potency

Question 37

the use of alcohol over long term causes a reduced _______ to the organ

Answer 37

blood supply

Question 38

cigarette smoking reduces blood flow to _______ including the ______

Answer 38

organs
penis

Question 39

smoking reduces blood flow because of __________ in the vessels

Answer 39

atherosclerosis

Question 40

_______ surgery may affect erectile function

Answer 40

prostate

Question 41

a ________ may affect women’s perceptions of sexual attractiveness

Answer 41

mastectomy

Question 42

society’s _______ that elders are sexless

Answer 42

attitudes

Question 43

sexual dysfunction

Answer 43

physiological impairment in sexual response that prevents sexual arousal or orgasm

Question 44

what is sexual dysfunction associated with?

Answer 44

poor physical and emotional health, unsatisfactory relationships & unhappiness

Question 45

sexual dysfunction affects more _____ than _____

Answer 45

women
men

Question 46

erectile dysfunction is more likely caused by

Answer 46

diabetes
high blood pressure

Question 47

fear of dysfunction can _______ impact a sexual relationship

Answer 47

negatively

Question 48

sexual dysfunction can be a symptom of

Answer 48

disease
medication side effect

Question 49

treatment of sexual dysfunction

Answer 49

medications and hormones
injections
viagra
hormone therapy

Question 50

mechanical aids for sexual dysfunction treatment

Answer 50

penile prostheses
(rigid plastic rods, inflatable implant, external vacuum device)
sex therapy

Question 51

elders are ______ knowledgeable about sex than any other age group

Answer 51

less

Question 52

professionals can set the tone by being ______ & _____________

Answer 52

open
comfortable