Deck 11: Sexuality

Question 1

Most research on sexuality among elders is based on:

A) Masters and Johnson
B) Kinsey Institute
C) Baltimore Longitudinal Study of Aging
D) Mayo Clinic studies
E) none of the above

Answer 1

Masters and Johnson

Question 2

The most common cause of impotence in the later years is:

A) cancer
B) psychological
C) diabetes
D) hypertension
E) heart attack

Answer 2

diabetes

Question 3

Which of the following is NOT a treatment for impotence?

A) penile implants
B) injecting Viagra into the penis
C) external vacuum device
D) testosterone
E) all of the above are treatments

Answer 3

injecting Viagra into the penis

Question 4

Which of the following is true about elder sexuality?

A) the majority of older people report satisfaction with their sex lives
B) the quality of intercourse decreases after age 50
C) masturbation is uncommon, especially in females
D) interest in sex declines significantly after age 65
E) more than one of the above is true

Question 5

For elder women, current sexual activity depends most on:

A) availability of a partner
B) state of health
C) attitude toward sex
D) drug use
E) religious preferences

Question 6

Sexual activity is harmful if you have which of the following diseases?

A) coronary artery disease
B) hypertension
C) rheumatoid arthritis
D) a and b
E) none of the above

Question 7

Which of the following statements regarding masturbation in elders is false?

A) it is normal and beneficial, even among the very old
B) half the respondents in Starr-Weiner study reported they masturbated
C) married individuals practice it more than those who are single
D) both b and c are false
E) all of above are true

Question 8

What is the percentage of AIDS cases among the 60 and older age group in the US?

A) 15 percent
B) 10 percent
C) 5 percent
D) 1 percent
E) negligible as most have already died

Question 9

The RESPECT program is

A) sex education for elders moving into assisted care homes
B) a type of sex therapy for elder couples
C) an online AARP sex ed program
D) staff education on needs of elder gays and lesbians
E) training for medical school students on how to deal with sexual abuse by caregivers

Question 10

After a heart attack, which of the following is true regarding sexual activity?

A) studies report up to three-fourths decrease or eliminate sexual activity
B) it is not recommended for the first six months after the attack
C) if chest pain occurs, sexual activity should no longer be practiced
D) all are true
E) a and c are true

Question 11

Which of the following drugs reduce sexual performance?

A) diuretics
B) beta blockers
C) benadryl
D) a and b only
E) all of the above

Question 12

Which of the following is FALSE regarding diabetes and sexuality?

A) type I diabetes is more likely to cause impotence than type II
B) diabetes causes nerve damage to the penile arteries
C) although an erection is lost, sensation, orgasm and ejaculation may remain unaffected.
D) women with diabetes have little noticeable effects on their sexuality
E) tight diet and drug control reduces the risk of impotence

Question 13

Which of the following is true about Viagra?

A) men become resistant to the drug over time
B) the drug works better than penile injections and suppositories
C) the side effects are minimal
D) the generic form is inexpensive.
E) the drug doesn't interfere with high blood pressure drugs

Question 14

The National Gay and Lesbian Task Force estimates that there are ___ elder gays and lesbians in the United States.

A) close to 100,000
B) approximately 300,000
C) nearly 800,000
D) close to 1,000,000
E) almost 3,000,000

Question 15

Which of the following are NOT effects of chronic alcohol use?

A) reduced sexual performance
B) reduced testosterone among men
C) reduced testicular size
D) reduced nerve sensation to the penis
E) all are effects of chronic alcohol use

Question 16

Which of the following therapies are known to increase sexual desire in both men and women?

A) testosterone supplements
B) beta blockers
C) Spanish fly
D) Viagra
E) none of the above

Question 17

Most elders maintain an interest in sexual activity.

Question 18

Until the 1970s, homosexuality was considered a mental illness.

Question 19

Viagra is not safe for men who have diabetes or heart disease.

Question 20

Older people are generally not receptive to sex education.

Question 21

A number of studies report that the majority of couples significantly decrease or eliminate intercourse after the husband has a heart attack.

Question 22

Alcohol increases sexual desire and performance.

Question 23

Impotence is a natural part of growing older.

Question 24

Impotence and erectile dysfunction mean the same thing.

Question 25

Physicians should encourage all elders to be sexually active to maintain sexual health.

Question 26

Women outnumber men 100:40 at age 85.

Question 27

The physiological age changes in sexual response are significant.

Question 28

Age changes in clitoral response in older women make achieving orgasms more difficult.

Question 29

Among elders, psychological factors are more likely than physical factors in cases of erectile dysfunction.

Question 30

Intercourse frequency declines with age primarily because of physiological age-changes.

Question 31

Sexual interest and sexual activity decline significantly after a stroke.

Question 32

Erectile dysfunction means that penile sensation, orgasm and ejaculation are lost.

Question 33

Prostate surgery often significantly reduces sexual performance.

Question 34

Hysterectomies significantly reduce the ability to have orgasms.

Question 35

Hypertension can increase the incidence of erectile dysfunction among men.

Question 36

Viagra increases sex drive.

Question 37

About three-fourths of alcoholic men are impotent.

Question 38

Men who smoke cigarettes almost double their likelihood of impotence and the longer they smoke, the higher the risk.

Question 39

The Starr-Weiner study on elder sexuality reported that about 60 percent of their sample reported that they liked sex.

Question 40

Elder gays and lesbians are less likely to use health care services.

Question 41

Many institutionalized elders do not have the interest in or capacity for genital sexuality.

Question 42

Physicians are more likely to discuss sexuality issues with women patients after a heart attack than with men after a heart attack.

Question 43

Whether or not surgery causes sexual dysfunction is most dependent on the attitude of the surgery patient.

Question 44

Radiation treatment for prostate cancer for a sexually active man is better than a prostatectomy because the surgery may reduce sexual performance.

Question 45

If chest pain usually occurs during intercourse, physicians generally prescribe beta blockers to be taken immediately before sexual intercourse.

Question 46

As a result of studies indicating the high rate of sex misinformation, much sex education literature and programming has been developed to aid the elder population.

Question 47

Sex education for elders is reported to be highly successful in increasing their knowledge and changing their attitudes regarding sexuality.

Question 48

Describe three barriers to sexual expression experienced by elders in a nursing home.

Question 49

Discuss five factors that influence intercourse frequency among elders.

Question 50

List four methodological problems with the work by Masters and Johnson on the sexual response of elders.

Question 51

List at least ten questions that should be included in a sexual history.

Question 52

What is heterosexism? Give an example.

Question 53

List two reasons why older women are less likely to have a male partner in their later years.

Question 54

List three ways in which nursing home personnel can promote sexual expression among residents.

Question 55

List two reasons why hypertension causes sexual dysfunction.

Question 56

What is the physiological cause of impotence in diabetics? What are the two behaviors that can reduce the risk of impotence among diabetics?

Question 57

List and describe the mechanical aids that are useful for men with impotence.

Question 58

Describe two types of sex therapy. For what types of problems is each most effective?

Question 59

According to Masters and Johnson, what are the four stages of sexual response in men and women and how do these change with age? What are the limitations of their study?

Question 60

Discuss four types of treatment for impotence.

Question 61

Choose a chronic illness and discuss how it affects sexual interest and function.

Question 62

Discuss the diagnosis and types of treatment for sexual dysfunction in men.

Question 63

Develop a "sexuality issues" educational series geared to older men and women. List five major issues which will be addressed and justify the importance of each issue for the older population using information from the chapter.

Question 64

Choose one of the following elder groups and discuss their special sexual needs and problems: single women, gays and lesbians, residents of nursing homes.

Question 65

What are some common beliefs you had about elder sexuality before reading this chapter? Counteract them using information presented in the text.

Question 66

Discuss at least six ways that sexuality may be compromised in the later years.

Question 67

Describe the mechanism of a normal erection. How does Viagra work to induce an erection? What are the drawbacks of Viagra and related drugs?

Question 68

Discuss the difficulty in researching sexual behaviors among elders, including survey research.

Question 69

Discuss at least 6 barriers to sexual expression for elders in institutional settings.

Question 70

Discuss the possible factors that inhibit or reduce sexual interest and sexual activity among those with a chronic illness, using examples of particular chronic illnesses. Discuss the general guides to maximize sexual satisfaction among elders with chronic illness.

Question 71

What are the major barriers to diagnosis of sexual dysfunctions among older people? What role does the sexual history play? List ten questions that should be asked in the sexual history.