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17 Questions

Family is what a person says it is mostly a support system for a family

True

Fictive kin relationship- family like but not related by blood or marriage

True

Transition Act of passing from one stage to another may be predictable or unpredictable

True

Types of Transition Situational-widowed developmental-retirement Health illness-hospitalization

True

phases of retirement Remote-its still far, just little planning Near:plan and prepare, fantize about it Honeymoon-Euphoric, state to do what they have always longed for Disenchatment-boredom,depression reorientation-getting back ,reality satisfaction Stability-spending more time doing meaningful things Termination- loss or retirement role because of illness or go back to work

True

4 dimension of grief reaction in widowhood Affective- (feeling)- depression , anxiety, loneliness Cognitive (thinking) sensing that the person is here Behaivoural- Agitation Physiological- cant eat, cant sleep, susceptible to illness

True

Residential options-depends on level of independence related to functional abilities

Independece-in there own home partial dependence-assistive living, living with family, retirement home Dependence- personal care home,long term care, hospice, rehabilitation homes, acute care

True

Community service for adult Adult daycare-only during the day Home or community care-adult live here

True

Intimacy is basic human need- emotional closeness Dimension of sexuality social factor- Cultural pzychological-attitudes, feelings moral-belief behavioural- physical respons

True

Dysparunia-pain in woman when having sex due to Atrophy or vaginal dryness use lubricant Athritis- take pain med before sex or have sex early in the day when less fatigued

True

What to do when an older adult is transitioning to long term care Individualize the environment follow their schedule make it less restrictive orientation to new environment

True

Medical conditions affecting Sexuality Arthritis- use pain med Breathing disorders-COPD use alternative position Circulatory disturbances-hypertension Neurological disturbance-Dementia Cancer

True

Myths about old age sexuality They dont masturbate They are not interested in sex They stopped sex They do not have sex in long term care Menopause is death of sexuality Sexuality is a taboo older are to frail to have sex Sex is unimportant They dont talk about sex

True

erectile dysfunction - Viagra

True

Older adult are more at risk for sexually transmitted diseases- decrease in immune system Not identified as a disease of older adult

True

Nursing Roles for sexuality provide time to discuss it dont be judgemental provide privacy be knowledgeble about STI ensure screening for STI is included

True

A client with dementia can meet needs of intimacy by family hugging and kissing them help them feel attractive need for intimacy does not go away because they have dementia

True

Test your knowledge on family dynamics, fictive kin relationships, various types of transitions, phases of retirement, and dimensions of grief reaction in widowhood.

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