A nurse is anxious about assessing the sexual history of a patient who is considerably older than the nurse is. Which statement would be most appropriate for obtaining information about the patient's sexual practices?

Correct Answer: A

Rationale: The correct answer is A because it acknowledges the diversity of sexual practices and respects the patient's autonomy in sharing their sexual history. It also allows the patient to openly discuss their pattern without feeling pressured. Choice B is incorrect because it focuses on potential medical problems rather than directly asking about the patient's sexual practices. Choice C is incorrect as it may come across as too intrusive and lacks a non-judgmental approach. Choice D is incorrect as it implies the patient's information will be shared without their consent, which violates patient confidentiality.

Correct Answer: C

Rationale: The correct answer is C. Discussing national leadership during the Vietnam War is most appropriate as it aligns with the reminiscence therapy goal of recalling past experiences to promote social interaction and cognitive stimulation. It is relevant to the age group of young-old adults who may have lived through that era, sparking meaningful discussions. Choice A does not directly relate to reminiscence therapy. Choice B may not resonate with all group members. Choice D focuses on negative news, which is not conducive to the therapeutic purpose.

Correct Answer: C

Rationale: The correct term to be documented is C: Lanugo. Lanugo is fine, downy hair that can cover a patient's body, often seen in newborns or individuals with certain medical conditions. In this case, the presence of lanugo indicates a potential underlying issue. Amenorrhea (A) refers to the absence of menstruation, not related to the hair. Alopecia (B) is hair loss, the opposite of lanugo. Stupor (D) is a state of reduced consciousness, not related to the hair condition described. Therefore, choice C is the correct answer as it directly matches the description given in the question.

Correct Answer: D

Rationale: The correct answer is D: Benzodiazepines. Benzodiazepines are commonly used in the treatment of acute anxiety due to their rapid onset of action and effectiveness in managing symptoms such as panic attacks. They work by enhancing the inhibitory neurotransmitter GABA, leading to sedative and anxiolytic effects. Tricyclic antidepressants (Choice A) are not the first-line treatment for acute anxiety. Antipsychotic drugs (Choice B) are primarily used for conditions such as schizophrenia and bipolar disorder, not acute anxiety. Antimanic drugs (Choice C) are used to manage symptoms of mania in conditions like bipolar disorder, not acute anxiety. Therefore, the correct choice is Benzodiazepines due to their rapid efficacy and established role in managing acute anxiety.

Correct Answer: D

Rationale: Step-by-step rationale for why answer D is correct: 1. Correctly acknowledges the patient's concern about sexual side effects. 2. Highlights the importance of managing depression to prevent recurrence. 3. Offers a solution by mentioning alternative medications with less impact on sex drive. 4. Empowers the patient by providing information and options for treatment. 5. Addresses both the patient's current situation and long-term mental health needs. Summary of why other choices are incorrect: A: Overlooks the patient's valid concern about sexual side effects and lacks a proactive solution. B: Focuses on timing of medication without addressing the underlying issue of sexual side effects. C: Dismisses the patient's concern and fails to provide a solution or alternative options.