A male older adult patient expresses his concern and anxiety about decreased penile firmness during erection. What is the nurse's best response?
a. Explain that over time, his libido will decrease, as will the frequency of sexual activity.
b. Tell the patient to double his antidepressant medication to increase his libido.
c. Tell the patient that this change is expected in aging adults.
d. Tell the patient that touching should be avoided unless intercourse is planned.
ANS: C
Decreased firmness during erection is an expected change in aging adults. Libido does not necessarily decrease as one ages. Many older adults use prescription medications that depress sexual activity such as antihypertensives, antidepressants, sedatives, or hypnotics. Touch complements traditional sexual methods or serves as an alternative sexual expression when physical intercourse is not desired or possible.
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