Family Nurse Practitioner Exam

Which statement about sexuality in older adults is incorrect?

1. Erectile dysfunction is very common

2. It may take longer to become aroused

3. Frail elderly are not interested in sexuality

4. Dyspareunia can occur with atrophic vaginitis

The correct answer is: Frail elderly are not interested in sexuality

The statement regarding frail elderly individuals not being interested in sexuality is incorrect because, contrary to this assertion, many older adults maintain an interest in sexual activity and intimacy. Research indicates that sexual desire and the need for emotional connection often persist into older age. While physical health issues, medications, and societal attitudes may impact sexual activity, it does not eliminate the interest or desire for sexuality among older adults. Additionally, many factors such as emotional bonds, love, companionship, and affection continue to play a significant role in how older individuals view and engage in sexual relationships. In contrast, the other statements reflect common realities of aging. Erectile dysfunction is indeed prevalent due to physiological changes and health conditions. Moreover, the aging process can result in longer times needed for arousal because of changes in hormonal levels or the presence of comorbidities. Dyspareunia, or painful intercourse, is also a valid concern for older women, particularly due to atrophic vaginitis, which is characterized by the thinning and inflammation of vaginal walls post-menopause, leading to discomfort during intercourse. Thus, recognizing the importance of sexuality in older adults can foster a more comprehensive understanding of their health and well-being.