True or False: Answer the following questions about sexuality in elderly people.

Here are the answers to the True or False questions:

• 1. Elderly people do not have sexual urges. ❌ False. Sexual urges can continue throughout a person's life, regardless of age.

• 2. The ability to engage in sexual activity usually continues unless disease or injury occurs. ✅ True. Physical health conditions or injuries are more likely to impact sexual activity than age alone.

• 3. Residents have the legal right to choose how to express their sexuality. ✅ True. Residents in long-term care facilities have rights, including the right to express their sexuality consensually and privately.

• 4. All elderly people have the same sexual behavior and desires. ❌ False. Sexual behavior and desires are diverse among all age groups, including the elderly.

• 5. Nursing assistants should assume all residents are heterosexual (straight) unless told otherwise. ❌ False. Nursing assistants should not make assumptions about a resident's sexual orientation or gender identity.

• 6. If a person is unable to meet his sexual needs due to a disability, he will no longer have sexual desires. ❌ False. A person's desire for intimacy and sexual expression can persist even if physical limitations prevent certain activities.

• 7. If a resident identifies as nonbinary and prefers the pronouns they/them, the care team should use those pronouns. ✅ True. Respecting a resident's preferred pronouns is essential for person-centered care and dignity.

• 8. People who are confined to wheelchairs cannot have intimate relationships. ❌ False. Physical mobility does not determine a person's capacity for intimate relationships.

• 9. A lack of privacy is a major reason for lack of sexual expression in long-term care facilities. ✅ True. Privacy is crucial for residents to feel comfortable expressing their sexuality.

• 10. The NA should always knock and wait for a response before entering a resident's room. ✅ True. This is a fundamental practice for respecting a resident's privacy and autonomy.

• 11. If an NA sees a sexual encounter between consenting adult residents, she should ask them to stop and wait until the nurse approves it. ❌ False. Consenting adults have a right to privacy and sexual expression. An NA should respect their privacy unless there is a concern about consent or safety.

• 12. If an NA encounters a resident being sexually abused, he should take the resident to a safe place and then notify the nurse. ✅ True. Protecting the resident from harm and reporting suspected abuse are immediate and critical responsibilities.