SOLVED. The most important and effective assessment strategy when working with sexual issues in older adults is…… Group of answer choices to focus not just on what doesn’t work, but on what does. to help them realize that they just can’t do what they used to because the body wears out. be sure they also see a physician to get medication to help with physiological sexual concerns. to visit them in the nursing home where they live rather than forcing them to come to the counselor since their mobility is limited.