To complete a cognitive assessment during a sexual history, the ...

[mckennatimberlake]

To complete a cognitive assessment during a sexual history, the nurse would ask:
 
  1. How has your religion influenced your sexual values and behaviors?
  2. What are the negative aspects of your own sexual functioning?
  3. What are your partner's concerns about current or future sexual functioning?
  4. What concerns do you have about your future sexual functioning?

Question 2

During a nurseclient interaction, the client tells the nurse, I don't think I can deal with feeling so sad much longer. The nurse's best response is which of the following?
 
  1. Is there a history of depression in your family?
  2. We all have times of sadness.
  3. Are you saying you feel sad?
  4. Tell me about your feelings of sadness.

[livaneabi]

Answer to Question 1

1
Rationale: How has your religion influenced your sexual values and behaviors? is a cognitive assessment question. The other choices are behavioral assessment questions.

Answer to Question 2

4
Rationale: The nurse is using the therapeutic communication technique of encouraging the client to explore feelings when asking the client to talk about the feelings of sadness. The technique of reflecting You feel sad? is therapeutic, but the better response is to encourage the client to explore the feelings about being sad to facilitate developing insight. Restating at this point would prompt a closed-ended response by focusing on the content (sad), as opposed to focusing on the behavior or feelings (sadness). Asking about the client's history provides the client with an opportunity to shift the focus from the feelings to providing information about the client's family; the nurse should review the client's history prior to the interaction. Suggesting that we all have times of sadness discounts the client's feelings.

[mckennatimberlake]

TYSM

[tkempin]

Excellent