Author Question: A recently widowed client reports a fear of intimacy due to an inability to achieve and sustain an ... (Read 78 times)

casperchen82 · **on:** Jul 19, 2018

A recently widowed client reports a fear of intimacy due to an inability to achieve and sustain an erection. He has become isolative, has difficulty sleeping, and has recently lost weight.

Which correctly written nursing diagnosis should be prioritized for this client?

A. Risk for situational low self-esteem AEB inability to achieve an erection
B. Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
C. Social isolation R/T low self-esteem AEB refusing to engage in dating activities
D. Disturbed body image R/T penile flaccidity AEB client statements

Question 2

A nurse is assessing a client diagnosed with pedophilic disorder. What would differentiate this sexual disorder from a sexual dysfunction?

A. Symptoms of sexual dysfunction include inappropriate sexual behaviors, whereas symptoms of a sexual disorder include impairment in normal sexual response.
B. Symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms of sexual dysfunction include impairment in normal sexual response.
C. Sexual dysfunction can be caused by increased levels of circulating androgens, whereas levels of circulating androgens do not affect sexual disorders.
D. Sexual disorders can be caused by decreased levels of circulating androgens, whereas levels of circulating androgens do not affect sexual dysfunction.

InfiniteSteez · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
On the basis of the client's symptoms, the nurse should prioritize the nursing diagnosis of sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm. The nurse should assess the client's mood and level of energy because depression and fatigue can decrease desire for participation in sexual activity.

Answer to Question 2

ANS: B
The nurse should identify that pedophilic disorder is a sexual disorder in which individuals partake in inappropriate sexual behaviors. Sexual dysfunction involves impairment in normal sexual response. Pedophilic disorder involves having sexual urges, behaviors, or sexually arousing fantasies involving sexual activity with a prepubescent child.