The nurse is conducting a sexual history with a patient who is ...

[pane00]

The nurse is conducting a sexual history with a patient who is scheduled for cardiac surgery. The patient tells the nurse that he is nervous about resuming sexual activities.
 
  Which of the following responses by the nurse indicates that he or she is using therapeutic communication with the patient? a. You can have sexual intercourse after your surgery, but there are serious risks.
  b. Your partner will be nervous about resuming sexual activities, but that is normal.
  c. Don't worry. In about two months you will be able to return to your normal sexual patterns.
  d. You are expressing a very normal concern; perhaps we could discuss your feelings further.

Question 2

Community assessments are important in order for the nurse to understand and respond to the needs of the population. What will the nurse focus on when assessing the structure of the com-munity?
 
  a. Collecting demographic data on age distribution
  b. Visiting neighbourhood schools to review health records
  c. Interviewing clients to determine the cultural make up of subgroups
  d. Observing the physical environment and location of services

[coreycathey]

Answer to Question 1

D

Feedback
A The statement, You can have sexual intercourse after your surgery, but there are serious risks, may only worry the patient more.
B The statement, Your partner will be nervous about resuming sexual activities, but that is normal, does not focus on the patient and therefore does not encourage the patient to express his concerns.
C Telling the patient not to worry is nontherapeutic. At this point, not even knowing the outcome of the surgery, the nurse should not predict resumption of sexual activity for the patient. Furthermore, this response does not encourage the patient to communicate his feelings.
D Open communication and positive self-esteem are essential factors in effectively resolving concerns.

Answer to Question 2

D
When assessing the structure or locale of a community, the nurse should travel around the neighbourhood and observe the physical environment, the location of services, and the locations where residents congregate. Locale and structure is one of the three components of community assessment.
Collecting demographic data on age distribution is an example of assessing the community's population.
Visiting neighbourhood schools to review health records is an example of assessing a social sys-tem within the community.
Interviewing clients to determine the cultural make up of subgroups is an example of assessing the population within the community.