During the focused interview, a male client describes his ...

[MGLQZ]

During the focused interview, a male client describes his erection and ejaculate in terms that are less than professional. Which action by the nurse is the most appropriate?
 
  1. Ask the client to refrain from using the terms.
  2. Ask the client to define the terms.
  3. Document the client's responses in the terms used.
  4. Find another nurse to complete the assessment.

Question 2

A couple seeking infertility treatments has just received the results of a semen analysis, which shows a diminished sperm count. Which question is most appropriate for the nurse to address to the male partner at this time?
 
  1. How often do you masturbate?
  2. Do you smoke?
  3. How old is your present house?
  4. Do you still want to have children?

[Loise Hard]

Answer to Question 1

Correct Answer: 3
During the interview use words that the man can understand, and do not be embarrassed or offended by the words he uses. Asking the client to define terms may promote a sense of inferiority. Men may be embarrassed to discuss health problems or concerns involving their reproductive organs; it is important for the nurse to ask questions in a nonthreatening, matter-of-fact manner. Consider the psychologic, social, and cultural factors that affect sexuality and sexual activity. The words and responses of the client will need to be documented. Asking another nurse to complete the interview reduces the quality and continuity of care and is inappropriate.

Answer to Question 2

Correct Answer: 3
Males exposed to lead may experience decreased libido, diminished sperm count, and abnormal sperm motility. Lead may be present is homes built before 1979. Masturbation and tobacco use do not influence sperm count and motility. The responsibility of the nurse is to assess for related causes, not to assess the desire to father children.

[MGLQZ]

Excellent

[gcook]

Gracias!