A psychiatric nurse practitioner takes a sexual history from a ...

[TFauchery]

A psychiatric nurse practitioner takes a sexual history from a new client. To determine that the client's sexual response pattern meets the criteria for disorder of sexual functioning, the nurse:
 
  a. instructs the client to keep a detailed record of all sexual activity for a month
  b. orders hormone-level laboratory testing at each stage of the client's sexual response
  c. asks if the observed problem is causing significant discomfort or distress to the client
  d. rules out all possible physical causes of the sexual performance difficulty

Question 2

A patient who is seeking help at the mental health clinic states, I know my work has gone downhill. I'm a poor spouse, parent, and teacher. I should be able to do better.. The best response by the nurse would be:
 
  a. You have very high expectations for yourself..
  b. Why do you feel you should be all things to all people?
  c. Have you ever talked this problem over with your spouse?
  d. Perhaps it would help if you quit work to concentrate on your family..

[bblaney]

Answer to Question 1

C
For a sexual response pattern to meet the criteria for a disorder of sexual functioning, the problem must cause significant discomfort and distress to the client. In many cases, some sexual response patterns that could be considered difficulties are able to be comfortably integrated into the individual's or couple's life without discomfort or distress. In other cases, the difficulties may in fact be causing discomfort and problems in the individual's or couple's lives, yet they are using denial mechanisms to avoid acknowledging the issue as a problem.

Answer to Question 2

A
This remark shows understanding of what the patient has said, using the therapeutic technique of reflecting, and would encourage the patient to continue talking. The remaining options are either probing, a change of focus, or premature advising.

[TFauchery]

TYSM

[chereeb]

Excellent