Author Question: A patient reports that nothing is wrong with him except a chest cold he's had for a couple weeks and ... (Read 49 times)

mspears3 · **on:** Jul 19, 2018

A patient reports that nothing is wrong with him except a chest cold he's had for a couple weeks and hasn't been able to shake off.. His wife is very worried and says he smokes, coughs a lot, has lost 15 pounds, and is easily fatigued.

Which of the following statements best describes this situation? a. The patient is using suppression to cope adaptively.
b. The patient is using suppression to cope maladaptively.
c. The patient is using denial to cope adaptively.
d. The patient is using denial to cope maladaptively.

Question 2

A woman consulted the nurse practitioner because she had not been able to have an orgasm, despite having been sexually active for 2 years. She was very frustrated and felt it was harming the relationship with her spouse.

Which nursing process evaluation of an identified patient outcome would best indicate that treatment has been successful? a. Patient reports achieving orgasm last week; seems very happy..
b. Reports satisfaction with sexual encounters; feels spouse is supportive..
c. Reports achieving orgasm occasionally; relationship with spouse is OK'..
d. Patient offers no complaints related to sexual function; to return next week..

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

Answer to Question 1

C
Denial is an unconscious blocking of threatening or painful information or emotions and can be used adaptively to help a person cope with an overwhelming circumstance for a short period of time until more effective methods of coping can be utilized.

Answer to Question 2

B
Human sexuality, sexual expression, and expectations related to sexuality vary tremendously from person to person and across cultures. Therefore the best indication of satisfactory treatment is that the patient is satisfied with what has been achieved. In this instance, Patient reports satisfaction with sexual encounters; feels spouse is supportive best indicates that the patient herself is satisfied, and both presenting issues are progressing in a positive manner. Achieving orgasm once or occasionally may or may not represent satisfactory progress to the patient, and offers no complaints does not necessarily mean that satisfaction exists.