Author Question: A patient expresses concern that her partner no longer finds her attractive and is considering ... (Read 113 times)

Ebrown · **on:** Jul 23, 2018

A patient expresses concern that her partner no longer finds her attractive and is considering having a three-way to spice up the relationship. Which response is the best option for the nurse in this situation?

a. Please help me understand how you are feeling about your relationship right now.
b. If your partner truly loves you, he doesn't need to have sex with another person.
c. Nonmonogamous sex is immoral; here is the number for the local church.
d. Have you considered the consequences of adding a third party to a sexual relationship?

Question 2

A nursing student is providing education to a group of older adults who are in an independent living retirement village. Which of the following statements made by the nursing student requires the nursing professor to intervene?

a. Avoiding alcohol use will enhance your sexual functioning.
b. You do not need to worry about getting a sexually transmitted infection at this point in your life.
c. You need to tell your partner how you feel about sex and any fears you may have.
d. Using pillows and taking pain medication if needed before having sexual intercourse often helps alleviate pain associated with intercourse and improves sexual functioning.

Ddddd · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
The nurse should be nonjudgmental, and asking for clarification of the patient's feelings will help the nurse better understand the situation. Making assumptions about the patient's partner is not appropriate. Passing judgment or imposing the nurse's morals on the patient is unethical. Asking the patient to consider the consequences of a three-way is judgmental and implies that nontraditional sex is inappropriate.

Answer to Question 2

ANS: B
Any person who has sexual intercourse can develop a sexually transmitted infection (STI) at any age. People with multiple sex partners are at greater risk. Therefore, the instructor needs to intervene when the student tells the older adults that they are not at risk for developing a STI. Avoiding the use of alcohol; using pillows; taking pain medications before having intercourse if needed; and communicating thoughts, fears, and feelings about sex all enhance sexual functioning.