A 52-year-old man tells the nurse that he decided to seek treatment for erectile dysfunction (ED) because his wife is losing patience with the situation. The most appropriate nursing diagnosis for the patient is
a. situational low self-esteem related to effects of ED.
b. ineffective role performance related to effects of ED.
c. anxiety related to inability to have sexual intercourse.
d. ineffective sexuality patterns related to infrequent intercourse.
Question 2
A 27-year-old man who has testicular cancer is being admitted for a unilateral orchiectomy. The patient does not talk to his wife and speaks to the nurse only to answer the admission questions. Which action is best for the nurse to take?
a. Teach the patient and the wife that impotence is unlikely after unilateral orchiectomy.
b. Ask the patient if he has any questions or concerns about the diagnosis and treatment.
c. Document the patient's lack of communication on the chart and continue preoperative care.
d. Inform the patient's wife that concerns about sexual function are common with this diagnosis.
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