A sexual history begins with the nurse asking the patient when ...

[deesands]

A sexual history begins with the nurse asking the patient when she experienced her first menstrual period. What is the basis for beginning the assessment with this type of ques-tion?
 
  a. Medical history is the initial focus of all history assessments.
  b. Female sexual dysfunction has its roots in pre-pubescent experiences.
  c. Females are more comfortable discussing physical issues than emotional ones.
  d. To minimize embarrassment, the history is begun with nonthreatening questions.

Question 2

What is the basis of the nurse's response when a husband reports that, Our problem is that my wife never initiates sex?
 
  a. Initiation of sex is generally viewed as the male's role.
  b. Communication between partners is vital to satisfying sex.
  c. Men often enjoy sex that is initiated by their female partners.
  d. Some women may become aroused only after they experience foreplay.

[Jayson]

Answer to Question 1

ANS: D
The sexual history is an important aspect of the assessment but the questions can be embar-rassing. It is suggested that the interview begin with the least awkward topic and then work-ing toward more difficult and personal topics. There is no proof that the remaining options are true.

Answer to Question 2

ANS: D
Research as shown that in longer-term relationships, women did not initiate sex as often; the desire for sex was generated after they were aroused accounting for this woman's apparent lack of sexual interest. The remaining options are not directly related to sexual interest.