Author Question: A nurse is performing an assessment for a 59-year-old man who has hypertension. What is the ... (Read 34 times)

nelaaney · **on:** Jul 19, 2018

A nurse is performing an assessment for a 59-year-old man who has hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?

a. Sexual dysfunction may result from use of prescription medications for management of hypertension.
b. Such questions are an indirect way of learning about the patient's medication adherence.
c. These questions ease the transition to questions about sexual practices in general.
d. Sexual dysfunction can cause stress and contribute to increased blood pressure.

Question 2

Which nursing action should occur first regarding a patient who has a problem of sexual dysfunction or sexual disorder? The nurse should:

a. develop an understanding of human sexual response.
b. assess the patient's sexual functioning and needs.
c. acquire knowledge of the patient's sexual roles.
d. clarify own personal values about sexuality.

s.meritte · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
Some of the drugs used to treat hypertension can interfere with normal sexual functioning and lead to sexual disorders. Hypertension itself can lead to acquired erectile dysfunction. It would not be appropriate or necessary to use such inquiries as a lead-in to other sexual health topics. Sexual dysfunction, while stressful, does not cause hypertension.

Answer to Question 2

ANS: D
Before one can be helpful to patients with sexual dysfunctions or disorders, the nurse must be aware of his or her own feelings and values about sex and sexuality. Nurses must keep their personal beliefs separate from their patient care in order to remain objective, professional, and effective. Nurses must be comfortable with the idea that patients have a right to their own values and must avoid criticism and censure. The other options are indicated as well, but self-awareness must precede them to provide the best care.