Author Question: An adult client has admitted to his nursetherapist that he has sexual feelings toward children but ... (Read 17 times)

hbsimmons88 · **on:** Jul 19, 2018

An adult client has admitted to his nursetherapist that he has sexual feelings toward children but claims that he has never acted on these feelings.

He admits that such feelings cause him great anxiety and that no one, including his wife, knows about his struggle. In the care of this client, what outcome should the nurse prioritize?

A) The client will refrain from sexual activity involving children or adolescents.
B) The client will identify stressors that influence his sexual response.
C) The client will report satisfaction with his current sexual relationship.
D) The client will discuss his sexual concerns with his sexual partner.

Question 2

A 56-year-old male client with a recent diagnosis of erectile dysfunction has been prescribed sildenafil citrate (Viagra). In conducting client education, which of the following teaching points should the nurse provide to this client?

A) It will likely take 2 to 3 weeks before you begin to see a difference in your erectile response.
B) Make sure that you don't take Viagra more than once each day.
C) You will likely get an erection around 30 minutes after you take Viagra and it will subside after a few hours.
D) If your erection lasts more than 24 hours, seek medical attention.

Hikerman221 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: A
While all of these outcomes may be of benefit in the care of this client, the clear priority is safety and ensuring that the client does not engage in any form of sexual activity with a child or adolescent.

Answer to Question 2

Ans: B
Sildenafil citrate (Viagra) should not be taken more than once daily. Effects are present within 30 minutes of first taking the drug, but this does not mean that the client will necessarily have a continuous erection; erections of more than 6 hours can cause tissue damage.