A recently widowed client reports a fear of intimacy due to an inability to achieve and sustain an erection. He has become isolative, has difficulty sleeping, and has recently lost weight.
Which correctly written nursing diagnosis should be prioritized for this client?
A. Risk for situational low self-esteem AEB inability to achieve an erection
B. Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
C. Social isolation R/T low self-esteem AEB refusing to engage in dating activities
D. Disturbed body image R/T penile flaccidity AEB client statements
Question 2
A nurse is assessing a client diagnosed with pedophilic disorder. What would differentiate this sexual disorder from a sexual dysfunction?
A. Symptoms of sexual dysfunction include inappropriate sexual behaviors, whereas symptoms of a sexual disorder include impairment in normal sexual response.
B. Symptoms of a sexual disorder include inappropriate sexual behaviors, whereas symptoms of sexual dysfunction include impairment in normal sexual response.
C. Sexual dysfunction can be caused by increased levels of circulating androgens, whereas levels of circulating androgens do not affect sexual disorders.
D. Sexual disorders can be caused by decreased levels of circulating androgens, whereas levels of circulating androgens do not affect sexual dysfunction.
The nurse applies a pulse oximeter sensor on the client’s finger.
Comparison of do's and dont's of hand-off reports
Client files are kept in alphabetical order in locked file cabinets.
Measuring the client’s weight with a standard platform scale
Testing the Achilles tendon reflex with client in a sitting position
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