A woman who has been in a monogamous relationship for the past 6 ...

[arivle123]

A woman who has been in a monogamous relationship for the past 6 months presents to clinic with herpes on her labia. The patient is distraught because her partner must have cheated on her.
 
  Which response by the nurse is most effective in establishing an open rapport with a patient?
  a. Share a story.
  b. Inform the patient that all encounters are confidential.
  c. Encourage the patient to break up with her partner for cheating.
  d. Tell the patient that she must be honest about every sexual experience she has had.

Question 2

A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after repeated attempts at fertility treatment. The patient tells the nurse, I feel happier, but my sex drive is gone.
 
  Which nursing diagnosis has the highest priority?
  a. Sexual dysfunction
  b. Ineffective coping
  c. Risk for self-directed violence
  d. Deficient knowledge about contraception

[xMRAZ]

Answer to Question 1

ANS: B
If open communication is to be established with the patient, the patient must know that she can trust health care team members. By telling the patient that all encounters are confidential, the nurse establishes trust. Sharing a story brings the focus to the nurse, inhibiting open rapport. The nurse does not tell the patient what to do, because that should be the patient's decision. Forcing the patient to confide by sharing every sexual encounter may hinder a trusting relationship.

Answer to Question 2

ANS: A
Antidepressants have adverse effects on sexual desire and response. The nurse should be sure to educate the patient on the potential for these side effects and how to correct for them, for example, using lubricant to ease discomfort. The patient has taken steps toward effective coping by seeking therapy. The patient has not expressed a reason for the nurse to be concerned about contraceptives. The nurse should always assess for concerns about violence in a patient's life. Although some antidepressants have been related to self-directed violence, this patient focus is on becoming pregnant (fertility treatments) but sex drive is gone.

[arivle123]

Excellent

[raenoj]

Gracias!