Author Question: When providing care for a client with concerns about his sexual orientation, you use the PLISSIT ... (Read 19 times)

awywial · **on:** Jul 23, 2018

When providing care for a client with concerns about his sexual orientation, you use the PLISSIT model. You recognize that the first step you must take is to:

a. Provide information about sexual orientation and common alterations
b. Plan time to discuss concerns with the client in a private, comfortable setting
c. Permit the client to speak openly by communicating an open, accepting attitude
d. Provide referrals to the client so he can identify resources to assist him in the future

Question 2

When evaluating the treatment plan for a patient with erectile dysfunction (ED), you would deem the treatment successful if the patient made the following statement:

a. I feel very good about the treatment; I am now comfortable with my sexual orientation.
b. I am happy with the treatment as I can now maintain an erection through orgasm.
c. Now I can communicate my sexual needs to my partner without embarrassment.
d. I now know how to prevent further sexually transmitted infections.

Sammyo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
The PLISSIT model was developed as a guideline for sex therapy. Although basic nursing education does not prepare you to provide sex therapy, the first three PLISSIT steps have been adapted to address sexual knowledge deficits that you are qualified to treat. The first step, P, is to provide permission. Permission means that you communicate an open, accepting attitude so the client feels free to ask questions and express concerns and feelings.

Answer to Question 2

B
Men with erectile dysfunction have persistent or recurring inability to achieve or maintain an erection sufficient for satisfactory sexual performance. When the patient is maintaining penile erection through orgasm, this is an indication the interventions were successful. ED is not related to sexual orientation or exposure to STIs. Comfort with communicating about sexual needs is helpful for sexual satisfaction but is not the cause of ED.