A nurse is working with a patient using the PLISSIT model. In the ...

[cherise1989]

A nurse is working with a patient using the PLISSIT model. In the LI phase, what is an appropriate activity?
 
  a. Educate the patient on water-based lubricants.
  b. Ask the patient for permission to discuss sexuality.
  c. Instruct the patient on positions acceptable after knee replacement.
  d. Refer the patient and partner to a licensed therapist.

Question 2

A patient has been diagnosed with a sexually transmitted disease (STD) and the patient's partner is angry, saying, She must have cheated on me. What response by the nurse is most appropriate?
 
  a. This infection may have been present for a long time.
  b. You need to be tested for this disease too.
  c. Yes, you're right; if you don't have the STD, she cheated.
  d. Now, now, getting angry will not help anything.

[s.meritte]

Answer to Question 1

ANS: A
The LI phase of the PLISSIT model stands for limited information, which would be information the patient needs to function sexually. Asking permission is P. Discussing specific concerns related to a specific medical condition is SS (specific suggestions). Referral to a therapist is IT (intensive therapy).

Answer to Question 2

ANS: A
Some STD symptoms may go unnoticed for a long time. Telling the partner to get tested as well without further explanation is likely to cause defensiveness. The nurse has no way of knowing if the patient cheated on the partner or not. Telling the partner not to get angry is dismissive of his/her concerns.

[cherise1989]

Thanks for the timely response, appreciate it

[debra928]

Excellent