A nurse is working with a patient after the patient had a heart ...

[kaid0807]

A nurse is working with a patient after the patient had a heart attack and is using the PLISSIT model to address sexuality needs. For the SS phase, what action by the nurse is best?
 
  a. Ask the patient if he wants to discuss sexuality.
  b. Teach the patient positions that require less stress.
  c. Offer the patient a referral to a sex therapist.
  d. Direct the patient to speak with the doctor about sex.

Question 2

A woman complains that her partner threatens her and berates her in front of the children. She denies being in an abusive relationship or being the victim of physical violence. What action by the nurse is best?
 
  a. Tell the woman to leave the abusive partner.
  b. Educate the woman on forms of domestic abuse.
  c. Help the woman work on a physical safety plan.
  d. Insist the woman take written information.

[macmac]

Answer to Question 1

ANS: B
The PLISSIT model is a framework for addressing sexuality. In the SS (specific suggestions) phase, the nurse provides information that allows the patient to proceed with sexual relations. Informing the patient about sexual positions that are less stressful on the heart is an example. P stands for permission. LI stands for basic, limited information, and IT stands for intensive therapy.

Answer to Question 2

ANS: B
This woman first needs to understand she is indeed in an abusive relationship. The nurse gently educates her on the type of abuse that is possible. Telling the woman what to do is likely to be met with resistance, plus the time of leaving is the most dangerous part of the relationship. The woman may not be accepting of a physical safety plan, since she states there is no physical violence. The woman may be fearful of taking written information because the abuser may find it.