A nurse is collecting data from a client who is seeking counseling at a mental health clinic. The nurse should identify that which of the following client statements indicates a client concern about sexuality?
"I'm uncomfortable when people tell sexually explicit jokes."
"I feel like my ability to perform sexually has changed since I've gotten older."
"I have the same level of sexual desire for my partner as I did in the past."
"I've been with the same sexual partner for 13 years."
The Correct Answer is B
A. "I'm uncomfortable when people tell sexually explicit jokes.": Discomfort with sexually explicit jokes reflects personal boundaries and social comfort, but it does not indicate a concern about the client’s own sexuality or sexual function.
B. "I feel like my ability to perform sexually has changed since I've gotten older.": This statement directly expresses a concern about sexual function and performance, indicating the client may be experiencing changes in libido, arousal, or sexual satisfaction. It signals the need for assessment and counseling regarding sexual health.
C. "I have the same level of sexual desire for my partner as I did in the past.": Maintaining sexual desire suggests that the client does not have current concerns about sexuality. It reflects stability in sexual function rather than a problem or worry.
D. "I've been with the same sexual partner for 13 years.": Duration of a relationship provides context about the client’s sexual history but does not indicate a current concern regarding sexuality. It is descriptive rather than indicative of distress or issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Be vague when answering the client's questions about instructions: Vagueness can increase suspicion and mistrust in a client with paranoid personality disorder. Clear, consistent communication is necessary to establish trust and reduce anxiety.
B. Ask the client why they are suspicious of others: Directly challenging or questioning the client’s suspicions may provoke defensiveness or hostility. Exploration of suspicious thoughts should be approached cautiously and only after trust is established.
C. Demonstrate a neutral demeanor: Maintaining a neutral, calm, and consistent demeanor helps the client feel safe and reduces the likelihood of triggering paranoia. This approach supports the development of a therapeutic relationship without escalating mistrust.
D. Use an overly friendly approach: Excessive friendliness or flattery can be perceived as manipulative or insincere, increasing the client’s suspicion. A professional, measured approach is more effective in building rapport.
Correct Answer is A
Explanation
A. "For now, we should schedule enough time for my partner to complete rituals.": Allowing time for ritualistic behaviors during the initial phase of treatment helps reduce anxiety and prevents conflict. Gradual exposure and response prevention can then be implemented therapeutically, supporting adherence to the treatment plan and a structured environment.
B. "I should ignore the stressors that cause my partner to perform the ritualistic behaviors.": Ignoring triggers does not help manage obsessive-compulsive behaviors and may allow anxiety to escalate. Effective treatment involves recognizing triggers and gradually helping the client manage or tolerate them through therapy.
C. "To prevent stress, we should avoid trying to make a schedule for daily activities.": Structured routines are important for clients with OCD to reduce unpredictability and associated anxiety. Avoiding a schedule may worsen symptoms rather than supporting treatment goals.
D. "I should expect my partner to begin exhibiting paranoid behaviors.": Paranoia is not a typical feature of obsessive-compulsive disorder. Expecting paranoid behaviors reflects a misunderstanding of the disorder and does not align with evidence-based treatment planning.
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