The nurse is caring for a client who expresses concerns about sexual orientation. When using the PLISSIT model, which step will the nurse take first?

Provide information about sexual orientation and comment on alternatives.

Communicate an open, accepting attitude.

Provide a referral for the client to see a sex therapist.

Teach the client about normal sexual health.

Answer and Explanation

The Correct Answer is B

A. Provide information about sexual orientation and comment on alternatives: This step involves providing information about sexual orientation and discussing alternatives. However, it may not be the first step in the PLISSIT model. First, the nurse should establish a supportive and nonjudgmental environment, which is addressed in option B.

B. Communicate an open, accepting attitude: This is the correct response. In the PLISSIT model, the first step is to establish an open, accepting attitude. This involves creating a safe space for the client to express their concerns without fear of judgment or discrimination. By demonstrating acceptance and empathy, the nurse encourages the client to feel comfortable discussing sensitive topics related to sexual orientation.

C. Provide a referral for the client to see a sex therapist: Referral to a sex therapist may be appropriate for clients who require specialized intervention beyond the nurse's scope of practice. However, in the PLISSIT model, referral to a specialist typically occurs after the initial steps of establishing rapport and assessing the client's needs.

D. Teach the client about normal sexual health: While education about normal sexual health is an important aspect of sexual health nursing, it may not be the first step in the PLISSIT model. Initially, the focus is on creating a supportive environment and building trust with the client.

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Correct Answer is C

Explanation

A. Cultural assessment: A cultural assessment involves gathering information about the client's cultural background, beliefs, practices, and preferences to provide culturally sensitive care. While the decision to donate organs may be influenced by cultural factors, assisting the client with alternatives, examining pros and cons, and eliciting feelings about the decision are not specifically related to conducting a cultural assessment.

B. Selecting treatment: Assisting the client with selecting treatment involves discussing various treatment options and helping the client make informed decisions about their healthcare. While organ donation may be considered a treatment option in some contexts, the scenario described focuses more on helping the client clarify their values and make a decision about organ donation rather than selecting treatment for a specific health condition.

C. Values clarification: This is the correct option. Values clarification involves helping individuals explore and understand their personal values, beliefs, and preferences to make decisions that align with their values. In this scenario, the nurse is assisting the client with exploring the decision to donate organs by facilitating a process of examining alternatives, considering the pros and cons, and eliciting the client's feelings about organ donation. This approach helps the client clarify their values related to organ donation and make an informed decision based on their personal beliefs and preferences.

D. Defining religious beliefs: While religious beliefs may influence an individual's decision about organ donation, the nurse's role in this scenario is broader and focuses on helping the client clarify their values and make a decision about organ donation based on their personal beliefs and preferences. The nurse may address religious beliefs as part of the values clarification process but is primarily assisting the client in exploring their overall values and feelings about organ donation.

A. Justice B. Nonmaleficence C. Beneficence D. Respect for autonomy

Correct Answer is D

Explanation

A. Justice: Justice refers to fairness and equitable distribution of resources and treatment. While it is important in healthcare decision-making, it is not directly applicable in this scenario, where the focus is on respecting the client's autonomy in decision-making.

B. Nonmaleficence: Nonmaleficence is the principle of doing no harm. While it is essential for healthcare professionals to avoid causing harm to clients, it does not directly address the client's right to make autonomous decisions about their care.

C. Beneficence: Beneficence refers to the duty to do good and act in the best interest of the client. While it is important for nurses to promote the well-being of their clients, in this scenario, the client's autonomous decision not to undergo surgery or chemotherapy takes precedence over the nurse's desire to promote beneficence.

D. Respect for autonomy: This is the correct answer. Respect for autonomy is the ethical principle that recognizes individuals' right to make their own decisions and choices regarding their healthcare, based on their values, beliefs, and preferences. In this scenario, the nurse respects the client's autonomous decision not to pursue surgery or chemotherapy, even though it may conflict with the nurse's personal beliefs about preserving life.

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The nurse is caring for a client who expresses concerns about sexual orientation. When using the PLISSIT model, which step will the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is struggling with the decision to donate organs after death. The nurse assists the client to list alternatives, examine the "pros" and "cons" and elicits the client's feelings about the decision. The nurse is assisting this client with:

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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