d.Resolution:
Female: Return to normal body functioning;
feelings of relaxation, fatigue, and fulfillment;
the woman is physiologically capable of immedi-
ate response to sexual stimulation and may
achieve multiple orgasms.
Male: Return to normal body functioning accompa-
nied by same feelings as above; men experience a
refractory period during which they are
incapable of sexual response.- a.Any inpatient or outpatient who is receiving care
for pregnancy, an STD, infertility, or conception
b.Any patient who is currently experiencing a sex-
ual dysfunction or problem
c. Any patient whose illness will affect sexual func-
tioning and behavior in any way
5.Sample answers:
a.“How would you describe this problem?”
b.“What do you think caused the problem, or
what was happening when you first noticed it?”
c. “What have you tried in the past to correct the
problem?”- a.A change in knowledge
b.A change in patient attitude
c. A change in behavior
7.See table below.
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:420 ANSWER KEY
Method Advantages Disadvantagesa.Natural family planning Methods can be effective in avoiding Requires abstinence during ovulation
pregnancy if mutual understanding, and complete understanding of the
support, and motivation exist between signs and symptoms of ovulation.
the woman and her partner. There are
no side effects (as in hormonal methods)
and no messy devices to insert.b.Barrier methods Condoms help to prevent STDs; Devices must be applied before
appropriate for women with sensitivity intercourse; not all women can wear
to the pill; effective when used correctly; them; threat of toxic shock syndrome
relatively inexpensive methods. with vaginal sponge.c.Intrauterine devices High rate of effectiveness; little care or Serious side effects and
motivation on part of patient is necessary; complications.
excellent method for women who have
completed their families but are not ready
for sterilization.d.Hormonal methods Many beneficial noncontraceptive effects, Cost may be prohibitive to some;
for example, protecting women against compliance is necessary; some
development of breast, ovarian, and women should not take the pill
endometrial cancer; almost 100% effective due to physiologic disorders or
when taken as directed. diseases.e.Sterilization After initial surgery and recheck, no further Should be considered permanent
compliance is necessary; almost 100% and irreversible.
effective.APPLYING YOUR KNOWLEDGE
REFLECTIVE PRACTICE USING CRITICAL
THINKING SKILLS
Sample Answers
1.What issues might the nurse address in the plan of
care for Mr. Smith? What patient teaching should
be incorporated into the plan of care?
The nurse should review the effects of Mr. Smith’s
conditions on sexual function and assess his
current status, as well as the effect of themedications he is taking to see if they are a
contributing factor. The nurse could consult with
the primary healthcare provider to see if an adjust-
ment in the medications might alleviate the prob-
lem. The nurse should also explore the emotional
and psychological effects of the dysfunction on
Mr. Smith and his wife and consult with other mem-
bers of the healthcare team to develop an effective
plan of care. Patient teaching could include informa-
tion about medications to treat impotence and the
possibility of having a penile implant.LWBK696-Ans_p327-424.qxd 9/4/10 3:09 AM Page 420 Aptara Inc.