Sexuality
Sexuality ( 5 Questions)
A nurse is caring for an older adult client who has a history of depression and low self-esteem.
The client tells the nurse, “I don’t feel attractive or desirable anymore. I don’t think anyone would want to have sex with me.” How should the nurse respond?
This is wrong because it is a false reassurance that does not address the client’s underlying issues.
It may also make the client feel invalidated or patronized.
This is an open-ended question that encourages the client to express their feelings and thoughts, and shows empathy and respect from the nurse.
The nurse can then explore the factors that contribute to the client’s low self-esteem and depression, and provide appropriate interventions and referrals.
This is wrong because it dismisses the client’s sexual needs and implies that they are not important.
Sexuality is a basic human need and a source of pleasure and intimacy for many people, regardless of age.
This is wrong because it suggests that the client’s appearance is the cause of their low self-esteem and depression, and that changing it will solve their problems.
This may reinforce the client’s negative self-image and make them feel more insecure.
The correct answer is B.
“Why do you say that?.
What makes you feel that way?.” This is an open-ended question that encourages the client to express their feelings and thoughts, and shows empathy and respect from the nurse.
The nurse can then explore the factors that contribute to the client’s low self-esteem and depression, and provide appropriate interventions and referrals.
Choice A is wrong because it is a false reassurance that does not address the client’s underlying issues.
It may also make the client feel invalidated or patronized.
Choice C is wrong because it dismisses the client’s sexual needs and implies that they are not important.
Sexuality is a basic human need and a source of pleasure and intimacy for many people, regardless of age.
Choice D is wrong because it suggests that the client’s appearance is the cause of their low self-esteem and depression, and that changing it will solve their problems.
This may reinforce the client’s negative self-image and make them feel more insecure.
Older adults who have depression and low self-esteem may benefit from nursing interventions such as:.
• Providing a safe and supportive environment that promotes trust and rapport.
• Assessing for risk factors and signs of depression, such as loss of interest, hopelessness, guilt, insomnia, appetite changes, suicidal ideation, etc.
• Assessing for physical, psychological, social, and environmental factors that may affect the client’s self-esteem and sexual function, such as chronic illness, medication side effects, cognitive impairment, abuse, isolation, stigma, etc.
• Educating the client about depression and its treatment options, including medication, psychotherapy, counseling, support groups, etc.
• Encouraging the client to participate in activities that enhance their mood, self-esteem, and social interaction, such as exercise, hobbies, volunteering, etc.
• Encouraging the client to express their feelings and concerns, and listening actively and empathically.
• Helping the client identify their strengths and achievements, and challenging their negative thoughts and beliefs about themselves.
• Helping the client set realistic and attainable goals, and providing positive feedback and reinforcement.
• Respecting the client’s sexual needs and preferences, and providing information and resources on sexual health and safety.
• Referring the client to appropriate professionals or agencies for further assessment and intervention if needed.