The nurse has assessed a patient and determined that the patient has a sexual issue that needs to be addressed. What actions by the nurse are most appropriate? (Select all that apply.)
a. Use information from multiple sources to help plan care.
b. Collaborate with other health professionals to develop the plan.
c. Involve the patient and significant other in the process.
d. Use standard care plans to limit patient embarrassment.
e. Examine one's own biases before implementing the plan.
ANS: A, B, C, E
A good care plan uses information from multiple sources, involves other disciplines as appropriate, and involves the patient and significant other. In matters related to sexuality, the nurse also must examine his/her own biases so they do not limit the ability of the nurse to work with the patient. Using standard care plans does not address the patient's unique needs.
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