A 68-year-old female asks the nurse if a contraceptive is still necessary. What is the best response by the nurse?
a. "A barrier such as a condom is recommended if you are unsure whether your sexual partners have been tested for STIs."
b. "No, because you have gone through menopause and can no longer become pregnant."
c. "Let's discuss this further, what is your current level of sexual activity?"
d. "Yes, as long as using a barrier does not decrease sexual performance."
C
The nurse should first assess the patient's risk for contracting an STI. If the patient has been in a monogamous relationship, and both parties are STI free, there is no need for a barrier. However, even though a patient has gone through menopause, there is still risk for an STI. The best way for a nurse to be sensitive to a patient's needs is to find out more about the patient. Discussing sexual performance in relation to using a barrier method does not answer the patient's question.
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