A woman consulted the nurse practitioner because she had not been able to have an orgasm, despite having been sexually active for 2 years. She was very frustrated and felt it was harming the relationship with her spouse
Which nursing process evaluation of an identified patient outcome would best indicate that treatment has been successful? a. "Patient reports achieving orgasm last week; seems very happy.".
b. "Reports satisfaction with sexual encounters; feels spouse is supportive.".
c. "Reports achieving orgasm occasionally; relationship with spouse is ‘OK'.".
d. "Patient offers no complaints related to sexual function; to return next week.".
B
Human sexuality, sexual expression, and expectations related to sexuality vary tremendously from person to person and across cultures. Therefore the best indication of satisfactory treatment is that the patient is satisfied with what has been achieved. In this instance, "Patient reports satisfaction with sexual encounters; feels spouse is supportive" best indicates that the patient herself is satisfied, and both presenting issues are progressing in a positive manner. Achieving orgasm once or occasionally may or may not represent satisfactory progress to the patient, and "offers no complaints" does not necessarily mean that satisfaction exists.
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