A female patient asks the nurse for help because her husband has not been able to attain an erection in several months. Which nursing intervention should be performed first?
1. Assess the couple's most recent sexual practices.
2. Suggest that she seek psychiatric counseling.
3. Suggest that the couple contact a marriage counselor.
4. Suggest that the husband talk to his physician about a prescription for sildenafil (Viagra).
1
Rationale 1: Assessment is always the first step of the nursing process. It is essential for health care providers to understand the patient and partner's sexual pattern and habits to provide appropriate, individualized care.
Rationale 2: There is no indication that the wife requires psychiatric counseling.
Rationale 3: It is premature to suggest marital counseling.
Rationale 4: Additional assessment should be conducted before a prescription is recommended.
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