The nurse is conducting a health history with an older client with arthritis and heart disease. When gathering the sexual history for this client, what question should the nurse ask?
1. Do you have any difficulty with sexual desire and orgasm?
2. How often do you have sexual relations?
3. What type of contraception do you use?
4. Have there been any changes in your sexual functioning that might be related to your illness or the medications you take?
Correct Answer: 4
Rationale 1: This question is not necessarily appropriate for an older client.
Rationale 2: This question is not appropriate for the nurse to ask any client.
Rationale 3: This question is not appropriate for an older client.
Rationale 4: All nursing histories should at least include a question such as "Have there been any changes in your sexual functioning that might be related to your illness or the medications you take?"
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