A young nursing student is assessing an older patient. The nurse questions whether or not to take a sexual history. What response by the faculty is best?
a. Since procreation is not an issue, you do not need to discuss this.
b. Only discuss this topic if you are comfortable in doing so.
c. Ask the patient if he or she wants to talk about sexuality.
d. Sexuality is a basic human need and needs to be assessed.
ANS: D
Sexuality is a basic human need. The faculty should tell the student to complete the assessment. Procreation is not an issue at this time; however, this does not eliminate the need to discuss sexual issues. Asking permission may be an important part of taking a sexual history, but that response is implying the student can "get out of" the assessment if the patient is agreeable. The student needs practice to improve his/her comfort with this assessment.
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