A nurse is admitting a patient to a medical-surgical unit. While the nurse is obtaining a health history, the patient discusses his sexual history. Which comment by the patient would warrant further discussion?
a. "Sometimes I can't perform. I know it's possibly due to my diabetes."
b. "Sure, I've had some depression, but that wouldn't interfere with my sex life."
c. "I've had some depression lately, and sex doesn't really interest me."
d. "I've had so much stress at work that sex doesn't seem important right now."
B
The patient's statement he has depression but does not associate it with interference in his sex life, warrants education by the nurse on the contributing factors of erectile dysfunction (ED).
Erectile dysfunction is commonly associated with chronic illnesses, especially diabetes, hyper-tension, and depression.
Not having an interest in sex is different from being unable to perform.
Stress may affect desire, but it does not automatically mean that the patient cannot perform.
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