A 70-year-old male patient has erectile dysfunction, but he tells the nurse that he is no longer interested in sexual activity. What is the best advice the nurse can give to the patient?
A) Suggest that he ask his physician for Viagra in case he changes his mind
B) Encourage the patient to have a medical exam to find the cause of his erectile dysfunction
C) Recommend counseling, because most erectile dysfunction is psychological in origin
D) Point out that erectile dysfunction affects one in four elderly men and is no reason for concern
B
Feedback:
Erectile dysfunction can have multiple causes, including atherosclerosis, diabetes, hypertension, multiple sclerosis, thyroid dysfunction, alcoholism, renal failure, structure abnormalities, medications, and psychological factors. Given the range and complexity of potential causes, a thorough physical examination is essential. Even if the patient is not interested in being sexually active, he should be encouraged to have this dysfunction evaluated to identify underlying conditions that warrant medical attention.
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