An adult consulted a nurse practitioner because of an inability to achieve orgasm for 2 years, despite having been sexually active. This adult was frustrated and expressed concerns about the relationship with the sexual partner
Which documentation best indicates the treatment was successful?
a. "No complaints related to sexual function; to return next week."
b. "Patient reports achieving orgasm last week; seems very happy."
c. "Reports satisfaction with sexual encounters; feels partner is supportive."
d. "Reports achieving orgasm occasionally; relationship with partner is adequate."
ANS: C
Human sexuality, sexual expression, and expectations related to sexuality vary tremendously from person to person and across cultures. Therefore, the best indication of satisfactory treatment is that the patient is satisfied with what has been achieved. In this instance, "Patient reports satisfaction with sexual encounters; feels partner is supportive" best indicates that the patient is satisfied, and both presenting issues are progressing in a positive manner. Achieving orgasm once or occasionally may or may not represent satisfactory progress to the patient. "No complaints" does not necessarily mean that satisfaction exists.
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