A 55-year-old patient is recuperating from a myocardial infarction. At a follow-up visit to his physician's office, he tells the nurse practitioner, "I haven't had much interest in sex since my heart attack
My wife is wondering if something's wrong with me. The truth is, I know having sex puts a strain on my heart, and I don't know if my heart is strong enough.". The nursing diagnosis for this patient would be: a. Sexual dysfunction related to self-esteem disturbance.
b. Sexual dysfunction related to knowledge deficit.
c. Disturbed body image related to lifestyle changes.
d. Disturbed body image related to treatment side effects.
B
Patients who have had a myocardial infarction often believe sexual intercourse will cause another heart attack. These patients should receive information about when sexual activity may begin, positions that conserve energy, and so forth. The scenario does not suggest self-esteem disturbance. The scenario describes sexual dysfunction rather than disturbed body image.
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