A type 2 insulin-dependent diabetic 70-year-old recently lost his wife and is experiencing impotence. Besides educating the patient on the normal effects of aging on sexual function, the nurse should initially include information regarding
a. the effect that stress has on sexual per-formance.
b. the effect of diabetes mellitus on the vas-cular system.
c. the link between depression and sexual dysfunction.
d. sexual dysfunction related to long-term use of insulin.
B
Erectile dysfunction (ED) can occur at any age. This patient's chronic illness and its effect on the vascular system have priority when educating the patient about possible causes of ED. After discussing physiologic causes of ED, the nurse can then turn to psychosocial causes. Physical issues take priority over psychosocial ones.
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