The nurse is completing a health history for a client and begins to obtain a sexual history. What is the nurse's best opening question?

a. "How long have you been sexually ac-tive?"
b. "Are you in a monogamous relationship with your spouse?"
c. "How do you feel about answering ques-tions about your sexual history?"
d. "Have you noticed any problems with your ability to have or enjoy sex?"


C
The nurse should begin with an assessment of the client's comfort level with the topic. The nurse should not assume that the client is sexually active or start with questions about the client's spouse. The nurse also should not use words like "monogamous," which frequently are misun-derstood by the public. The question about sexual ability and enjoyment is a closed-ended ques-tion, and if the client answers "no," it will be awkward for the nurse to continue discussing this topic.

Nursing

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