A patient states that she is afraid that she and her husband will not be able to maintain a healthy sexual relationship now that they have a baby in the house. To assist these patients, what would it be most helpful for the nurse to know?
a. If they have similar parenting beliefs
b. How long they have been married
c. That effective communication about sexuality requires a nondiscriminatory attitude
d. The level of knowledge the patients have regarding healthy sexual relationships
C
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A To assist the patients in their situational change, the nurse must explore communication and sexual patterns of the couple. Having similar parenting beliefs will have less impact on their sexual relationship.
B To assist the patients in adjusting to the change of becoming a family, the nurse should explore their communication patterns. How long they have been married would be less significant.
C In response to identified concerns, the nurse may initiate discussion. Effective communication about sexuality requires caring, sensitivity, tact, compassion, the use of appropriate language, and a nondiscriminatory attitude. It is important not to have preconceived notions about the patients' sexual identity or activity.
D The level of knowledge the patients have regarding healthy sexual relationships would not affect their sexual relationship as much as their ability to discuss their feelings with one another.
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