Question

A recently widowed client reports a fear of intimacy due to an inability to achieve and sustain an erection. He has become isolative, has difficulty sleeping, and has recently lost weight. Which correctly written nursing diagnosis should be prioritized for this client?

A. Risk for situational low self-esteem AEB inability to achieve an erection
B. Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
C. Social isolation R/T low self-esteem AEB refusing to engage in dating activities
D. Disturbed body image R/T penile flaccidity AEB client statements

Answer 1

The prioritized nursing diagnosis for the client with erectile dysfunction and fear of intimacy is 'Social isolation R/T low self-esteem AEB refusing to engage in dating activities', which covers both emotional and social challenges.

Step-by-step explanation:

The nursing diagnosis that should be prioritized for this client is Social isolation R/T low self-esteem AEB refusing to engage in dating activities. This diagnosis pertains to the client's emotional and social difficulties that are emerging due to his fear of intimacy and erectile dysfunction (ED). The focus is on the client's withdrawal from social interactions and potential relationships, which is a direct result of his concerns about sexual performance and self-image. This diagnosis encompasses the psychological and social dimensions of ED and is relevant to the bereavement context, which considerably impacts the emotional well-being of the client. Addressing social isolation could facilitate more comprehensive care that not only focuses on the physical aspects but also the emotional and social recovery.