Question

When a couple in their early 40s tell the nurse that they have not had sexual relations in more than 5 years, what should the nurse do initially?

1) Mention that a lack of sexual desire is not an uncommon problem
2) Ask whether the couple finds this troublesome and are seeking help.
3) Ask the couple about any medical conditions they have
4) Remain noncommittal and allow them to take the lead

Answer 1

The nurse should initially ask if the couple finds the lack of sexual relations troublesome and if they are seeking help, leading to a nonjudgmental and informative conversation about their sexual health. Option 2) is correct.

Step-by-step explanation:

When a couple in their early 40s tells the nurse that they have not had sexual relations in more than 5 years, the nurse should initially ask whether the couple finds this troublesome and are seeking help. This opens the conversation in a nonjudgmental and client-centered manner, allowing the nurse to gather more information about the couple's concerns and preferences regarding their sexual health. If the couple does find it troublesome and is seeking assistance, the nurse can proceed with further assessment, which may include discussing potential medical conditions, psycho-social factors, or other aspects related to sexual health and intimacy.

It's important to acknowledge that while aging and sexuality can change the dynamics of sexual relationships, individuals and couples can continue to have fulfilling sexual lives at any stage. Understanding and addressing issues of sexual health and desires requires a sensitive and individualized approach from healthcare professionals.