Question

A young man who sustained a spinal cord injury at the cervical level expresses concern about sexual functioning. What should the nurse do when counseling this client?

a) Consider that the client most likely will be able to have reflex penile erections.
b) Arrange for the client to see the healthcare provider because sexual performance is unlikely.
c) Discourage the client from forming sexual relationships because little pleasure will be possible.
d) Reassure the client that he will be able to have sexual relationships with the ability to reproduce.

Answer 1

When counseling a client with a spinal cord injury, the nurse should provide accurate and supportive information about sexual functioning, reassuring them that sexual relationships are still possible. They should discuss alternative methods of achieving sexual pleasure and the importance of communication and intimacy. The nurse should also encourage open conversations with healthcare providers and explore available resources for sexual and reproductive health support.

Step-by-step explanation:

When counseling a young man who sustained a spinal cord injury at the cervical level and expresses concern about sexual functioning, the nurse should provide accurate and supportive information. The nurse should acknowledge the client's concerns and reassure them that sexual relationships are still possible. They should explain that the ability to have reflex penile erections may be affected, but other methods of achieving sexual pleasure and satisfaction are available, such as the use of erectile aids or medication.

The nurse should also discuss the importance of communication and intimacy in sexual relationships, as well as the potential impact of the injury on reproductive abilities. It is important to encourage the client to have open and honest conversations with their healthcare provider and explore available resources for sexual and reproductive health support.