A healthy 54-year-old client is the president of a hedge fund. The client works long hours and travels extensively for work. Her spouse of 30 years notices that she has been distracted lately and is not as interested in sex as she used to be. The couple has not had intercourse in over 6 months, which is unusual for them. When asked about her mood, the client states, "I have to lay off 50 employees at work, and it is just killing me. I feel so hopeless and overwhelmed. I know I'm not being a good partner to you, and this really worries me." Which short-term nursing goal is most appropriate for the client? Select all that apply.

Question

Quizplus · Accepted Answer

1.This is correct. The client's verbalization of feeling hopeless and overwhelmed indicates that she may be depressed. Her depression most likely stems from her work stress but also her worry about not being an active sexual partner in her marriage. Life circumstances, such as job and relationship stress, can impact sexual function. She is healthy and therefore most likely does not have a physiological condition that is affecting her sexual performance. The client's hypoactive sexual desire stems from psychological factors, which must be assessed by the nurse. Identifying stressors that may be affecting sexual performance within 1 week is a realistic short-term goal for the client.
2.This is incorrect. It is important for the client to resume sexual activity that is fulfilling to both her and her spouse, but achieving this within 6 months is a long-term goal. It is not realistic for the client to resolve her decreased libido in a short period of time, making this an unrealistic and unachievable short-term goal.
3.This is correct. The client's verbalization of feeling hopeless and overwhelmed indicates that she may be depressed. Her depression most likely stems from her work stress but also her worry about not being an active sexual partner in her marriage. Life circumstances, such as job and relationship stress, can impact sexual function. She is healthy and therefore most likely does not have a physiological condition that is affecting her sexual performance. The client's hypoactive sexual desire stems from psychological factors, which must be assessed by the nurse. Identifying symptoms of depression that may be affecting sexual performance within 2 weeks is a realistic short-term goal for the client.
4.This is incorrect. The client does not need to learn alternate ways of achieving sexual satisfaction because her decreased libido is due to psychological factors (stress and depression) and not physiological factors, such as possible erectile dysfunction caused by arteriosclerosis.

A Healthy 54-Year-Old Client Is the President of a Hedge