The 45-year-old client reports that she has no interest in sex and tha

The 45-year-old client reports that she has no interest in sex and that she and her husband have not had intercourse in 16 years. How should the nurse interpret this assessment data?

1. This couple is experiencing sexual dysfunction.
2. The woman’s lack of sexual desire has resulted in impotence in her husband.
3. If both partners share the same lack of desire, there is often not a problem.
4. This situation is so unnatural that some dysfunction is present.

ANSWER

Correct Answer: 3
Rationale 1: This situation is unnatural in the predominant North American culture, but if both members of the couple are comfortable with the relationship, no dysfunction is present.
Rationale 2: There is no evidence that the wife’s lack of desire has resulted in sexual impotence in her husband, but further assessment might be in order.
Rationale 3: If both members of a couple have the same lack of desire and they are comfortable, there is likely no problem with the couple’s sexuality.
Rationale 4: This situation is unnatural in the predominant North American culture, but if both members of the couple are comfortable with the relationship, no dysfunction is present.