There is disagreement among the nursing unit staff regarding how much

There is disagreement among the nursing unit staff regarding how much sexual history should be included in adult admission assessments. What standard is generally the most applicable?

1. A complete sexual history must be included in the admission history and physicals.
2. Sexual information should be pursued only if the client’s chief complaint indicates possible sexual dysfunction.
3. Sexual assessment should be done by the physician and not repeated by the nurse.
4. The amount of sexual information taken will vary on a case-by-case basis.

ANSWER

Correct Answer: 4
Rationale 1: A complete sexual history is not necessary for every client.
Rationale 2: This topic should be addressed only after rapport has been established.
Rationale 3: Although the nurse should be sensitive about repeating questions that have already been asked, the client may be more forthcoming with information with the nurse.
Rationale 4: The amount of sexual information taken will vary on a case-by-case basis. The nurse can open the conversation by asking open-ended questions.