Question

Case Study, Chapter 26, Assessing Male Genitalia and Rectum

A 27-year-old male client visits the health clinic because he has noticed small papules around his penis. His wife is with him. Although the condition is painless, he wants to find out what it is. The client claims to have no sexual activity other than with his wife. The nurse notices that the client seems tense and uneasy when responding to the interview questions. The nurse asks the wife to step outside the room while the physical exam is being conducted. Once his wife has left the room, the client tells the nurse “I’m not sure what this is or if it is related, but I also have a sore in my mouth that hurts awful.” The nurse examines the sore and then asks the client, “Are there any other symptoms you have been experiencing?” The client is silent for a moment and then tells the nurse that he was not totally honest when he responded about not having sex with anyone other than his wife. He tells the nurse that he has been having an affair with a coworker and that he is afraid she might have given him herpes. The diagnosis of herpes simplex virus type 2 has been confirmed.

(Learning Objectives: 2, 3)

Questions:

a. Because the nurse understands the sensitive and delicate nature of the interview questions, what actions should the nurse take to complete an accurate nursing history of this client?

b. Based on what the client has told the nurse, what information is crucial for the nurse to convey to this client?

Answer 1

a. Nurse could have given a set of queries printed in a sheet of paper and get it filled by the patient. Details of the affairs stating the type of sex that the patient had with coworker. These information could have given more lights on the type of Herpes 1 or 2. Ask questions about the coworker partner whether she is a carrier or shedding herpes

b. Since the patient is having herpes, he need to communicate to his partner immediately. Abtain sex with the partner who is not infected.

protected sex anti viral therapy etc

To avoid stress, self hygiene,