What is nurse on her first office visit since undergoing a left mastectomy?

Ask open-ended questions about sexuality issues related to her mastectomy

The content of the clients comments suggests that she is avoiding intimacy with her husband by waiting until he is asleep before going to bed. Addressing sexuality issues is appropriate for a client who has undergone a mastectomy. Rushing her return to work may debilitate her and add to her exhaustion. Suggesting that she learn relaxation techniques to help her with her insomnia is appropriate; however. the nurse must first address the psychosocial and sexual issues that are contributing to her sleeping difficulties. A nutritional assessment may be useful. but there is no indication that she has anorexia.