In discussing erectile dysfunction with a man who has diabetes, which response is most appropriate as an initial nursing intervention?

In discussing erectile dysfunction with a man who has diabetes, which response is most appropriate as an initial nursing intervention?

• A. At your age, sex isn't that important
• B. That is a natural occurrence at your age
• C. Maybe it's time for you to speak with your primary health care provider about this
• D. You sound upset about not being able to have an errection

Answer: (D)

Acknowledging the patient’s emotional reaction is the best starting point. When a man with diabetes discusses erectile dysfunction, he may feel embarrassed, anxious, or frustrated. Reflecting his feeling—“You sound upset about not being able to have an erection”—demonstrates empathy, signals that you’re listening nonjudgmentally, and invites him to share more about how this affects him. This open, supportive stance helps reduce shame, builds rapport, and sets up a productive conversation about how ED relates to his diabetes and what options or next steps he might consider. The other responses minimize or dismiss the issue or immediately push for a referral without validating his feelings, which can shut down the dialogue and leave important concerns unaddressed.

Acknowledging the patient’s emotional reaction is the best starting point. When a man with diabetes discusses erectile dysfunction, he may feel embarrassed, anxious, or frustrated. Reflecting his feeling—“You sound upset about not being able to have an erection”—demonstrates empathy, signals that you’re listening nonjudgmentally, and invites him to share more about how this affects him. This open, supportive stance helps reduce shame, builds rapport, and sets up a productive conversation about how ED relates to his diabetes and what options or next steps he might consider.

The other responses minimize or dismiss the issue or immediately push for a referral without validating his feelings, which can shut down the dialogue and leave important concerns unaddressed.