NURS103 Practical Nursing Theory 1


Goal of the teaching plan is to develop a sex educational plan to the 15 year girl who has no knowledge about human sexuality as well as birth control techniques. She is very tensed and nervous about her prsnt condition. Therefore the duty of the nurse is to develop her understanding of the human sexuality by describing the biological process of the menstrual cycle and the process of fertilization in order to understand the female reproductive cycle and her safe period for maintaining her sexual activities. moreover, she should also be taught about the correct procedure to take the birth control pills, maintenanace of their doses and others. Moreever, she is nervous and hence she needs to be counseled properly to make her comfortable and handle the situation effectively.

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· 15 year old girl has proper intellectual ability as she is already a teenager and has developed cognitive skills fully. She is also able to fully follow instructions.


· Client has developed nervousness due to her lack of self education.


· Client is not an impatient but has visited only to gather information about birth control and sexual behaviors.


· Client acknowledges the needs to understand the important ways of birth control.



· She has no issues in listening, hearing as well as communicating.


· Client is willing to learn for maintaining her own safety.


· Client’s physical capability is intact and therefore she will be able to understand the different necessities he should incorporate in order to maintain proper healthy sexual lives.



· The client has not mentioned anything to her parents and her parents are totally unaware of it. Therefore guidance from them could not be achieved by the client.


· The client is much tensed and therefore if her nervousness cannot be cooled down, she will not be able to concentrate on the guidelines stated.



She is a 15 year old teenager and therefore she can read properly. Hence proper brochures and pamphlets with short points can be provided.


She can also be given access to health care websites where details about birth control are discussed in details.


Client can e made to participate in sex education workshops where detailed information is shared


An interactive session can be incorporated in the plan where the girl would get opportunity to ask questions of her concern










The client will develop knowledge about human sexuality. She will be able to understand what important steps she should take as birth controlmeasures (Craig et al., 2014 pg 281-289). She will also be able to understand the different harmful effects that will be associated with unprotected sex.





























































Psychomotor skills:



· The client will have to take proper measurement in taking the correct contraceptive pills at the right time so that the course of the pills is maintained.



























· The client will be able to describe the main concern, her fear, her tension and why she is in such a stress regarding the issue.


· moreover she should also feel comfortable with the nurse in order to open her fears without concealing any facts


· The nurse should first provide the entire overview of the menstrual period of females making her understand about the reproductive pathways of conceiving a new life. This will clarify the different steps that lead to conceiving.


· The next step she would clarify is the biological process by which  fertilization takes place where the egg in the female ovum is fertilised with the help of the sperm of the males, their fate and how it gets implanted on the placenta of the uterusby coming through the fallopian tube (Eldredge et al., 2016). The concept clearing is very important. She might use a video to explain more effectively.


· The nurse will make a list of birth control measures like use of correct contraceptive pills, use of condoms by the male and others(Chernick et al., 2015 pg 217-255).



























· The nurse will mention the benefits of each of the contraceptive pills she can take along with the importance of the correct time schedules (Bos et al., 2015 pg 9)



· The nurse will then ask the patients to repeat what the nurse has said to evaluate whether she had understood entirely or not (Ott & Sucato, 2014 pg 1257-1281)



· The nurse will also plan to provide the client with pamphlets and brochures. It will contain the entire schedules and also different options that she can undertake to keep her sexual practices safe




· A proper counseling session should be arranged. This is done to ensure that she remains no more in stress and her fear to engage in any sexual acts (Person et al., 2016 pg 18-26). Her fear is mainly due to her lack of knowledge regarding birth control (Newstifter et al., 2015 pg 540-552).

· Sideways it should be also mentioned to her that she should not feel pressurized by her partner and should never allow anyone die to pressure. She should be advised to discuss the issues with her parents if she feels pressurized and forced mentally or physically (Fang, Xue & Han, 2014 pg 30-34)


· The nurse should select two videos – one for entire menstrual cycle of females and the other for reproductive procedures. She should allow her to see it in a noiseless room and could accompany other clients only if the patient is comfortable (Damiels, Daughtery & Jones, 2014 pg 1-8).

· The client will be handed with birth control techniques  for proper knowledge gathering.

· The website list should also be handled which will help je rot get ideas about the measures she would take to prevent any sexually transmitted diseases and promote the use of protection for safe sexual life.














































· The implementation plan will mainly comprise of conducting a class where the client will be physically present and interact with the nurse regarding the different activities she should take. She will state discuss about the correct procedure of having the pills, correct timing, and correct dosage. The implementation plan will strictly discourage the use of female condoms discussing the different accidents she might face. Moreover the strict use of condoms by her partner should be monitored by her to prevent transfer of different STD (Hirst, 2013 pg 423-436)











· A counseling session would be arranged with a female counselor in the presence of the attending nurse. This would be done to reduce her stress and tensions. Her panic would be reduced.



· Moreover she would be provided with alternatives to consult them if they feel mentally or physically forced by her partner and would be influenced to talk with her parents in order to help her in the right track (Williams & Jensen, 2016 pg 1574-1586).

Cognitive: goal was met.

The client was able to develop clear ideas about menstrual cycle, human fertilization, occurrence of difference sexual diseases and different birth control techniques.



































































Goal was met:

· The client was able to properly describe the procedure about how the contraceptive pills should be taken.



· She also clearly stated the importance of monitoring whether her partner is correctly wearing the protection in order to ensure that no STD is transmitted.


· She also mentioned the harmful effects of female condoms.












Goal was achieved:

The client gradually cooled down and was no more feeling tensed after the counseling session. She gradually gained confident and decided be brave enough to handle such situation. She also confirmed that if she is mentally or physically forced, she would not allow her to be assaulted and take necessary steps.


Bos, H. M., Boschloo, L., Schoevers, R. A., & Sandfort, T. G. (2015). Depression and anxiety in patients with and without same?sex attraction: differences in clinical expression, lifestyle factors, and vulnerability indicators. Brain and behavior, 5(9).

Chernick, L. S., Schnall, R., Higgins, T., Stockwell, M. S., Castaño, P. M., Santelli, J., & Dayan, P. S. (2015). Barriers to and enablers of contraceptive use among adolescent females and their interest in an emergency department based intervention. Contraception, 91(3), 217-225.

Craig, A. D., Dehlendorf, C., Borrero, S., Harper, C. C., & Rocca, C. H. (2014). Exploring young adults’ contraceptive knowledge and attitudes: disparities by race/ethnicity and age. Women’s Health Issues, 24(3), e281-e289.

Daniels, K., Daugherty, J., & Jones, J. (2014). Current contraceptive status among women aged 15–44: United States, 2011–2013. NCHS data brief, 173(173), 1-8.

Eldredge, L. K. B., Markham, C. M., Kok, G., Ruiter, R. A., & Parcel, G. S. (2016). Planning health promotion programs: an intervention mapping approach. John Wiley & Sons.

Fang, K., Xue, L., & Han, Y. (2016). The effectiveness of education intervention in changing sex behavior and promoting condom use among male STDs patients in Shanghai. Chinese Journal of Family Planning, (1), 30-34.

Hirst, J. (2013). ‘It’s got to be about enjoying yourself’: young people, sexual pleasure, and sex and relationships education. Sex Education, 13(4), 423-436.

Neustifter, R., Blumer, M. L., O’Reilly, J., & Ramirez, F. (2015). Use of sexuality-focused entertainment media in sex education. Sex Education, 15(5), 540-552.

Ott, M. A., & Sucato, G. S. (2014). Contraception for adolescents. Pediatrics, 134(4), e1257-e1281.

Persson, T. J., Drury, K. M., Gluch, E., & Wiviott, G. (2016). Sex education groups in a psychiatric day hospital: clinical observations. Journal of sex & marital therapy, 42(1), 18-26.

Pound, P., Langford, R., & Campbell, R. (2016). What do young people think about their school-based sex and relationship education? A qualitative synthesis of young people’s views and experiences. BMJ open, 6(9), e011329.

Williams, E. A., & Jensen, R. E. (2016). Conflicted Identification in the Sex Education Classroom: Balancing Professional Values With Organizational Mandates. Qualitative health research, 26(11), 1574-1586.