A nurse is collecting data from a client who is seeking counseling at a mental health clinic. The nurse should identify that which of the following client statements indicates a client concern about sexuality?

"I'm uncomfortable when people tell sexually explicit jokes."

"I feel like my ability to perform sexually has changed since I've gotten older."

"I have the same level of sexual desire for my partner as I did in the past."

"I've been with the same sexual partner for 13 years."