A 35-year-old male client shares with the nurse that he has always thought of himself as being female. The client feels anxious, embarrassed and socially isolated. How should the nurse respond to this client?

Tell him that he shouldn't feel embarrassed, saying that there are more people than we know who feel this way.

Provide information about support groups and other community resources for questioning and/or transgender people.

Suggest that the client seek mental health care for medication to help him deal with his anxiety.

Share with him that your nephew has experienced this, and tell him about that outcome.

Answer and Explanation

The Correct Answer is B

A. Tell him that he shouldn't feel embarrassed, saying that there are more people than we know who feel this way: While offering reassurance and normalization of the client's feelings may be well-intentioned, it may not address the client's immediate needs or provide tangible support. Additionally, assuming that "more people than we know" feel this way may not be accurate and could potentially invalidate the client's experience.

B. Provide information about support groups and other community resources for questioning and/or transgender people: This is the correct response. Providing information about support groups and community resources acknowledges the client's feelings and offers practical assistance in accessing additional support and resources. It demonstrates empathy, validation, and a commitment to assisting the client in finding the help and support they need.

C. Suggest that the client seek mental health care for medication to help him deal with his anxiety: While mental health care may be beneficial for addressing anxiety related to gender identity concerns, suggesting medication as the first line of treatment may not be appropriate without a comprehensive assessment by a mental health professional. Additionally, focusing solely on medication overlooks the importance of psychosocial support and other interventions.

D. Share with him that your nephew has experienced this, and tell him about that outcome: Sharing personal anecdotes may not be helpful in this situation, as it could potentially detract from the client's experience and needs. Each individual's experience with gender identity is unique, and the client may benefit more from information about professional resources and support groups.

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Correct Answer is C

Explanation

A. That both partners are in good health: While good health can contribute to a satisfying sexual relationship, it is not the sole determinant. Health status alone does not guarantee a mutually-satisfying sexual relationship.

B. Being of the same sociocultural background: While sharing a sociocultural background may facilitate understanding and communication in some cases, it is not a universal requirement for a healthy sexual relationship. Partners from diverse backgrounds can have fulfilling relationships with effective communication and mutual respect.

C. Open communication: Open communication is essential for building trust, understanding preferences, expressing needs and desires, and resolving conflicts in a sexual relationship. It allows partners to discuss their feelings, concerns, and expectations openly, leading to greater intimacy and satisfaction.

D. Awareness of the partner's needs: Being aware of the partner's needs is important, but without open communication, it can be challenging to understand those needs fully. Open communication facilitates the expression and acknowledgment of needs, making it easier for partners to address them effectively.

A. responsibility. B. confidentiality. C. social justice. D. advocacy

Correct Answer is D

Explanation

A. Responsibility: Responsibility refers to the duty or obligation to fulfill one's role or tasks appropriately. While advocating for the client may be considered a responsibility of the nurse, the specific action described in the scenario—calling the insurance company to strongly explain the client's need for rehabilitation—is more accurately categorized as advocacy.

B. Confidentiality: Confidentiality pertains to protecting the privacy and confidentiality of patient information. The scenario does not involve the disclosure of confidential information but rather advocating for the client's needs regarding their rehabilitation placement.

C. Social justice: Social justice involves promoting fairness, equality, and equitable access to resources and opportunities for all members of society. While advocating for the client may align with principles of social justice, the specific action described in the scenario—calling the insurance company to argue for the client's rehabilitation placement—is more directly related to individual advocacy rather than addressing broader societal inequalities.

D. Advocacy: Advocacy refers to actively supporting and speaking up for the rights, needs, and interests of others. In this scenario, the nurse advocates for the elderly client by calling the insurance company to strongly explain why the client needs to go to a rehabilitation facility despite the facility's refusal. This action demonstrates the nurse's commitment to ensuring the client receives appropriate care and support.

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A 35-year-old male client shares with the nurse that he has always thought of himself as being female. The client feels anxious, embarrassed and socially isolated. How should the nurse respond to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When working with clients of any age, the nurse keeps in mind that the key to mutually-satisfying, healthy sexual relationships between partners is most often:

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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