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 B

Explanation

A. should be explored while talking to the client: While it's important for the nurse to be aware of their own personal values and attitudes regarding sexuality, exploring them while talking to the client may not be the most appropriate approach. The focus during client interaction should be on understanding the client's perspectives, concerns, and needs, rather than discussing the nurse's personal values and attitudes.

B. should be explored before talking to the client: This is the most appropriate action. Before discussing sexuality with a client, the nurse should take time to reflect on their own personal values and attitudes regarding sexuality. This self-awareness can help the nurse approach the discussion with sensitivity, open-mindedness, and professionalism, ensuring that their own biases do not negatively influence the care provided to the client.

C. should be shared with the client: Sharing one's own personal values and attitudes regarding sexuality with the client is generally not recommended. The focus of the interaction should be on the client's needs, concerns, and preferences, rather than the nurse's personal beliefs. Sharing personal values could potentially undermine the therapeutic relationship or make the client feel uncomfortable or judged.

D. are not necessary to explore: Exploring one's own personal values and attitudes regarding sexuality is essential for providing client-centered care and maintaining professionalism. Ignoring or dismissing the nurse's own values can lead to biases influencing the care provided to the client. Therefore, it is necessary for the nurse to explore their own values before engaging in discussions with clients about sexuality.

A. Serum osmolarity B. Urinary output C. Insensible fluid loss D. Blood pressure

Correct Answer is B

Explanation

When a client experiences increased production of antidiuretic hormone (ADH) and aldosterone due to extreme stress, the body's response is aimed at retaining fluid to maintain blood pressure and hydration. As a result, urinary output decreases because the kidneys retain more water, leading to concentrated urine production. This decrease in urinary output helps conserve fluids and contributes to maintaining blood pressure and hydration levels in response to stress.

A. Serum osmolarity: With increased ADH production, serum osmolarity tends to remain stable or may even increase slightly due to the retention of water. ADH acts on the kidneys to increase water reabsorption, which can concentrate the blood and elevate serum osmolarity.

B. Urinary output: Increased production of ADH and aldosterone leads to decreased urinary output as the kidneys retain more water. This response helps conserve fluid volume and maintain hydration during times of stress.

C. Insensible fluid loss: Insensible fluid loss, which includes water lost through respiration and skin evaporation, is not directly affected by ADH and aldosterone. These hormones primarily influence renal water retention rather than insensible fluid loss.

D. Blood pressure: Although aldosterone can indirectly affect blood pressure by increasing sodium retention and therefore influencing fluid balance, its primary role is to regulate sodium and potassium levels. Blood pressure may be influenced by various factors, including stress, hydration status, and cardiovascular health, but it is not directly decreased as a result of increased ADH and aldosterone production.

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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 assessing a client's sexuality, the nurse is aware that one's own personal values and attitudes:

Correct Answer is B

Explanation

A client who is under extreme stress will have an increased production of antidiuretic hormone (ADH) and aldosterone. The nurse should expect a decrease in which clinical finding?

Correct Answer is B

Explanation

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