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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Is aware that some health problems affect clients from various social levels: While being aware of health disparities related to social factors is important for providing comprehensive care, it does not fully capture the professional value of social justice. Social justice involves more than just awareness; it entails taking action to address inequalities and ensure fair treatment and access to care for all individuals, regardless of their background.
B. Does safe, research-based interventions for clients: While providing safe, evidence-based interventions is a fundamental aspect of nursing practice, it does not directly relate to the professional value of social justice. Social justice focuses on addressing systemic barriers and inequalities in healthcare to ensure equitable treatment and access for all individuals, rather than solely on the delivery of interventions.
C. Ensures equal treatment & access to care regardless of clients' background: This option best describes the professional value of social justice. Nurses who uphold social justice advocate for fair and equal treatment of all individuals, regardless of factors such as socioeconomic status, race, ethnicity, gender, or sexual orientation. They work to identify and address systemic barriers that contribute to health disparities and advocate for policies and practices that promote equitable access to healthcare services.
D. Collects data about unique needs of individual clients prior to planning care: While collecting data about clients' unique needs is essential for providing individualized care, it does not directly relate to the professional value of social justice. Social justice focuses on broader systemic issues and ensuring fair treatment and access to care for all individuals, rather than solely on individualized care planning.
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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