A nurse is caring for a client who identifies as transgender and is undergoing hormone therapy. What is the most appropriate way for the nurse to address the client?

Rationale: The nurse should support the client's decision and explain it to the family, as this respects the client's autonomy and dignity. The nurse should also provide emotional support and education to both the client and the family about palliative care, which focuses on relieving pain and suffering and improving quality of life.

Incorrect options:

B) Support the family's decision and persuade the client to change their mind - This is inappropriate, as it violates the client's autonomy and dignity. The nurse should not coerce or pressure the client to accept a treatment that they do not want.

C) Respect both the client's and the family's decisions and refer them to an ethics committee - This is unnecessary, as there is no ethical dilemma or conflict in this situation. The client has a right to refuse treatment and choose palliative care.

D) Respect neither the client's nor the family's decisions and follow the health care provider's orders - This is unethical, as it disregards both the client's and the family's wishes and preferences. The nurse should not follow orders that are contrary to what the client wants.

Rationale: The nurse should be aware that different cultures have different norms and expectations regarding eye contact. In some cultures, such as Native American, avoiding eye contact is a sign of respect or deference, especially when interacting with someone of higher status or authority.

Incorrect options:

A) The client is being disrespectful or dishonest - This is a misinterpretation of the client's behavior based on the nurse's own cultural bias. In some cultures, such as Western, maintaining eye contact is expected and valued as a sign of respect or honesty.

B) The client is experiencing anxiety or fear - This may be true in some cases, but it should not be assumed without further assessment or evidence. The nurse should not project their own feelings or assumptions onto the client.

D) The client is not interested or engaged - This is another misinterpretation of the client's behavior based on the nurse's own cultural bias. In some cultures, such as Western, eye contact is seen as a sign of interest or engagement, but in other cultures, it may be considered rude or intrusive.