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 speak directly to the client and use simple words, as this shows respect and helps to establish rapport. The nurse should also maintain eye contact with the client, not the interpreter, and avoid using jargon, slang, or idioms that may be confusing or culturally inappropriate.

Incorrect options:

A) Speak directly to the interpreter and use short sentences - This is incorrect, as the nurse should speak directly to the client, not the interpreter. The nurse should also use complete sentences, not short sentences, as this may affect the accuracy or clarity of the interpretation.

C) Speak loudly and slowly to the client and use gestures - This is incorrect, as speaking loudly and slowly may be perceived as patronizing or insulting by the client. Gestures may also be misinterpreted or culturally inappropriate.

D) Speak in a normal tone and pace to the interpreter and use medical terms - This is incorrect, as speaking in a normal tone and pace may be too fast or too quiet for the interpreter to catch every word. Medical terms may also be unfamiliar or difficult to translate for the interpreter.

Rationale: The nurse should respect the client's identity and preferences and address them by their preferred name and pronouns, regardless of their legal name or biological sex. This demonstrates cultural competence and sensitivity and promotes a trusting relationship.

Incorrect options:

B) By their legal name and biological sex - This is an inappropriate way to address the client, as it disregards their identity and preferences and may cause distress or harm.

C) By a gender-neutral term such as "they" or "them" - This may be acceptable if the client has indicated that they prefer a gender-neutral term, but it should not be assumed without asking the client first.

D) By avoiding any direct reference to the client - This is an inappropriate way to address the client, as it implies that the nurse is uncomfortable or unwilling to acknowledge the client's identity and may create a barrier to communication and care.