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?

By their preferred name and pronouns

By their legal name and biological sex

By a gender-neutral term such as "they" or "them"

By avoiding any direct reference to the client

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is C

Explanation

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.

A. Speak directly to the interpreter and use short sentences B. Speak directly to the client and use simple words C. Speak loudly and slowly to the client and use gestures D. Speak in a normal tone and pace to the interpreter and use medical terms

Correct Answer is B

Explanation

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a health assessment of a client who belongs to a Native American tribe. The nurse notices that the client avoids eye contact during the interview. How should the nurse interpret this behavior?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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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?