A nurse is counseling a client diagnosed with gender dysphoria. What criteria would differentiate this disorder from a transvestic disorder?
1. Clients diagnosed with transvestic disorder are dissatisfied with their gender, whereas clients diagnosed with gender dysphoria are not.
2. Clients diagnosed with gender dysphoria are dissatisfied with their gender, whereas clients diagnosed with transvestic disorder are not.
3. Clients diagnosed with gender dysphoria avoid all forms of sexual intercourse, whereas clients diagnosed with transvestic disorder do not.
4. Clients diagnosed with transvestic disorder avoid all forms of sexual intercourse, whereas clients diagnosed with gender dysphoria do not.
2
Rationale: The nurse should identify that clients diagnosed with gender dysphoria are dissatisfied with their gender, whereas clients diagnosed with transvestic disorder experience intense sexual arousal from dressing in the clothes of the opposite gender but are not dissatisfied with their gender. Clients diagnosed with either of these disorders do not avoid all forms of sexual intercourse.
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The RN working on an orthopedic unit has a postoperative client with a hip replacement who is not transferring well from bed to chair and has fallen behind on the mobility training program. Which is the nurse?s priority action?
1. Page the surgeon. 2. Contact the family to discuss pre-op mobility problems. 3. Instruct physical therapy to increase treatments to QID. 4. Inform the case manager of variance in critical pathway.
The nurse prepares a patient for the procedure of a(n) __________, which will remove the fluid from around the lung to improve respiration and obtain a specimen
ANS:
The parents of a school-age child are informed that their child has muscular dystrophy and will be wheelchair bound going forward. Which nursing diagnosis should the nurse identify as appropriate for the parents at this time?
A) Hopelessness related to steady progression of child's disease B) Interrupted family processes related to recent diagnosis of chronic illness in a child C) Decisional conflict related to treatment options and choice of setting for child's final care D) Risk for delayed growth and development related to lack of age-appropriate stimulation because of disability
An increase in muscle tone is known as:
a. crepitus. b. effusion. c. spasticity. d. atrophy.