During an assessment, a client tells the nurse of a desire to wear clothing that is typically associated with the opposite sex. The nurse realizes this client is describing which gender identity?
1. Intersex
2. Transgenderism
3. Homosexuality
4. Cross-dressing
Correct Answer: 4
Rationale 1: Intersex is a condition in which there are contradictions among chromosomal sex, gonadal sex, internal organs, and external genital appearance.
Rationale 2: Transgender individuals have a condition called gender dysphoria, or gender identity disorder: a strong and persistent feeling of discomfort with one's assigned gender. For the transgendered person, sexual anatomy is not consistent with gender identity.
Rationale 3: Homosexuality is not characterized by wearing clothing associated with the opposite sex.
Rationale 4: Cross-dressing makes one's outward appearance consistent with their inner identity and gender role, and increases their comfort with themselves.
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1. The hospital is experiencing a nursing shortage, so staff members are very busy. 2. The client mix on the unit is much more varied. 3. The unit has just adopted combined staffing patterns. 4. There is a 1-hour overlap of staff between shifts.
A nurse is frequently absent on Fridays. The nurse phones and reports as sick, but the manager discovers that the absences are due to child care issues. How should the manager document this on the critical incident form?
1. Voluntary absence on multiple Fridays due to child care issues 2. Absence frequency on Fridays 3. Total time lost includes Fridays 4. Involuntarily absent due to family circumstances
A parent has just been told that his 8-year-old son has died from a bullet wound inflicted by a 12-year-old neighbor. Which of the following defense mechanisms would the nurse expect to see in this crisis phase?
A) Denial, projection, and lack of logic B) Depression, self-hate, and low self-esteem C) New coping skills and higher maturity levels D) Acceptance, relief, and withdrawal
A female client who is receiving counseling at a community health center has complained during the last three weekly sessions about being unable to sleep. A nurse interviews the family members to determine the effect of the client's problem on them
Which response would the nurse most likely expect to hear? A) "It really hasn't seemed to be a problem for us." B) "There's been little change in how she gets along with other family members." C) "The not sleeping has really had a positive effect on her and us." D) "It's been exhausting living with her these past few weeks."