An adult man tells the nurse, "All my life, I have felt and acted like a woman while living in the body of a man. For the past year, I have lived and dressed as a woman. I'm changing jobs to protect my new identity."
Which request is the patient likely to make to the health care provider?
a. "Can you refer me for psychological testing?"
b. "Will you prescribe estrogen therapy?"
c. "Will you alter my medical records?"
d. "What should I tell my parents?"
ANS: B
Before sexual reassignment surgery, the step that follows living as a member of the other sex is hormone therapy. The patient's decision to live as a woman makes this a natural request. Psychological testing occurs before sexual reassignment surgery, often after hormone therapy has begun. The patient has likely told his parents by this point.
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