The primary nursing goal for treatment with clients who are transsexual is to help them:
1. Experience guilt for enjoying sex.
2. Live and function in society in the cross-gender role.
3. Internalize the negative expectations and beliefs of others about sex.
4. Make a list of anxiety-producing sexual interactions.
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Rationale: The goal of treatment with transsexuals is to help them live and function in society in their cross-gender role. Experiencing guilt for enjoying sex is not a treatment goal. The nurse should encourage clients to develop and internalize their own positive expectations and beliefs about sex, not be dependent on the beliefs of others. Making a list of anxiety-producing sexual interactions may serve to reinforce the anxiety, unless there is a discussion about the list.
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