A nurse is reviewing the chart of a new client in the family medicine clinic and notes the client is identified as "George Smith." The nurse enters the room and finds a woman in a skirt. What action by the nurse is best?
a. Apologize and declare confusion about the client.
b. Ask Mrs. Smith where her husband is right now.
c. Ask the client about preferred forms of address.
d. Explain that the chart must contain an error.
ANS: C
The nurse may encounter transgender clients whose outward appearance does not match their demographic data. In this case, the nurse should greet the client and ask the client to explain his or her preferred forms of address. Lengthy apologies can often create embarrassment. The nurse should not assume the client is not present in the room. The chart may or may not contain errors, but that is not related to determining how the client prefers to be addressed.
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