A client, aged 25 years, tells the nurse he is living a miserable existence. All his life, he states, he

has thought, felt, and acted like a woman while living in the body of a man.

He has lived as a female
and dressed in feminine attire for more than a year. He has decided to change jobs so as not to
compromise a new identity. The request the client is most likely to make of the physician is
a. "Will you order estrogen therapy?"
b. "Can you refer me for psychological testing?"
c. "Will you alter my medical records?"
d. "What should I tell my parents?"


A
Before sexual reassignment surgery, the step that follows living as a member of the other sex is
hormone therapy. The client's decision to live as a woman makes this a natural request. Option A:
Psychological testing would be undertaken before sexual reassignment surgery, often after hormone
therapy has begun. Option C would be an inappropriate request. Option D: The client has likely told
his parents by this point.

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ANS:

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