A client is preparing for gender reassignment surgery and will transition from male to female. The client is worried about the voice not sounding feminine enough. What action by the nurse is best?
a. Ask if the client has considered vocal cord surgery to change the voice.
b. Refer the client for vocal therapy with speech-language pathology.
c. Teach the client that there will be no effect on the client's voice.
d. Tell the client that the use of hormones will eventually change the voice.
ANS: B
Male-to-female clients can consult with a speech-language pathologist for vocal training to help with intonation and pitch. While vocal surgery is possible, it may not be the best first option due to cost and invasiveness. Telling the client there will be no change to the voice does not give the client information to address the concern. While the hormones this client is taking will not affect the voice, simply stating that fact does not help the client manage this issue.
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