A client, aged 25 years, tells the nurse he is living a miserable ...

[amal]

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?

Question 2

A physically frail, cognitively impaired elderly client is being referred to a facility that can provide
  supervision and safety as well as recreation and social interaction during the day.
 
  The client will be
  cared for by family during the evening and night. The type of community-based facility that would
  meet the client's needs is
  a. social day care.
  b. adult day health care treatment.
  c. maintenance day care.
  d. partial hospitalization.

[joewallace]

Answer to Question 1

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.

Answer to Question 2

A
Social day care provides recreation and social interaction. Nursing, medical, and rehabilitative care
are usually not provided. Option B: Adult day health care goes beyond meeting recreational and
social needs by providing medical interventions and nursing and rehabilitation services. Option C:
Maintenance day care provides services for clients at high risk for institutionalizatio n. Option D:
Partial hospitalization provides acute psychiatric hospital programs in a day care setting.