While working with a male client and administering medications, ...

[strangeaffliction]

While working with a male client and administering medications, the female nurse is approached sexually. The nurse should:
 
  1. Have a male nurse assume care for this client
  2. Immediately report the incident to the client's physician
  3. Tell the client that his behavior is offensive and leave the room
  4. Review and define the limits of a professional relationship for the client

Question 2

The nurse is aware that sexuality is part of growth and development. The preschooler's interest in gender sexuality is characterized by an interest in:
 
  1. Exploring his or her own genitalia
  2. Learning how and why his or her anatomy differs from other children
  3. Playing and developing friendships with children of the opposite sex
  4. Spending most of his or her time with the parent of the opposite sex

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Answer to Question 1

ANS: 4
The nurse should convey a message of acceptance of the client, but not the inappropriate behav-ior. Reviewing and defining the professional relationship with the client can accomplish this. Matching the gender of the health care worker with the gender of the client may be beneficial when dealing with assessment of sexual needs or sex education. However, in this instance, the client needs to be informed that inappropriate sexual behavior is unacceptable. To turn the cli-ent's care over to a male nurse would not resolve the problem, and would convey a message of dislike and lack of acceptance of the client. Reporting the incident immediately to the client's physician would not be the nurse's best action. The client needs to be made aware of the problem in order to discontinue such behavior. Telling the client his behavior is offensive and then leaving the room is not therapeutic. The client needs to be reminded of the professional relationship he shares with the nurse.

Answer to Question 2

ANS: 1
The first step of gender identity development occurs as the child becomes aware of the differ-ences of the sexes and perceives that he or she is male or female. This is characterized by an in-terest in his or her genitalia. This is not characteristic of the preschool child. Learning how and why his or her anatomy differs from other children would require a higher level of cognitive abil-ity. Children of this age-group primarily focus on their parents and family, not other children. According to Freud, the preschool child identifies with the parent of the same sex and develops a complementary relationship with the parent of the opposite sex. The preschool child does not spend most of his or her time with the parent of the opposite sex.

[strangeaffliction]

Gracias!

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