A client is concerned about recent body changes resulting from ...

[fox]

A client is concerned about recent body changes resulting from androgen therapy and is not sure that the treatment is worth it. What is the best therapeutic response by the nurse?
 
  1. You sound concerned. Make sure you share this concern with the doctor during your next appointment.
  2. You sound concerned. These changes in your body are only temporary.
  3. You sound concerned, but I don't see any real changes in your body.
  4. You sound concerned. Let's talk about the body changes you're experiencing.

Question 2

The nurse would consider testosterone therapy for the treatment of primary hypogonadism to be effective based on a change in which laboratory value?
 
  1. Testosterone level
  2. Luteinizing hormone
  3. Sperm count
  4. White blood cell count

[Benayers]

Answer to Question 1

Correct Answer: 4
Rationale 1: This answer does not address the nurse's role as a client advocate and teacher. This topic is within the nurse's scope of practice to discuss with the client.
Rationale 2: This answer does not address the client's concern and is placating or possibly condescending, depending on the tone of voice.
Rationale 3: This answer does not address the client's concern and blocks communication.
Rationale 4: This is the most therapeutic response the nurse can offer.
Global Rationale: The most therapeutic answer is to acknowledge the client's concern and to talk about it. The nurse should act as advocate and teacher and can discuss this concern with the client. The remaining two answers block communication.

Answer to Question 2

Correct Answer: 3
Rationale 1: Testosterone level does not increase if testosterone is provided because of the feedback loop.
Rationale 2: Testosterone therapy does not increase luteinizing hormone.
Rationale 3: Testosterone therapy causes an increase in the sperm count.
Rationale 4: Testosterone therapy would have no effect on the white blood cell count.
Global Rationale: Testosterone therapy causes an increase in the sperm count. Testosterone level does not increase if testosterone is provided because of the feedback loop. This therapy does not increase LH or WBC.

[fox]

Thanks

[Benayers]

Welcome