Care of Transgender Patients (Concepts for Interprofessional Collaborative Care College Test
Chapter 73: Care of Transgender Patients
MULTIPLE CHOICE
1. A nurse is reviewing the chart of a new client in the family medicine clinic and notes the client is identified
as George Smith. The nurse enters the room and finds a woman in a skirt. What action by the nurse is best?
a. Apologize and declare confusion about the client.
b. Ask Mrs. Smith where her husband is right now.
c. Ask the client about preferred forms of address.
d. Explain that the chart must contain an error.
ANS: C
The nurse may encounter transgender clients whose outward appearance does not match their demographic
data. In this case, the nurse should greet the client and ask the client to explain his or her preferred forms of
address. Lengthy apologies can often create embarrassment. The nurse should not assume the client is not
present in the room. The chart may or may not contain errors, but that is not related to determining how the
client prefers to be addressed.
2. A nurse is providing health teaching to a middle-aged male-to-female (MtF) client who has undergone
gender reassignment surgery. What information is most important to this client?
a. Be sure to have an annual prostate examination.
b. Continue your normal health screenings.
c. Try to avoid being around people who are ill.
d. You should have an annual flu vaccination.
ANS: A
The MtF client retains the prostate, so annual screening examinations for prostate cancer remain important.
The other statements are good general health teaching ideas for any client.
3. A transgender client is taking transdermal estrogen (Climara). What assessment finding does the nurse
report immediately to the provider?
a. Breast tenderness
b. Headaches
c. Red, swollen calf
d. Swollen ankles
ANS: C
A red, swollen calf could be a manifestation of a deep vein thrombosis, a known side effect of estrogen. The
nurse reports this finding immediately. The other manifestations are also side effects of estrogen, but do not
need to be reported as a priority.
4. A transgender client taking spironolactone (Aldactone) is in the internal medicine clinic reporting heart
palpitations. What action by the nurse takes priority?
a. Draw blood to test serum potassium.
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