Question

A client who has been married for 10 years arrives at the psychiatric clinic stating, "I can't live this lie any more. I wish I were a woman. I don't want my wife. I need a man." Which nursing intervention would be most appropriate?

Sit down with the client and talk about his feelings. Call the primary health care provider. Encourage the client to speak to his wife. Admit the client.

Answer 1

The most appropriate nursing intervention is to sit down with the client and talk about their feelings, creating a supportive environment to discuss their gender identity issues. Further steps such as contacting a primary healthcare provider may follow, but initially addressing the client's emotional needs is essential.

Step-by-step explanation:

The most appropriate nursing intervention for a client experiencing gender dysphoria and expressing a desire to live as a different gender is to initially sit down with the client and talk about his feelings. This compassionate approach provides a safe space for the client to explore their thoughts and emotions without judgment. Encouraging open communication can be immensely therapeutic and can assist in formulating a plan that may include discussing the situation with their spouse, seeking support groups, or exploring options for gender transition if that aligns with their long-term goals.

Once the immediate emotional needs are addressed, considering other steps such as contacting the primary health care provider could be taken. The healthcare provider can guide the client towards appropriate resources and professional support which might include counseling, hormone therapy, or other medical interventions. Admission could be considered if there are concerns about the client's safety or mental health, but that would depend on the specific circumstances. Ultimately, the initial step to address a client's feelings is crucial in fostering trust and supporting the client's mental health journey.