Prepare for your NCLEX-RN® exam with a question about gender-inclusive care for transgender clients and how to communicate and ensure appropriate medical treatment effectively!
The nurse in the medical unit is caring for a transgender female. Which action(s) should the nurse take when providing gender-inclusive care to this client? Select all that apply.
| Legal name: John Osmosis Chosen name: Jane Osmosis Preferred pronouns: She/her Date of birth: 08/12/1984 Sex assigned at birth: Male Gender identity: Female | |
| Allergies: | Strawberries |
| Medications: | Spironolactone 100 mg PO QD 17-beta estradiol 3 mg PO QD |
| Organ Inventory: | Not completed |
A. Refer to the client as he/him when documenting nursing progress notes
B. Ensure that the electronic health record includes the client’s chosen name and legal name.
C. Complete an organ inventory
D. Share own pronouns with the client
E. Ask the client why they choose not to use their legal name
Scroll down for the correct answer!
The correct answer to today’s NCLEX-RN® question is…
B. Ensure that the electronic health record includes the client’s chosen name and legal name.
Rationale: This nursing action supports a gender-inclusive environment. The nurse should ensure that the electronic health record (EHR) lists both the client’s legal name and chosen name.
C. Complete an organ inventory
Rationale: The nurse should complete the organ inventory as part of the comprehensive client assessment. An organ inventory is an anatomical record of the presence or absence of the client’s sex-related organs. This information is used by the health care provider to suggest preventative treatments and for medical decision-making and preventive care, such as pregnancy testing.
D. Share your pronouns with the client
Rationale: By the nurse sharing their own pronouns with the client, this action supports a gender-inclusive environment, portrays acceptance to the client, and helps build trust in the nurse-client relationship.
Major Takeaway
When caring for a client who is transgender, the nurse’s goal is to provide client-centered, gender-inclusive care within a friendly, dependable environment. The nurse should first introduce themself by stating their own name and pronouns if they feel comfortable doing this. The nurse should also confirm the client’s chosen name, pronouns, and gender identity and then use those in every interaction with and about the client. Next, the nurse should ensure that the care is medically appropriate by verifying that an organ inventory has been completed. An organ inventory is an anatomical record of the presence or absence of the client’s sex-related body parts. This inventory can be useful in medical decision-making and for preventative care such as breast, cervical, or prostate cancer screenings, as well as for tests such as pregnancy testing.
Incorrect Answer Explanations
A. Refer to the client as he/him when documenting nursing progress notes
Rationale: This nursing action would not support a gender-inclusive environment. The client has stated that their preferred pronouns are she/her. Therefore, the client’s electronic health record (EHR), including nursing progress notes, should reflect this.
E. Ask the client why they choose not to use their legal name
Rationale: This nursing action does not support a gender-inclusive environment. The nurse should avoid asking “why” questions as it can create a judgmental environment, especially for a client who is transitioning.
Want to learn more about this topic?
Read this blog: How to Provide Culturally-Responsive Care to Gender-Diverse Communities
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