A 22-year-old male wearing gender-neutral clothing is referred to a community mental health clinic by his family physician after requesting a sex change operation

Care plan number 2 due on 3/14/16

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A 22-year-old male wearing gender-neutral clothing is referred to a community mental health clinic by his family physician after requesting a sex change operation. The medical physician reports that there are no physical problems, including endocrine abnormalities, in the client’s past or current medical history.He has no known allergies. AFer the iniTal assessment, the client* is diagnosed with the following:Axis I: Gender idenTty disorderAxis II: DeferredAxis III: NoneAxis IV: Problems with primary family support group; problems with social and occupaTonalenvironments; di²culty sustaining employmentAxis V: GA³ = 50, past year = unknownDuring the behavioral and nursing intake assessment, the client tells the nurse that he has always feltuncomfortable being around men. He feels the most comfortable in the company of women and enjoysin engaging in what would typically be described as “women’s work.” At age 12 he secretly dressing in hisyounger sister’s clothing. His father discovered him at 16 wearing a dress belonging to his younger sisterand kicked him out of the house. He has not seen his family since. He states that he then went to stay“with a friend.” Over the past few years he has become increasingly convinced that he should have been“born a woman” and “God must have goofed up with me.” At the end of the interview he admits tohaving di²culty with saTsfying sexual experiences of his gender problems.1.What signs and symptoms of gender idenTty disorder can you idenTfy?2.IdenTty appropriate nursing diagnoses for this paTent. Develop a psychiatric care plan for thispaTent using the template on sonisweb.a.PrioriTze the nursing diagnoses you have idenT´ed.3.Choose three priority nursing diagnoses and write nursing care plans using the template onsonisweb. Nursing diagnoses should include what the problem is related to and evidence thatsupports the chosen nursing diagnoses. Support your nursing diagnoses with speci´c clinicaldata on the nursing care plans. Planned outcomes should be paTent-centered and includespeci´c Tme frames for evaluaTon. Nursing intervenTons should be evidence-based and includeraTonales.a. What collaboraTve intervenTons, including treatment, do you anTcipate for this paTent?Include these in your nursing care plans.4.How will you evaluate the eµecTveness of your nursing care? Add your evaluaTon to the nursingcare plans.*When working with individuals in the outpaTent se¶ng, the individual is referred to as a “client” ratherthan as a “paTent.”