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NURS 6670 John is a 19-year-old male who is self-referred for care after being prematurely discharged from the military.

NURS 6670 John is a 19-year-old male who is self-referred for care after being prematurely discharged from the military.

John is a 19-year-old male who is self-referred for care after being prematurely discharged from the military.

Answer: John is a 19-year-old male who is self-referred for care after being prematurely discharged from the military.

John is a nineteen year old man who is self-referred for care after being discharged from the military. He was vague as to the details of his discharge, but it appears that he had difficulty with performance evaluations and was apparently arrested for several incidences of illegal substance abuse. Comprehensive evaluation of John reveals that he thinks he “is really a woman,” but he cannot accept this and joined the Army to try and “be a real man.” John indicates that he has always felt like he was really a girl, and he says that he “hates that he has a penis.” When considering a diagnosis of gender dysphoria, which would be most consistent with John’s history?

John is a 19-year-old male who is referred for care after being discharged from the military. He is vague about his reasons for discharge, but it appears he had difficulty with performance and was arrested for substance abuse. Comprehensive evaluation of John reveals that he thinks he “is really a woman,” but he cannot accept this and joined the Army to try and “be a real man.” John indicates that he has always felt like he was really a girl, and he says that he “hates that he has a penis.” When considering whether to diagnose gender dysphoria, which of the following would be most consistent with John’s history?

John is a 19-year-old single, unemployed male who was discharged prematurely from the military due to substance abuse problems and because he “feels like a woman.” He is vague about his discharge and he joined the military so that he could “be a real man.” John indicates that he has always felt like he was really a girl, and he says that he “hates that he has a penis.” He reports this since his childhood. Which of the following would be most consistent with John’s history?

Gender dysphoria is a condition in which there is a conflict between a person’s physical sex and that person’s gender identity. Gender identity is the sense of being male or female. A person with gender dysphoria has persistent discomfort over their gender; the discomfort is not just related to anatomical or cultural factors, or another psychological problem. The condition is diagnosed when a child or adolescent demonstrates a strong desire to be of the opposite sex, usually accompanied by a wish to dress as and use the vocabulary of an opposite-sex child, resulting in significant distress or impairment in social, educational, occupational, or other important areas of functioning, as manifested by at least six of the following for at least a 6-month period:

Gender dysphoria is characterized by marked incongruence between one’s gender identity and that individual’s assigned sex, manifested in various ways. It may manifest as a desire to live in the other gender role, or to be regarded by others as the other gender. Gender dysphoria can be accompanied by clinically significant distress or impairment, termed gender dysphoria with psychiatric comorbidity if present. Gender dysphoria has many possible causes and these include the following:

Gender dysphoria, also known as gender identity disorder (GID), is the condition that occurs when a person’s gender identity conflicts with their sex assigned at birth. There are two different kinds of gender dysphoria: When a person knows their gender but the sex they were assigned at birth does not match their gender and when a person believes they are another gender from the one that was assigned to them at birth and expresses this feeling in outward-facing behaviors. In both cases, when these feelings become severe, dysphoria can lead to serious mental health problems.

Gender dysphoria is a feeling of conflict between a person’s physical sex and the gender he or she feels inside. For example, a person who identifies as a man may have the physical characteristics of a woman. Gender dysphoria is not the same as gender nonconformity, which describes when people do not behave in ways that are traditionally considered masculine or feminine; instead, it concerns when people feel they’ve been born into the wrong body.

Transgender identity disorder is a rare but serious condition that requires specialised training and experience to effectively diagnose and treat. , It is important to understand what transgender means, which can be different for everyone. Transgender people have a gender identity that differs from the sex they were assigned at birth. For example, someone whose sex was labeled male on their birth certificate and who identifies as female would have a transgender identity.

Question:

John is a 19-year-old male who is self-referred for care after being prematurely discharged from the military. He is vague as to the details of his discharge, but it appears he had difficulty with performance evaluations and was apparently arrested for several incidences of illegal substance abuse. Comprehensive evaluation of John reveals that he thinks he “is really a woman,” but he cannot accept this and joined the Army to try and “be a real man.” John indicates that he has always felt like he was really a girl, and he says that he “hates that he has a penis.” When considering a diagnosis of gender dysphoria, the PMHNP knows that which of the following would be most consistent with John’s history?

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