The nurse is speaking to a client regarding the client's sexual history. The client states, "I was born with a penis but I should have had a vagina." The nurse would document the client's gender identity as:

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A transsexual man views himself as a woman trapped in a man's body; the reverse is true for a female transsexual. Transvestite is an outdated term used to describe a person who dresses like someone of the opposite sex but views himself (or herself) according to his/her biologic gender. Bisexuals are attracted to both males and females. Homosexuals are attracted to those of the same gender.

The Nurse Is Speaking to a Client Regarding the Client's