BC is a 33 y/o Caucasian male coming to the office to establish as a new patient. He identifies as a male, but natal sex is female. He transitioned 3 years ago while living in Florida. Now he is back home in Texas disclosing full transition to family and socially. He is unemployed, does not have more hormonal replacement for suppression.

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BC is a 33 y/o Caucasian male coming to the office to establish as a new patient. He identifies as a male, but natal sex is female. He transitioned 3 years ago while living in Florida. Now he is back home in Texas disclosing full transition to family and socially. He is unemployed, does not have more hormonal replacement for suppression. He has a history of depression, HIV positive and cannabis smoker. Reflect on your experience as an advanced practice nurse and on the information provided in the Week 1 Learning Resources on building a health history and the Week 2 Learning Resources on diversity issues in health assessments. Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of your assigned patient. Consider how you would build a health history for the patient. What questions would you ask? How might you target your questions based on the patient’s social determinants of health? How would you frame the questions to be sensitive to the patient’s background, lifestyle, and culture? Identify any potential health-related risks, based on the patient’s age, gender, ethnicity, or environmental setting, which should be taken into consideration. What risk assessment instruments would be appropriate to use with this patient? What questions would you ask to assess the patient’s health risks? Select one (1) risk assessment instrument discussed in the Learning Resources, or another tool with which you are familiar, related to your selected patient. Develop five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Think about the challenges associated with communicating with patients from a variety of specific populations. What communication techniques would be most appropriate to use with this patient? What strategies can you as an APRN employ to be sensitive to different cultural factors while gathering the pertinent information?
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AnswerCreated with AI

Building a Health History

Building a health history for this patient would involve asking questions about his medical history, lifestyle, and social determinants of health. Here are five targeted questions:

  1. Medical History: “Can you tell me more about your transition process and any related medical treatments you’ve undergone?”
  2. Mental Health: “You mentioned a history of depression. Can we discuss your experiences with this and any treatments you’ve received?”
  3. HIV Status: “Could you share more about your HIV status, including your current treatment regimen and how you’re managing it?”
  4. Lifestyle: “Can you describe your daily routine, including diet, exercise, and substance use, such as cannabis?”
  5. Social Determinants of Health: “Could you tell me more about your living situation, employment status, and support system?”

Risk Assessment

Given the patient’s age, gender, ethnicity, and environmental setting, potential health-related risks include mental health issues, HIV-related complications, and health issues related to hormone therapy. The PHQ-9 Depression Scale would be an appropriate risk assessment instrument for this patient, given his history of depression.

Communication Techniques

Effective communication with this patient would involve:

  • Respect for Identity: Always use the patient’s preferred pronouns and name.
  • Cultural Sensitivity: Be aware of cultural factors that may affect the patient’s health beliefs and behaviors.
  • Non-judgmental Attitude: Approach the patient’s cannabis use and unemployment status without judgment.
  • Empathy: Show understanding and empathy towards the patient’s experiences, such as transitioning and disclosing his transition to his family.

Strategies for Gathering Information

As an APRN, you can employ the following strategies to gather pertinent information:

  • Active Listening: Pay close attention to the patient’s responses and ask follow-up questions for clarification.
  • Open-ended Questions: Use open-ended questions to encourage the patient to share more about his experiences.
  • Reassurance: Reassure the patient that all information shared is confidential and is only used to provide the best care possible.
  • Collaboration: Involve the patient in dec

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