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1. [From 10$/Pg] 100 Mg Testosterone Im
[From 10$/Pg] 100 Mg Testosterone Im Discussion: Diversity and Health Assessments May
2012, Alice Randall wrote an article for The New York Times on the cultural factors that
encouraged black women to maintain a weight above what is considered healthy. Randall
explained—from her observations and her personal experience as a black woman—that
many African-American communities and cultures consider women who are overweight to
be more beautiful and desirable than women at a healthier weight. As she put it, “Many
black women are fat because we want to be” (Randall, 2012).Randall’s statements sparked a
great deal of controversy and debate; however, they emphasize an underlying reality in the
healthcare field: different populations, cultures, and groups have diverse beliefs and
practices that impact their health. Nurses and healthcare professionals should be aware of
this reality and adapt their health assessment techniques and recommendations to
accommodate diversity.In this Discussion, you will consider different socioeconomic,
spiritual, lifestyle, and other cultural factors that should be taken into considerations when
building a health history for patients with diverse backgrounds. Your Instructor will assign
a case study to you for this Discussion. To prepare:Reflect on your experiences as a nurse
and on the information provided in this week’s Learning Resources on diversity issues in
health assessments.By Day 1 of this week, you will be assigned a case study by your
Instructor. Note: SEE CASE STUDY BELOW Reflect on the specific socioeconomic, spiritual,
lifestyle, and other cultural factors related to the health of the patient assigned to
you.Consider how you would build a health history for the patient. What questions would
you ask, and how would you frame them to be sensitive to the patient’s background,
lifestyle, and culture? Develop five targeted questions you would ask the patient to build his
or her health history and to assess his or her health risks.Think about the challenges
associated with communicating with patients from a variety of specific populations. What
strategies can you as a nurse employ to be sensitive to different cultural factors while
gathering the pertinent information?CASE STUDY 1 ( Student Last Name A-M)John Green,
33 year-old Caucasian male, presents to the office to establish as a new patient. John’s natal
sex is female but he identifies as a male. He transitioned from female to male 2 years ago. He
has made a full transition with family and socially last year. He just moved back home and is
unemployed at this time. He has been obtaining testosterone from the internet to give to
himself. He has not had any health care since he decided to change other than getting his
suppression medications through Telehealth 3 months ago. His past medical history
includes smoking 2 packages of cigarettes per day for the last 10 years, smokes 3-6

2. marijuana joints every weekend (has an active green card), and does suffer from depression
episodes. He is HIV positive for the last 3 years but remains virally suppressed at his last
blood draw 6 months ago. He has been feeling very weak over the last few weeks which
prompted him to move back home with his parents. He takes Biktarvy once daily that comes
in the mail for free, tolerates it well, and 100 mg Testosterone IM every 7 days. His PMH is
non-contributory. No past medical history. He has never been married. No significant family
history. He is worried since moving back home and unemployed he will be a burden on his
family, and he thinks his health may be declining.AssignmentPost an explanation of the
specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the
patient you were assigned. Explain the issues that you would need to be sensitive to when
interacting with the patient, and why. Provide at least five targeted questions you would ask
the patient to build his or her health history and to assess his or her health risks.need 3
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