PART 1 Women Health Read the scenario below. Respond to the questions in full sentences. Be sure to use standard English grammar and spelling What are the biophysical, psychological, sociocultural, behavioral, and health system factors operating in this situation? What actions would you take to provide more sensitive and effective care for women who are lesbian, bisexual, or transgender? Describe the major health concerns of this woman and what role the community health nurse might play in this situation? Scenario: PART 2. Men Health read the scenario below. Respond to the questions in full sentences. Be sure to use standard English grammar and spelling How might you address the problem of HIV at the population level? What additional information might you need to determine appropriate interventions for the problem? What other segments of the community would you involve in developing your interventions? Scenario: You have identified a high rate of HIV among gay men in your community. Significant disparities are noted in the incidence rates among Caucasian, African American, and Latino men, with a higher incidence among African Americans, although the incidence among all three groups is high. Betty is 45 years old, self-employed, divorced three times, and mother of three boys and one daughter. Two years ago, her last husband died of lung cancer at age 54. She was referred to the local clinic because she has been feeling depressed. During the interview, Betty informs the community health nurse that she is tired of living the old way, and she is now involved with a woman and considers herself a lesbian. She admits that she has been sexually involved with both men and women during the past three years. She indicates that she is afraid she might have cancer because her mother died of breast cancer five years ago at the age of 67. She does not have health insurance. Betty stated that she is embarrassed to get a pap smear because she heard that gay women do not need to get a pap smear since they are not having “real sex” vaginally. PART 3 Examine Your Barriers to Cultural Competence Respond to the prompts below in full sentences. Be sure to use standard English grammar and spelling: Assess your own barriers to cultural competence. Have you overcome these? If not, how do you plan to overcome them? If you do not have barriers, why do you think you do not have them?
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