Case Scenarios and Cultures
1. Case Scenario: Milagros Amaro located in Chapter 8 on page 149
Questions:
• What is the response of the staff to Milagros’s incomplete health records on her children? What assumptions underlie this response?
• How could the N.P best communicate with Reynaldo while preserving his rights to privacy and confidentiality?
• What health-related issues are essential when caring for migrant agricultural workers? Why are these health-related issues important?
• What attributes do nurses working with migrant agricultural workers need to refine to function as effective advocates for their patients?
2. Scenario 4: John located in Chapter 9 on page 172
Questions:
• How many interactions have you had with people who identify as LGBTQIA? Would you have known at the time that your patient was LGBTQIA? How might these experiences have prepared you for interactions with patients like John?
• What role do you play as a nurse when John’s family and friends become aware of his gender reassignment plans?
• What are some best practices that organizations can put in place to foster a more welcoming environment for patients who are LGBTQIA? Would you recognize when you need help to approach John’s situation because you are uncomfortable working with someone like him?
• Describe heterosexism, cissexism, homophobia, and transphobia exist? What steps should a nurse take to address these biases?
• What is the most sensitive way to elicit information about health practices that allows the LGBTQIA patient to answer questions honestly and enables the nurse to complete a practical assessment?
