PLEASE, DO NOT INCLUDE IN THE DOCUMENT THE WHOLE QUESTION BELOW. ONLY THE ANSWERS WITH SUBHEADINGS.

at least 500 words ( 2 complete pages of content) formatted and cited in current APA style 7 ed  with support from at least 3 academic sources which need to be journal articles or books from 2019 up to now. NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 10%.

Record any broad or specific goals that you have for your practicum experience. Think about the following questions:

• What specific skills do you hope to obtain or develop?
• What contributions do you hope to make to the clinical site?
• What contacts or networks do you hope to establish?
• How do you want to be different at the end of this clinical rotation?

Post 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.

case Assigned:

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 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.

apa format

min 2 resources

Using a Microsoft Word document, record your responses to the critical thinking questions based on the scenario provided. Each response should be original (in your own words) and a minimum of 2–3 sentences in length.

Scenario

A military RN is ordered to force-feed a terrorist prisoner while they are undergoing interrogation. The prisoner is on a hunger strike protesting their capture and highlighting his cause. The nurse is to ensure the prisoner remains hydrated and fed so they can provide information and do not starve. The nurse is torn. On the one hand, the nurse has a strong loyalty to the military objective of ensuring public safety by uncovering terrorist plots and fear of reprisal if orders are disobeyed. Yet, the nurse is appalled at overriding a patient’s wishes by force-feeding him.

Male RN in Military Uniform

Critical Thinking Questions

Is this an ethical dilemma or a moral dilemma?

What ethical principles are in contention? How?

Are there any virtues at risk? Whose? Why?

What justifies overriding an individual’s autonomy to make his own choices?

How does the Code of Ethics guide the nurse in invoking conscientious objection?

What lessons can be learned from this nurse’s dilemma?

Discuss the underlying assumptions and potential ramifications of having proxy subjective health status or evaluation measures for children or those unable to speak for themselves.