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NUR 381 Application of Mental Health Concepts
Transgender Case Study
Case Scena
NUR 381 Application of Mental Health Concepts
Transgender Case Study
Case Scenario:
Diane is a 16-year-old assigned female at birth who identifies as male. He is accompanied with his mother for a primary care follow up. He reports to you that he first started showing interest in wearing boys clothing around sixth grade, and in the last year has decided that he “wants to be a man.” He now goes by his chosen name Brian and uses he/him pronouns at school and at home, although his mom is still struggling with using these pronouns and name.
The mom reports to you during the visit that she has concerns that the patient has been talking about hormones and surgery after doing some research on the internet, and she worries about the permanency of these treatments. The patient has started to have some pubertal changes, including breast development and pubic hair, three months ago, which has been distressing. He denies any vaginal bleeding or discharge. The patient does report wanting a male body in the future and does not want to have breasts.
Past Medical History: The patient has a history of ADHD, currently treated with Concerta. He saw a therapist two years ago due to aggression, but has not seen a therapist since then.
Diagnosis/Treatment: The primary care doctor assesses the patient and diagnosis him with gender dysphoria. He is started on Testosterone 100 mg SC/IM every week with an office follow up in 2 weeks.
1. What is gender dysphoria?
2. What are the signs and symptoms?
3. As the nurse what are two priority nursing interventions for this patient?
4. What are the major side effects of Testosterone IM that you would need to educate the patient and his mom on?
5. What are major contraindications with this medication?
6. Any lab work or imaging that need to be monitored for this patient while they are taking Testosterone?
** A minimum of (2) peer-reviewed references from peer-reviewed scholarly journals (within the past 5 years) to support your answers must be included within this case study assignment.
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