Learning Gaps
Name one LGBTQ+ community resource in Waterloo Region.
Spectrum, OK2BME, SHORE, LGBT YouthLine
A nurse reflects on their own biases before entering Nikki's room.
Personal Knowing
What is located at the center of Rivera's model?
Holistic Patient Wellness
What does GAHT stand for?
Gender-Affirming Hormone Therapy
What nursing characteristic does a nurse who reflects on their own biases and assumptions about transgender clients best show?
Awareness
What is one reason LGBTQ+ patients may choose not to disclose their identity to healthcare providers?
A nurse reviews evidence-based guidelines before caring for Nikki.
Empirical Knowing
Name one Caring Process & Describe what it entails.
Engagement
Knowledge
Relationships
Name one medication used in feminizing hormone therapy.
Estrogen
Spironolactone
Cyproterone
What leadership skill involves recognizing concerns before they become bigger problems?
Noticing
Name two barriers Nikki may face when accessing gender-affirming care.
Travel costs
Accommodation costs
Long wait times
Lack of affirming providers
A nurse uses Nikki's preferred name despite the legal name on the chart.
Ethical Knowing
Name one Driver & How it benefits patient care.
Ongoing Learning
Patient Variables
Ongoing Research
Leadership
Ongoing Self-Assessment
What lab is monitored during testosterone therapy to assess increased red blood cell production?
CBC
A nurse hears a coworker repeatedly misgender a patient. What leadership action should they take?
Speak up and advocate for the patient
Was the percentage of people waiting for gender-affirming surgery:
Less than 25%
About 50%
More than 75%
More than 75% (82%)
A nurse notices Nikki is upset and adapts their communication approach.
Aesthetic Knowing
What type of nursing care does Rivera's Model aim to promote?
Gender-affirming nursing care.
What complication is associated with estrogen therapy?
Venous thromboembolism (VTE)
How can self-reflection improve patient care?
It helps nurses identify biases and improve practice
What percentage of transgender and nonbinary individuals reported an unmet healthcare need?
44.4%
A nurse advocates to change intake forms so they include more than male/female options.
Emancipatory Knowing
Which driver would help Carla recognize her own assumptions and biases?
Ongoing Self-Assessment
Name three nursing actions when a patient presents needing a GAHT refill.
• Obtain an accurate medication history
• Determine whether hormone therapy has been interrupted
• Assess for complications or adverse effects
• Notify the appropriate prescriber or healthcare provider
• Collaborate with pharmacy and the healthcare team
• Facilitate continuity of care and appropriate follow-up
• Avoid creating unnecessary barriers to treatment
Give one example of point-of-care leadership Carla could have demonstrated.
Use preferred name/pronouns
Advocate for hormone continuation
Explore resources
Build trust
Address barriers to care