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OMS Simulation: Ola
Jennifer Andrews
Southern New Hampshire University
NUR 302: Clinical Judgement & Assessment
Doctor Shakira Lynn
August 24, 2025
, 2
Clinical Scenario Summary
In the Oxford Medical Simulation (OMS) scenario, I cared for a 15-year-old adolescent
assigned male at birth (AMAB) who had recently attempted suicide following the disclosure of
plans to begin gender transitioning. The patient presented with a history of depression, intact
skin, an angry and ashamed affect, and poor eye contact, but was otherwise in good physical
health. The scenario required a comprehensive mental and physical health assessment,
identification of risk factors, confirmation of gender identity and pronouns, and implementation of
safety protocols. I conducted a suicide risk assessment, verified the patient’s preferred
pronouns, evaluated mental health screening scores, and communicated findings using SBAR
to the provider. My focus was on building rapport, ensuring safety, and delivering equity-minded,
person-centered care in a sensitive and trauma-informed manner.
Evidence-Based Theory
An applicable evidence-based theory for this scenario is Jean Watson’s Theory of
Human Caring. Watson’s theory emphasizes the importance of transpersonal caring
relationships, empathy, and creating a healing environment. Her curative factors, such as
promoting expression of feelings, cultivating sensitivity to self and others, and supporting
emotional and spiritual needs, were central to my approach in this case. This theory aligns well
with providing holistic and equitable care to individuals experiencing gender dysphoria and
suicidality. By treating the patient with dignity, compassion, and without bias, I aimed to foster
trust and help reduce the psychological distress they were experiencing (Bidik &
Sisman, 2024, p 30-37).
Background and Support for Clinical Reasoning
A combination of nursing education, clinical exposure, and personal growth enabled me
to navigate this scenario effectively. Through coursework in mental health nursing and
adolescent care, I gained a solid understanding of the complexities surrounding gender
dysphoria, the heightened suicide risk among transgender youth, and the ethical importance of
using affirming language and inclusive communication. Additionally, my previous clinical
experiences caring for adolescents in both acute psychiatric and primary care settings taught
me how to assess mood and coping mechanisms, identify protective and risk factors for suicide,
and balance therapeutic communication with clinical decision-making, particularly in high-risk
mental health situations. On a personal level, my involvement in community education on
LGBTQ+ inclusion and mental health advocacy has deepened my awareness of how
marginalized identities intersect with mental health vulnerabilities and strengthened my
commitment to being an affirming and nonjudgmental nurse.
OMS Simulation: Ola
Jennifer Andrews
Southern New Hampshire University
NUR 302: Clinical Judgement & Assessment
Doctor Shakira Lynn
August 24, 2025
, 2
Clinical Scenario Summary
In the Oxford Medical Simulation (OMS) scenario, I cared for a 15-year-old adolescent
assigned male at birth (AMAB) who had recently attempted suicide following the disclosure of
plans to begin gender transitioning. The patient presented with a history of depression, intact
skin, an angry and ashamed affect, and poor eye contact, but was otherwise in good physical
health. The scenario required a comprehensive mental and physical health assessment,
identification of risk factors, confirmation of gender identity and pronouns, and implementation of
safety protocols. I conducted a suicide risk assessment, verified the patient’s preferred
pronouns, evaluated mental health screening scores, and communicated findings using SBAR
to the provider. My focus was on building rapport, ensuring safety, and delivering equity-minded,
person-centered care in a sensitive and trauma-informed manner.
Evidence-Based Theory
An applicable evidence-based theory for this scenario is Jean Watson’s Theory of
Human Caring. Watson’s theory emphasizes the importance of transpersonal caring
relationships, empathy, and creating a healing environment. Her curative factors, such as
promoting expression of feelings, cultivating sensitivity to self and others, and supporting
emotional and spiritual needs, were central to my approach in this case. This theory aligns well
with providing holistic and equitable care to individuals experiencing gender dysphoria and
suicidality. By treating the patient with dignity, compassion, and without bias, I aimed to foster
trust and help reduce the psychological distress they were experiencing (Bidik &
Sisman, 2024, p 30-37).
Background and Support for Clinical Reasoning
A combination of nursing education, clinical exposure, and personal growth enabled me
to navigate this scenario effectively. Through coursework in mental health nursing and
adolescent care, I gained a solid understanding of the complexities surrounding gender
dysphoria, the heightened suicide risk among transgender youth, and the ethical importance of
using affirming language and inclusive communication. Additionally, my previous clinical
experiences caring for adolescents in both acute psychiatric and primary care settings taught
me how to assess mood and coping mechanisms, identify protective and risk factors for suicide,
and balance therapeutic communication with clinical decision-making, particularly in high-risk
mental health situations. On a personal level, my involvement in community education on
LGBTQ+ inclusion and mental health advocacy has deepened my awareness of how
marginalized identities intersect with mental health vulnerabilities and strengthened my
commitment to being an affirming and nonjudgmental nurse.
