The document provides a case study and discussion questions for a nursing course. It describes a 28-year-old African American patient, Shawn Billings, who has come to the clinic for the third time this week with a severe headache. Students are asked to reflect on cultural factors that may impact the patient's health, including socioeconomic status, spirituality, and lifestyle. They are also asked to develop five targeted health history questions that are sensitive to the patient's background and culture. The document provides references in APA style to support discussing cultural competence when interacting with patients from diverse populations.