What is your initial diagnosis based on the symptoms reported by Luanne Barton?

The state health department reports that there has been a dramatic increase in sexually transmitted infections (STIs), especially gonorrhea and HIV, in select populations within the state. A population of particular concern with a notably increased incidence of STIs is the Sunny Side Retirement Community, which had 15 newly diagnosed cases last month. Sunny Side offers numerous amenities and recreation activities for more affluent retirees who choose to retire in a warmer climate. Renee, an advanced registered nurse practitioner, is employed in the federally qualified health center and provides primary care services to residents. Within the past few weeks, several women have sought care for urgency, frequency, and sometimes discomfort with urination, along with vaginal and perineal itching and drainage. Today, Luanne Barton arrives in the office with similar symptoms.
Assignment Guidelines
Prepare a one- to two-page summary answering the following questions:

What is your initial diagnosis based on the symptoms reported by Luanne Barton?
How can the nurse initiate a conversation with Luanne regarding her sexuality?
Describe risk factors among older individuals for being exposed toana STI.
Include references in APA format.

*All references should be 3 years old or less, except the textbook used in the class.