Deck 20: Gay, Lesbian, Bisexual, and Transgender Clients

Question 1

A nurse is working on using more inclusive language in her health assessment with new female clients.What question has more inclusive language?

A) "Do you use the birth control pill?"
B) "Are you in a relationship?"
C) "What is your marital status?"
D) "Does your boyfriend hurt you?"

Answer 1

"Are you in a relationship?"

Question 2

Harvey,16 years old,is gay.He has tried to commit suicide several times.What is the most likely reason for this?

A) Alcohol abuse
B) Bullying
C) Being evicted from his home
D) Shame

Answer 2

Shame

Question 3

Debbie,age 42,is a lesbian.What is true about her health needs?

A) Has a lower risk of developing breast cancer
B) Is at greater risk for lung cancer
C) Does not require a Pap test as does not have penetrative sex
D) Is less likely to have a mammogram

Answer 3

Is less likely to have a mammogram

Question 4

Mr.Watkins,51 years old,is gay.He is suffering from the mental health effects of stigma,prejudice,and discrimination.What is this termed?

A) Minority stress
B) Mid-life crisis
C) Sexual orientation stress
D) Post-traumatic stress disorder

Question 5

Discuss the meaning of the terms homosexuality,homosexual,gay,lesbian,bisexual,transgenders,and two-spirited.

Question 6

Honora is a young lesbian woman who is suffering from low self-esteem and self-loathing.This has resulted in a substance abuse problem.What is Honora experiencing?

A) Heterophobia
B) Heterosexism
C) Internalized homophobia
D) Homosexuality

Question 7

A nurse wants to become more gay-affirming with gay/lesbian/bisexual/transgender clients.What is one action the nurse can take?

A) Ignore misinformation about gay/lesbian/bisexual/transgender clients
B) Obtain education about the gay/lesbian/bisexual/transgender lifestyles
C) Create a support group for gay/lesbian/bisexual/transgender clients with local clergy
D) Supply a list of psychiatrists who treat gay/lesbian/bisexual/transgender clients

Question 8

An instructor is teaching her community health students about homophobia.What comment made by a student would indicate that additional teaching is required?

A) "So making gay jokes is not acceptable."
B) "I worry that a homosexual person will be attracted to me."
C) "I guess asking someone about their sexual orientation in a job interview is wrong."
D) "I understand why some gay men are beaten."

Question 9

Ms.Davis,30 years old,describes herself in masculine terms.What term describes this behaviour?

A) Transgender
B) Intersexual
C) Bisexual
D) Lesbian

Question 10

Jody,17 years old,is a lesbian.When will Jody's risk for suicide be the greatest?

A) After her first relationship ends
B) After her first encounter with homophobia
C) When she tells her best friend
D) When she tells her parents

Question 11

Discuss three assumptions that are often made about gay/lesbian clients related to their health status and sexual behaviours,and provide the counter argument against the assumptions.

Question 12

Ruth,28 years old,has decided to tell her parents she is lesbian.What factor will determine the degree of difficulty in disclosing this information?

A) The nature of the relationship she has with her parents
B) How long she has admitted to herself that she is a lesbian
C) How long she has been in a relationship with another woman
D) The support she gets from her partner

Question 13

In a group of 100 people,how many are likely to self-identify as gay or lesbian?

A) 1 person
B) 20 people
C) 2 to 3 people
D) 5 to 10 people

Question 14

What is the best response by the nurse when a client shares that he is involved in a long-term relationship with another man?

A) "Okay,but you really didn't have to tell me."
B) "Thank you for sharing that information."
C) "Have you had the chance to get married?"
D) "Do you want an HIV test done while I am here?"

Question 15

Which person is more likely to disclose his or her orientation to a female nurse?

A) Max/Maxine,a 60-year-old transgender
B) Harold,a 50-year-old gay man
C) Mark,a 76-year-old gay man
D) Tricia,a 29-year-old lesbian

Question 16

What statement is true about homosexuality prior to 1970?

A) Seen as vector for HIV
B) Treated with drug therapy
C) Classified as a mental illness
D) Ignored as a health problem

Question 17

A nurse is in a meeting with her colleagues.One of the colleagues mentions that a young client,who many know,is a bisexual.What should the nurse do first?

A) Talk to the colleague about confidentiality
B) Report the nurse to the professional association
C) Ask when the client disclosed this information
D) Inquire whether the client's parents have been told

Question 18

A nurse is concerned about heterosexism and has worked with a colleague to create a new assessment tool.What question would indicate that the nurse needs to discuss heterosexism with the colleague?

A) Have you ever had a sexually transmitted infection?
B) Are you in a relationship currently?
C) What form of birth control do you use?
D) Do you or your partner have any children?

Question 19

An instructor is teaching her community health students about homophobic attitudes and beliefs that will negatively impact the care of gay,lesbian,bisexual,and transgender clients.Which comment should be addressed by the instructor?

A) "So gay men have anal sex."
B) "How can I acknowledge when someone discloses their orientation to me?"
C) "I will tell my father that gay men are not mentally ill."
D) "How can I stop my friends from saying 'fag'?"

Question 20

What is the most significant health risk for gay/lesbian/bisexual/transgender individuals?

A) Substance abuse
B) HIV
C) Violence
D) Avoiding routine health care