Deck 20: Lesbian, Gay, Bisexual, Transgender, Queer, and Two Spirit Clients

Question 1

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?

Answer 1

What form of birth control do you use?

Question 2

Cynthia is a community health nurse and believes that healthcare should be accessible to all and not based on the particular needs of any one group or population. As a result, Cynthia does not asking about sexual orientation when meeting a new client. This is an example of Cynthia being:

A) Experienced
B) Inclusive
C) Neutral
D) Homophobic

Answer 2

Neutral

Question 3

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"

Answer 3

"I worry that a homosexual person will be attracted to me"

Question 4

LGBTQ2S youth in school are likely to experience which of the following? Select all that apply.

A) Discrimination
B) Harassment
C) Physical abuse
D) Sexual abuse
E) None of the above

Question 5

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 6

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

A) 35 to 40 people
B) 20 people
C) 2 people
D) 5 to 10 people

Question 7

Ms. Davis was assigned female at birth, but identifies as a man. What term describes Ms. Davis?

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

Question 8

There are various theories about the nature of sexual orientation. Which of the following theory represents the current scientific evidence?

A) Sexual attraction is a psychiatric condition
B) There is a genetic basis for sexual attraction
C) Sexual attraction is not related to culture
D) There is a forensic basis for sexual attraction

Question 9

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 10

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 11

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 12

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?"

Question 13

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 14

LGBTQ2S people experience a variety of health inequities. Which one of the following is one of these health inequitites?

A) Lower rates of discrimination
B) Higher rates of positive attitudes
C) Higher rates of sexual abuse
D) Lower rates of cardiovascular disease

Question 15

A nurse wants to become more gay-affirming with LGBTQ2S clients. What is one action the nurse can take?

A) Ignore misinformation about LGTBQ2S clients
B) Familiarize themselves with resources that are LGTBQ2S friendly in the community
C) Create a support group for LGTBQ2S clients with local clergy
D) Supply a list of psychiatrists who treat LGTBQ2S clients

Question 16

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 17

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 and they are negative or neutral

Question 18

An instructor is teaching her community health students about homophobic attitudes and beliefs that will negatively impact the care of LGTBQ2S clients. Which of the following comments are appropriate? Select all that apply

A) "What can I do to ensure my clients are not feeling minority stress in their interactions with me?"
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 calling someone homosexual?"

Question 19

Which term is a culturally specific term that is used to describe gender identity, sexual orientation or a combination of both?

A) Cisgender
B) Bisexual
C) Transgender
D) Two Spirit

Question 20

What is true about the health inequities of gay and bisexual boys and men?

A) Have higher risk of developing cancer
B) Have a lower risk of tobacco use
C) Have higher body mass index
D) Have a higher risk of eating disorders

Question 21

What is an example of a primordial prevention initiative that a community health nurse might engage in to promote the health of LGBTQ2S people?

A) Prevent violence and harassment
B) Screening for cardiovascular diseases
C) Screening for HIV/AIDS
D) Providing strategies for living with arthritis

Question 22

Harpreet is a nursing student working within a community agency that provides services to a large gay/lesbian community. In her orientation she learns about heterosexism and how it affects LGTBQ2S people. Discuss the information that Harpreet is likely to have learned. Provide a community health nursing practice example that would counter this view.

Question 23

What is the first step that nurses need to take in order to provide safe and inclusive care for LGBTQ2S people?

A) Take a gender-neutral stance in our communication
B) Be clear about levels of confidentiality with all clients
C) Address assumptions, beliefs, and values about sexual orientation
D) Consider using inclusive language in our communication

Question 24

While it is important to consider our own attitudes, values, beliefs, and practices about sexual orientation and gender identity, discuss why it is important to challenge the same with our colleagues and coworkers.

Question 25

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

Question 26

What term is used to indicate a non-heterosexual orientation?

A) Transgender
B) Cisgender
C) Queer
D) Gender diverse

Question 27

Discuss how a community health nurse might discuss confidentiality with a gay teenager

Question 28

Give two examples of a tertiary prevention initiative a nurse might be involved in while working with LGTBQ2S people.

Question 29

Sexual health is an important areas of health inequities among LGBTQ2S people. Which of the following is an example of a sexual health inequity for this population?

A) Lower risk of HIV/AIDS
B) Lower number of sexual partners
C) Higher rates of protected sexual intercourse
D) Higher rates of having sex while intoxicated

Question 30

Sarah is a nurse who works with LGBTQ2S teenagers at the local high school. What is an example of a secondary prevention interventions that Sarah might be involved in?

A) Preventing violence and harassment
B) Screening for intimate partner violence
C) Providing strategies for managing depression
D) Providing treatment for STIs