Question 1

The primary cause of health disparities among lesbian, gay, bisexual, and transgender (LGBT) individuals is believed to be which of the following?&#10;A) Lack of awareness of need for care&#10;B) Increased genetic risk&#10;C) Hormonal changes&#10;D) Societal stigma and marginalization

Accepted Answer

The primary cause of health disparities among LGBT individuals is societal stigma and marginalization. This can lead to reduced access to healthcare, mental health issues, and increased risk for certain diseases due to stress and discrimination.

Question 2

LGBT persons are believed to comprise what percentage of the population?&#10;A) 1% to 2.5%&#10;B) 3.8% to 10%&#10;C) 10.3% to 15.8%&#10;D) 16.1% to 21.7%

Accepted Answer

Estimates of the percentage of the population that identifies as LGBT vary, but many studies and surveys suggest a range of 3.8% to 10%. This range accounts for variations in how individuals identify themselves and the willingness of individuals to disclose their sexual orientation or gender identity in surveys.

Question 3

A nurse practitioner recently joined a practice with a diverse clientele, including persons of all sexual orientations and gender identities. How should the nurse approach these clients? (Select all that apply.)

A) Avoid bringing up sexual orientation or gender identity
B) Ask all clients openly about their sexual orientation and gender identity
C) Assume all clients are heterosexual and cisgender unless they say otherwise
D) Personalize care based on relevant risk factors and individual patient behaviors
E) Base treatment plans on risk factors associated with a person's sexual orientation

B, D

Accepted Answer

Asking all clients openly about their sexual orientation and gender identity ensures that care is inclusive and recognizes the diversity of the patient population. Personalizing care based on relevant risk factors and individual patient behaviors allows for a more tailored and effective approach to healthcare, addressing specific needs and concerns of each patient.

Question 4

What is the prevalence of gender dysphoria in the United States?&#10;A) 5%&#10;B) 3%&#10;C) 1%&#10;D) Unknown

Accepted Answer

The prevalence of gender dysphoria in the United States is not precisely known and can vary based on the definitions and methodologies used in studies. Estimates can vary widely, making "Unknown" the most accurate answer.

Question 5

Which of the following is the most accurate statement regarding the etiology of homosexuality?&#10;A) It is a genetic trait&#10;B) It is determined by hormone levels&#10;C) It is likely a combination of nature and nurture&#10;D) It is a social construct

Accepted Answer

The etiology of homosexuality is complex and not fully understood, but current research suggests that it is likely a combination of biological, including genetic and hormonal factors, and environmental influences, rather than being solely attributable to any single factor. This perspective acknowledges the roles of both nature (biology) and nurture (environment) in sexual orientation.

Question 6

What was the last year that homosexuality appeared as a pathological condition in the Diagnostic and Statistical Manual of Mental Disorders (DSM)?&#10;A) 1963&#10;B) 1973&#10;C) 1983&#10;D) 1993

Accepted Answer

1973 was the last year homosexuality appeared as a pathological condition in the DSM. It was removed in that year following significant advocacy and changes in social attitudes towards homosexuality.

Question 7

Melissa is a 62-year-old lesbian client. On the basis of her age and sexual orientation, Melissa is more likely to do which of the following? (Select all that apply.)&#10;A) Live alone&#10;B) Have HIV&#10;C) Lack family support for meeting basic needs&#10;D) Fear discrimination when accessing medical services&#10;E) Be homeless

Accepted Answer

Melissa, being a 62-year-old lesbian, is more likely to live alone and lack family support for meeting basic needs due to potential estrangement or lack of acceptance from family members. Additionally, older LGBTQ+ individuals often fear discrimination when accessing medical services, reflecting concerns about bias and misunderstanding from healthcare providers. Choices B and E are not directly correlated with her age and sexual orientation in a way that would make them more likely without additional context.

Question 8

What condition related to gender identity is included in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5)?&#10;A) Gender dysphoria&#10;B) Gender identity disorder&#10;C) Transgender disorder&#10;D) Body dysmorphic disorder

Accepted Answer

Gender dysphoria is included in the DSM-5 as a condition related to gender identity, where individuals experience significant distress or impairment related to a discrepancy between their experienced gender and the gender they were assigned at birth.

Question 9

Jackie is a 19-year-old transwoman who has arrived at the office today for a physical. What health disparities should the nurse assess for in Jackie? (Select all that apply.)&#10;A) Risky sexual behaviors&#10;B) Depression&#10;C) Multiple sclerosis&#10;D) Trauma and violence&#10;E) Substance abuse

Accepted Answer

Transgender individuals, including transwomen like Jackie, often face health disparities such as risky sexual behaviors, depression, trauma and violence, and substance abuse due to societal stigma, discrimination, and lack of access to appropriate healthcare. Multiple sclerosis is not specifically linked to being transgender.

Question 10

Meg is a 15-year-old bisexual client. Which of the following is Meg at a greater risk for than her heterosexual counterparts? (Select all that apply.)&#10;A) Spinal cord injury&#10;B) Experiencing school bullying&#10;C) Bipolar disorder&#10;D) Homelessness&#10;E) Suicidality

Accepted Answer

Meg, as a bisexual individual, is at a greater risk for experiencing school bullying, homelessness, and suicidality compared to her heterosexual counterparts. This is due to societal stigma, discrimination, and potential lack of support from family and community, which can lead to mental health issues and unstable living conditions.

Deck 20: Primary Care of Lesbian, Gay, Bisexual, and Transgender Individuals