Question 1

Which of the following is an example of a nurse not considering the health concerns of lesbian, gay, bisexual, trans, and queer/questioning (LGBTQ+) patients?&#10;A) Providing educational materials on HIV for men who have sex with men (MSM)&#10;B) Asking a patient how they identify their sexual orientation&#10;C) Assuming a same-sex female couple are sisters&#10;D) Using cultural humility to examine his or her own cultural biases

Accepted Answer

A nurse who assumes that two women are sisters and not a same-sex couple is an example of not considering the LGBTQ+ community. Providing specialized client education materials, asking a patient to identify her or his sexual orientation, and examining one's own cultural biases are examples of considering the LGBTQ+ community in health care.

Question 2

Why was the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community formed?&#10;A) To share housing&#10;B) To survive the stigma&#10;C) For recreation activities&#10;D) For business opportunities

Accepted Answer

In the past, people banded together and formed supportive communities based on their shared identity. LGBTQ+ culture arose because of this shared identity and the need for support to survive the stigma. The community was not formed to share housing, for recreational activities, or for business opportunities.

Question 3

In which aspect of human society does discrimination against members of the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community still exist?&#10;A) Religion&#10;B) Marriage rights&#10;C) Access to education&#10;D) Access to health care

Accepted Answer

LGBTQ+ people still routinely face family rejection, employment discrimination, religious condemnation, bullying, and other forms of invalidation and harassment. Marriage rights, access to education, and access to health care are not identified as areas in which members of this community experience discrimination.

Question 4

Which of the following characteristics is a nurse least likely to assess when determining a patient's sexual orientation?&#10;A) Gender&#10;B) Fantasy&#10;C) Identity&#10;D) Behavior

Accepted Answer

The three components of sexual orientation include fantasy or attraction, identity or self-labeling, and behavior or sexual experience. Gender is not a characteristic of sexual orientation.

Question 5

Which of the following terms should a nurse avoid using when caring for a member of the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community?&#10;A) Gay&#10;B) Queer&#10;C) Asexual&#10;D) Bisexual

Accepted Answer

Queer is used an umbrella term for LGBTQ+; however, it should not be used unless nurses work closely with the population where the term is widely used. The terms gay, asexual, and bisexual are common terms used to describe specific sexual identities.

Question 6

Which of the following terms has a stigma rooted in fundamentalist religious beliefs for a member of the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community?&#10;A) Disclosure&#10;B) Coming out&#10;C) Heterosexism&#10;D) Gender normativity

Accepted Answer

The term heterosexism refers to institutionalized oppression based on the assumption that heterosexuality is the only normal option for human relationships. Much of this assumption stems from fundamental religious beliefs. Disclosure is sharing information about sexual identity. Coming out is a lifelong process of self-acknowledgment, acceptance, and adopting of labels. Gender normativity refers to the myth that each person is born as either a man or a woman and that sex is biologically fixed at birth.

Question 7

Which of the following is a characteristic of internalized stigma?&#10;A) Bullying&#10;B) Self-hatred&#10;C) Family rejection&#10;D) Work discrimination

Accepted Answer

Internalized stigma occurs when individuals believe the negative stereotypes about the groups with whom they identify, and it results in a sense of shame, guilt, doubt, and/or self-hatred. External sources of discrimination stem from actual or perceived bullying, family rejection, and/or work discrimination.

Question 8

Which of the following health problems of the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community has been the most studied in nursing research?&#10;A) Depression&#10;B) Osteoarthritis&#10;C) Gastroenteritis&#10;D) Chronic obstructive pulmonary disease

Accepted Answer

The most thoroughly studied and documented health disparities of LGBTQ+ individuals include mental health disorders. Studies have found that mental health disorders are linked to discrimination, with higher rates of depression and anxiety disorders found in LGBTQ+ people with a greater number of discrimination experiences. The health problems of osteoarthritis, gastroenteritis, and chronic obstructive pulmonary disease are not identified as topics of study for this population.

Question 9

Which of the following would a nurse do to develop cultural humility when caring for members of the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community?&#10;A) Model acceptance and professional conduct&#10;B) Avoid caring for members of this community&#10;C) Talk with the family members of this community&#10;D) Ask the patient to explain how he or she became a member of the community

Accepted Answer

Suggestions for developing cultural humility when caring for members of the LGBTQ+ community include examining personal biases, learning about LGBTQ+ issues, locating resources for LGBTQ+ members, and modeling acceptance and professional conduct. Avoiding these members, talking with LGBTQ+ family members, and asking patients to explain how they became a member of the community will not help a nurse develop cultural humility.

Question 10

Which of the following questions would a nurse ask to assess a member of the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community and to determine sexual identity?&#10;A) &#34;Have you had sexual relations with men?&#34;&#10;B) &#34;Have you had sexual experiences with women?&#34;&#10;C) &#34;How many times did you have sex with a man in the last month?&#34;&#10;D) &#34;Can you tell me what words you use to describe your sexual orientation?&#34;

Accepted Answer

Questions such as "Can you tell me what words you use to describe your sexual orientation?" can open the door to disclosure about sexual identity. Asking about specific relations with men and women and the number of times a person has sex with a man are questions to understand sexual orientation according to behavior.

Deck 20: Promoting Lesbian, Gay, Bisexual, Transgender, and Queer LGBTQ Health