Deck 7: Nursing Care of LGBTQ Families

Question 1

A school nurse working at a middle school recognizes that several students identify as LGBTQ. Which of the following should the school nurse keep in mind when assessing these students?

A) Later onset of puberty
B) Greater popularity among student peers
C) Earlier sexual activity
D) Greater risk of teen pregnancy

Answer 1

Greater risk of teen pregnancy

Question 2

During a health assessment a middle-aged homosexual male asks the nurse not to document his sexual preference because his primary health care provider is not aware. What should this request indicate to the nurse?

A) Fear of not receiving required care
B) Fear of having to pay more for care
C) Fear that family members will be discriminated against
D) Fear of not having anyone to help as aging occurs

Answer 2

Fear of not receiving required care

Question 3

The nurse prepares to assess an adolescent's sexual history. On which questions should the nurse focus when completing this assessment? Select all that apply.

A) Priority
B) Partners
C) Practices
D) Protection
E) Pregnancy prevention

Answer 3

Partners
Practices
Protection
Pregnancy prevention

Question 4

The nurse learns that a homosexual male has waited more than 2 months before seeking treatment for a sexually transmitted infection. What should the nurse consider as a reason for this client to delay seeking treatment? Select all that apply.

A) Lack of access to care
B) Lack of insurance coverage
C) Confusion regarding the symptoms
D) History of overt discrimination
E) Negative experience with the health care system

Question 5

The nurse is aware of several children adopted into same-sex families that are scheduled to participate in the community preschool program. What can the nurse do to facilitate the acceptance of these children'sfamily structure into the preschool learning environment? Select all that apply.

A) Ensure teaching materials demonstrate diverse family structures
B) Provide toys, books, and games that emphasize traditional gender roles
C) Select materials that show both genders performing a variety of roles
D) Instruct the preschool staff members on ways to reduce the stigma of these children
E) Encourage these children to play with toys that are opposite from their parents' gender

Question 6

The nurse manager suggests that the nursing staff include an assessment of mental health for all clients who are of the LGBTQ community. Why is the manager most likely making this suggestion? Select all that apply.

A) The higher risk of substance abuse within this community
B) The greater risk for depression within this community
C) The high level of social stigma and discrimination that this community often experiences
D) A preexisting bias against this community
E) The fact that suicide is a leading cause of death within this community

Question 7

The nurse is assessing a middle-aged homosexual male. The nurse knows that when assessing this patient which of the following should be taken into consideration? Select all that apply.

A) Earlier onset of physical disability
B) Greater risk of cardiovascular disease
C) Lower rate of migraines
D) Higher rate of chronic gastrointestinal problems
E) Less risk for some cancers

Question 8

The nurse notes that a transgender male has elevated liver enzymes and poor bone density. What should the nurse consider as a reason for these findings?

A) Poor calcium intake
B) High intake of alcohol
C) Masculinizing hormone therapy
D) Chronic use of tobacco and substances

Question 9

The nurse desires to improve competency when caring for families within the LGBTQ community. Which first step should the nurse take to improve this competency?

A) Learn the relevant language
B) Evaluate personal background, beliefs, and biases
C) Build cultural and personal knowledge
D) Understand the unique disparities of the population

Question 10

During a family assessment the nurse learns that one parent is heterosexual and the other family member is bisexual of the opposite sex. How should the nurse document this family structure?

A) Blended family
B) Family of choice
C) Mixed-orientation
D) Live Apart Together