Deck 25: Caring for the Transgender Patient

Question 1

Which of the following is the definition of gender identity according to the World Professional Association for Transgender Health (WPATH) ?

A) The biological fact of being male or female, based on one's chromosomes
B) The biological fact of being male or female, based on one's genitalia
C) The set of cultural roles and expectations one fulfills associated with one's genitalia
D) The internal sense of being male or female

Answer 1

D

Question 2

According to the DSM-5, the condition of experiencing an incongruence between one's gender identity and one's natal sex is known as which of the following?

A) Gender dysphoria
B) Gender identity disorder
C) Homosexuality
D) Transsexualism

Answer 2

A

Question 3

Historically, what measures have been used as a basis for estimating the prevalence of gender dysphoria? (Select all that apply.)

A) Polls conducted by telephone
B) Use of the diagnostic codes for gender identity disorder and gender dysphoria
C) Surveys conducted on admission and discharge from hospitals
D) Rates of gender-affirming surgery
E) Applications for legal gender change

Answer 3

B, D, E

Question 4

Which of the following include the recommended guidelines for nurse practitioners in caring for transgender clients?

A) Use terminology that allows individuals to explore their gender in a safe environment
B) Learn each person's particular gender identity and how they relate it to their health
C) Use the person's preferred name
D) Use the pronoun that corresponds to the gender associated with the person's appearance
E) Encourage the client to undergo gender-affirming surgery

Question 5

Which of the following is the term applied at birth as male or female, usually based on the physical appearance of the external genitalia?

A) Sex
B) Gender identity
C) Gender
D) Sexual orientation

Question 6

Lisa is a biologic male whose expressed gender is female. Which term most accurately describes Lisa?

A) Transman
B) Transwoman
C) Cis-gender
D) Lesbian

Question 7

Melanie has two X chromosomes and was born with ovaries, a uterus, and a vagina. She has always identified with her biologic sex and presents as a female. Which term most accurately describes Melanie?

A) Transman
B) Transwoman
C) Cis-gender
D) Lesbian

Question 8

Recent biological theories emphasize that the brain develops at a different time than the genitals and can thus be predisposed to identify with the gender opposite to that associated with the genitals. What is the primary flaw in these theories?

A) The assumption that gender identity can differ from biological sex
B) The belief that the brain develops at a different time than the genitals
C) The assumption that gender is binary
D) The belief that the time of development of the genitals has any effect on the brain

Question 9

Michael is a biologic male who identifies as female. What health conditions associated with gender dysphoria should the nurse assess for in Michael? (Select all that apply.)

A) Cardiovascular disease
B) Diabetes mellitus
C) Depression
D) Anxiety
E) Bipolar disorder

Question 10

Lucy is a client who would like to begin hormone therapy to start transitioning to a male gender identity. What criteria must Lucy meet before she can begin hormone therapy? (Select all that apply.)

A) Persistent, well-documented gender dysphoria
B) Capacity to make an informed decision and give consent
C) Be at least 18 years old
D) Undergo a mental health evaluation
E) Have no history of mental health disorders

Question 11

At her first visit to the physician's office, Allison tells the nurse that she has never felt comfortable identifying with her biologic sex and thinks that she might actually be male. Which of the following is the priority nursing action at this time?

A) Refer Allison to a psychologist
B) Facilitate diagnosis of gender dysphoria
C) Encourage Allison to consider undergoing testosterone therapy
D) Provide Allison with literature related to gender-affirming surgery

Question 12

Sam has just been diagnosed with gender dysphoria and would like to know what his treatment options are. The nurse should mention which of the following? (Select all that apply.)

A) Antipsychotic medications
B) Social transition through gender expression
C) Hormone therapy
D) Surgical alteration
E) Legal name and gender changes

Question 13

Mandy is a transwoman (transitioning from male to female), and is interested in undergoing hormone therapy. What hormone would most likely be used in this situation?

A) Testosterone
B) Spironolactone
C) Progesterone
D) Estrogen

Question 14

Thomas is a transman (transitioning from female to male). What changes can this client expect from hormone therapy? (Select all that apply.)

A) Ability to generate sperm
B) A deepening of the voice
C) Increased muscle mass
D) Cessation of menses
E) Increased growth of facial and body hair

Question 15

Marshall is a transman (transitioning from female to male), who is considering undergoing gender-affirming surgery. What surgery options would be appropriate for Marshall? (Select all that apply.)

A) Mastectomy
B) Vaginoplasty
C) Hysterectomy
D) Orchiectomy
E) Phalloplasty