Question 1

What may indicate that a client exhibits risky sexual behaviors?&#10;A) Long term relationship with the same sexual partner&#10;B) Consistent condom use&#10;C) Various modes of sexual intercourse&#10;D) Discussing health concerns prior to sexual contact

Accepted Answer

Risky sexual behavior may include frequent partner changes, inconsistent condom use, and various modes of sexual intercourse.

Question 2

The nurse is counseling a client who is undergoing post-exposure prophylaxis. Which information should the nurse provide to the client so that treatment can be optimized?&#10;A) Strict medication adherence is crucial to avoid contracting the disease&#10;B) Healthy diet will keep the client from contracting the disease&#10;C) The use of vitamins and supplements will prevent the client from contracting the disease&#10;D) The client should avoid exercise during the treatment period.

Accepted Answer

In order to optimize treatment, the client should practice strict medication adherence.

Question 3

The nurse is working at a clinic that serves high risk clients. What practices can the nurse implement to assess risk for each client?&#10;A) Perform relevant, routine screenings&#10;B) Screen each client for pre-determined risks based on the majority&#10;C) Set more frequent appointments for clients with certain lifestyles&#10;D) Test each client for STIs with every appointment

Accepted Answer

The nurse should perform relevant, routine screenings in order to best serve each client.

Question 4

According to research evidence, which client would be most at risk to attempt suicide?&#10;A) LGB man&#10;B) LGB woman&#10;C) Heterosexual male adolescent&#10;D) Heterosexual female adolescent

Accepted Answer

Gay and bisexual men are more than twice as likely to have a suicide attempt in the last year, compared to heterosexual men. The CDC (2014) indicated that LGBT youth demonstrate higher risk of contemplating suicide, suicidal behaviors, attempting suicide, and actually carrying out acts of suicide.

Question 5

The nurse is creating a new policy regarding screenings for LGB individuals. Which does the nurse note during the research stage?&#10;A) Lesbians are more likely to report illicit drug use&#10;B) Gay and bisexual men are more likely to report use of alcohol abuse&#10;C) Older LGB clients have a reduced risk of drug abuse&#10;D) Bisexual identity may increase risk of substance abuse

Accepted Answer

Bisexual identity was found to be related to an increased risk of substance abuse. Lesbians are more likely to report alcohol abuse, while gay and bisexual men are more likely to report illicit drug use.

Question 6

Which population have studies shown will have a lower likelihood of experiencing guilt associated with drug use?&#10;A) Gay men&#10;B) Lesbians&#10;C) Bisexuals&#10;D) LGB adolescents

Accepted Answer

Individuals who identify as bisexual are the least likely to experience guilt associated with drug use, according to a study by Hequembourg and Dearing (2013).

Question 7

According to Chow et al.'s (2013) findings, which drug are LGB clients particularly prone to use?&#10;A) Heroin&#10;B) Marijuana&#10;C) Alcohol&#10;D) Cocaine

Accepted Answer

Chow et al.'s (2013) findings from samples drawn from different cities in Canada during 2008-2012 founds that LGB individuals are particularly more prone to have used ecstasy, ketamine, and alcohol in the recent 30 days.

Question 8

Which of the following experiences has been associated with suicidal tendencies, shame, and guilt among LGB clients?&#10;A) Acceptance by family&#10;B) Overachievement in academics&#10;C) Participation in an LGB support group&#10;D) Exposure to homophobic prejudices

Accepted Answer

Exposure to homophobic prejudices, discrimination, stigmatization, victimization, and rejection by family members and sexual partners are associated with experiences of guilt, shame, and suicidal tendencies.

Question 9

The nurse is working with a bisexual client who has noted several stressful childhood experiences. What should the nurse screen for?&#10;A) Good relationship with family members&#10;B) Involvement with community&#10;C) Ability to maintain employment&#10;D) Risky sexual practices

Accepted Answer

When working with LGB clients who have experienced stressful childhood experiences, the nurse should assess for risky sexual practices.

Question 10

The nurse is working with a client who was recently diagnosed with bacterial vaginosis (BV). Which statement made by the nurse is true?&#10;A) Eating more fruits and vegetables will help heal BV.&#10;B) Having BV means you have an imbalance of normal vaginal bacterial flora.&#10;C) Increasing your water intake will reduce the chance of contracting BV in the future.&#10;D) BV is a relatively rare condition often contracted by perimenopausal women.

Accepted Answer

Bacterial vaginosis (BV) is a heterogeneous syndrome caused by different clusters of vaginal bacteria mainly brought about by a change in the composition of the microorganisms. BV as proliferation of multiple anaerobic microorganisms with depletion of the natural lactobacilli within the vagina. The condition is explained as replacement or imbalance of the normal vaginal bacterial flora by anaerobic bacteria of the Gardnerella and Mobilunculus species, causing multiple upper genital tract infections.

Deck 12: Lesbian, Gay, Bisexual, Transgender, Trans-Sexual, and Questioning Dispositions