CE Test 2.6 Hours: Addressing Health Care Disparities in the Lesbian, Gay, Bisexual, and Transgender Population: A Review of Best Practices

Contrada, Emily

AJN, American Journal of Nursing: June 2014 - Volume 114 - Issue 6 - pp 35,45
doi: 10.1097/01.NAJ.0000450424.89759.f8
Feature Articles
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Addressing Health Care Disparities in the Lesbian, Gay, Bisexual, and Transgender Population: A Review of Best Practices

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To provide information about lesbian, gay, bisexual, and transgender (LGBT) health issues and health care disparities.

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After reading this article and taking this test, you will be able to

* recognize health issues and health care disparities affecting the LGBT population.

* identify recommendations for best practices based on current evidence and standards of care.

1. In Dorsen's 2012 literature review, how many of the 17 studies exploring nurses’ attitudes toward the lesbian, gay, bisexual, or transgender (LGBT) population found evidence of negative attitudes?

a. 11

b. 13

c. 15

d. 17

2. Another literature review of 16 studies exploring the attitudes of nursing students toward people with HIV infection or AIDS found that many students harbor a fear of

a. rejection.

b. mistreatment.

c. contagion.

d. dependence.

3. A recent survey of 132 American and Canadian medical schools found that an average of how many hours during the entire preclinical and clinical curricula were dedicated to LGBT-related topics?

a. 7

b. 11

c. 15

d. 19

4. Eliason and colleagues have stated that “the first task of nursing education is to

a. oppose legal discrimination regarding access to health services.”

b. ensure that students understand what sexual stigma means.”

c. examine health care disparities that affect all minorities.”

d. infuse the curriculum with LGBT content.”

5. Overall, what percentage of the population identifies as lesbian, gay, or bisexual, or transgender?

a. 1% to 5%

b. 5% to 10%

c. 11% to 15%

d. 16% to 20%

6. In 2010, an Institute of Medicine committee was tasked with identifying research gaps in LGBT topics. The committee's final report noted that most studies had been conducted among

a. lesbians and transgender people.

b. bisexuals and gay men.

c. lesbians and gay men.

d. bisexuals and transgender people.

7. A study analyzing national population-based data found that lesbians were significantly more likely than women of any other sexual orientation to have which of the following health problems?

a. obesity

b. HIV infection

c. anorexia

d. cervical cancer

8. HIV infection rates are disproportionately higher among men who have sex with men. Which of the following groups are at exceptionally high risk?

a. Native American men

b. white men

c. Asian men

d. Hispanic men

9. Both HIV infection and long-term antiretroviral therapy have been associated with an increased risk of

a. cardiovascular diseases.

b. neurologic diseases.

c. pulmonary diseases.

d. gastrointestinal diseases.

10. A comprehensive report by the New Mexico Department of Health found that, compared with heterosexuals, bisexuals (along with gay men and lesbians) reported higher rates of which of the following?

a. cancer

b. asthma

c. hypertension

d. fibromyalgia

11. The HIV infection rate for transgender people is how many times that of the general population?

a. 2

b. 3

c. 4

d. 5

12. By 2050, LGBT people ages 65 years and older will account for one of how many elders in this country?

a. 11

b. 13

c. 15

d. 17

13. Compared with their heterosexual counterparts, LGBT youth are at higher risk for

a. eating disorders.

b. learning disabilities.

c. somatic disorders.

d. suicidal ideation.

14. Among lesbians and bisexual women, the prevalence of smoking is reportedly up to how much higher than it is in the general population?

a. 150%

b. 250%

c. 350%

d. 450%

15. The American Lung Association has reported that, of all sexual minorities, which group appears to have the highest rate of smoking?

a. lesbians

b. bisexual adults

c. gay men

d. transgender adults

16. The monograph referred to as the Field Guide

a. is evidence based, comprehensive, and covers 5 health-related domains.

b. includes a provider's guide to reimbursement for health care services.

c. was created by the American Society on Aging.

d. compiles the laws and regulations regarding LGBT health care in all 50 states.

17. Which of the following is one of the top issues transgender people should discuss with their providers?

a. hormones

b. intimate partner violence

c. hepatitis immunization and screening

d. life dissatisfaction

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