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AJN, American Journal of Nursing:
doi: 10.1097/01.NAJ.0000450424.89759.f8
Feature Articles

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

Contrada, Emily

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Continued Education
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TEST INSTRUCTIONS

* To take the test online, go to our secure Web site at www.nursingcenter.com/ce/ajn.

* To use the form provided in this issue, record your answers in the test answer section of the CE enrollment form below. Each question has only one correct answer. You may make copies of the form.

* Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee to: Lippincott Williams and Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. You will receive your certificate in four to six weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.

* Registration deadline is June 30, 2016.

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DISCOUNTS AND CUSTOMER SERVICE

* Send in together two or more tests from any nursing journal published by Lippincott, Williams and Wilkins (LWW), and deduct $0.95 from the price of each test.

* We also offer CE accounts for hospitals and other health care facilities online at www.nursingcenter.com. Call 1-800-787-8985 for details.

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PROVIDER ACCREDITATION

LWW, publisher of AJN, will award the number of contact hours indicated for each continuing nursing education activity. LWW is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center (ANCC).

These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LWW is also an approved provider of continuing nursing education by the District of Columbia and Florida #50-1223. Your certificate is valid in all states.

The ANCC's accreditation status of the LWW Department of Continuing Education refers to its continuing nursing educational activities only and does not imply Commission on Accreditation approval or endorsement of any commercial product.

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CE TEST QUESTIONS

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

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GENERAL PURPOSE:

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

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LEARNING OBJECTIVES:

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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