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Nursing:
doi: 10.1097/01.NURSE.0000423871.81203.25
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Providing care for GLBTQ patients

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INSTRUCTIONS Providing care for GLBTQ patients

TEST INSTRUCTIONS

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* 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 December 31, 2014.

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Providing care for GLBTQ patients

GENERAL PURPOSE: To provide nurses with information about how patients' sexual orientation and gender identification affect nursing care. LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Discuss how sexual orientation and gender identity may affect a person's self-concept and relationships. 2. Identify health concerns associated with sexual orientation and gender identity. 3. Describe strategies to reduce barriers encountered by sexual minorities in the healthcare setting.

1. Because of previous negative experiences with the healthcare system, a GLBTQ individual may avoid

a. regular screening for certain disorders.

b. immunizations.

c. non-GLBTQ providers.

d. ED treatment.

2. The term genderqueer refers to a person who

a. is attracted only to men.

b. defies or doesn't accept stereotypical gender roles.

c. hasn't yet come out to family and friends.

d. is attracted only to women.

3. Patients seeking medical treatments to change their birth-assigned sex are

a. gay.

b. lesbian.

c. bisexual.

d. transsexual.

4. Someone living in a stressful environment produces chronic, dangerously high levels of

a. endorphins.

b. erythropoietin.

c. cortisol.

d. parathormone.

5. Compared to non-GLBTQ persons, the proportion of GLBTQ smokers is

a. higher.

b. about the same.

c. lower.

d. unknown.

6. Which health concern is most common in the lesbian population?

a. anorexia

b. obesity

c. HIV infection

d. use of club drugs

7. Which of the following isn't common among most sexual minorities?

a. internalized fear

b. period of denial

c. narrow belief system

d. internalized homophobia

8. Among all suicide attempts by teenagers, what proportion is committed by GLBTQ teens?

a. 1 in 2

b. 1 in 3

c. 1 in 4

d. 1 in 5

9. Stonewall refers to

a. the beginning of the gay rights movement in the United States.

b. a shelter for gay teens.

c. an online dating site for lesbians.

d. the women's rights movement.

10. Which group tends to be the most closeted and more inclined to hide their sexual orientation from a nurse?

a. young lesbian women

b. older lesbian women

c. young gay men

d. older gay men

11. A variable that commonly alters experiences among LGBTQ individuals is where they

a. grew up.

b. went to school.

c. came out.

d. went to church.

12. Patients' comfort level at “coming out” to healthcare workers is often related to

a. the age when they came out to others.

b. legal considerations.

c. healthcare insurance.

d. whether they're “out” to family, friends, and coworkers.

13. Which hospitals must provide protection against discrimination based on sexual orientation and gender?

a. all

b. none

c. those receiving funds from private foundations

d. those receiving funds for Medicare and Medicaid patients

14. Which is not a tip provided by The Joint Commission for providing a safe, healing environment for GLBTQ patients?

a. Create a welcoming environment.

b. Use forms that contain inclusive, gender-neutral language.

c. Assume heterosexuality until told otherwise.

d. Refrain from making assumptions based on how a person looks or dresses.

15. Which term is most appropriate to use, regardless of a patient's sexual orientation?

a. your spouse

b. your companion

c. your partner

d. your friend

16. Forms that contain inclusive, gender-neutral language can

a. facilitate honesty.

b. embarrass patients.

c. prevent openness.

d. make assumptions.

17. One resource recommended by the author to help you better understand your LGBTQ patients is

a. Diversity in Healthcare.

b. Healthy People 2020.

c. USPSTF Guide to Diversity.

d. The American Medical Association's Guide to Caring for All.

18. Sexual orientation and gender identity questions should

a. be confirmed by family members or partners.

b. be asked if suspicions are aroused.

c. be asked routinely as part of a nursing admission assessment and health history.

d. not be asked unless the patient brings it up.

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