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Increasing cultural competence with LGBTQ patients

Author Information
doi: 10.1097/01.NURSE.0000559944.83513.4b
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INSTRUCTIONS Increasing cultural competence with LGBTQ patients


  • Read the article. The test for this CE activity is to be taken online at
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  • There's only one correct answer for each question. A passing score for this test is 13 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.
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  • Registration deadline is June 4, 2021.


Lippincott Professional Development will award 1.0 contact hour for this continuing nursing education activity. Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour, and the District of Columbia, Georgia, and Florida CE Broker #50-1223.

Payment: The registration fee for this test is $12.95.

Increasing cultural competence with LGBTQ patients

GENERAL PURPOSE: To provide information about improving care for LGBTQ patients. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. List the health risks of LGBTQ people. 2. Identify nursing interventions to improve outcomes for LGBTQ patients.

  1. Individuals whose gender identity is not exclusively male or female identify as
    1. nonbinary.
    2. bisexual.
    3. cisgender.
  2. The term transgender woman refers to an individual who
    1. desires relationships with men.
    2. has a homosexual orientation.
    3. was assigned male at birth.
  3. The three major markers of sexual orientation are behavior, identity, and
    1. assignment.
    2. attraction.
    3. sexual history.
  4. A 2016 study by the J. Walter Thompson Innovation Group found that 48% of 13- to 20-year-olds in the US identify as
    1. queer.
    2. bisexual.
    3. exclusively heterosexual.
  5. A national 2015 survey found that the estimated median time devoted to teaching LGBTQ health in nursing school was
    1. 2.12 hours.
    2. 12.2 hours.
    3. 21.2 hours.
  6. In a 2010 study by Haas and colleagues, LGB respondents in states without protective policies were found to be five times more likely than those in other states to have
    1. two or more mental disorders.
    2. generalized anxiety disorder.
    3. unstable relationships.
  7. A 2014 study by Garcia found that, compared with their peers in other communities, LGB people who live in communities with high levels of antigay prejudice
    1. report more social isolation.
    2. die 12 years earlier.
    3. experience more depressive episodes.
  8. According to Healthy People 2020, LGBTQ people experience higher rates of which of the following than non-LGBTQ people?
    1. inflammatory bowel disease
    2. cardiovascular disease
    3. cancer
  9. The 2016 Youth Risk Behavior Survey showed that 34% of LGBTQ teens were
    1. bullied in school.
    2. forced to have sex.
    3. victims of physical violence.
  10. Gay college students who feel they have to conceal their sexual orientation are more likely to
    1. misuse opioids.
    2. misuse alcohol.
    3. smoke.
  11. Nurses should routinely ask patients about their SOGI
    1. after the patient brings it up.
    2. once an ongoing trusting relationship is established.
    3. during assessment at all points of the care continuum.
  12. In a study of 544 sexual or gender minority patients seen in EDs, participants reported improved communication and greater comfort when SOGI was collected
    1. via nonverbal self-reports.
    2. during the admission physical assessment.
    3. by nurses rather than other healthcare providers.
  13. According to The Joint Commission, cultural competence requires organizations to
    1. adopt protective policies.
    2. manage the dynamics of difference.
    3. employ a diverse group of providers.
  14. All the following organizations offer LGBTQ cultural competence for healthcare professionals except
    1. GLMA: Health Professionals Advancing LGBT Equality.
    2. American Civil Liberties Union.
    3. National LGBT Cancer Network.
  15. The organizational nondiscriminatory statement should be posted prominently in
    1. waiting rooms.
    2. treatment rooms.
    3. physician offices.
  16. What should nurses do if transition-related services are not offered within their healthcare system?
    1. advocate for their development
    2. find local resources and have referral information available
    3. recommend that transgender patients be treated elsewhere
  17. Following her cultural competence education, what information did the nurse in the case study begin including in each patient's electronic medical record?
    1. friends and family members' names
    2. a detailed sexual history
    3. gender-affirming pronouns
  18. What was the goal of the LGBTQ Care Committee created in the case study?
    1. recruiting LGBTQ providers
    2. revising hospital policies to be more LGBTQ-friendly and inclusive
    3. creating mandatory hospital-wide cultural competency education
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