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Population and Community Health Nursing Chapter 20
Terms in this set (10)
"...do not need to be screened for STDs."
Correct: This patient does need screening, especially if the relationship is not monogamous.
A nurse is working with a lesbian client. Which statement by the client would indicate a need for further teaching? "Because I am in a homosexual relationship, I ...
a. "... should notify my partner(s) if I test positive for any sexually transmitted disease."
b. "... do not need to be screened for STDs."
c. "... will get a mammogram every two years."
d. "... will need to be screened for cervical cancer."
Are at slighter greater risk for mental illness.
Correct: Although GLBT individuals do not appear to be any more intrinsically susceptible to mental illness than their straight counterparts, there is some evidence to suggest that they have a slightly higher prevalence of mental illness, possible as a result of "minority stress."
As a community health nurse working with lesbian clients, it is important for the nurse to understand that these clients:
a. Are at slightly greater risk for mental illness.
b. Will always be at risk for depression.
c. Have no problems with psychological disorders.
d. Are at no greater risk for psychiatric disorders.
Correct: Studies show that smoking is about twice as prevalent in the GLBT population as in the straight population.
The community health nurse staffs a clinic, which serves a large number of homosexual clients. When assessing young lesbian clients, the nurse would want to pay keen attention to physiological changes of which system?
May have mixed meaning.
Correct: Homosexuality is culturally defined and what is considered homosexual in one culture may not be in another, even if it involves same-sex sexual activity.
A public health nurse is surveying males in a community to get a sense of the overall health risks present. After reviewing the surveys, approximately 12% identified themselves as gay. The nurse should conclude that this information:
a. This coincides with the national averages.
b. May have mixed meaning.
c. Should not be taken seriously as the nurse really does not know what the respondents meant by their answer.
d. Means these men are at much greater risk for psychological and social problems.
A normal phase of acceptance.
Correct: Families go through stages similar to the stages of grief. In the denial stage the parents may see their child's professed sexual identity as a "phase" that he or she will grow out of.
A school nurse is working with a family whose son recently announced that he is gay. The parents were initially angry and now, several weeks later, state to the nurse that this is a fad their son is just "going through." The nurse recognizes this as:
a. Acceptance that he is gay.
b. A call for help on the parent's behalf.
c. A highly irregular occurrence.
d. A normal phase of acceptance.
The majority of the client's social contacts and family are unaware that he is gay.
Correct: Coming out involves openly living as a gay, lesbian, bisexual, or transgender individual.
A client who is gay tells the nurse that he has disclosed his sexual preference to a few close friends, but has not come out. How does the nurse interpret this statement?
a. This client is confused as to the appropriate terms used for telling others.
b. Once you have disclosed, coming out is inevitable.
c. The majority of the client's social contacts and family are unaware that he is gay.
d. Only the client's friends know he is gay; his family does not.
Most adoption agencies will accept applications from GLBT persons.
Correct: While this is a true statement, the percentage of agencies reporting placement of a child with a GLBT family or individual is much lower.
A couple who are lesbian would like to adopt a child. Which information will the population health nurse provide?
a. This adoption will be prohibited by Federal law.
b. This adoption will be prohibited by State law in all states.
c. Most adoption agencies will accept applications from GLBT persons.
d. Sexual orientation is not a significant factor in adoption.
"Parental attachment to the child is the primary factor in successful parenting."
Correct: Children adopted by GLBT individuals tend to develop secure parental attachments and grow up as successfully as children in heterosexual families.
A couple who are gay have adopted a child. The child's new grandfather says, "I'm worried about the effects of their relationship on my grandchild." How should the population health nurse respond?
a. "The child will be adversely affected."
b. "Abuse potential is higher among same sex couples."
c. "Parenteral attachment to the child is the primary factor in successful parenting."
d. "The child will be more likely to be gay as an adult."
Correct: Serosorting is the practice of limiting sexual partners to persons of the same HIV status or use of condoms with HIV discordant or unknown partners.
A patient who is gay reports that he does not use a condom with his main partner but always uses one when he "goes clubbing." How does the population health nurse document this information?
Correct: Hormone therapy may increase risk of heart disease.
Correct: Hormone therapy may increase risk of stroke.
Correct: Hormone therapy may increase risk of breast cancer.
The population nurse is working with an individual who is taking hormone therapy as part of the gender recognition surgery. The nurse would teach the client to increase monitoring for which health problems? (Select all that apply.)
a. Heart disease
b. Urinary tract infection
d. Sexually transmitted infection
e. Breast cancer
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