Question 1

A client recovering from MTG sexual reassignment surgery asks what can be done to change the sex and name on the client's driver's license. What should the population health nurse do to assist the client with this issue?

Accepted Answer

A)   Nothing-birth gender cannot be legally changed.
B)   Complete paperwork through the client's automotive club.
C)   Recommend waiting until the surgery is considered successful.
D)   Provide information to have gender identification legally changed. D

Question 2

A member of the GLBT community admits that anal intercourse is often conducted unprotected. What should the population health nurse recommend to reduce this client's risk of illness?

Accepted Answer

A)   Always use a condom.
B)   Have monthly HIV testing.
C)   Alter the type of intercourse.
D)   Consider a monogamous relationship. A

Question 3

The population health nurse is interviewing a client who states that she is a lesbian. What statement by the client indicates the need for more education?

Accepted Answer

A)   "Since I only have sex with females I am at a lower risk for some sexually transmitted diseases."
B)   "I have less risk factors for breast cancer than a heterosexual."
C)   "I do need to have routine Pap smears."
D)   "I have an increased risk of heart disease." B

Question 4

A client who is a MTG transgender is considering feminizing genitoplasty. Which surgical procedures should the population health nurse include when instructing this client? (Select all that apply.)

Accepted Answer

A)   Penectomy.
B)   Vovoplasty.
C)   Orchiectomy.
D)   Vaginoplasty.
E)   Reduction mammoplasty.

Question 5

An adolescent shares with the nurse that he is gay and that he is going to tell his parents. The nurse knows that parental response to the disclosure of homosexuality is strongly influenced by the: (Select all that apply.)

Accepted Answer

A)   Strength of traditional gender role conceptions.
B)   Perceptions of the probable attitudes of significant others in the family's network.
C)   Parental age.
D)   Parental education.
E)   Parental race.

Question 6

The most accurate description the population health nurse could give a colleague about homophobia is that it:

Accepted Answer

A)   Prohibits homosexuals from serving as foster parents.
B)   Encompasses a belief system that is used to justify discrimination against lesbians.
C)   Is an intolerance of all homosexuals or of homosexual feelings within oneself.
D)   Has led to homosexual activity being criminalized in all states.

Question 7

A therapist who works primarily with gay and lesbian couples is aware that the same kinds of stress that affect heterosexual relationships also affect gay and lesbian relationships. But the therapist knows that the stress is different with respect to:

Accepted Answer

A)   Extended family involvement.
B)   Inequalities of power.
C)   Disparity in income.
D)   Coming out.

Question 8

A client is recovering from MTF sexual reassignment surgery. What health teaching should the population health nurse provide to this client as a part of health restoration strategies? (Select all that apply.)

Accepted Answer

A)   Having routine PSA levels drawn.
B)   Actions to prevent the development of a stroke.
C)   Explaining the risk of heart disease from hormone therapy.
D)   Importance of completing monthly breast self-examination.
E)   Discussing mammography as prescribed by the healthcare provider.

Question 9

A client who is awaiting FTM gender assignment surgery is scheduled for a routine health examination at the community clinic. What screenings should the client receive? (Select all that apply.)

Accepted Answer

A)   Pap smear.
B)   Mammogram.
C)   Throat culture.
D)   Prostate exam.
E)   Tuberculosis test.

Question 10

The population health nurse is concerned that members of a community are demonstrating heterosexism. Because of this, for which potential issues should the nurse be aware of occurring within the GLBT population? (Select all that apply.)

Accepted Answer

A)   Violence.
B)   Oppression.
C)   Stigmatization.
D)   Discrimination.
E)   Family rejection.

Question 11

The nurse is working with a group of lesbian, bisexual, and transgender women. What statements should the nurse be most concerned about regarding psychological considerations in working this group of clients? (Select all that apply.)

Accepted Answer

A)   "I do not live my life openly, but I never fear someone will find out I am a lesbian."
B)   "I constantly monitor everything I say and do for fear my mother will find out I am a lesbian."
C)   "I constantly feel negative feelings about my sexual preference."
D)   "I am coming out and sometimes I have contradictory feelings of excitement and relief."
E)   "The excitement of coming out is overwhelming."

Question 12

The population health nurse is asked by a member of the GLBT community for information on how to prevent the onset of illnesses. What should the nurse recommend to this client? (Select all that apply.)

Accepted Answer

A)   Recommend hormone therapy.
B)   Strengthen partner relationships.
C)   Practice safe sex to prevent HIV.
D)   Attend smoking cessation classes.
E)   Receive hepatitis A and B immunizations.

Question 13

The population health nurse is assessing a community member who identifies with the GLBT community. When discussing sexual orientation the nurse knows that three aspects are being assessed which are: (Select all that apply.)

Accepted Answer

A)   Identity.
B)   Behavior.
C)   Attraction.
D)   Acceptance.
E)   Coming out.

Question 14

A client who identifies with the GLBT community tells the nurse that the only thing that makes him a male is having a penis and testosterone in the bloodstream. The population health nurse realizes that this client is using which perspectives to describe gender? (Select all that apply.)

Accepted Answer

A)   Hormonal.
B)   Behavioral.
C)   Anatomical.
D)   Chromosomal.
E)   Psychological.

Question 15

During an assessment the population health nurse believes that a client who identifies with the GLBT community is a gender nonconforming individual. What did the nurse assess to make this clinical determination?

Accepted Answer

A)   Prefers to have sexual relations with both sexes.
B)   Does not confirm to societal gender expectations.
C)   Client states being a woman trapped in a man's body.
D)   Self-perceived gender is congruent with assigned birth gender.

Exam 20: Care of the Glbt Population