Complete Test Bank Ch.8 Nursing Care Of Lgbtq Families

Chapter 8: Nursing Care of LGBTQ+ Families

Multiple Choice:

1. The nurse desires to improve competency when caring for families within the LGBTQ+ community. Which first step should the nurse take to improve this competency?

1. Learn the relevant language.

2. Evaluate personal background, beliefs, and biases.

3. Build cultural and personal knowledge.

4. Understand the unique disparities of the population.

2. During a family assessment, the nurse learns that one parent is heterosexual and the other family member is bisexual of the opposite sex. How should the nurse document this family structure?

1. Blended family

2. Family of choice

3. Mixed-orientation

4. Live Apart Together

3. A school nurse working at a middle school recognizes that several students identify as LGBTQ+. Which of the following should the school nurse keep in mind when assessing these students?

1. Later onset of puberty

2. Greater popularity among student peers

3. Earlier sexual activity

4. Greater risk of teen pregnancy

4. The nurse notes that a transgender man has elevated liver enzymes and poor bone density. What should the nurse consider as a reason for these findings?

1. Poor calcium intake

2. High intake of alcohol

3. Masculinizing hormone therapy

4. Chronic use of tobacco and substances

5. During a health assessment a middle-aged gay man asks the nurse not to document his sexual preference because his primary health care provider is not aware. What should this request indicate to the nurse?

1. Fear of not receiving required care

2. Fear of having to pay more for care

4. Fear of not having anyone to help as aging occurs

3. Fear that family members will be discriminated against

6. A nurse is presenting information to their unit regarding the use of pronouns. Which statement by the nurse would require further education?

1. “People use the pronouns that fit their identify.”

2. “The correct pronoun is always discernible from how the person chooses to express their gender.”

3. “Misgendering is considered a microaggression that can stigmatize and erode trust.”

4. “It is critical to simply ask people what pronouns they want used if you are unclear.”

7. The nurse is providing care for a family who has an intersex child. Which action by the nurse would require an intervention?

1. Respecting the privacy of the patient and their family by avoiding disclosure of intersex status to members outside of the care team.

2. Suggesting that the parents delay filing the birth certificate or selecting a name until they feel ready.

3. Maintaining empathy and engaging in active listening.

4. Providing information to the family prior to their readiness.

8. The nurse is working with an adolescent individual who is undergoing the process of coming out as transgender. The nurse understands that which of the following would be the final stage in this process?

1. Surgical affirmation

2. Social affirmation

3. Medical affirmation

4. Legal affirmation

Multiple Response:

9. The nurse learns that a gay man has waited more than 2 months before seeking treatment for a sexually transmitted infection. What should the nurse consider as a reason for this client to delay seeking treatment? Select all that apply.

1. Lack of access to care

2. Lack of insurance coverage

3. Confusion regarding the symptoms

4. History of overt discrimination

5. Negative experience with the health care system

10. The nurse manager suggests that the nursing staff include an assessment of mental health for all clients who are of the LGBTQ+ community. Why is the manager most likely making this suggestion? Select all that apply.

1. The higher risk of substance abuse within this community

2. The greater risk for depression within this community

3. The high level of social stigma and discrimination that this community often experiences

4. A preexisting bias against this community

5. The fact that suicide is a leading cause of death within this community

11. The nurse is aware of several children adopted into same-sex families that are scheduled to participate in the community preschool program. What can the nurse do to facilitate the acceptance of these children’s family structure into the preschool learning environment? Select all that apply.

1. Ensure that teaching materials demonstrate diverse family structures.

2. Provide toys, books, and games that emphasize traditional gender roles.

3. Select materials that show both genders performing a variety of roles.

4. Instruct the preschool staff members on ways to reduce the stigma of these children.

5. Encourage these children to play with toys that are opposite from their parents’ gender.

12. The nurse prepares to assess an adolescent’s sexual history. On which questions should the nurse focus when completing this assessment? Select all that apply.

1. Priority

2. Partners

3. Practices

4. Protection

5. Pregnancy prevention

13. The nurse is assessing a middle-aged gay man. The nurse knows that when assessing this patient, which of the following should be taken into consideration? Select all that apply.

1. Earlier onset of physical disability

2. Greater risk of cardiovascular disease

3. Lower rate of migraines

4. Higher rate of chronic gastrointestinal problems

5. Less risk for some cancers

14. The nurse is presenting at a conference regarding a gender-affirming approach to care. Which statements by the nurse reflect an understanding of this approach? Select all that apply.

1. “Gender identity forms in response to interrelated factors.”

2. “Gender identity occurs on a spectrum.”

3. “Transgender identity constitutes a mental disorder and would be addressed differently.”

4. “Mental health issues can exist and could be a result of stigma and/or negative experiences.”

5. “Parents do not benefit from learning about the gender-affirmative approach to care, as they have too many stressors already.”