Chapter 20 Care of the GLBT Population

Chapter 20   Care of the GLBT Population

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) 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.)

1. Strength of traditional gender role conceptions.
2. Perceptions of the probable attitudes of significant others in the family’s network.
3. Parental age.
4. Parental education.
5. Parental race.

Answer:  1, 2, 3, 4

Explanation:  1. The parental response to the disclosure of homosexuality is strongly influenced by a variety of factors, which include: the strength of traditional gender role conceptions, perceptions of the probable attitudes of significant others in the family’s social network, and parental age and education level. The younger and better educated parents tend to be more accepting. Race is not an influencing factor.

2. The parental response to the disclosure of homosexuality is strongly influenced by a variety of factors, which include: the strength of traditional gender role conceptions, perceptions of the probable attitudes of significant others in the family’s social network, and parental age and education level. The younger and better educated parents tend to be more accepting. Race is not an influencing factor.
3. The parental response to the disclosure of homosexuality is strongly influenced by a variety of factors, which include: the strength of traditional gender role conceptions, perceptions of the probable attitudes of significant others in the family’s social network, and parental age and education level. The younger and better educated parents tend to be more accepting. Race is not an influencing factor.
4. The parental response to the disclosure of homosexuality is strongly influenced by a variety of factors, which include: the strength of traditional gender role conceptions, perceptions of the probable attitudes of significant others in the family’s social network, and parental age and education level. The younger and better educated parents tend to be more accepting. Race is not an influencing factor.

Nursing/Int.Conc:  Nursing Process: Planning

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  20-2

2) 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:

1. Extended family involvement.
2. Inequalities of power.
3. Disparity in income.
4. Coming out.

Answer:  4

Explanation:  4. With the exception of the stage of coming out, most issues that affect the stability or relationships among heterosexual and nonheterosexual couples are the same. Extended family involvement, inequalities of power, and disparity in income tend to have the same effect on gay and lesbian relationships.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  20-2

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?

1. “Since I only have sex with females I am at a lower risk for some sexually transmitted diseases.”
2. “I have less risk factors for breast cancer than a heterosexual.”
3. “I do need to have routine Pap smears.”
4. “I have an increased risk of heart disease.”

Answer:  2

Explanation:  2. There is a higher prevalence of certain risk factors for breast cancer among lesbian women. Women who engage in sexual activity exclusively with other women seem to be at lower risk for some sexually transmitted diseases. Routine Pap smears are as important for lesbians as for heterosexuals. There is an increased risk for heart disease among lesbians perhaps because lesbians smoke more than their heterosexual sisters and tend to have a higher body mass index.

Nursing/Int.Conc:  Nursing Process: Evaluation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Analysis

Learning Outcome:  20-4