Inclusive Care for LGBTQ Patients Flashcards

1
Q

What is sexual identity?

A

Pattern of a person’s biological sexual characteristics

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2
Q

What are the sexual characteristics?

A
  • Chromosomes
  • External genitalia
  • Internal genitalia
  • Hormonal composition
  • Gonads
  • Secondary sex characteristics
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3
Q

Genetic influences and hormones affect what?

A

Behavior

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4
Q

Environment affects what?

A

Hormonal production and gene expression

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5
Q

Gender identity is more congruent with what?

A

With the child’s emotional sense of maleness or femaleness

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6
Q

Maleness and femaleness develop normally, but what must still be developed?

A

Persons must still develop a sense of masculinity or femininity

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7
Q

What does gender identify arise from?

A
  • Parental and cultural attitudes
  • The infant’s external genitalia
  • Genetic influence
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8
Q

Gender identity cues are derived from what?

A
  • Experience with family members
  • Teachers
  • Friends
  • Coworkers
  • Cultural phenomena
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9
Q

What is gender expression/role?

A
  • All those things that a person says or does to disclose himself or herself as having the status of boy or man, girl or women, respectively
  • Can seem to be opposed to their gender identities
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10
Q

Gender expression/role is build up cumulatively through what?

A
  • Experiences encountered and transacted through casual and unplanned learning
  • Explicit instruction and inculcation
  • Spontaneously putting two and two together to make sometimes four and sometimes five
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11
Q

What is sexual orientation?

A

Describes the object of a person’s sexual impulses:

  • heterosexual
  • homosexual
  • bisexual
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12
Q

What is sexual value system?

A

Your personal beliefs, attitudes or feelings about sex and sexuality

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13
Q

What is identifying data for sexual history?

A
  • Age
  • Sex
  • Occupation
  • Relationship status
  • Sexual orientation
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14
Q

What current functioning history do you ask about?

A
  • Satisfaction
  • Partner satisfaction
  • Dysfunctions (lack of desire, erectile disorder, fear)
  • Frequency
  • Desire/libido, description of sexual interaction
  • Sexual compulsivity (intrusion of sexual thoughts that it interferes with relationship or work)
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15
Q

What past sexual history is important to ask about?

A
  • Childhood sexuality

- Childhood sex activities

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16
Q

What adolescence history is important to ask about?

A
  • Age of onset of puberty
  • Sense of self as feminine or masculine
  • Sex activities
    (masturbation, homosexual actives, dating, orgasms, first coitus)
17
Q

What adult sexual activities is important to ask about?

A
  • Premarital sex
  • Marriage, separation, divorce
  • Sex after widowhood
18
Q

What are some special historical issues that should be asked?

A
  • History of rape, incest, sexual or physical abuse
  • Spousal abuse
  • Chronic illness
  • History or presence of STDs
  • Fertility problems
  • Abortion, miscarriages, or unwanted or illegitimate pregnancies
  • Gender identity conflict
  • Paraphilia’s
19
Q

What is Cisgender?

A

Gender expression matches biological gender identify