LGBT in Health Care Settings

Question 1

T or F. 1 out of 4 females have had some sexual trauma prior to age 18

Answer 1

T. And 1 out of every 7 males

Question 2

Does a transgender person ‘transitioning’ mean they are getting all of the surgeries?

Answer 2

No

Question 3

Question 4

What is the most widely used model for coming out for males and females?

Answer 4

Vivienne Cass’s Homosexuality Identity Formation Model

NOTE: The stages are not encarrasily consecutive or even true in all cases

Question 5

What is the first stage of Vivienne Cass’s Homosexuality Identity Formation Model?

Answer 5

Stage 1: Identity Confusion- the person begins to acknowledge their attraction for the same gender but dont see themselves as gay. Feelings for the same gender are unacceptable at this pt.

Question 6

What is the second stage of Vivienne Cass’s Homosexuality Identity Formation Model?

Answer 6

Identity Comparison- the person begins to accept the possibility they are gay but typically dont describe themselves as gay.

They may have anonymous no-strings hook ups

Question 7

What is the third stage of Vivienne Cass’s Homosexuality Identity Formation Model?

Answer 7

ID tolerance- Accept the likelikhood they are gay and move toward describing themselves as gay

During this stage they will ‘try on’ their identity with community having a large imapct on the coming out process. Bad experiences= going back in the closet

Question 8

What is the fourth stage of Vivienne Cass’s Homosexuality Identity Formation Model?

Answer 8

Identity Acceptance- moving from simple tolerance to acceptance. More anger at homophobi parts of society (self hatred is now pointed outward)

These people often distance themselves from family and choose new friends to shield themselves from negative views

Considered the beginning of ‘gay adolescence’ because they are much more open and verbal

Question 9

What is the fifth stage of Vivienne Cass’s Homosexuality Identity Formation Model?

Answer 9

Identity Pride- may immerse themselves in gay culture. It can still feel like its us against them so may be confrontational

Question 10

Question 11

What is the sixth stage of Vivienne Cass’s Homosexuality Identity Formation Model?

Answer 11

Identity Synthesis- gay people understand that not all heterosexuals are homophobic. Just like older adolescents, they can now relax in their militant stance and re-integrate into society

Question 12

T or F. Lesbians generally come out later than gay men

Answer 12

T. Often romantic feelings for the same gender trigger awareness in men and sexual feelings trigger this coming out in women

Question 13

T or F. Lesbians prefer to use the word sex over intercourse

Answer 13

T.

Question 14

Question 15

What are some risks of taking testosterone?

Answer 15

Cna damage the liver, especially if taken in high doses or by the mouth

Question 16

What are some risks of taking estrogen?

Answer 16

Can increase BP, blood sugar, and blood clotting

Question 17

T or F. Transgender have a higher risk for heart disease than baseline population

Answer 17

T. Due to increased hormone use, smoking, and obesity

Question 18

Question 19

T or F. Transgender people use substances at a higher rate than others

Answer 19

T. They also report higher uses of tobacco and alcohol use, as well as depression and anxiety

Question 20

What is the number 1 healthcare problem for transgender people?

Answer 20

Access to health care

Question 21

Gay men Stats

Answer 21

Increased alcohol and drug use, depression, anxiety, and are the most affected group for STI

Question 22

In men, HPV usually causes what?

Answer 22

anal or genital warts, but concern is growing the HPV could play a role in increased rates of anal cancer in gay men (might want to reccommend routine anal Pap smears in gay men)

Question 23

Question 24

Question 25

Question 26

T or F. Gay women are at JUST AS MUCH RISK as heterosexual women at contracting STIs

Answer 26

T.

Question 27

Lesbians are more likely to smoke than heterosexual women, and bisexual women are the most likely to smoke (same trends with depression and anxiety)

Question 28

__________ is the leading cause of death for LGBT youth in America

Answer 28

Suicide

Question 29

What 3 things most influence views on sex and sexuality?

Answer 29

1. Was it talked about in your home?
2. Religion
3. Hx of sexual trauma

Question 30

Question 31

What are the parts of PLISSIT?

Answer 31

Permission- the provider asks for permission to have a conversation about sexualtiy

Limited Information- Provide pts. with limited and specific information about anatomical and physiological changes

Specific Suggestions- Suggest practical suggestions for difficulties

_I_ntensive _T_herapy- refereal if needed

Question 32

T or F. All lubricants should be glycerin-free

Answer 32

T.