sexual identity, orientation Flashcards

1
Q

A nurse practitioner is evaluating a patient who identifies as transgender and does not believe in the norms, roles, and relationships that are associated with men and women. Predict the nurse practitioner’s concern about health care related to this patient’s beliefs.

The patient’s beliefs would limit the options for health care screenings.

The patient’s lack of gender association would prevent routine health visits.

Decreased access due to lack of health care insurance would prevent a health care visit.

Stigma may delay seeking health care.

A

Stigma may delay seeking health care.

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2
Q

A female patient has gender dysphoria. Determine the description that best describes this term.

Feelings about defining herself as female when she does not believe in binary sexes

Stress regarding sexual response to a male partner

Distress from incongruence of gender identify and assigned sex at birth

Increased stress from identifying as a lesbian

A

Distress from incongruence of gender identify and assigned sex at birth

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3
Q

A nurse practitioner is seeing a patient for an annual exam, and the patient responds that the gender identity does not align with the gender assigned at birth, which was female. Propose how the nurse practitioner will document the patient’s gender in the electronic medical record.

Cisgender

Transgender

Female sex

Natal gender

A

Transgender

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4
Q

A female patient who identifies as a transgender is in the waiting room of a new primary care provider. Determine a characteristic of the waiting room that may decrease her fear of discrimination.

Pamphlets on natal sex diseases

Signs of nondiscrimination

Wall decor on traditional sex roles

Standardized greeting for all patients

A

Signs of nondiscrimination

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5
Q

A nurse practitioner is discussing physical sexual response with a female patient who has concerns about sexual health. Predict an endogenous chemical that the nurse practitioner will include in this discussion.

Cortisol

Insulin

Serum calcium

Norepinephrine

A

Norepinephrine

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6
Q

A nurse practitioner is discussing sexuality with a female patient. Determine an element of sexuality that the nurse practitioner should address.

Gender congruency

Sexual orientation

Emotional response

Desires

A

Desires

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7
Q

A nurse practitioner is evaluating a female patient who has decreased sexual response. Predict what the nurse practitioner should explore further with a female patient to evaluate sexual response.

Family history of depression

Responses to physical touch

Personal history of a sexually transmitted infection

Perception of intimacy

A

Perception of intimacy

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8
Q

A nurse practitioner is seeing a patient for an annual exam, and the patient responds that the gender identity does not align with the gender assigned at birth, which was female. Propose how the nurse practitioner will document the patient’s gender in the electronic medical record.

Cisgender

Cross-dresser

Female sex

Transmasculine

A

Transmasculine

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9
Q

A nurse practitioner is evaluating a male patient who describes himself as a cross-dresser. Determine the patient preference that supports the use of this descriptive term.

Prefers to wear female-associated necklaces occasionally

Prefers to grow facial hair

Prefers to have sexual intercourse with females

Prefers feminine-assigned societal roles

A

Prefers to wear female-associated necklaces occasionally

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10
Q

A nurse practitioner is discussing key concepts of sexual health with a student nurse. Determine a concept that is associated with the sequence of events with sexual response.

Gender

Arousal

Sexuality

Self-image

A

Arousal

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11
Q

A nurse practitioner asks a patient about her gender identity. She indicates that she is cisgender. Describe the appropriate explanation for this term.

Natal sex and gender identity are the same in cisgender.

Cisgender refers to natal sex and gender identity as a mismatch.

Cisgender means that the individual does not identify as a male or female.

Cisgender refers to the assignment of sex at birth, matching one’s genitalia.

A

Cisgender refers to natal sex and gender identity as a mismatch.

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12
Q

A nurse practitioner is discussing sexuality with a female patient. Determine an element of sexuality that the nurse practitioner should address.

Desires

Emotional response

Gender transitioning

Gender congruency

A

Desires

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13
Q

A nurse practitioner is evaluating a patient who identifies as transgender and does not believe in the norms, roles, and relationships that are associated with men and women. Predict the nurse practitioner’s concern about health care related to this patient’s beliefs.

The patient’s lack of gender association would prevent routine health visits.

Beliefs would impact a patient’s preference on type of provider.

Fear of being discriminated against at health care visit may exist.

Decreased access due to lack of health care insurance would prevent a health care visit.

A

Fear of being discriminated against at health care visit may exist.

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14
Q

A female patient who identifies as a transgender is in the waiting room of a new primary care provider. Determine a characteristic of the waiting room that may decrease her fear of discrimination.

Standardized greeting for all patients

Sex-specific bathrooms

Single-stall bathrooms

Wall decor on traditional sex roles

A

Single-stall bathrooms

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15
Q

A nurse practitioner is discussing sexual health with a female patient during her annual physical examination. Propose a benefit that the nurse practitioner should include in his or her discussion on sexual health.

Reduced comorbidities

Overall improved health

Improved physical functioning

Improved socialization outside of home

A

Overall improved health

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16
Q

A nurse practitioner is evaluating a patient who was sexually assaulted by her spouse to impregnate her against her will. The nurse practitioner understands that this is a violation of which of the following rights of the patient?

Right to nondiscrimination

Right to decide the number and spacing of one’s children

Right toinformation

Right to privacy

A

Right to decide the number and spacing of one’s children

17
Q

A nurse practitioner is speaking with a patient regarding sexual health and reviewing sexual rights that were identified by the World Health Organization (WHO). The patient was forced into an arranged marriage and reports that she does not to understand her rights. Determine the appropriate right to review with this patient.

Right to equality for individuals who ascribe to binary sex roles

Right to limit freedom of sexual expression

Right to restrict information to spouse

Right to education

A

Right to education

18
Q

A nurse practitioner is asking a patient about sexual orientation. Determine the description that defines sexual orientation.

Gender that is congruent with one’s sex assigned at birth

With whom you have an emotional or sexual attraction

Describinggender on the gender spectrum that may include multiple gender expressions

Sex assigned at birth, which is typically determined by genitalia

A

With whom you have an emotional or sexual attraction

19
Q

A nurse practitioner is evaluating a female patient who has decreased sexual response. Predict what the nurse practitioner should explore further with a female patient to evaluate sexual response.

Responses to physical touch

History of early age of sexual activity

Family history of depression

Nonphysical sexual responses

A

Nonphysical sexual responses