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Block 3 Week 9 > Sexual Orientation > Flashcards

Sexual Orientation Flashcards

1
Q

Can sexual orientation be different from sexual behavior?

A

Yes, you can have a particular sexual orientation and but express different sexual behavior

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2
Q

What is the kinsey scale?

A

the sexual continum from 0-6

From entirely heterosexual to entirely homosexual

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3
Q

Who are more likely to be homosexual, men or women?

A

men 3-16%

women 1-3%

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4
Q

Who are more likely to be exclusively heterosexual men or women?

A

women 61-90%

men 53-92%

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5
Q

Children who grow up with one or two gay parents do not differ from children of heterosexual parents in emotional, cognitive, social or sexual functioning.
T or F?

A

True

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6
Q

What are the four theories about the etiology of homosexuality?

A

genetic (nature)
hormonal
environmental (nurture)
psychological

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7
Q

What is this:
Phenotypically distinct gender (male/female) but live as the opposite sex and may or may not undergo sexual reassignment surgery (M  F or F  M). May pursue any of the above relationships.

A

transgender/ gender dysphoria

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8
Q

What is this:
Individuals born with both male and female gonads or individuals with rare congenial discordance between gonadal sex (male/female) and gender expression. Rarely, individuals who have undergone genital mutilation in infancy with discordant sexual reassignment.

A

intersex

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9
Q

What are the stages of gay/lesbian identity development?

A

sensitization
sexual identity confusion
sexual identity assumption
integration and commitment

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10
Q

What stage of Gay/Lesbian identity development is this:

– different from peers based on gender neutral or atypical gender role choices/behaviors; < age 12.

A

Sensitization

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11
Q

What stage of Gay/Lesbian identity of development is this:
awareness of same-sex thoughts or feelings –> cognitive dissonance –> isolation, confusion, depression; early adolescence.

A

Sexual identity confusion

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12
Q

What stage of Gay/Lesbian identity development is this:
self-identify and “come out” to some, interact with g/l peers, strengthen self-esteem; mid/late adolescence, early adult.

A

Sexual identity addumption

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13
Q

What stage of Gay/Lesbian identity development is this:
self-acceptance –> integration of g/l identity into all aspects of life, come out to non-gay friends, colleagues; adulthood.

A

Integration and commitment

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14
Q

Gay men and women may have higher rates of what?

A 
depression
suicide
alcohol abuse
cancers
social drug abuse
CV disease
victims of violence
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15
Q

Why are LGBT populations more at risk for certain kinds of cancers?

A

because they see physicians less often

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16
Q

Why are lesbians at higher risk for breast cancer?

A

beause they are more likely to smoke, have bad diets, be obese, have fewer pregnancies, less likely to seek early diagnosis

17
Q

Gay men and HIV+ men and are at higher risk for (blank) most likely due to HPV

A

anal cancer

18
Q

How often should you have anal pap screens?

A

every year in HIV positive patients

every 2-3 years in non-HIV positive gay patients

19
Q

T or F

HIV and STD infections rates are rising in the gay male population < 25

A

T

20
Q

Who should you screen for syphilis?

A

high risk and pregnant patients

21
Q

Tell me about drugs and LGBT populations?

A

at risk for poly drug use and cigarette smoking which results in high risk sexual behaviors so dangerous and can result in depression

22
Q

What is the prevalence of lesbian/gay adolescents?

A

5-6% among teens

23
Q

WHo are more likely to be violent, gay or non gay students?

A

gay students!

24
Q

What is hard about gays at school?

A

their teachers, peers make homophobic remarks and counselors arent competent in counseling

25
Q

How do you take a sexual history for LGBT?

A

follow patient leads, notice how they identify

26
Q

What should you ask instead of “are you married?”

A

ask do you have a spouse or domestic partner

27
Q

What should you ask instead of “Do you have a boyfriend/girlfriend?”

A

“do you have a partner”

28
Q

What should you ask instead of “ are you the mother/father?”

A

are you the parent or guardian

29
Q

What should you ask instead of “who is the real mother/father?

A

Who is the biological mother/father?

Tell me about (names)’s birth

30
Q

What are these important for:
Are you sexually active?
Do you have sex with men, women or both?
Number of partners in the last year, month?
Contraceptive use and type of contraceptive?
Type of sexual contact (e.g. oral, vaginal penetration, anal penetration)
Do you have questions about STD’s or HIV?
MAKE NO ASSUMPTIONS!! Must ask a question to truly know an answer!!

A

key questions in sexual history taking

31
Q

What is a poor interview for homosexual patient care?

A

making assumptions
skipping sexual history
evades educational opportunities

32
Q

What is a good interview for homosexual patient care?

A

engages and expands upon inclusive language
sexual hx
safe sex practices
emphasizes disease screening and prevention

33
Q

Can you refuse to treat people based on their sexual orientation?

A

yes, in michigan

34
Q

What is a key form of homophobia?

A

silence

35
Q

(blank) is an intense, irrational fear of homosexuality, and homosexual behavior.
It is a belief system that supports negative myths and stereotypes of lesbian, gay, bisexual, and transgender individuals.

A

Homophobia

36
Q

(blank) is intolerance of non-heterosexual expressions of sexuality.

A

heterosexism

37
Q

If you dont want to treat homosexuals what do you need to do?

A

refer them to another professional for treatment

38
Q

What percent of the population if LGBT

A

3-7%

39
Q

Who does this describe:
Twice as likely to live alone
Four times less likely to have children
Half as likely to have a significant other or close relative to call on for help
Fear discrimination in long term or institutional care setting

A

LGBT elders

Block 3 Week 9 (6 decks)

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