Week 9: 2SLGBTQIA Health Flashcards
A health professional is working with a transgender client who is experiencing self-harming behaviours and clinical depression. The nurse understands that the self-harming behaviour and clinical depression are associated with:
A Lack of employment and housing
B. Normalization of heterosexuality
C.Outcomes related to discrimination
D.Insufficient research to inform services
Answer C
Rationale: Transgender individuals often face discrimination, stigmatization, and rejection, which can lead to higher rates of mental health issues such as depression and self-harming behaviors. These negative outcomes are linked to the social and systemic discrimination faced by 2SLGBTQIA+ individuals. Discrimination can exacerbate feelings of isolation, distress, and lack of support, leading to mental health challenges.
Which of the following is an example of heteronormative language - language that reinforces gender binaries and invisibilities of the 2SLGBTQIIA+ population?
A.The sexual health clinic nurse uses the term “person with a vagina” instead of “female”
B.The public health nurse refers to attendees of a prenatal class as “parents” instead of “moms and dads”
C. A physician at the trans care clinic asks a client for their pro-nouns on the first visit
D. At a parent education event on puberty, the school nurse explains that “both genders go through puberty between ages 9 and 12”
Answer D
Rationale: This statement is an example of heteronormative language because it reinforces the idea that there are only two genders (male and female), excluding non-binary or gender-diverse individuals. It assumes a gender binary and doesn’t account for the full spectrum of gender identities, thus invisibilizing the experiences of 2SLGBTQIA+ individuals.
A nurse is working in a healthcare organization that has recently adopted recommendations from the Canadian Mental Health Association and Sherbourne Health to improve care for 2SLGBTQ+ individuals. Which action by the nurse best reflects the principles of culturally competent care for this population?
A. Asking patients about their sexual preferences during routine assessment.
B. Using inclusive language and avoiding assumptions about gender and sexual orientation.
C. Referring all 2SLGBTQ+ patients to a specialized clinic for care.
D. Offering all patients the same standard care, regardless of gender identity.
Correct Answer: B.
Rationale: Using inclusive language and avoiding assumptions about gender and sexual orientation promotes culturally competent care, ensuring the dignity and respect of 2SLGBTQ+ individuals. This approach aligns with the recommendations in the articles.
A healthcare organization is integrating 2SLGBTQ+ inclusive practices. Which of the following should the nurse prioritize to improve the care experience for 2SLGBTQ+ individuals?
A. Focusing on physical health needs only and not asking about gender identity.
B. Providing gender-neutral restrooms and signage.
C. Offering a single therapy option for mental health concerns.
D. Refraining from asking about sexual health unless the patient requests it
Correct Answer: B.
Rationale: Gender-neutral restrooms and signage are key to creating an inclusive environment. The recommendation from both articles emphasizes the importance of improving access to safe, respectful spaces for 2SLGBTQ+ individuals in healthcare settings.
A 2SLGBTQ+ patient reports feeling uncomfortable during their visit to a healthcare facility due to past discrimination. What is the nurse’s most appropriate response?
A. Dismissing the patient’s concerns as irrelevant.
B. Offering an apology and reassuring the patient about the facility’s commitment to inclusivity.
C. Asking the patient to stop focusing on past experiences.
D. Suggesting the patient seek care elsewhere if they feel uncomfortable
Correct Answer: B.
Rationale: Apologizing and reassuring the patient about the facility’s commitment to inclusivity addresses the patient’s concerns and aligns with principles of respect and understanding outlined in the articles
The nurse is involved in policy development to support 2SLGBTQ+ inclusivity in healthcare. Which action should the nurse prioritize based on current recommendations?
A. Ensuring all healthcare staff undergo training on 2SLGBTQ+ issues.
B. Focusing solely on mental health services for 2SLGBTQ+ patients.
C. Avoiding the topic of sexual orientation in training programs.
D. Requiring patients to disclose their sexual orientation during their first visit.
Correct Answer: A.
Rationale: Training healthcare staff on 2SLGBTQ+ issues ensures that all personnel are equipped to provide inclusive and sensitive care, addressing the gaps identified in the articles.
A nurse is caring for a 2SLGBTQ+ patient who requests gender-affirming care. Which response demonstrates the nurse’s understanding of inclusive healthcare practices?
A. Asking the patient to provide documentation for gender-affirming treatments.
B. Making assumptions about the patient’s needs based on their appearance.
C. Offering gender-affirming care without requiring proof of gender identity.
D. Recommending that the patient see a specialist before proceeding with any treatment.
Correct Answer: C.
Rationale: Offering gender-affirming care without requiring documentation aligns with best practices for providing inclusive healthcare, as emphasized in the articles.
Which of the following actions best supports the principle of autonomy when providing care for a 2SLGBTQ+ patient?
A. Encouraging the patient to follow traditional treatments for all health issues.
B. Involving the patient in decisions regarding their care, respecting their preferences.
C. Assuming the patient would prefer specific treatments based on their sexual orientation.
D. Dismissing the patient’s concerns if they differ from the recommended treatment plan.
Correct Answer: B.
Rationale: Involving the patient in decisions and respecting their preferences upholds their autonomy, a key principle in providing person-centered care.
A healthcare organization has begun offering training on 2SLGBTQ+ inclusivity. What outcome should the nurse anticipate as a result of this training?
A. Increased resistance to diversity initiatives among staff.
B. Improved communication and trust between 2SLGBTQ+ patients and healthcare providers.
C. A decrease in overall patient satisfaction scores.
D. Staff members will avoid discussing sexual health with patients
Correct Answer: B.
Rationale: Training on 2SLGBTQ+ inclusivity improves communication and trust between healthcare providers and patients, contributing to better care and outcomes for 2SLGBTQ+ individuals.
A nurse is assessing a 2SLGBTQ+ patient who expresses concerns about accessing mental health services. Which response demonstrates the nurse’s commitment to promoting health equity for this population?
A. Reassuring the patient that mental health services are available to all.
B. Asking the patient to seek mental health services from a 2SLGBTQ+ specific provider.
C. Offering to connect the patient with a counselor who has experience working with 2SLGBTQ+ individuals.
D. Ignoring the patient’s concerns and focusing on physical health.
Correct Answer: C.
Rationale: Connecting the patient with a counselor experienced in working with 2SLGBTQ+ individuals promotes health equity by addressing the specific needs of the patient.
A 2SLGBTQ+ patient is hesitant to disclose their sexual orientation during a routine healthcare visit. Which action by the nurse would be most appropriate to build trust and support the patient’s autonomy?
A. Insisting the patient disclose their sexual orientation for proper care.
B. Respecting the patient’s privacy and not pressuring them for information.
C. Assuming the patient’s sexual orientation based on their appearance.
D. Asking the patient to sign a release form for sexual health information.
Correct Answer: B.
Rationale: Respecting the patient’s privacy and not pressuring them to disclose personal information supports their autonomy and fosters trust in the healthcare provider.
During an interprofessional meeting, a nurse expresses concern about the lack of 2SLGBTQ+ inclusive policies in their hospital. Which of the following actions is most appropriate for the nurse to take to address this gap?
A. Ignore the issue, as it does not impact the majority of patients.
B. Advocate for the development of specific policies to ensure inclusive care for 2SLGBTQ+ patients.
C. Discontinue working with 2SLGBTQ+ patients.
D. Focus solely on providing care for patients with physical health conditions.
Correct Answer: B.
Rationale: Advocating for the development of policies to ensure inclusive care addresses the gaps identified in the articles and promotes a culture of inclusivity in healthcare settings.
A nurse is assessing a transgender client for signs of minority stress. Which of the following factors is most likely contributing to this stress?
A. Supportive family relationships
B. Discrimination and harassment in public spaces
C. Employment stability
D. Lack of educational opportunities
Answer: B. Discrimination and harassment in public spaces
Rationale: Minority stress arises from external stressors like discrimination, harassment, and social exclusion, which affect the mental and physical health of marginalized individuals, including transgender people
A nurse provides care for a bisexual patient. Which approach would best promote an inclusive environment for this patient?
A. Assume the patient’s partner is of the opposite gender.
B. Ask open-ended questions about the patient’s relationships without assuming their orientation.
C. Focus solely on the patient’s physical health needs.
D. Use heteronormative language when addressing the patient.
Answer: B. Ask open-ended questions about the patient’s relationships without assuming their orientation.
Rationale: Asking open-ended questions without assumptions fosters an inclusive, respectful environment that supports the patient’s identity and ensures that the nurse is attentive to their needs.
A nurse is caring for a transgender youth who expresses concerns about disclosing their sexual orientation. What is the best approach for the nurse?
A. Encourage immediate disclosure to family members and peers.
B. Discuss the potential risks and benefits of disclosure in a supportive, nonjudgmental manner.
C. Disregard the concern and focus solely on the youth’s physical health.
D. Advise the youth to avoid discussing their orientation with anyone.
Answer: B. Discuss the potential risks and benefits of disclosure in a supportive, nonjudgmental manner.
Rationale: The nurse should create a safe space for the youth to explore the potential impacts of disclosing their orientation and ensure the decision is made with full understanding of the risks and benefits.
