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NRSG 477 > LGBT > Flashcards

LGBT Flashcards

1
Q

Sex

A

Assigned at birth and refers to one’s biologic status (anatomy, chromosomes, genes)

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2
Q

Gender

A

Social and cultural distinctions that go along with male or female sex

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3
Q

Gender identity

A

Refers to an individuals identification as male, female, some of both or other.

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4
Q

Cisgender

A

Sex and gender are congruent; gender identity matches the sex they were assigned at birth.

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5
Q

Sexual orientation

A

Who are attracted to (homosexual, heterosexual, bisexual)

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6
Q

Gay

A

A man who self identifies as having an emotional, sexual and or relational attraction to another man.
-An overarching term describing people attracted to other members of the same gender

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7
Q

Lesbian

A

A woman who self-identifies as having an emotional, sexual and or relational attraction to other women

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8
Q

Bisexual

A

Someone who self identifies as having an emotional/sexual and or relational attraction to others of either sex

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9
Q

Transgender

A

An umbrella term for people who gender identity or gender expression differ from sex at birth

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10
Q

Transgender: MTF

A

male to female; trans female

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11
Q

Transgender FTM

A

female to male; trans male

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12
Q

Trans-sexual

A

Older term that is not used by many transgender person

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13
Q

Intersex

A

Having both male and female sex organs or other characteristics

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14
Q

Nonbinary gender identity

A

Gender identity is not exclusively male or female: Identify outside traditional male-female binary
-Pangender, agender, gender fluid, gender expansive, genderqueer

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15
Q

Pangender

A

Identify as more than one gender

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16
Q

Agender

A

Identify as no gender

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17
Q

Do we want to use “Queer” in a professional setting?

A

No

18
Q

Gender non-conforming

A

The extent to which a person’s gender identity, role or expression DIFFERS from cultural norms.

19
Q

Gender dysphoria

A

A general term referring to discomfort or distress that is caused by a discrepancy b/n a person’s gender identity and that person’s sex assigned at birth.

20
Q

T/F All gender non-conforming people experience gender dysphoria at some-point in their lives.

A

False; only some gender non-comforming people experience gender dysphoria at some point.

21
Q

Gender affirmation

A

Process by which individuals are affirmed in their gender identity or expression

  • Social
  • Psychological
  • Medical
  • Legal
22
Q

population profile: Facts

A
  • LGBT ind. encompass all races and ethnicities, religions and social classes.
  • Gender orientation and gender identification are not asked on national or state surveys making it difficult to estimate the number of LGBT ind/ and their health needs.
23
Q

LGBT health disparities (have disparities in most US health indicators)

A 
Access to health care
Clinical preventative services
Injury and violence
Mental health
Nutrition, physical activity and obesity
Reproductive and sexual health
Substance abuse
Tobacco use
24
Q

T/F LGBT have worse health outcomes

A

True

25
Q

T/F LGBT are more likely to delay needed services and screening

A

True

26
Q

T/F LGBT have lower rates of health insurance

A

True

27
Q

Causes of LGBT health disparities

A

Personal risk behaviors
Social and economic realities
Stigma and minority stress model
Provider factors- lack of providers knowledgeable about LGBT health needs and fear of discrimination in health care setting

28
Q

Profile of LGBT older adult

A

65+ population expected to double in the next 15 years
- Financial concerns, social isolation, access to aging services, acute care issues, long term care issues, end of life issue

29
Q

What three factors in old age can be amplified if LGBT

A

Isolation, loneliness, economic concerns

30
Q

T/F discrimination and social stigma affects quality of life

A

True

31
Q

LGBT elders

A

Less likely to have children–> less likely to receive care from adult children–> higher rates of isolation –> in res. facilities, more vulnerable to hostile and unwelcoming environment –> pressured to go back into the closet

32
Q

Social support and community engagement

A

Housing discrimination: Denies housing, separation from families, homeless

33
Q

Healthcare quality index (HQI)

A

Rates how equitable healthcare organization teat LGBT patients and employees
-Can be used as an organizational assessment tool

34
Q

HQI focuses on what?

A

Discrimination
Visitation
Cultural competence
Training

35
Q

T/F Joint commission now require hospitals to provide care, tx, and services free from discrimination related to many thigs but includes sexual orientation, gender identity or expression.

A

True

36
Q

Joint commission goals

A

Add info about sexual orientation ad gender identity to patient surveys
Use aggregated patient level sexual orientation and gender identity data to develop or modify services, programs or initiatives to meet population needs.

37
Q

Attitudes of health care provider: Negative attitudes leads to poorer health care due to:

A

-Decreased access and underutilization
Inadequate care by some providers due to lack of -knowledge and awareness of LGBT issue
-lack of individualized care due to nondisclosure by the patient
-Decreased access to care due to lack of same sex benefits, lower SES

38
Q

4 barriers to “identifying your barriers”

A
  • This just isn’t what I was brought up to accept
  • Are people going to start thinking I am gay
  • I just don’t know enough and I don’t want to say the wrong thing or not have the right information.
  • I don’t want to be the health care provider with the reputation of having “gay practice”
39
Q

4 benefits of addressing health concerns

A
  • Reduces disease transmission and progression
  • Increases mental and physical wellbeing
  • Reduced health care costs
  • Increased longevity
40
Q

Efforts to improve LGBT health

A

Collecting data
App. inquiring about and being supportive of a pt. orientation and gender
-Providing medical/nursing students and staff with training to increase provision of culturally competent care
-Implementing anti-bullying policies in schools/communities
-Providing supportive social services to reduce suicide and homelessness among youth
-Curbing HIV and STI with interventions
-healthy people 2020

41
Q

Suggestions for inclusivity

A

Encourage clients to write in their gender designations

-If ever unsure about how to address them, let them guide you

NRSG 477 (11 decks)

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