LGBTQ Cultural Competency for Healthcare Professionals

Course #9186L-


Self-Assessment Questions

    1 . Examples of microaggressions include all of the following, EXCEPT:
    A) Butch-Femme assumption
    B) Offering your own pronouns and then asking other person for their pronouns
    C) Assuming "choice" or "lifestyle"
    D) Using heteronormative (heterosexual, male-female) paradigm

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    2 . Research on the nature vs. nurture debate of sexual orientation indicates all of the following, EXCEPT:
    A) There is no single "gay gene."
    B) Sexuality is polygenic.
    C) There are 10 biomarkers of same-sex attraction.
    D) Genes play a limited role.

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    3 . All of the following statements regarding bisexual people are true, EXCEPT:
    A) Bisexual people are considered "lesbian" if they are a woman engaged in a same-gender relationship with a woman.
    B) Bisexual people can only be considered bisexual if they've had sexual experiences with more than one gender.
    C) Bisexual people are attracted to both men and woman.
    D) Bisexual people have the potential to be physically, romantically, and/or emotionally attracted to people of more than one gender.

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    4 . Examples of heteronormativity in the U.S. culture include all of the following, EXCEPT:
    A) Forms that ask for binary identity (male/female)
    B) Fluid constructs for gender expression
    C) Gender reveal parties
    D) "Assumption" that people are heterosexual unless they've "come out."

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    5 . Sexual orientation:
    A) is fluid and not unchangeable.
    B) is set at birth.
    C) changes when people are confused and going through a "phase."
    D) rarely changes after adolescence.

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    6 . Intersex people
    A) are born with one or more sex characteristics outside the male/female binary.
    B) comprise about 0.6% of the population.
    C) are, by definition, considered transgender.
    D) typically prefer to be called "hermaphrodites."

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    7 . All of the following should be part of communicating with transgender people, EXCEPT:
    A) Avoid misgendering.
    B) Listen to their language and ask them for language regarding gender and sexual orientation.
    C) Call them by their legal name to avoid confusion with medical records and insurance.
    D) Avoid terms such as "born a man."

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    8 . The number of U.S. citizens identifying as LGBTQ+ in a 2022 survey
    A) approximately 8% of U.S. population.
    B) decreased in the 10 years preceding.
    C) equalled more than 60 million people.
    D) was comprised primarily Generation X (born 1965-1980) group.

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    9 . For many LGBTQ+ people, social determinants of health (SDOC) contribute to all of the following, EXCEPT:
    A) Marginalization
    B) Health disparities
    C) Health risk factors
    D) Health care access and quality

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    10 . Which of the following statements regarding biases is TRUE?
    A) Only unenlightened people have biases.
    B) Biases are explicit only.
    C) Set up processes to challenge yourself to pause and identify automatic biased thoughts.
    D) Biases do not contribute to healthcare barriers.

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    11 . LGBTQ+ health disparities include all of the following, EXCEPT:
    A) Higher rates of smoking, alcohol and substance abuse
    B) Higher rates of screenings and preventive and well-being care
    C) Higher risk for mental health issues
    D) Higher risks of some cancers

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    12 . Which of the following statements regarding the risk of trauma for in the LGBTQ+ population compared with the cisgender, heterosexual population is TRUE?
    A) Lifetime rates of child abuse and sexual assault are about equal.
    B) Violent assaults are four times more likely.
    C) It does not contribute to "minority stressors."
    D) It contributes to lower levels of PTSD.

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    13 . Intersectionality
    A) is on the "biological sex" continuum.
    B) establishes sexuality as central to identity.
    C) examines interdependent systems of discrimination or advantage.
    D) explains how a BIPOC transgender person and a white, cisgender gay man have very similar life experiences.

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    14 . Social vulnerabilities for mental health issues include all of the following, EXCEPT:
    A) Family support
    B) History of trauma
    C) Harassment and discrimination in education
    D) Cumulative toll from micro and macroaggressions

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    15 . Collective data regarding sexual orientation and gender identity
    A) is discriminatory and not necessary.
    B) needs to be collected at initial assessment only.
    C) should be asked but not documented in electronic health records.
    D) aids in research and preventive care.

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    16 . Heteronormativy includes assumptions regarding all of the following, EXCEPT:
    A) Gender binary
    B) LGBTQ+ as within the cultural norm
    C) Gender roles
    D) Sexual procreation

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    17 . "Late-life lesbians"
    A) have been repressed.
    B) have sexual desires linked mostly to physical attraction.
    C) may have more opportunities to discover capacity for non-heterosexual relationships (e.g., children conceived, raised, mid-life shift, hormonal shift).
    D) change sexual orientation due to trauma.

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    18 . Which of the following is a consideration for another person "coming out?"
    A) The LGBTQ+ person owns their decision to come out (when, how, to whom).
    B) It is helpful if you prepare others for their coming out by sharing their news.
    C) People "come out" with gender identity and sexual orientation at the same time.
    D) If someone comes out as a second+ identity/orientation after their first (e.g., lesbian after bisexual), then it was "just a phase."

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    19 . Which of the following statements regarding violence against LGBTQ+ people is FALSE?
    A) Violence against LGBTQ+ people is considered a hate crime under The Matthew Shepard and James Byrd, Jr. Hate Crimes Prevention Act of 2009.
    B) There were 57 documented violent murders of trans and non-conforming people in 2021.
    C) It is likely overreported.
    D) Violence against LGBTQ+ people contributes to minority stress and marginalization within the LGBTQ+ community.

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    20 . When conducting an initial assessment, all of the following are true, EXCEPT:
    A) Use non-gendered words.
    B) Ask about both sexual orientation and gender identity.
    C) Assume cisgender, heterosexual until told otherwise.
    D) Listen, note, and document words the patient uses to describe their relationships.

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