NUR 622 MODULE 1 LGBTQ STUDY GUIDE | NUR 622 LGBTQ PRACTICE
QUESTIONS & ANSWERS | COMPREHENSIVE NURSING REVIEW 2026/2027
The primary cause of health disparities among lesbian, gay, bisexual, and transgender (LGBT) individuals
is believed to be which of the following?
A. Lack of awareness of need for care
B. Increased genetic risk
C. Hormonal changes
D. Societal stigma and marginalization - correct answer ✔✔D. Societal stigma and marginalization
LGBT persons are believed to comprise what percentage of the population?
A. 1% to 2.5%
B. 3.8% to 10%
C. 10.3% to 15.8%
D. 16.1% to 21.7% - correct answer ✔✔B. 3.8% to 10%
A nurse practitioner recently joined a practice with a diverse clientele, including persons of all sexual
orientations and gender identities. How should the nurse approach these clients? (Select all that apply.)
A. Avoid bringing up sexual orientation or gender identity
B. Ask all clients openly about their sexual orientation and gender identity
C. Assume all clients are heterosexual and cisgender unless they say otherwise
D. Personalize care based on relevant risk factors and individual patient behaviors
E. Base treatment plans on risk factors associated with a person's sexual orientation - correct answer
✔✔B. Ask all clients openly about their sexual orientation and gender identity
D. Personalize care based on relevant risk factors and individual patient behaviors
What is the prevalence of gender dysphoria in the United States?
A. 5%
B. 3%
C. 1%
D. Unknown - correct answer ✔✔D. Unknown
Which of the following is the most accurate statement regarding the etiology of homosexuality?
A. It is a genetic trait
B. It is determined by hormone levels
C. It is likely a combination of nature and nurture
D. It is a social construct - correct answer ✔✔C. It is likely a combination of nature and nurture
What was the last year that homosexuality appeared as a pathological condition in the Diagnostic and
Statistical Manual of Mental Disorders (DSM)?
A. 1963
B. 1973
C. 1983
D. 1993 - correct answer ✔✔B. 1973
, Melissa is a 62-year-old lesbian client. On the basis of her age and sexual orientation, Melissa is more
likely to do which of the following? (Select all that apply.)
A. Live alone
B. Have HIV
C. Lack family support for meeting basic needs
D. Fear discrimination when accessing medical services
E. Be homeless - correct answer ✔✔A. Live alone
C. Lack family support for meeting basic needs
D. Fear discrimination when accessing medical services
What condition related to gender identity is included in the Diagnostic and Statistical Manual of Mental
Disorders, fifth edition (DSM-5)?
A. Gender dysphoria
B. Gender identity disorder
C. Transgender disorder
D. Body dysmorphic disorder - correct answer ✔✔A. Gender dysphoria
Jackie is a 19-year-old transwoman who has arrived at the office today for a physical. What health
disparities should the nurse assess for in Jackie? (Select all that apply.)
A. Risky sexual behaviors
B. Depression
C. Multiple sclerosis
D. Trauma and violence
E. Substance abuse - correct answer ✔✔A. Risky sexual behaviors
B. Depression
D. Trauma and violence
E. Substance abuse
Meg is a 15-year-old bisexual client. Which of the following is Meg at a greater risk for than her
heterosexual counterparts? (Select all that apply.)
A. Spinal cord injury
B. Experiencing school bullying
C. Bipolar disorder
D. Homelessness
E. Suicidality - correct answer ✔✔B. Experiencing school bullying
D. Homelessness
E. Suicidality
Which of the following is the definition of gender identity according to the World Professional
Association for Transgender Health (WPATH)?
A. The biological fact of being male or female, based on one's chromosomes
B. The biological fact of being male or female, based on one's genitalia
C. The set of cultural roles and expectations one fulfills associated with one's genitalia
D. The internal sense of being male or female - correct answer ✔✔D. The internal sense of being male or
female
According to the DSM-5, the condition of experiencing an incongruence between one's gender identity
and one's natal sex is known as which of the following?
QUESTIONS & ANSWERS | COMPREHENSIVE NURSING REVIEW 2026/2027
The primary cause of health disparities among lesbian, gay, bisexual, and transgender (LGBT) individuals
is believed to be which of the following?
A. Lack of awareness of need for care
B. Increased genetic risk
C. Hormonal changes
D. Societal stigma and marginalization - correct answer ✔✔D. Societal stigma and marginalization
LGBT persons are believed to comprise what percentage of the population?
A. 1% to 2.5%
B. 3.8% to 10%
C. 10.3% to 15.8%
D. 16.1% to 21.7% - correct answer ✔✔B. 3.8% to 10%
A nurse practitioner recently joined a practice with a diverse clientele, including persons of all sexual
orientations and gender identities. How should the nurse approach these clients? (Select all that apply.)
A. Avoid bringing up sexual orientation or gender identity
B. Ask all clients openly about their sexual orientation and gender identity
C. Assume all clients are heterosexual and cisgender unless they say otherwise
D. Personalize care based on relevant risk factors and individual patient behaviors
E. Base treatment plans on risk factors associated with a person's sexual orientation - correct answer
✔✔B. Ask all clients openly about their sexual orientation and gender identity
D. Personalize care based on relevant risk factors and individual patient behaviors
What is the prevalence of gender dysphoria in the United States?
A. 5%
B. 3%
C. 1%
D. Unknown - correct answer ✔✔D. Unknown
Which of the following is the most accurate statement regarding the etiology of homosexuality?
A. It is a genetic trait
B. It is determined by hormone levels
C. It is likely a combination of nature and nurture
D. It is a social construct - correct answer ✔✔C. It is likely a combination of nature and nurture
What was the last year that homosexuality appeared as a pathological condition in the Diagnostic and
Statistical Manual of Mental Disorders (DSM)?
A. 1963
B. 1973
C. 1983
D. 1993 - correct answer ✔✔B. 1973
, Melissa is a 62-year-old lesbian client. On the basis of her age and sexual orientation, Melissa is more
likely to do which of the following? (Select all that apply.)
A. Live alone
B. Have HIV
C. Lack family support for meeting basic needs
D. Fear discrimination when accessing medical services
E. Be homeless - correct answer ✔✔A. Live alone
C. Lack family support for meeting basic needs
D. Fear discrimination when accessing medical services
What condition related to gender identity is included in the Diagnostic and Statistical Manual of Mental
Disorders, fifth edition (DSM-5)?
A. Gender dysphoria
B. Gender identity disorder
C. Transgender disorder
D. Body dysmorphic disorder - correct answer ✔✔A. Gender dysphoria
Jackie is a 19-year-old transwoman who has arrived at the office today for a physical. What health
disparities should the nurse assess for in Jackie? (Select all that apply.)
A. Risky sexual behaviors
B. Depression
C. Multiple sclerosis
D. Trauma and violence
E. Substance abuse - correct answer ✔✔A. Risky sexual behaviors
B. Depression
D. Trauma and violence
E. Substance abuse
Meg is a 15-year-old bisexual client. Which of the following is Meg at a greater risk for than her
heterosexual counterparts? (Select all that apply.)
A. Spinal cord injury
B. Experiencing school bullying
C. Bipolar disorder
D. Homelessness
E. Suicidality - correct answer ✔✔B. Experiencing school bullying
D. Homelessness
E. Suicidality
Which of the following is the definition of gender identity according to the World Professional
Association for Transgender Health (WPATH)?
A. The biological fact of being male or female, based on one's chromosomes
B. The biological fact of being male or female, based on one's genitalia
C. The set of cultural roles and expectations one fulfills associated with one's genitalia
D. The internal sense of being male or female - correct answer ✔✔D. The internal sense of being male or
female
According to the DSM-5, the condition of experiencing an incongruence between one's gender identity
and one's natal sex is known as which of the following?
