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nurs246 exam 2 Questions and Answers
(Expert Solutions)
Q: The nurse desires to improve competency when caring for families within the
LGBTQ+ community. Which first step should the nurse take to improve this
competency?, 🗹🗹: evaluate personal background, beliefs, and biases
Q: during a family assessment, the nurse learns that one parent is heterosexual and the
other family member is bisexual of the opposite sex. how should the nurse document
this family structure?, 🗹🗹: mixed-orientation
Q: a school nurse working at a middle school recognizes that several students identify as
LGBTQ+. which of the following should the school nurse keep in mind when assessing
these students?, 🗹🗹: greater risk of teen pregnancy
Q: the nurse notes that a transgender man has elevated liver enzymes and poor bone
density. what should the nurse consider as a reason for these findings?, 🗹🗹:
masculinizing hormone therapy
Q: during a health assessment a middle-aged gay man asks the nurse not to document
his sexual preference because his primary health care provider is not aware. what
should this request indicate to the nurse?, 🗹🗹: fear of not receiving required care
Q: a nurse is presenting information to their unit regarding the use of pronouns. which
statement by the nurse would require further education?, 🗹🗹: "the correct pronoun
is always discernible form how the person chooses to express their gender"
Q: the nurse is providing care for a family who has an intersex child. which action by the
nurse would require and intervention?, 🗹🗹: providing information to the family
prior to their readiness
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Q: the nurse is working with an adolescent individual who is undergoing the process of
coming out as transgender. the nurse understands that which of the following would be
the final stage in this process?, 🗹🗹: surgical affirmation
Q: the nurse learns that a gay man has waited more than 2 months before seeking
treatment for a sexually transmitted infection. what should the nurse consider as a
reason for this client to delay seeking treatment. select all, 🗹🗹: -lack of access to
care
-lack of insurance coverage
-history of overt discrimination
-negative experience with the healthcare system
Q: the nurse manager suggests that the nursing staff include an assessment of mental
health for all clients who are of the LGBTQ+ community. why is the manager most likely
making this suggestion. select all, 🗹🗹: -higher risk of substance abuse
-greater risk for depression
-high level of social stigma and discrimination that this community often experiences
-the fact that suicide is a leading cause of death within this community
Q: the nurse is aware of several children adopted into same-sex families that are
scheduled to participate in the community preschool program. what can the nurse do to
facilitate the acceptance of these children's family structure into the preschool learning
environment. select all, 🗹🗹: -ensure that teaching materials demonstrate diverse
family structures
-select materials that show both genders performing a variety of roles
-instruct the preschool staff members on ways to reduce the stigma of these children
Q: the nurse prepares to assess an adolescent's sexual history. on which questions
should the nurse focus when completing this assessment. select all, 🗹🗹: -partners
-practices
-protection
-pregnancy prevention
, Page | 3
Q: the nurse is assessing a middle-aged gay man. the nurse knows that when assessing
this patient, which of the following should be taken into consideration? select all,
🗹🗹: -earlier onset of physical disability
-greater risk of cardiovascular disease
-higher rate of chronic gastrointestinal problems
Q: the nurse is presenting at a conference regarding a gender affirming approach to
care. which statements by the nurse reflect an understanding of this approach? select
all, 🗹🗹: -gender identity forms in response to interrelated factors
-gender identity occurs on a spectrum
-mental health issues can exist and could be a result of stigma and/or negative
experiences
Q: a married couple arrives for an appointment for genetic testing after discovery of
genetic diseases in their family histories. what should the nurse explain about genetic
conditions to this couple?, 🗹🗹: they can be attributed to a mutation in a gene
Q: a family in the community has an inherited genetic disorder. what should the nurse
realize about this family and their associated family members?, 🗹🗹: the diagnosed
family members may not want to discuss the genetic information with the rest of the
family
Q: the nurse plans to attend a continuing education program for genetics. in which
situations will the nurse use this knowledge, 🗹🗹: in all health care settings
Q: the nurse recieves information about the human genome project. which phrase does
the nurse identify as accurately defining the human genome, 🗹🗹: the complete set of
genetic material that makes an organism
Q: the nurse notes that a family has a high need for certainty about a possible genetic
condition. what should the nurse expect this family to do?, 🗹🗹: learn about the
genetic condition
nurs246 exam 2 Questions and Answers
(Expert Solutions)
Q: The nurse desires to improve competency when caring for families within the
LGBTQ+ community. Which first step should the nurse take to improve this
competency?, 🗹🗹: evaluate personal background, beliefs, and biases
Q: during a family assessment, the nurse learns that one parent is heterosexual and the
other family member is bisexual of the opposite sex. how should the nurse document
this family structure?, 🗹🗹: mixed-orientation
Q: a school nurse working at a middle school recognizes that several students identify as
LGBTQ+. which of the following should the school nurse keep in mind when assessing
these students?, 🗹🗹: greater risk of teen pregnancy
Q: the nurse notes that a transgender man has elevated liver enzymes and poor bone
density. what should the nurse consider as a reason for these findings?, 🗹🗹:
masculinizing hormone therapy
Q: during a health assessment a middle-aged gay man asks the nurse not to document
his sexual preference because his primary health care provider is not aware. what
should this request indicate to the nurse?, 🗹🗹: fear of not receiving required care
Q: a nurse is presenting information to their unit regarding the use of pronouns. which
statement by the nurse would require further education?, 🗹🗹: "the correct pronoun
is always discernible form how the person chooses to express their gender"
Q: the nurse is providing care for a family who has an intersex child. which action by the
nurse would require and intervention?, 🗹🗹: providing information to the family
prior to their readiness
, Page | 2
Q: the nurse is working with an adolescent individual who is undergoing the process of
coming out as transgender. the nurse understands that which of the following would be
the final stage in this process?, 🗹🗹: surgical affirmation
Q: the nurse learns that a gay man has waited more than 2 months before seeking
treatment for a sexually transmitted infection. what should the nurse consider as a
reason for this client to delay seeking treatment. select all, 🗹🗹: -lack of access to
care
-lack of insurance coverage
-history of overt discrimination
-negative experience with the healthcare system
Q: the nurse manager suggests that the nursing staff include an assessment of mental
health for all clients who are of the LGBTQ+ community. why is the manager most likely
making this suggestion. select all, 🗹🗹: -higher risk of substance abuse
-greater risk for depression
-high level of social stigma and discrimination that this community often experiences
-the fact that suicide is a leading cause of death within this community
Q: the nurse is aware of several children adopted into same-sex families that are
scheduled to participate in the community preschool program. what can the nurse do to
facilitate the acceptance of these children's family structure into the preschool learning
environment. select all, 🗹🗹: -ensure that teaching materials demonstrate diverse
family structures
-select materials that show both genders performing a variety of roles
-instruct the preschool staff members on ways to reduce the stigma of these children
Q: the nurse prepares to assess an adolescent's sexual history. on which questions
should the nurse focus when completing this assessment. select all, 🗹🗹: -partners
-practices
-protection
-pregnancy prevention
, Page | 3
Q: the nurse is assessing a middle-aged gay man. the nurse knows that when assessing
this patient, which of the following should be taken into consideration? select all,
🗹🗹: -earlier onset of physical disability
-greater risk of cardiovascular disease
-higher rate of chronic gastrointestinal problems
Q: the nurse is presenting at a conference regarding a gender affirming approach to
care. which statements by the nurse reflect an understanding of this approach? select
all, 🗹🗹: -gender identity forms in response to interrelated factors
-gender identity occurs on a spectrum
-mental health issues can exist and could be a result of stigma and/or negative
experiences
Q: a married couple arrives for an appointment for genetic testing after discovery of
genetic diseases in their family histories. what should the nurse explain about genetic
conditions to this couple?, 🗹🗹: they can be attributed to a mutation in a gene
Q: a family in the community has an inherited genetic disorder. what should the nurse
realize about this family and their associated family members?, 🗹🗹: the diagnosed
family members may not want to discuss the genetic information with the rest of the
family
Q: the nurse plans to attend a continuing education program for genetics. in which
situations will the nurse use this knowledge, 🗹🗹: in all health care settings
Q: the nurse recieves information about the human genome project. which phrase does
the nurse identify as accurately defining the human genome, 🗹🗹: the complete set of
genetic material that makes an organism
Q: the nurse notes that a family has a high need for certainty about a possible genetic
condition. what should the nurse expect this family to do?, 🗹🗹: learn about the
genetic condition
