The nurse is caring for a patient who says she is lesbian. The well-educated nurse will be aware that the patient:
1. Is at lesser risk for sexually transmitted diseases and cervical cancer than a heterosexual woman would be.
2. Is less likely to experience domestic violence than a heterosexual woman would be, and does not need to be asked about it.
3. Is at greater risk for breast cancer than a heterosexual woman would be.
4. Does not need to have a Pap smear as frequently as a heterosexual woman would.
3
Rationale 1: Lesbians are at just as great a risk for sexually transmitted diseases and cervical cancer as are heterosexual women.
Rationale 2: Lesbians do experience domestic violence, and they do need to be asked about it as a part of their history.
Rationale 3: Lesbians are at a greater risk for breast cancer, especially if they have never given birth.
Rationale 4: Lesbians need Pap smears and gynecological follow-up as often as any other woman does.
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