The nurse is working with a group of lesbian, bisexual, and transgender women. What statements should the nurse be most concerned about regarding psychological considerations in working this group of clients? (Select all that apply.)
1. "I do not live my life openly, but I never fear someone will find out I am a lesbian."
2. "I constantly monitor everything I say and do for fear my mother will find out I am a lesbian."
3. "I constantly feel negative feelings about my sexual preference."
4. "I am coming out and sometimes I have contradictory feelings of excitement and relief."
5. "The excitement of coming out is overwhelming."
Answer: 1, 2
Explanation: 1. The lesbian, bisexual, or transgender woman who does not live her identity openly must deal with the fear that someone will discover who she really is. Although these women grieve the loss of hiding who they are, the grief is not sanctioned by society and is another source of hidden stress. Lesbians or bisexual women may internalize negative social attitudes to their sexual identities, leading to greater risk of suicide. Coming out causes contradictory feelings of excitement and relief.
2. The lesbian, bisexual, or transgender woman who does not live her identity openly must deal with the fear that someone will discover who she really is. Although these women grieve the loss of hiding who they are, the grief is not sanctioned by society and is another source of hidden stress. Lesbians or bisexual women may internalize negative social attitudes to their sexual identities, leading to greater risk of suicide. Coming out causes contradictory feelings of excitement and relief.
You might also like to view...
A mental health client is admitted to the psychiatric unit one month after abdominal surgery. During the initial assessment, the nurse asks the client about pain. In order to provide culturally competent care, the nurse should not:
1. Acknowledge that each client holds various beliefs about pain. 2. Abstain from stereotyping a client's pain responses based on the person's culture. 3. Assume that all clients will verbally express their pain and ask for medication. 4. Respect the client's right to react to pain in whatever manner desired.
The primary health care provider has prescribed quinine for a client. The patient is also taking warfarin. Which of the following would be most important for the nurse to keep in mind about this combination when providing care to the patient?
A) Quinine absorption is increased. B) Metabolism of quinine is increased. C) The patient is at increased risk for bleeding. D) The patient's risk for a heart attack is increased.
An 80-year-old patient is brought to the urgent care center. The patient is unconscious and the physician suspects a cerebrovascular accident (CVA/stroke). You are assisting, so your first priority for this patient is to:
A) Perform the Glasgow Coma Scale B) Perform CPR C) Call the family D) Maintain patency of the airway
Which statement is true about neuropathic pain?
a. This pain is the result of a stimulus to pain receptors. b. Patients describe it as dull and aching. c. It commonly originates in the abdominal region. d. The pain is a result of nerve injury.