The population health nurse is interviewing a client who states that she is a lesbian. What statement by the client indicates the need for more education?
1. "Since I only have sex with females I am at a lower risk for some sexually transmitted diseases."
2. "I have less risk factors for breast cancer than a heterosexual."
3. "I do need to have routine Pap smears."
4. "I have an increased risk of heart disease."
Answer: 2
Explanation: 2. There is a higher prevalence of certain risk factors for breast cancer among lesbian women. Women who engage in sexual activity exclusively with other women seem to be at lower risk for some sexually transmitted diseases. Routine Pap smears are as important for lesbians as for heterosexuals. There is an increased risk for heart disease among lesbians perhaps because lesbians smoke more than their heterosexual sisters and tend to have a higher body mass index.
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