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Supporting the LGBTQ Senior in Healthcare

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1.  Which of the following is true regarding the timeline/history of LGBT Seniors? LGBT individuals came of age at a time when there was great prejudice and violence against LGBT people They were labeled by the religious and medical communities Their history may make people less open about their LGBT identity and may choose not to identify All of these are true

2.  In a survey of residents' opinions, which of the following did most respondents indicate they wanted? Restricting visitation from biological siblings who have not accepted them Providers who have been trained around LGBT issues Asking detailed questions about their gender identity even if they did not have a "need to know" A speedy discharge

3.  According to Healthy People 2020, one benefit of addressing health concerns include: Reductions in disease transmission and progression Decreased mental and physical well-being Increased health care costs Decreased longevity

4.  Which of the following is false regarding transgendered older adults? Transgender people often change their name to affirm their gender identity Registration forms and medical records should not be updated to reflect preferred name Their name is sometimes different than what is on their insurance or identity documents Transgender individuals want others to use pronouns that affirm their gender identity

5.  Which of the following is/are considered best practice for communication with LGBT older adults? Don't laugh or gossip about a patient's appearance or behavior Don't use stereotypes or ask questions that are not necessary for care Don't be afraid to politely correct your colleagues if they make a mistake or make insensitive comments All of the above

6.  Which of the following statistics is inaccurate? In 2014, there were approximately 3 million gay and lesbian older adults By 2030, there will be approximately 7 million LGBT older people in the United States 10% of LGBT older adults say their social networks have become smaller 1 in 4 transgender older adults reports discrimination when seeking housing and other services

7.  According to recent research, which of the following is/are likely to be true? LGBT older adults are twice as likely to have lived their lives alone and be disconnected from their family of origin LGBT older adults are three to four times less likely to have children for support LGBT older adults are five times less likely to have accessed health and social services out of fear of mistreatment or being stigmatized in some way All of these are true

8.  Which of the below statements is false? We should avoid terms such as "queer" and "dyke" that have negative connotation LGBT older people may rely on euphemisms to describe their partners or significant others, such as "friend," "special friend," "roommate," "companion," or "cousin" It is very unlikely that LGBT older adults will use terms that are now considered outdated or offensive such as "homosexual," "lifestyle," or "sexual preference" If you are ever unsure about how to address a person, let the person guide you

9.  Which of these is NOT true regarding sexual orientation and gender identity? Coming out is a static event that always involves publicly sharing one's sexual identity All people have a sexual orientation and a gender identity There are many dynamic and evolving terms related to how people gender identify Sexual orientation can be fluid meaning that people may define their sexual orientation in different ways at different times

10.  Which of the following is NOT true regarding gender identity/expression? Gender identity is a person's innermost concept of self as man, woman, a blend of both, or neither Gender identity can be the same or different from one's sex assigned at birth Gender identity and sexual orientation are describing or defining the same thing Gender expression is the external appearance of a person's gender identity, usually expressed through behavior, clothing, haircut or voice, and which may or may not conform to socially defined masculine or feminine behaviors and characteristics