Page 126 - Saunders Comprehensive Review For NCLEX-RN

10. A careful sexual history and appropriate counseling is
important for all members of the LGBTQ population.
11. Nonoccupational postexposure prophylaxis (nPEP) or
the use of prophylactic antiretrovirals before and after
potential HIV exposure should be initiated.
12. Transgender persons taking hormone therapy need to
be monitored at regular intervals; associated
complications, such as polycythemia occurring with
exogenous testosterone use, should be detected and
treated early.
13. Transgender persons who have undergone sexual
reassignment surgery should have the respective
preventive screenings. For example, MTF should have
breast cancer screening by way of mammography if
they are older than 50 years. Additionally, FTM
should still have mammography routinely as
indicated due to the risk for residual breast tissue to
develop cancerous growth.
IV. Homeless
A. Affects men, women, children, and persons of all racial and ethnic
backgrounds.
B. Family units can be affected as a whole.

C. Risk factors

1. There is a risk for early death related to chronic illness,
substance abuse, environment exposures,
communicable diseases, cardiovascular and
respiratory disorders, skin disorders, and mental
illness.
2. Nearly half of this population experiences mental
health issues and coexisting substance abuse
disorders.
3. Malnutrition and poor dentition are common and can
lead to further health complications.
4. Disability often results from illness; disability becomes
a barrier to employment, which further augments the
problem of homelessness.
5. Infants affected by homelessness often have low birth
weights and are more likely to die within the first 12
months of life.
6. Children affected by homelessness are sick more often
with illnesses such as asthma, iron deficiency, lead
poisoning, ear infections, gastrointestinal illness, and
mental health and behavioral problems.
7. Children may begin to act out or become less attentive
in the classroom when basic needs are not met.
8. Youth experience health problems related to risk-
taking behaviors such as alcohol and drug abuse,

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