An emergency nurse is caring for a transgender patient who has not yet undergone gender reassignment surgery. The patient's legal documents still reflect their birth sex, but they request to be addressed by their preferred name and pronouns. What is the BEST course of action for the nurse?
Use only the name listed on the patient's legal documents
Address the patient using their preferred name and pronouns
Ignore the patient's request and use neutral terms to avoid confusion
Refer the patient to a social worker to discuss their gender identity
The correct answer is to address the patient using their preferred name and pronouns. This approach demonstrates respect for the patient's gender identity and aligns with best practices in providing inclusive, patient-centered care. While legal documents may not reflect the patient's gender identity, healthcare providers should prioritize the patient's preferences in their interactions.
Documenting both the patient's legal name and preferred name is important for continuity of care and legal purposes, but this should be done in addition to addressing the patient as they prefer, not instead of it. Referring the patient to a social worker or ignoring their request could be seen as dismissive and may harm the therapeutic relationship. Using only the legal name disregards the patient's expressed preferences and may cause distress or feelings of invalidation.
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