Question

During an admission assessment, a patient identifies self as transgender, and tells the RN that gender reassignment surgery and hormone replacement therapy are planned. The RN personally disagrees with the patient’s decision, and asks the charge RN to change the assignment because of the conflict with personal values. Which action by the charge RN is the best response?

Inform the RN that the assignment will not be changed.

Assign the patient to another staff member.

Co-assign the patient with another staff member.

Explore with the RN preconceived ideas to promote acceptance.

Answer 1

Ans) Explore with the RN preconceived ideas to promote acceptance.

Explaination:

- PPACA’s non-discrimination provision, known as Section 1557, prohibits exclusion, discrimination, and denials in healthcare on the bases of race, color, national origin, age, disability and sex in healthcare and expressly recognizes that these bases are also prohibited in other civil rights statutes. The central purpose of PPACA’s Section 1557 is to expand access to care and coverage, and to eliminate discriminatory barriers to access to healthcare. On May 18, 2016, the U.S. Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) issued final regulations implementing this provision.3 Consistent with the statute, these regulations prohibit exclusion, discrimination, and denials in healthcare based the six bases in the statute via reference to other civil rights statutes, including, with respect to sex discrimination.