Assessment 02 – Protected Health Information For this assessment, you

1. What is a California regulation and best practice regarding privacy? Only staff members who are directly involved with care activities or examinations should be present when those activities are performed. Long-term care facilities can share a resident’s personally identifiable information, including their sexual orientation, with other residents. Organizations can prohibit a resident from having private visits by their spouse or registered domestic partner. Long-term care facilities must inform LGBTQIA+ residents that they cannot refuse to be examined or treated by any staff member when the primary purpose is educational. 2. Which phrase describes how one expresses their gender to others through their name, pronouns, haircut, clothing, behavior, and voice or body characteristics? Gender identity Gender role Gender expression Cisgender 3. Marco was assigned female at birth and identifies as male. How would Marco most likely define himself? Gay Transgender Cisgender Heterosexual 4. You are helping in the dining room during lunchtime and overhear a group of residents calling another resident discriminatory names. What is the BEST step that you can take to be a good bystander? Approach the table of residents and say, “I am uncomfortable with what you said. It does not belong at our facility. We should respect all our residents.” Tell the resident being harassed that they would be better off if they ate the meal in their room. Call the police anonymously and let them know that someone is being harassed and discriminated against. Ask the residents at the table to lower their voices so that others cannot hear their conversation. 5. What should a staff member do when speaking to a new transgender resident? Staff should use the pronouns he/she until they are sure. Staff should call the resident by their last name. Staff should use the pronouns they used in their admission documentation. Staff should pick one pronoun, share it with the team, and use it consistently. 6. How can an organization create visible support for LGBTQIA residents? Posting LGBTQIA antidiscrimination statements Sharing LGBTQIA residents’ health information with staff and residents Asking LGBTQIA community members to stand during group events Informing other residents of a person’s sexual orientation or gender identity 7. What is sexual orientation? A person’s deeply felt sense of their gender. How a person expresses their gender through clothing and hair. Who a person is sexually, emotionally, and/or romantically attracted to. An umbrella term used by people who are not heterosexual or cisgender. 8. What actions are unconsciously committed by individuals with no harmful intent but have a negative impact on LGBTQIA+ older adults? Homophobia Discrimination Microaggressions Violence 9. During the admissions process, staff believes a new resident falls under the LGBTQIA+ umbrella. What is the BEST step to take? Determine the resident’s HIV status. Recommend the resident join a care facility that is more affirming. Deny the resident’s room preference. Consider ways to make the resident feel welcome. 10. What action is prohibited in California State Bill 219? Using a resident’s chosen name if it is different than the name on the person’s birth certificate. Allowing a resident to express their gender if it is different from the gender they were assigned at birth. Denying admission or refusing a transfer within a facility based on the person’s gender identity or orientation. Providing care that is appropriate for the resident based on their organs and bodily needs.

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