“Ditch the White Coats”: What LGBTQ+ Patients Prefer in their Primary Care Provider

Instructions:

Read the article on page 41. The test for this CE activity can be taken online at www.NursingCenter.com/CE/JAANP. Find the test under the article title. You will need to create a username and password and login to your personal CE Planner account before taking online tests. Your planner will keep track of all your Lippincott Professional Development online CE activities for you. There is only one correct answer for each question. A passing score for this test is 7 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost. For questions, contact Lippincott Professional Development: 1-800-787-8985.

Registration Deadline: January 1, 2024

Disclosure Statement: The authors and planners have disclosed that they have no financial relationships related to this article.

Provider Accreditation:

This activity is approved for 1.0 contact hour of continuing education by the American Association of Nurse Practitioners. Activity ID 22125903. This activity was planned in accordance with AANP CE Standards and Policies.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, West Virginia, New Mexico, South Carolina, and Florida, CE Broker #50-1223. Your certificate is valid in all states.

Payment:

• The registration fee for this test is $12.95. AANP members are eligible for a 50% discount. Visit the member-benefit section on AANP website (https://aanp.org/membership/memberbenefits) to obtain the discount code. Use the code when asked for payment during checkout.

DOI: 10.1097/JXX.0000000000000825

Learning Outcome: Seventy-five percent of participants will demonstrate knowledge of LGBTQ+ patients’ experiences with and preferences regarding care by their primary care providers (PCPs) by achieving a minimum score of 70% on the outcomes-based posttest.

Learning Objectives: After completing this continuing professional development activity, the participant will apply knowledge gained to

1. Identify areas for improvement in patient care by PCPs, as suggested by LGBTQ+ patients. 2. Select LGBTQ+ patients’ preferences for care by their PCPs. 1. In the study described in this article, participants suggested that PCPs should “ditch the white coat.” This meant that they wanted PCPs to stop a. having an attitude of superiority. b. wearing a white coat. c. using complicated jargon. 2. As noted in the article, what approach by PCPs helps to keep patients engaged in care? a. frequently suggesting an appropriate treatment, even if the patient is not interested in it b. providing care that is centered around the patient’s agenda c. assuming to know patients’ preferred gender identification based on medical interventions 3. Which part of the provider/patient relationship did some participants find helpful while others did not prefer it? a. having the provider disclose details of the provider’s life b. being empowered to make decisions about their own health care c. teaching providers about LGBTQ+ health care needs 4. What resulted in a level of comfort for participants that was key to their receiving appropriate care? a. being able to interact with other LGBTQ+ patients b. having access to support groups for LGBTQ+-related issues c. seeing an LGBTQ+ friendly provider 5. To avoid being confronted with stigma or discrimination, participants reported that they had a. provided their PCP with LGBTQ+ educational resources. b. only visited a PCP that their LGBTQ+ friends visited. c. avoided seeking medical care. 6. When asked what qualities participants wanted in their PCPs, the authors report that participants responded in a manner that is “specific to being LGBTQ+.” Participants stated that they wanted PCPs who a. are non-judgmental and non-shaming. b. know “everything” about healthcare. c. are openminded and respectful. 7. To ensure that their actions do not harm their patients, the authors recommend that providers a. have posters representing LGBTQ+ people in the waiting room. b. self-reflect on their own biases. c. make informed assumptions about their patients. 8. When a patient presents as defensive, guarded, or even hostile, what do the authors suggest providers do so as not to take a defensive posture? a. limit the time spent with that patient b. listen to the patient’s experiences c. explain that no offense was intended 9. What do the participants in this study add to the Institute of Medicine description of patient-centered care? a. responsive to individual preferences b. respectful of patient values c. sharing a balance of power 10. According to the authors, key to being able to provide patient-centered and culturally congruent care to the LGBTQ+ community is being accepting and affirming and a. assuming heteronormative and binary gender conformity. b. attending focus groups/meetings related to LGBTQ+ issues. c. having knowledge regarding LGBTQ+ patients’ health care needs.

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