Exam Preview for 2403: Gender-Affirming Care: Ethical Issues and Re

Gender-Affirming Care: Ethical Issues and Responses

Please note: exam questions are subject to change.

1. Which of the following are examples of “gender-affirming medical care” that have been banned by certain states? Assisting with name change, clothing, and other social transitions. Providing hormone blockers, hormone treatment, and gender-affirming surgery. Advocating for a client experiencing transphobia or discrimination. Educating a gender-diverse client about the stages of coming out.
2. What is the difference between a “ban” and a “restriction on access” for gender-affirming medical care? A ban prohibits all forms of gender-affirming medical care, whereas restrictions make access more difficult but do not provide an outright prohibition. A restriction prohibits all forms of gender-affirming medical care, whereas bans make access more difficult but do not provide an outright prohibition. A ban is a legal guideline whereas a restriction is a professional ethical requirement. A ban is a professional ethical guideline whereas a restriction is a legal requirement.
3. The primary argument suggesting that “laws banning all gender-affirming medical care to minors are unconstitutional” is that they violate: Freedom of speech. Democratic voting rights. Equal protection of the law. Freedom of peaceable assembly.
4. Which of the following is an example of a law that restricts access to gender-affirming medical care for adults? A law requiring “in-person consent” to hormone treatments with medical providers. A regulation allowing people to “travel out of state” for gender-affirming medical care. An ordinance allowing Medicaid to fund gender-affirming surgery. A statute that prevents medical providers from being sued for providing hormone treatments to people from out of state.
5. How does the principle of “beneficence” apply to the ethical issue of access to gender-affirming medical care? Beneficence means that transgender and gender-diverse clients have a right to autonomy. Beneficence prohibits social workers from violating unethical laws. Beneficence encourages social workers to report professional colleagues who provide services to transgender and gender-diverse clients. Beneficence suggests that social workers should do good, which includes access to types of care that help transgender and gender-diverse clients.
6. How does the principle of “integrity” apply to the ethical issue of access to gender-affirming medical care? Integrity requires social workers to follow a law even if the law is harmful, discriminatory, and unethical. Integrity allows social workers to ignore their ethical, legal, and agency-based responsibilities. Integrity suggests that social workers should be “honest” when discussing issues related to access to medical gender-affirming care. Integrity is not an ethical principle that affects social workers’ responsibilities in relation to gender-affirming medical care.
7. Which of the following statements is “true” about the types of permission that should be required for a minor child to have hormone blockers? [For this question, please assume that the state allows hormone blockers for minors] Parents may provide consent regardless of their child’s wishes. Children may provide consent regardless of their parents’ wishes. Both parental consent and child assent are required. Only a court can determine whether a child should have access to hormone blockers.
8. Which of the following is an example of “brainstorming options” for a transgender minor in need of gender-affirming medical care, but lives in a state prohibiting such care? Simply follow the law of the state where the child resides. Help the child move to a state that does not have a ban on gender-affirming medical care. Inform the family about the impact of the law that bans gender-affirming care, including the legal consequences for them if they violate the law. Engage in an open and creative discussion with the family and other support people to identify different possibilities for helping the minor.
9. Which of the following is a major downside of having to go out of state for gender-affirming care? Social workers have an ethical responsibility to encourage clients to stay within their state. The person going out of state may lose access to their usual support systems, including family, medical providers, and friends. The U.S. Constitution forbids people from traveling from state to state for medical care Transgender and gender-diverse clients do not have a right to self-determination under any circumstances.
10. When a social worker is counseling a transgender adult, who should have responsibility for making the final decision about whether or not to access hormone replacement therapy? The state governor. The social worker. The nurse. The client.