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Culturally Competent Sexual Health Assessment: Best Practices and Ethical Guidelines

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1.  Which of the following is NOT one of the 7 P’s of sexual health assessment? Partners Protection Penetration Pronouns

2.  What is one way that clinicians can ensure cultural competence when assessing for partners? Do not assume the gender or number of sexual partners that a patient has. Do not ask about the number of partners or the gender of partners directly so as not to make the patient feel uncomfortable. Assess the race and ethnicity of all partners. None of the above.

3.  Which of the following represents best practice guidelines for assessing sexual practices in trans and gender diverse patients? It is most important to assess designated gender at birth and currently identified gender. It is more important to assess organs/body parts and hormones than to assess identified gender. It is more important to assess self-identified gender than to assess organs/body parts and hormones. It is more important to assess gender designated at birth than to assess organs/body parts and hormones.

4.  Which statement best describes the role of stigma in sexual health? Stigma is helpful as it motivates patients to engage in healthy sexual practices. Stigma may be less evident in minority communities, such as BIPOC and LGBT communities. There is not much stigma around sexual health and sexually transmitted infections. Stigma causes secrecy and lack of information and prevents patients from seeking support.

5.  What is a common misconception about disabled individuals and sexuality? Disabled people most often do not or cannot have sex. Disabled people often have too much sex. Disabled people are fully celebrated as sexual individuals by society. None of the above.

6.  Why are men who have sex with men or transfeminine people who have sex with men at increased risk of contracting HIV? Because more gay men contracted HIV in the 80’s. Because gay men and transfeminine individuals tend to have a higher number of sexual partners than other populations. Because receptive anal sex poses a greater risk for contraction of HIV due to the thin lining of the rectum. Because gay men and transfeminine individuals tend to use less protection.

7.  What is the difference between PEP and PrEP? PEP helps protect from HSV infection prior to exposure, while PrEP helps protect from HIV infection the patient has been exposed. PrEP helps protect from HSV infection prior to exposure, while PEP helps protect from HIV infection the patient has been exposed. PEP helps protect from HIV infection prior to exposure, while PrEP helps protect from HIV infection the patient has been exposed. PrEP helps protect from HIV infection prior to exposure, while PEP helps protect from HIV infection the patient has been exposed.

8.  What is one way that a clinician can reduce discomfort around talking about sexual health practices? Avoid asking any questions that might feel intrusive. Provide psychoeducation on why talking about sexual health is important and ask for permission to open up the discussion. Reveal personal information about the clinician’s sexual health practices to normalize sex. Require that patients answer questions on sexual health practices as part of the clinical intake.

9.  What might a clinician want to keep in mind when assessing sexual health practices in BIPOC individuals? BIPOC individuals should only be assessed by a clinician who is BIPOC as well. BIPOC individuals experience reduced stigma around sexuality due to the protective factor of community. BIPOC individuals experience increased stigma related to sexuality and have to cope with systems of power and oppression in ways that white individuals do not. None of the above.

10.  Which of the following is the most common sexually transmitted infection in the United States? HPV Gonorrhea Syphilis Bacterial Vaginosis

11.  What is one way you as a clinician can support a patient who was recently diagnosed with an STI? Provide psychoeducation that the patient should not have sex until they are treated. Encourage the patient to reveal their status to their sexual partners and guide the patient in doing so. Provide psychoeducation and support in a non-stigmatizing manner, make appropriate referrals for treatment, and explore ways that the patient can have safe sex. Refer the patient to a medical provider as discussing sexual health related to an STI is outside your scope of practice.

12.  What would be the most ethical first course of action when working with a patient who was diagnosed with HIV and informs you that they plan to continue having sex with their partner without disclosing their HIV status? (note that laws and ethics are state-dependent). Inform the patient that you will be breaking confidentiality and informing their partner of their HIV status. Break confidentiality and notify the partner immediately without discussing it with your patient. Do not discuss with your patient so as not to work outside of your scope of practice. Maintain the patient’s confidentiality and encourage them to engage in safe practices or notify their partner about their HIV status.

13.  What are terms frequently used when discussing sexually transmitted infection that should be avoided due to their contribution to stigma? “clean” vs. “dirty” “healthy” vs. “sick” “sexually transmitted disease” vs. “sexually transmitted infection” “HIV” vs. “AIDS”

14.  What is a guideline that can be used when working with kinky patients? Assessing whether the patient has a fetish that meets DSM-V criteria. Assessing whether the patient is engaging in sex that is safe, sane, and consensual. Assessing whether the patient is engaging in practices that cause physical harm. None of the above.

15.  Which of the following STIs can be treated with antibiotics? Syphilis, HIV, and herpes Mgen, HPV, and bacterial vaginosis Mgen, chlamydia, and gonorrhea HIV, chlamydia, and gonorrhea