Which nursing action during a psychosocial assessment of a transgender client may contribute to health disparities?

• A. Insisting on using the name listed on the client's driver's license
• B. Asking about preferred pronouns
• C. Confirming gender identity with consent
• D. Providing inclusive intake forms

Answer: (A)

Respecting the patient’s chosen name and pronouns is essential in a psychosocial assessment because it validates their gender identity and builds trust. Insisting on the name listed on a driver’s license can feel like deadnaming and may reveal private information the patient prefers to keep confidential. This can lead to embarrassment, reduced disclosure of psychosocial stressors, and mistrust of the care team, all of which contribute to disparities in care for transgender individuals. By contrast, asking about preferred pronouns, confirming gender identity with consent, and providing inclusive intake forms are affirming practices that promote accurate assessment and equitable treatment. Therefore, using the legal name as the sole identifier may contribute to health disparities.