Should you consider using a chaperone, and when might this be appropriate?

• A. Never use chaperones
• B. You may consider chaperones if the patient is uncomfortable
• C. Chaperones should be used in all visits
• D. Chaperones are required for every examination

Answer: (B)

The key idea is that a chaperone is used to support the patient’s comfort and help maintain professional boundaries during an examination. A chaperone serves as a witness and a reassurance for the patient, and can also protect the clinician from misunderstandings.

You may consider having a chaperone when the patient expresses discomfort or when the examination is sensitive or intimate in nature. This isn’t something you apply to every visit; instead, offer it as an option and respect the patient’s preference. The presence of a chaperone should be explained, consent obtained, and the role of the chaperone understood, ensuring privacy and that the chaperone’s duties are limited to observation and support.

It isn’t correct to say it’s never used, or that it’s required for all exams. Chaperones aren’t mandated for every encounter, and policies vary by setting, but patient comfort remains the guiding factor.