Health Equity, Cultural Humility and Social Determinants of Health Flashcards
7 cards from real Ambulatory Care Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Health Equity, Cultural Humility and Social Determinants of Health flashcards as text
A patient declines a blood transfusion for religious reasons. The nurse's best response is to:
Answer: Respect the decision, ensure informed refusal is documented, and explore acceptable alternatives
Competent adults may refuse treatment; nurses document informed refusal and explore acceptable alternatives.
Which explanatory model question (Kleinman) best elicits a patient's cultural understanding of illness?
Answer: "What do you think caused your problem?"
Kleinman's questions explore the patient's beliefs about cause, meaning, and treatment of illness.
An older rural patient has no broadband internet and is told to use a telehealth video visit. Which SDOH barrier is present?
Answer: Digital divide limiting access to care
Lack of broadband or devices is the digital divide, which is now recognized as a determinant of health care access.
What is the best alternative care option for the patient lacking broadband?
Answer: Offer an audio-only telephone visit or in-person appointment
Audio-only or in-person options preserve access when video is not feasible.
Which statement about the impact of social determinants on health outcomes is most accurate?
Answer: Social, economic, and environmental factors account for a larger share of health outcomes than clinical care
Research estimates clinical care contributes about 10-20% of outcomes, with social, economic, and behavioral factors contributing more.
A Deaf patient who uses American Sign Language arrives for a visit. Under the ADA, the clinic should:
Answer: Provide a qualified ASL interpreter at no cost to the patient
The ADA requires effective communication, including qualified ASL interpreters at no cost, for complex discussions.
Trauma-informed care in ambulatory settings emphasizes which principle?
Answer: Safety, trustworthiness, choice, collaboration, and empowerment
SAMHSA's trauma-informed principles include safety, trustworthiness, choice, collaboration, and empowerment.
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