Ambulatory Care Test Health Equity, Cultural Humility and Social Determinants of Health 5

Question 1

A patient declines a blood transfusion for religious reasons. The nurse's best response is to:

Accepted Answer

Respect the decision, ensure informed refusal is documented, and explore acceptable alternatives

Answer

Competent adults may refuse treatment; nurses document informed refusal and explore acceptable alternatives.

Question 2

Which explanatory model question (Kleinman) best elicits a patient's cultural understanding of illness?

Accepted Answer

"What do you think caused your problem?"

Answer

Kleinman's questions explore the patient's beliefs about cause, meaning, and treatment of illness.

Question 3

An older rural patient has no broadband internet and is told to use a telehealth video visit. Which SDOH barrier is present?

Accepted Answer

Digital divide limiting access to care

Answer

Lack of broadband or devices is the digital divide, which is now recognized as a determinant of health care access.

Question 4

What is the best alternative care option for the patient lacking broadband?

Accepted Answer

Offer an audio-only telephone visit or in-person appointment

Answer

Audio-only or in-person options preserve access when video is not feasible.

Question 5

Which statement about the impact of social determinants on health outcomes is most accurate?

Accepted Answer

Social, economic, and environmental factors account for a larger share of health outcomes than clinical care

Answer

Research estimates clinical care contributes about 10-20% of outcomes, with social, economic, and behavioral factors contributing more.

Ambulatory Care Test Practice Test