Question

A 70-year-old First Nations woman with limited English declines colon cancer screening, stating that she fears hospitals because of past experiences of discrimination. Which approach best aligns with cultural safety and shared decision-making?

Accepted Answer

Explain the screening benefits and harms using plain language, offer interpreter or Indigenous patient navigator support, explore her concerns, and revisit the decision over time

Answer

Document refusal and never revisit the topic

Answer

Tell her she must complete screening or risk being removed from the practice

Answer

Ignore her concerns and order colonoscopy anyway

Answer

Ask family members to consent on her behalf without involving her

Practice question

A 70-year-old First Nations woman with limited English declines colon cancer screening, stating that she fears hospitals because of past experiences of discrimination. Which approach best aligns with cultural safety and shared decision-making?