Question

A 52-year-old First Nations man living on reserve presents to your rural clinic with obesity, hypertension, and a random plasma glucose of 11.0 mmol/L with polyuria and polydipsia. He has limited access to healthy food and has previously reported experiences of racism in health-care settings. In addition to confirming the diagnosis and initiating evidence-based pharmacotherapy, what action best reflects your CanMEDS Health Advocate and Communicator roles in this context?

Accepted Answer

Explore his experiences with health care, collaborate on culturally safe care plans, and connect him with local Indigenous community resources

Answer

Focus only on prescribing medication and avoid asking about social determinants

Answer

Explain the diagnosis briefly and immediately refer him to an urban specialist without discussing barriers

Answer

Advise strict weight loss and blame poor dietary choices

Answer

Refuse to discuss traditional healing practices

Practice question