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Culturally safe care for Indigenous patient with pneumonia — RCPSC EM MCQ

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HardEthics, medicolegal, Indigenous healthCulturally safe care for Indigenous patient with pneumoniaRCPSC EM

A patient from a remote community with severe pneumonia has limited English proficiency and requests a professional interpreter, their daughter and a community health representative for the admission discussion. Which action is most appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Use professional interpretation, include requested supports and obtain decisions from the patient

Explanation lettering: C = shown as A · D = shown as B · E = shown as C · A = shown as D · B = shown as E

D is correct: antibiotics and resuscitation should proceed while communication support is arranged, and the capable patient directs who is involved. E risks invalid consent. A and B disregard patient preference. C creates a false choice between equity and timely treatment.

Reference: College of Physicians and Surgeons of British Columbia, Indigenous Cultural Safety, Cultural Humility and Anti-racism Practice Standard: https://www.cpsbc.ca/files/pdf/CPSBC-PS-Indigenous-Cultural-Safety-Cultural-Humility-Anti-racism.pdf