Mixed Practice 4

Progress 0%

Mode

Check each answer as you goTimer (45 min)

Case 1 of 10Providing culturally appropriate care

A 24-year-old woman presents to a community clinic for her first visit 3 weeks after arriving in Canada as a government-assisted refugee from Somalia, following 6 years in a refugee camp in Kenya. She speaks Somali and very little English and is accompanied by her husband, who answers most questions on her behalf. She reports fatigue and painful menses; she takes no medications, has no known allergies, and has no immunization records. On examination, she is thin with mild conjunctival pallor and is quiet, avoiding eye contact. BMI is 18.5 kg/m2.

Heart rate	78/min
Respiratory rate	14/min
Temperature	36.8 °C
O2 saturation	99%, room air
Blood pressure	104/64 mm Hg

Question 1 of 30

Which of the following are the most appropriate steps to take when obtaining the history at this visit?

Select 2. (0 / 2 selected)

A. Postpone the full history to a later visit with her husband present

B. Use a bilingual family member as interpreter

C. Ask the husband to interpret and answer for her

D. Avoid asking about past trauma to prevent distress

E. Defer sensitive questions until her English improves

F. Use a professional Somali interpreter

G. Interview her alone for part of the visit

H. Rely on the immigration medical file for the history

Tip: right-click an answer (or press and hold on a phone) to strike it out. Drag over the question text to highlight it.