Ethical & Cultural Considerations Flashcards

When conducting an ANSA assessment with an older adult from a culture that highly values deference to authority, the practitioner should:

Answer: Be alert to acquiescence bias and use open-ended probing questions to verify responses

Acquiescence bias — agreeing with the interviewer out of deference — can distort ANSA ratings and requires open-ended probing to elicit authentic responses.

The ANSA's strengths-based philosophy aligns with indigenous healing perspectives primarily by:

Answer: Recognizing community, cultural identity, and traditional practices as legitimate strengths

Indigenous frameworks often center community, land, and cultural identity as healing resources, which the ANSA's strengths domain can capture when practitioners are culturally informed.

A practitioner assessing a client who follows dietary or health practices from their cultural or religious tradition (e.g., fasting, herbal medicine) should:

Answer: Explore how these practices function as coping mechanisms or health-promoting strengths

Cultural and religious health practices may serve as important coping and wellness resources that the ANSA strengths domains should capture.

Intersectionality in the ANSA assessment context means the practitioner should:

Answer: Recognize that multiple overlapping social identities shape the client's unique experience of needs and supports

Intersectionality acknowledges that race, gender, class, sexuality, and other identities interact uniquely, producing experiences that cannot be understood by examining each factor in isolation.

A practitioner assessing a client with limited English proficiency uses a bilingual family member as interpreter because no professional interpreter is available. The primary ethical risk is:

Answer: Family members may filter, edit, or withhold information, compromising assessment accuracy and confidentiality

Untrained family interpreters may consciously or unconsciously alter information due to shame, protectiveness, or misunderstanding, threatening both accuracy and client confidentiality.

Systemic racism as a social determinant of health is most relevant to the ANSA Ethical & Cultural Considerations domain because it:

Answer: Can create chronic stressors that inflate need ratings while simultaneously limiting access to strengths-building resources

Systemic racism creates cumulative stress and resource barriers that directly affect multiple ANSA domains, and practitioners must contextualize ratings accordingly.

When an ANSA practitioner disagrees with a client's culturally driven decision that is legal and does not pose imminent danger, the ethical course is to:

Answer: Respect client autonomy and self-determination, even while noting professional concerns in supervision

Client autonomy and self-determination are foundational ethical principles; practitioners manage personal disagreement through supervision rather than overriding lawful client decisions.