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Hauora Māori — Responding to a Patient Who Distrusts the System

MMIHard
Role Play & Communication · 8 minSelf-marked
All free questions
How to use this: start the timer and answer the question out loud (or type it). Then grade yourself 0–3 on each skill with a note of your evidence — exactly as our examiners do. Hit Reveal benchmark & score to see what a model answer scores and how you compare. Everything saves to your browser automatically.
Answer timer
8:00/ 8 min suggested
1

Answer the question

Hauora Māori — Responding to a Patient Who Distrusts the System

A Māori man, Tūhoe, 55, comes to your GP clinic for the first time in many years. He says: 'I don't trust doctors — last time I came in, I felt like I was being talked down to and rushed out the door.' His blood pressure is severely elevated. How do you conduct this consultation?

Likely follow-ups
1

What does 'institutional racism' mean in a health context, and why is it relevant to Tūhoe's experience?

2

How do you address the immediate clinical risk (severely elevated BP) while rebuilding trust?

3

What follow-up plan would respect his autonomy while not abandoning him to a high cardiovascular risk?

Your answer

Speak it out loud and we'll type it for you (free), or type your own notes — then mark yourself below.

Resources & frameworks
  • SPIKES for breaking bad news: Setting, Perception, Invitation, Knowledge, Empathy, Strategy.
  • Listen → empathise → check understanding → agree a plan together. Calm voice, no jargon.
Auckland MMI format guide→Otago panel interview guide→Ministry of Health NZ — Wai 2575 Māori Health Trends ReportMCNZ — Cultural Safety StatementHe Ara Oranga — Report on Mental Health and Addiction NZSee all 1000+ questions on Prometheus→
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2

Mark yourself

Score each skill against the rubric, then add a line of evidence. Scale:

0Not shown1Limited2Good3Excellent
Quick mark:Completion: 0%

Empathy

0/3

Responds to expressed distrust as both clinical information and a relational signal

Communication

0/3

Balances listening, transparency, and clinical urgency without coercion

Cultural Safety

0/3

Understands institutional racism as a structural pattern, not just individual prejudice

Ethics

0/3

Holds shared decision-making even under clinical time pressure

3

Reflect & score

What would you change next time?
Your overall score / 10
Total: 0/12
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