Final answer:
The changes made to a primary key are automatically reflected in the associated foreign key when the action cascade propagates, ensuring referential integrity is maintained.
Step-by-step explanation:
When the action cascade propagates the changes made to a primary key out to the associated foreign key, the outcome is that the changes are automatically reflected in the associated foreign key. This means that if a primary key value is updated in a database, any foreign key that is linked to that primary key will also be updated to reflect the new value, maintaining referential integrity among the tables.