Exam Questions Ch15 Cultural Competence In Healthcare Social

Chapter 15: Cultural Competence in Healthcare Social Work

1. Debby works in a dialysis center. Many of her patients are Hispanic and are non-English speakers. As Debby reviews the educational literature available for dialysis patients, she makes sure to order copies in Spanish as well as English. Debby is exhibiting ____________________.

a. Health literacy

b. Linguistic competence

c. Biolingual acceptance

d. Biolingual assimilation

@ Cognitive domain: Comprehension; Answer location: Defining Cultural Competence: Question type: MC

2. _____________________ is the capacity of individuals to obtain, process, and understand healthcare information and services needed to make appropriate health decisions.

a. Health literacy

b. Linguistic competence

c. Multimodal competence

d. Universal intelligence

@ Cognitive domain: Knowledge; Answer location: Defining Cultural Competence: Question type: MC

3. Gena was working with Abioye, a patient from Africa. Abioye had developed a blood clot and needed daily injections of a medication to treat it and prevent future blood clots. Most patients could be taught to give the injection to themselves or have a family member do this. Abioye could not give himself injections due to neuropathy in his fingers. Abioye lived with his adult daughter, Ekua. When Abioye was told his daughter would need to learn to give him the injections, Abioye stated that was not possible because in his culture, a daughter does not touch a father’s stomach. Gena told Abioye that she was unfamiliar with his culture, but she asked him to explain his cultural limitation, and they would work together to find a solution that was culturally acceptable. Gena was exhibiting _________________________________.

a. Cultural curiosity

b. Cultural humility

c. Cultural sublimation

d. Cultural persuading

@ Cognitive domain: Application Answer location: Defining Cultural Competence; Question type: MC

4. Bill works in a primary care practice. He has been asked to meet with a patient from Yugoslavia. Bill does not have any experience working with individuals from this country. Bill asks the patient some questions including his reasons for relocation, his legal status, language spoken at home and in the community, and his health beliefs. As Bill asks these questions, he makes a visual representation of the answers, which help Bill gain a better understanding of his patient. Bill is making a _________________________.

a. Eco-gram

b. Culturegram

c. Genogram

d. Healthgram

@ Cognitive domain: Application; Comprehension; Answer location: Defining Cultural Competence; Question type: MC

5. The __________________________ experiments, which began in 1932 and continued until 1972, were among the most horrific examples of inappropriate and immoral healthcare provided to African Americans.

a. Tecumseh

b. Toomy

c. Kellog

d. Tuskegee

@ Cognitive domain: Knowledge; Answer location: Defining Cultural Competence; Question type: MC

6. _________________________ is the process by which individuals of two or more cultures who have come into contact with each other lose their unique cultural identities and become fused into a single homogeneous cultural unit different from any of the original component cultural units.

a. Assimilation

b. Blending

c. Acculturation

d. Cultural melting

@ Cognitive domain: Comprehension; Answer location: Specific Considerations In Culturally Competent Healthcare; Question type: MC

7. _____________________________ describes the process whereby the traits of a new culture are adopted and incorporated into an existing culture.

a. Assimilation

b. Blending

c. Acculturation

d. Cultural melting

@ Cognitive domain: Comprehension; Answer location: Specific Considerations in Culturally Competent Healthcare; Question type: MC

8. The experience of emotional conflict and anxiety in the body is ______________________.

a. Somatization

b. Malingering

c. Hypochondria

d. Hysteria

@ Cognitive domain: Comprehension; Answer location: Specific Considerations in Culturally Competent Healthcare: Question type: MC

9. In ___________ cultures, communication is largely determined by the words selected as well as by voice inflection and tone. Communication tends to be precise, logical, linear, and factual.

a. Advanced-context

b. High-context

c. Low-context

d. Primitive-context

@ Cognitive domain: Comprehension; Answer location: Communication and Time Orientation; Question type: MC

10. Individuals from ________________________ cultures value listening over talking and believe that things will happen when they are ready to happen.

a. Hispanic

b. African American

c. Middle Eastern

d. Native American

@ Cognitive domain: Knowledge; Answer location: Communication and Time Orientation; Question type: MC

11. An individual from a __________________ culture may agree in order to be polite without truly agreeing or even understanding any requests made of them.

a. Advanced-context

b. High-context

c. Low-context

d. Primitive-context

@ Cognitive domain: Application; Answer location: Communication and Time Orientation; Question type: MC

12. __________________ refers to a formal identification and at least minimal participation with an organized religious group.

a. Spirituality

b. Evangelism

c. Cultism

d. Religion

@ Cognitive domain: Comprehension; Answer location: Religion and Spirituality; Question type: MC

13. ___________________ is used to describe an individual’s constellation of attitudes and beliefs about the human spirit or soul and its place and relationship to a higher power and the universe.

a. Spirituality

b. Evangelism

c. Cultism

d. Religion

@ Cognitive domain: Comprehension; Answer location: Religion and Spirituality; Question type: MC

14. Leslie is working in an oncology practice. A high proportion of her patients is Latino and Latina. Leslie believes strongly in the concepts of informed consent and patient self-determination and autonomy. Leslie has had to consult her supervisor regarding her uncomfortable feelings, because many of her Latino and Latina patients believe in _____________ and prefer not to be told if they have a terminal prognosis.

a. Machismo

b. Personalismo

c. Respecto

d. Fatalisimo

@ Cognitive domain: Application; Answer location: Religion and Spirituality Question type: MC

15. Many cultures utilize traditional healers who are called _____________.

a. Doulas

b. Shamans

c. Taus

d. Jansonestas

@ Cognitive domain: Knowledge; Answer location: Beliefs and Practices: Physical/Mental Health and Illness; Question type: MC

16. A organization that recognizes and attempts to rectify weakness in serving those from different cultures is regarded as __________.

a. Culturally destructive

b. Cultural incapacity

c. Culturally precompetent

d. Culturally competent

@ Cognitive domain: Comprehension; Answer location: Culturally Competent Healthcare Organizations; Question type: MC

17. An organization that exhibits extreme insensitivity to patients’ cultural identities, health practices, and beliefs is said to be _____________.

a. Culturally destructive

b. Cultural incapacity

c. Culturally precompetent

d. Culturally competent

@Cognitive domain: Comprehension; Answer location: Culturally Competent Healthcare Organizations; Question type: MC

18. An organization that accepts and respects difference between cultural groups, continually assesses their policies and practices regarding cultural sensitivity, has an ongoing commitment to expand cultural knowledge and resources, and promotes cultural competence in hiring and developing staff is ___________________.

a. Culturally destructive

b. Cultural incapacity

c. Culturally precompetent

d. Culturally competent

@ Cognitive domain: Comprehension; Answer location: Culturally Competent Healthcare Organizations; Question type: MC

19. A culture that has failed to develop any capacity to respond to patients of different cultures is exhibiting _________________________.

a. Culturally destructive

b. Cultural incapacity

c. Culturally precompetent

d. Culturally competent

@ Cognitive domain: Comprehension; Answer location: Culturally Competent Healthcare Organizations; Question type: MC

20. Herbal remedies and dietary supplements can interact with prescription drugs, so it is important to inquire about their usage. In the United States ______________ of Americans take some form of dietary supplement.

a. 40%

b. 60%

c. 25%

d. 80%

@ Cognitive domain: Knowledge; Answer location: Beliefs and Practices: Physical/Mental Health and Illness; Question type: MC

True/False

1. Cultural competence is not static and requires frequent relearning and unlearning about diversity.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Defining Cultural Competence; Question type: TF

2. “Marianismo” is the Latino term that describes the strong value placed on motherhood and having children.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Family Structure, Roles, and Gender; Question type: TF

3. Social workers should not make assumptions or rely on stereotypes based on assumptions or oversimplification. Their therapeutic approach should that of being initially unaware, curious, and culturally humble.

a. True

b. False

@ Cognitive domain: Application; Answer location: Specific Considerations In Culturally Competent Healthcare; Question type: TF

4. The culture of medicine places considerable value on high-context communication.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Communication and Time Orientation; Question type: TF

5. In some cultures, drawing the blood or cutting a patient’s body is problematic, because this is associated with “soul loss.”

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Religion and Spirituality; Question type: TF

6. Friendman, Marshal, Stall, Cheong, and Wright (2008) found same-sex couples report interpersonal violence as their most serious health concern after HIV/AIDS.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: The Gay, Lesbian, and Transgendered Population; Question type: TF

7. In general, the use of colloquialisms and idioms is one way to break down barriers to communication with those to another culture.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Communication and Time Orientation; Question type: TF

8. Because pain is an objective experience that can be measured, it is easy to assess using such tools as a Likert scale.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location; Experience of Pain; Question type: TF

Short Answer/Essay

1. The term “Latino” is used to designate people in the United States whose origins can be traced back to the Spanish-speaking countries of Latin America as well as the Caribbean, Mexico, Central America, and South America. The term _____________ was created by the federal government as a classification system for those individuals who speak Spanish.

Hispanic

@ Cognitive domain; Knowledge; Answer location: Family Structure, Roles, and Gender; Question type: FIB

2. An organization that believes that good practices in and of themselves are culturally appropriate is seen as culturally _________________.

a. Blind

@ Cognitive domain; Knowledge; Answer location: Culturally Competent Healthcare Organizations; Question type: FIB

3. The efforts of the individual practitioner will not have much impact on the ability to provide culturally competent care unless expectations for culturally competent practice are woven into the fabric of the healthcare organization. Outline the guidelines that Green (1999), Hutchinson (2003), Lum (2003), and Mor Barak (2000) suggest are needed for a culturally competent organization.

a. Diversity should be reflected in all levels of the organization, from clients to the board of directors; The organization should conduct and support ongoing training and communication about diversity issues and multicultural communications; Staff should be actively engaged in learning about the community, its norms, values, and formal as well as informal resources. Particular attention should be paid to preferences for care giving and care receiving; Staff should engage in active outreach, attending local functions, giving presentations at community organizations, etc., particularly when a targeted population is suspicious of Western bioscience; Staff should maintain working relationships with other organizations that serve the targeted population, such as ethnic agencies.

@Cognitive domain: Analysis; Answer locations: Culturally Competent Healthcare Organizations; Question type: ESS

4. What are some cultural considerations that a social worker should keep in mind when addressing advanced care directives with patients?

a. For the LGBT population, same-sex marriage is not recognized in all states, creating barriers to the disclosure of medical information and blocking the medical decision making of a same-sex partner of a patient; Many Latino cultures perceive it as very inappropriate to talk about bad things in the future and tempting fate; Many Korean Americans and Hispanic Americans prefer not to be informed of a terminal prognosis; In China and other Asian countries, it is customary for the physician to inform the family but not the patient of a terminal prognosis.

@Cognitive domain: Analysis; Answer: Customs of Daily Living and Life Stage Events and The Gay, Lesbian, and Transgendered Population; Question type: ESS