Deck 15: Cultural Competence in Healthcare Social Work

Question 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

Answer 1

Linguistic competence

Question 2

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

Answer 2

Cultural humility

Question 3

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

Answer 3

Culturegram

Question 4

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

Question 5

_________________________ 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

Question 6

_____________________________ 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

Question 7

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

A) Somatization
B) Malingering
C) Hypochondria
D) Hysteria

Question 8

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

Question 9

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

Question 10

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

Question 11

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

A) Spirituality
B) Evangelism
C) Cultism
D) Religion

Question 12

___________________ 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

Question 13

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

Question 14

Many cultures utilize traditional healers who are called _____________.

A) Doulas
B) Shamans
C) Taus
D) Jansonestas

Question 15

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

Question 16

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

Question 17

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

Question 18

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

Question 19

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%

Question 20

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

Question 21

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

Question 22

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.

Question 23

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

Question 24

In some cultures, drawing the blood or cutting a patient's body is problematic, because this is associated with "soul loss."

Question 25

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

Question 26

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

Question 27

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

Question 28

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.

Question 29

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

Question 30

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.

Question 31

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