Deck 2: Cultural Competency

Question 1

Which statement is true regarding the relationship of physical characteristics and culture?

A) Physical characteristics should be used to identify members of cultural groups.
B) There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics.
C) To be a member of a specific culture, an individual must have certain identifiable physical characteristics.
D) Gender and race are the two essential physical characteristics used to identify cultural groups.

Answer 1

There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics.

Question 2

Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group?

A) Native Americans
B) Hispanics
C) Chinese
D) Italians

Answer 2

Chinese

Question 3

Mr. Jones is a 45-year-old patient who presents to the office. A person's definition of illness is likely to be most influenced by:

A) race.
B) socioeconomic class.
C) enculturation.
D) age group.

Answer 3

enculturation.

Question 4

An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native Americans, Asians, and Middle Eastern groups is Western medicine's attempts to:

A) use a holistic approach that views a particular medical problem as part of a bigger picture.
B) determine a specific cause for every problem in a precise way.
C) establish harmony between a person and the entire cosmos.
D) restore balance in an individual's life.

Question 5

The definition of ill or sick is based on a:

A) stereotype.
B) cultural behavior.
C) belief system.
D) cultural attitude.

Question 6

Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care healthcare provider. Which of the following describes a physical, not a cultural, differentiator?

A) Race
B) Rite
C) Ritual
D) Norm

Question 7

Which variables can intrude on successful communication? (Select all that apply.)

A) Social class
B) Gender
C) Stereotype
D) Phenotype
E) Age

Question 8

Campinha-Bacote's Process of Cultural Competence Model includes which cultural constructs? (Select all that apply.)

A) Desire
B) Awareness
C) Thought processes
D) Skill
E) Language

Question 9

A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, "Yeah," "No," or "I guess so." Which of the following is appropriate for the interviewer to say or ask?

A) "We will be able to communicate better if you look at me."
B) "It's hard for me to gather useful information because your answers are so short."
C) "Are you uncomfortable talking with me?"
D) "Does your religion make it hard for you to answer my questions?"

Question 10

Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which question has the most potential for exploring a patient's cultural beliefs related to a health problem?

A) "How often do you have medical examinations?"
B) "What is your age, race, and educational level?"
C) "What types of symptoms have you been having?"
D) "Why do you think you are having these symptoms?"

Question 11

The attitudes of the healthcare professional:

A) are largely irrelevant to the success of relationships with the patient.
B) do not influence patient behavior.
C) are difficult for the patient to sense.
D) are culturally derived.

Question 12

An image of any group that rejects its potential for originality or individuality is known as a(n):

A) acculturation.
B) norm.
C) stereotype.
D) ethnos.

Question 13

Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L's son tells you that for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response?

A) "With your father's permission, we will examine the stone and request that it be returned to him."
B) "The stone must be sent to the lab for examination and therefore cannot be kept."
C) "We cannot let him keep his stone because it violates our infection control policy."
D) "We don't know yet if your father has another kidney stone, so we must analyze this one."

Question 14

An example of a cold condition is:

A) a fever.
B) a rash.
C) tuberculosis.
D) an ulcer.

Question 15

As the healthcare provider, you are informing a patient that he or she has a terminal illness. This discussion is most likely to be discouraged in which cultural group?

A) Navajo Native Americans
B) Dominant Americans
C) First-generation African descendants
D) First-generation European descendants

Question 16

Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to:

A) forego the examination for fear of violating cultural norms.
B) ask a colleague from the same geographic area if this examination is acceptable.
C) inform the patient of the reason for the examination and ask if it is acceptable to him.
D) refer the patient to a provider more knowledgeable about cultural differences.

Question 17

The motivation of the healthcare professional to "want to" engage in the process of becoming culturally competent, not "have to," is called:

A) cultural knowledge.
B) cultural awareness
C) cultural desire
D) cultural skill.

Question 18

As you explain your patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to:

A) tell him that you understand his need to be alone.
B) ask whether he has any questions.
C) ask whether he would prefer to speak to the clinician.
D) tell him that it is all right to be angry.