Deck 10: Cultural Competence

Question 1

You and your family relocate to another state because your spouse is transferred. Once there, you find that the population of the state has more cultural diversity and a higher rate of poverty than anywhere else you have lived. You take a clinical dental hygiene position in a corporate dental clinic. After your first week on the job, you realize that your patient population is primarily of a lower socioeconomic status than you have experienced in the past and most of the children are on Medicaid. You begin to learn more about the population of your state, their culture, and cultural issues in general.

-Many of the adult patients you saw this first week either did not speak English or were not fluent in English, and the office staff informs you that this represents most of the patients in this clinic. The children learn English in school, but many of their parents speak only Spanish. You speak English and do not speak Spanish. What is the best way for you to handle oral communications with your non-English-speaking patients or parents?

A) Have the children interpret for their parents
B) Provide written materials in Spanish and don't worry about using oral communication
C) Ask a Spanish-speaking staff member to interpret for you
D) Ask the patient to bring a friend to interpret

Answer 1

Ask a Spanish-speaking staff member to interpret for you

Question 2

You and your family relocate to another state because your spouse is transferred. Once there, you find that the population of the state has more cultural diversity and a higher rate of poverty than anywhere else you have lived. You take a clinical dental hygiene position in a corporate dental clinic. After your first week on the job, you realize that your patient population is primarily of a lower socioeconomic status than you have experienced in the past and most of the children are on Medicaid. You begin to learn more about the population of your state, their culture, and cultural issues in general.

-All of the following statements EXCEPT one accurately describe the cultural shift of the population of the United States. Which one is the EXCEPTION?

A) Greater numbers speak a language other than English.
B) The Hispanic/Latino population has the highest percentage of people of all ethnic groups.
C) The ethnic, racial, and linguistic diversity has increased dramatically.
D) Even with a shift in the cultural makeup, the population still functions as a "melting pot."

Answer 2

Even with a shift in the cultural makeup, the population still functions as a "melting pot."

Question 3

You and your family relocate to another state because your spouse is transferred. Once there, you find that the population of the state has more cultural diversity and a higher rate of poverty than anywhere else you have lived. You take a clinical dental hygiene position in a corporate dental clinic. After your first week on the job, you realize that your patient population is primarily of a lower socioeconomic status than you have experienced in the past and most of the children are on Medicaid. You begin to learn more about the population of your state, their culture, and cultural issues in general.

-You have always placed importance on practicing dental hygiene with a patient-centered care approach. You are interested to learn that cultural competence relates to patient-centered care. All of the following EXCEPT one describe the relationship of cultural competence and patient-centered care. Which one is the EXCEPTION?

A) Patient-centered care and culturally competent care share the same emphasis, which is to increase health equity and reduce disparities.
B) At the core of both patient-centered and culturally competent care is the emphasis on seeing the patient as a unique person.
C) Both patient-centered care and culturally competent care address individual patients' needs, preferences, and goals, thus complementing each other in achieving quality of care.
D) Both patient-centered care and culturally competent care depend on a patient-centered approach.

Answer 3

Patient-centered care and culturally competent care share the same emphasis, which is to increase health equity and reduce disparities.

Question 4

You and your family relocate to another state because your spouse is transferred. Once there, you find that the population of the state has more cultural diversity and a higher rate of poverty than anywhere else you have lived. You take a clinical dental hygiene position in a corporate dental clinic. After your first week on the job, you realize that your patient population is primarily of a lower socioeconomic status than you have experienced in the past and most of the children are on Medicaid. You begin to learn more about the population of your state, their culture, and cultural issues in general.

-You find in your research that your pursuit of cultural competence as a healthcare provider is stressed in the literature and supported by various government programs. All of the following EXCEPT one is given as a reason for why cultural competence in health care is important. Which one is the EXCEPTION?

A) Culture and ethnicity influence human growth and development.
B) In most states cultural competence is a requirement for dental hygiene licensure.
C) Providing effective and high-quality health care to all people is a challenge.
D) Societies are changing throughout the world.

Question 5

You and your family relocate to another state because your spouse is transferred. Once there, you find that the population of the state has more cultural diversity and a higher rate of poverty than anywhere else you have lived. You take a clinical dental hygiene position in a corporate dental clinic. After your first week on the job, you realize that your patient population is primarily of a lower socioeconomic status than you have experienced in the past and most of the children are on Medicaid. You begin to learn more about the population of your state, their culture, and cultural issues in general.

-All of the following statements EXCEPT one accurately describe the complexity of the relationship of oral health disparities to the diversity of the population. Which one is the EXCEPTION?

A) Low socioeconomic groups are at higher risk for oral health problems.
B) Oral health literacy is influenced by socioeconomic status.
C) Access to oral health care has no relationship to the oral disease burden of a group.
D) Cultural factors, including perceptions about oral health, are powerful determinants of health.

Question 6

You and your family relocate to another state because your spouse is transferred. Once there, you find that the population of the state has more cultural diversity and a higher rate of poverty than anywhere else you have lived. You take a clinical dental hygiene position in a corporate dental clinic. After your first week on the job, you realize that your patient population is primarily of a lower socioeconomic status than you have experienced in the past and most of the children are on Medicaid. You begin to learn more about the population of your state, their culture, and cultural issues in general.

-As you conduct your research, you realize that the dental clinic where you work has some policies and practices in place that do not reflect what you are learning about culturally competent patient care. You also find national guidelines to help organizations develop policies that ensure they are culturally competent, which you would like to share with the managers of your clinic. All of the following EXCEPT one are national guidelines to ensure cultural competence of an organization. Which one is the EXCEPTION?

A) Provide easy-to-understand print and multimedia materials and signage in the languages commonly used by the population served
B) Hire only healthcare workers who can demonstrate cultural competence by passing a test
C) Create conflict and grievance resolution processes that are culturally and linguistically appropriate
D) Conduct ongoing assessments of the organization's cultural competence

Question 7

According to the 2010 Census, what was the only non-white group to not increase in numbers from 2000 to 2010?

A)Hispanic/Latino
B)Asian American
C)American Indian/Alaskan Native
D)Pacific Islander

Question 8

A(n) ___________ has been defined by Healthy People 2020 as "a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage."

A)economic difference
B)health disparity
C)health difference
D)social change

Question 9

An example of a barrier to accessing health services is:

A)insurance coverage.
B)high cost.
C)availability.
D)professionalism.

Question 10

___________ is an integrated pattern of human behavior that includes thoughts, communications, languages, practices, beliefs, customs, and relationships.

A)Culture
B)Ethics
C)Social responsibility
D)Health

Question 11

When you judge other people's cultures by one's own standards, don't accept other groups, and consider other groups inferior, you are being:

A)cultural.
B)anti-establishment.
C)independent.
D)ethnocentric.

Question 12

Which one of these is critical to reducing oral health disparities and improving access to high-quality oral health care?

A)Cultural competence
B)Ethnocentrism
C)Nonverbal communication
D)Racism

Question 13

The Cultural Competence Education Model is framed on three areas of intervention: self-exploration, knowledge, and:

A)skill.
B)values.
C)perception.
D)ethics.

Question 14

The ______________ is a classic, holistic, complex organizing framework presented to understand culture as a means of guiding the development of cultural competence among healthcare teams of all disciplines; it involves 12 cultural domains that affect one another.

A)Cultural Competence Continuum
B)Cultural Competence Education Model
C)Purnell Model for Cultural Competence
D)Effective Cross-Cultural Communication Model

Question 15

The LEARN Model of Cross-Cultural Communication stands for Listen, Explain, Acknowledge, Recommend, and:

A)Narrate.
B)Necessitate.
C)Notify.
D)Negotiate.

Question 16

The ETHNIC Model of Cross-Cultural Communication stands for Explanation, Treatment, Healers, Negotiate, _____________, and Collaboration.

A)Interview
B)Intervention
C)Incorporate
D)Instruction