Deck 6: Cultural Competence

Question 1

Ignoring or devaluing the models and practices embedded in other cultures can be described as:

A) evidence-based practice.
B) ethnocentrism.
C) stereotyping.
D) bias.

Answer 1

ethnocentrism.

Question 2

At the first oral care visit, the culturally sensitive oral health professional should:

A) first assess the core values of the group to which the client belongs.
B) base his or her judgment on the characteristics of the specific culture to which the client belongs.
C) assesses the core cultural values for each client individually rather than focusing on the group to which the client belongs.
D) apply stereotyping as a tool to determine the possible core values of the client.

Answer 2

assesses the core cultural values for each client individually rather than focusing on the group to which the client belongs.

Question 3

Statement 1: Beliefs and practices within a culture do not influence the access to healthcare services.
Statement 2: The way people make sense of illness is in part culturally determined.

A) Statement 1 is correct; statement 2 is incorrect.
B) Statement 1 is incorrect; statement 2 is correct.
C) Statements 1 and 2 are both correct.
D) Statements 1 and 2 are both incorrect.

Answer 3

Statement 1 is incorrect; statement 2 is correct.

Question 4

A mother is standing beside her child in the dental office. The child is experiencing a terrible toothache. The mother is crying. She wants to know why God is doing this to her child. What would be the best response of the care provider?

A) Explain to her that God has nothing to do with the cause of this toothache.
B) Explain to her that she is making the child anxious.
C) Listen actively and allow her to express her feelings.
D) Do not pay too much attention to her crying, but focus on the child and try to examine the cause of the toothache.

Question 5

A 42-year-old female client brought her 14-year-old son to a first appointment with an oral health professional. The oral health professional plans to obtain a medical history, but the client and the clinician do not speak the same language. The client's son offers to be the interpreter. Which answer is the most appropriate solution?

A) The clinician agrees with the proposal and is happy with this efficient solution.
B) The clinician prefers an official interpreter, which can be arranged by phone.
C) The clinician uses a medical history in the language of the client and asks the client to complete the questionnaire.
D) The clinician refers the client to a different dental office at the other side of the city, where the oral health professional speaks the language of the client.

Question 6

Cultural competence starts with:

A) awareness of the client's background and cultural beliefs and values.
B) understanding the client's perspective and social context.
C) applying a variety of communication skills to appeal to the client's identity.
D) awareness of one's own cultural beliefs and practices.

Question 7

Statement 1: Poverty is associated with poor oral health. Statement 2: Being part of an ethnic majority group leads a person to have poor oral health.

A) Statement 1 is correct; statement 2 is incorrect.
B) Statement 1 is incorrect; statement 2 is correct.
C) Statements 1 and 2 are both correct.
D) Statements 1 and 2 are both incorrect.

Question 8

Statement 1: Complex societies are homogenous.
Statement 2: Immigrants of the first generation share the same culture as the second or third generation of immigrants.

A) Statement 1 is correct; statement 2 is incorrect.
B) Statement 1 is incorrect; statement 2 is correct.
C) Statements 1 and 2 are both correct.
D) Statements 1 and 2 are both incorrect.

Question 9

Statement 1: Symbols can play an important role in culture.
Statement 2: Culture is set by historical developments and will not change.

A) Statement 1 is correct; statement 2 is incorrect.
B) Statement 1 is incorrect; statement 2 is correct.
C) Statements 1 and 2 are both correct.
D) Statements 1 and 2 are both incorrect.

Question 10

A client from a collectivist environment:

A) makes decisions about the proposed treatment on his or her own.
B) likes to discuss the treatment options with the healthcare provider alone.
C) prefers a "doctor-centered" approach.
D) might not display the characteristics of the group and therefore might make a decision on his or her own.

Question 11

When adapting behavioral interventions for minorities, it is important to:

A) use community recourses to publish the intervention and to increase accessibility.
B) identify barriers to access and participation.
C) couple the initiatives with culturally accepted values or respected figures.
D) do both a and c.
E) do a, b, and c.

Question 12

If a client does not speak the language of the care provider, the best strategy to interact would be to:

A) use a medical interpreter with no relationship to the client.
B) speak slowly and ask client if he or she understands the instructions.
C) ask a family member to translate.
D) use body language to communicate you care.

Question 13

Statement 1: Culturally sensitive care starts with the care provider exploring the cultural beliefs of the client. Statement 2: Cultural differences occur in every clinical encounter.

A) Statement 1 is correct; statement 2 is incorrect.
B) Statement 1 is incorrect; statement 2 is correct.
C) Statements 1 and 2 are both correct.
D) Statements 1 and 2 are both incorrect.

Question 14

An equitable, culturally sensitive environment is characterized by:

A) the care provider initiating a cultural encounter.
B) reciprocal inquiry between the client and care provider.
C) the client initiating sharing information about his or her cultural beliefs.
D) the care provider tailoring the information to the mindset of the client.

Question 15

Statement 1: Patients are usually willing to share their ideas and customs with those who express a willingness to understand them. Statement 2: The clinician should assume the presence of cultural differences, and therefore, the clinician needs extensive knowledge of every cultural practice and belief.

A) Statement 1 is correct; statement 2 is incorrect.
B) Statement 1 is incorrect; statement 2 is correct.
C) Statements 1 and 2 are both correct.
D) Statements 1 and 2 are both incorrect.

Question 16

Nonverbal communication is important in a culturally sensitive environment. The clinician should be sensitive to:

A) gestures.
B) eye contact.
C) personal space.
D) all of the above.

Question 17

Stereotyping:

A) is effective in a strange environment with new people to ascertain the characteristics of a member of a particular group.
B) can be described as an inaccurate, biased assessment of another human being based on group characteristics.
C) is an essential step in analyzing cultural differences.
D) recognizes the uniqueness of the individual and allows an accurate perception of the individual.

Question 18

Statement 1: Health care literacy is the ability to understand health or disease. Statement 2: Poverty is not a barrier to access healthcare.

A) Statement 1 is correct; statement 2 is incorrect.
B) Statement 1 is incorrect; statement 2 is correct.
C) Statements 1 and 2 are both correct.
D) Statements 1 and 2 are both incorrect.

Question 19

Statement 1: Ethnic identity describes the common cultural, historic, and geographic experiences of a group.
Statement 2: Individuals of a group who share an ethnic identity also share the same attitude, interests, and dialects.

A) Statement 1 is correct; statement 2 is incorrect.
B) Statement 1 is incorrect; statement 2 is correct.
C) Statements 1 and 2 are both correct.
D) Statements 1 and 2 are both incorrect.