Deck 16: Gaining Cultural Competence in Community Nutrition
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Deck 16: Gaining Cultural Competence in Community Nutrition
1
Learning useful generalizations about a cultural group is not recommended as a starting point as you will develop too many stereotypes about the group.
False
2
A dynamic conceptual model of cultural competence developed by Campinha-Bacote for health care professionals views cultural competence as a process rather than an end result.
True
3
As illustrated in the cultural competence continuum model,one's level of proficiency for interacting with older adults will be the same as one's level of proficiency for working with those with cognitive delays.
False
4
The LEARN guidelines are useful in developing a culturally sensitive treatment plan.
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5
Diversity means the same thing as culture.
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6
It is impolite to ask someone with a culture different from your own what certain non-verbal cues mean.
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7
Rural Americans have lower rates of chronic illness and enjoy better overall health than those living in urban areas.
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8
All Americans,regardless of cultural background,have the same nutritional issues.
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9
Valuing diversity and viewing the world though "multiple cultural lenses" are at the heart of cultural competence.
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10
One overarching objective of Health People 2020 is to improve the linguistic and cultural competency of public health professionals.
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11
Ethnocentric describes someone who thinks his/her own culture is best.
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12
Smiling,showing warmth,and being friendly are not recommended as a means to enhance cross-cultural communication.
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13
Approximately 20% of the U.S.population speaks a language other than English at home.
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14
Our worldviews change with our different experiences.
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15
In many cultures,religion and health are not separated,and spirituality is viewed as a vital element in health,illness,and healing.
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16
Discussions of how food is used in a culture are a good icebreaker.
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17
Those in the cultural precompetence phase of the cultural competence continuum believe that everyone,regardless of culture,needs to be treated the same.
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18
Including cultural foods in cooking classes for children is one way to support cultural growth.
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19
An evaluation of Hispanic health beliefs and practices indicates a greater emphasis on the power of God and less on preventive health care.
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20
Acculturation is the property of a group that consists of its sharing cultural traditions,having a common linguistic heritage,and originating from the same land.
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21
Which cultural group has a traditional belief that a balance of strengthening hot foods and weakness-promoting cold foods is needed to maintain health?
A) Chinese
B) Italian
C) Mexican
D) Korean
A) Chinese
B) Italian
C) Mexican
D) Korean
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22
All of the following are interdependent constructs of the cultural competency model developed by Campinha-Bacote except
A) cultural awareness.
B) cultural skill.
C) cultural knowledge.
D) cultural incapacity.
A) cultural awareness.
B) cultural skill.
C) cultural knowledge.
D) cultural incapacity.
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23
Cultural characteristics are developed through
A) genetics.
B) life experiences.
C) education.
D) a and b
E) b and c
A) genetics.
B) life experiences.
C) education.
D) a and b
E) b and c
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24
Jewish dietary laws prohibit consumption of all of the following except
A) shellfish.
B) meat and dairy eaten at the same meal.
C) pork.
D) chicken.
A) shellfish.
B) meat and dairy eaten at the same meal.
C) pork.
D) chicken.
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25
Dietary concerns and issues for Asian/Pacific Island Americans include all of the following except
A) high salt intake.
B) heavy use of fried foods.
C) lactase deficiency.
D) rare use of milk.
A) high salt intake.
B) heavy use of fried foods.
C) lactase deficiency.
D) rare use of milk.
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26
All of the following are examples of forms of diversity that are visible except
A) language.
B) physical differences.
C) socioeconomic status.
D) abilities and disabilities.
A) language.
B) physical differences.
C) socioeconomic status.
D) abilities and disabilities.
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27
Which of the following groups has a high prevalence of diabetes and a high death rate from cirrhosis?
A) Hispanics
B) Native Americans
C) African Americans
D) Asian Americans and Pacific Islanders
A) Hispanics
B) Native Americans
C) African Americans
D) Asian Americans and Pacific Islanders
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28
High intakes of carbonated beverages and limited dental care are dietary concerns/issues of
A) Asian/Pacific Island Americans.
B) European Americans.
C) Mexican Americans.
D) Native Americans.
A) Asian/Pacific Island Americans.
B) European Americans.
C) Mexican Americans.
D) Native Americans.
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29
Which of the following is not a possible cause of health disparities in the United States?
A) Limited access to and utilization of quality health care services
B) Lack of insurance
C) Degree of acculturation
D) Use of non-traditional medicines
A) Limited access to and utilization of quality health care services
B) Lack of insurance
C) Degree of acculturation
D) Use of non-traditional medicines
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30
Which of the following is not characteristic of the health care values,beliefs,and practices of European Americans?
A) They value scientific reasoning.
B) They look for biological explanations of illness.
C) They expect to find cures by using technology.
D) They place emphasis on spiritual causes of a problem.
A) They value scientific reasoning.
B) They look for biological explanations of illness.
C) They expect to find cures by using technology.
D) They place emphasis on spiritual causes of a problem.
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31
Which of the following is a function of cultural values?
A) Guide actions and decisions
B) Help determine basic attitudes regarding personal and social issues
C) Provide a set of rules by which to live
D) All of these
A) Guide actions and decisions
B) Help determine basic attitudes regarding personal and social issues
C) Provide a set of rules by which to live
D) All of these
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32
Based on the Campinha-Bacote model of cultural competency,"health care providers learn to perform culturally sensitive assessments and interventions" is the _____ construct.
A) cultural awareness
B) cultural desire
C) cultural encounters
D) cultural skill
A) cultural awareness
B) cultural desire
C) cultural encounters
D) cultural skill
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33
As of 2010,_____ are the largest minority group in the U.S.,accounting for nearly 16% of the population.
A) Hispanics
B) Pacific Islanders
C) Asians
D) African Americans
A) Hispanics
B) Pacific Islanders
C) Asians
D) African Americans
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34
Common values and beliefs of the majority American culture include all of the following except
A) action (task oriented).
B) time dominates.
C) group welfare.
D) materialism.
A) action (task oriented).
B) time dominates.
C) group welfare.
D) materialism.
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35
The notion that too much food can block "ki" (energy)is a traditional belief of what cultural group?
A) Chinese
B) Italians
C) Koreans
D) Mexicans
A) Chinese
B) Italians
C) Koreans
D) Mexicans
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36
Based on the Campinha-Bacote model of cultural competency,"health care providers become appreciative of the influences of culture on the development of values" is the _____ construct.
A) cultural awareness
B) cultural desire
C) cultural encounters
D) cultural knowledge
A) cultural awareness
B) cultural desire
C) cultural encounters
D) cultural knowledge
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37
Increases in minority groups in the United States have resulted from all of the following except
A) alterations in immigration laws.
B) corporation expansions into the global market.
C) tendency for minorities and immigrants to have higher birth rates.
D) changes in the numbers of illegal immigrants.
A) alterations in immigration laws.
B) corporation expansions into the global market.
C) tendency for minorities and immigrants to have higher birth rates.
D) changes in the numbers of illegal immigrants.
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38
Which of the following are characteristic of the majority American culture?
A) Action, task oriented; group welfare; formality
B) Informality; control over fate; family decision making
C) Materialism; directness; practicality
D) Mind, body, and soul integrated; cooperation; formality
A) Action, task oriented; group welfare; formality
B) Informality; control over fate; family decision making
C) Materialism; directness; practicality
D) Mind, body, and soul integrated; cooperation; formality
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39
Members of which of the following religious groups never consume beef and frequently avoid pork?
A) Hindus
B) Jewish
C) Mormons
D) Muslim
A) Hindus
B) Jewish
C) Mormons
D) Muslim
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40
_____ are the grounding forces that provide meaning,structure,and organization in our lives.
A) Beliefs
B) Values
C) Attitudes
D) Norms
A) Beliefs
B) Values
C) Attitudes
D) Norms
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41
Describe some strategies for learning about different cultural practices.
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42
Most _____ are lacto-ovo-vegetarians,with overeating and snacking discouraged and tea,coffee,and alcoholic beverages prohibited.
A) Buddhists
B) Hindus
C) Muslims
D) Seventh Day Adventists
A) Buddhists
B) Hindus
C) Muslims
D) Seventh Day Adventists
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43
Identify reasons community nutrition professionals need to gain cultural and linguistic expertise.
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44
In 2002,the _____ established the Racial and Ethnic Approaches to Community Health Across the U.S.program with the intent to eliminate racial and ethnic health disparities.
A) CDC
B) FDA
C) DHHS
D) USDA
A) CDC
B) FDA
C) DHHS
D) USDA
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45
Avoidance of alcoholic drinks and hot drinks (coffee and tea)is a dietary practice of
A) Buddhists.
B) Hindus.
C) Mormons.
D) Muslims.
A) Buddhists.
B) Hindus.
C) Mormons.
D) Muslims.
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46
Define cultural competency for community nutrition professionals.
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47
Explain the LEARN communication guidelines for health practitioners.
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48
Give examples of some guidelines for creating a comfortable cross-cultural interaction.
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49
Which of the following does not illustrate an appropriate level of cultural competence?
A) Preparing only "American style" foods for a multicultural event
B) Creating a resource list of ethnic grocery stores within your community
C) Translating ethnic recipes into English
D) Coordinating food education lessons with an English as a second language program
A) Preparing only "American style" foods for a multicultural event
B) Creating a resource list of ethnic grocery stores within your community
C) Translating ethnic recipes into English
D) Coordinating food education lessons with an English as a second language program
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50
Fasting is required from sunup to sundown during the month of Ramadan for
A) Roman Catholics.
B) Hindus.
C) Mormons.
D) Muslims.
A) Roman Catholics.
B) Hindus.
C) Mormons.
D) Muslims.
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51
Making eye contact is a sign of respect for
A) Hispanics.
B) European Americans.
C) Asians.
D) Native Americans.
A) Hispanics.
B) European Americans.
C) Asians.
D) Native Americans.
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52
Which of the following is not one of the five major concerns about an illness explored by an explanatory model?
A) The etiology of the illness episode
B) The time and mode of onset of the symptoms
C) Pathophysiology
D) The assessment of nutritional status of the individual
A) The etiology of the illness episode
B) The time and mode of onset of the symptoms
C) Pathophysiology
D) The assessment of nutritional status of the individual
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53
Having a client make suggestions about how he could consume less salt is an example of which LEARN guideline?
A) Listen
B) Explain
C) Assess
D) Negotiate
A) Listen
B) Explain
C) Assess
D) Negotiate
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54
Avoidance of all foods thought to interfere with physical and spiritual development is a dietary practice of
A) Buddhists.
B) Hindus.
C) Mormons.
D) Seventh Day Adventists.
A) Buddhists.
B) Hindus.
C) Mormons.
D) Seventh Day Adventists.
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55
Explain the importance of recognizing one's own cultural values and biases.
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56
Describe problems that could occur when health care providers use nonprofessional interpreters.
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57
Why is it important for community nutritionists to understand the generalities of cultural groups?
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58
Which of the following is the foundation of successful cross-cultural communication?
A) Active listening
B) Body language
C) Verbal responses
D) Distance between the two individuals
A) Active listening
B) Body language
C) Verbal responses
D) Distance between the two individuals
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59
Differentiate the two cultural competency models presented.
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60
Use the following case scenario to answer short answer items.
You have started counseling an individual of Jewish faith.
According to the Campinha-Bacote model,what is the pivotal construct in the process of becoming culturally competent? Please explain.
According to the Campinha-Bacote model,what is the pivotal construct in the process of becoming culturally competent? Please explain.
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61
Differentiate between visible and invisible diversity.
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62
Briefly describe two legislative,regulatory,and/or accreditation mandates related to lessening health disparities.
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63
List six possible causes of health disparities.
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64
Use the following case scenario to answer short answer items.
You have started counseling an individual of Jewish faith.
Create a balanced,one-day meal plan for a man of Jewish faith.
Create a balanced,one-day meal plan for a man of Jewish faith.
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65
Describe five essential elements necessary for an organization to provide culturally competent programming.
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66
Use the following case scenario to answer short answer items.
You have started counseling an individual of Jewish faith.
Based on the constructs within the Campinha-Bacote model of cultural competency,how would you describe your degree of cultural competence regarding the Jewish culture? Justify your answer.
Based on the constructs within the Campinha-Bacote model of cultural competency,how would you describe your degree of cultural competence regarding the Jewish culture? Justify your answer.
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67
Differentiate between worldviews and values.Provide a personal example to illustrate the difference.
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68
Use the following case scenario to answer short answer items.
You have started counseling an individual of Jewish faith.
Based on the cultural competence continuum,what stage are you currently in regarding the Jewish culture? Justify your answer.
Based on the cultural competence continuum,what stage are you currently in regarding the Jewish culture? Justify your answer.
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69
What is acculturation? Why is it of importance when providing nutrition education?
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70
Match between columns
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