Deck 10: Cultural Competence

Question 1

Culture is which of the following?

A) Inherent
B) Learned
C) Both inherent and learned
D) Neither inherent nor learned

Answer 1

Both inherent and learned

Question 2

Disparities in health status, including oral care, are compounded by which of the following?

A) Reduced access to care
B) Lack of education
C) Low socioeconomic status
D) High cost of care

Answer 2

Reduced access to care

Question 3

The Kleinman explanatory model assists with the gathering of information by:

A) using visual rather than auditory cues.
B) asking the client questions.
C) using prepackaged software with a computer touch screen.
D) using multiple interviewers.

Answer 3

asking the client questions.

Question 4

Which of the following describes a cross-cultural approach to health care?

A) Eliminates the foundation of Western medical methods
B) Restricts ways that assess and deliver health care services
C) Combines medical science and social science for the most effective outcomes
D) Combines Western and Eastern medicine

Question 5

Which of the following is true concerning effective cross-cultural communication?

A) With enough time and effort, one can completely understand another culture.
B) Use generalizations for effective cross-cultural communication.
C) It is essential to avoid falling into the stereotyping trap.
D) With enough time and effort, one can completely understand another culture and will not fall into the stereotyping trap.

Question 6

The second rim of the Purnell Model for Cultural Competence represents which of the following?

A) Global society
B) Community
C) Family
D) The person

Question 7

Which of the following is considered the hallmark of quality of care?

A) Individualizing patient care
B) Risk-managed patient care
C) Value-centered patient care
D) Culturally centered patient care

Question 8

Which of the following ethnic groups is the largest percentage of the population according to the Census Bureau (2010)?

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

Question 9

The "R" in the acronym of the LEARN model stands for which of the following?

A) Respect
B) Recommend
C) Remunerate
D) Replace

Question 10

Which of the following is the lowest step on the cultural competency continuum?

A) Cultural blindness
B) Cultural destructiveness
C) Cultural incapacity
D) Cultural competence

Question 11

Which of the following is true about the actions that foster effective cross-cultural communication?

A) Keeps the conversation on track and tries to avoid listening to the client's stories
B) Focuses on differences to keep perspective
C) Recognizes your own cultural biases
D) Reminds the client of the famous saying "When in Rome, do as the Romans do," and implies that his or her differences are unacceptable

Question 12

Which step on the cultural continuum is characterized by acceptance and respect for difference?

A) Cultural blindness
B) Cultural precompetence
C) Cultural competence
D) Cultural proficiency

Question 13

Factors that influence an individual's or a population's health are known as which of the following?

A) Disparities
B) Enculturation
C) Biopsychosocial issues
D) Determinants of health

Question 14

Which of the following are the three areas of intervention found in the cultural competency education model?

A) Self-exploration or awareness, knowledge, and skills
B) Race, culture, and social or economic status
C) Lifestyles, traditions, and personal or family histories
D) Multiracial, multicultural, and multilingual

Question 15

According to the final recommendations on National Standards for Culturally and Linguistically Appropriate Services (CLAS) in health care, guidelines are which of the following?

A) Current federal requirements for all recipients of federal funds
B) Suggestions by the Office of Minority Health (OMH) for voluntary adoption by health care organizations
C) Activities recommended by OMH for adoption as mandates by federal, state, and national accrediting agencies

Question 16

A common goal for health professionals is to provide the best care to:

A) all patients with dental insurance.
B) all patients who can reimburse the practice for expenses and time.
C) all patients with access to the health care system.
D) all patients.

Question 17

Which of the following is one of the 12 cultural domains in the Purnell Model for Cultural Competence?

A) Economic
B) Social
C) Communication
D) Partnership

Question 18

Which of the following statements is true regarding today's evolving diverse population in the United States?

A) The United States is largely monocultural.
B) The United States is largely monolingual.
C) The United States is highly diverse.
D) The United States is a melting pot of racial and ethnic groups.

Question 19

Skin color and body type are concepts related to which of the following cultural domains in the Purnell Model for Cultural Competence?

A) Overview and heritage
B) Family roles and organization
C) Workforce issues
D) Biocultural ecology

Question 20

The delivery of services that are respectful of and responsive to the health beliefs, practices, and cultural and linguistic needs of diverse patients is the definition of which of the following?

A) Diversity
B) Cultural competence
C) Cultural diversity
D) Cross-cultural approach

Question 21

Whole-person and comprehensive care is a principle of which of the following?

A) A health-literate organization
B) The ETHNIC model of cross-cultural communication
C) Patient- and family-centered oral care
D) Kleinman's explanatory model of illness

Question 22

Patient-centered care is driven by which of the following?

A) Productivity
B) Scheduling
C) Quality of care
D) Evidence-based communication

Question 23

Actions to address health disparities in a community include which of the following? (Select all that apply.)

A) Measure the level of fluoride level in the water supply.
B) Increase awareness about health disparities.
C) Create healthy neighborhoods.
D) Provide a list of dental care providers in a flyer.
E) Support health and safe behaviors in your community.

Question 24

The two "E" letters in the acronym RESPECT, a model of cross-cultural communication, stand for which of the following?

A) Empathy and energy
B) Explanations and empathy
C) Engagement and effort
D) Energy and effort

Question 25

A health literate organization is which of the following?

A) One that makes it easier for people to navigate, understand, and use information and services to take care of their health
B) One that has taken classes in cultural competence
C) One that provides testing services on the literacy level of clients
D) One that provides literature in multiple languages

Question 26

The degree to which individuals have the capacity to obtain, process, understand, and communicate basic health information and services needed to make appropriate health decisions is the definition of which of the following?

A) Patient-centered care
B) Cultural sensitivity
C) Health literacy
D) Quality of care

Question 27

At the heart of patient-centered care is _________________.

A) the patient
B) the patient's family
C) effective communication
D) quality outcome

Question 28

The greatest increase in population between the 2000 and 2010 Census is which of the following?

A) Black/African American
B) Hispanic/Latino
C) Asian American
D) Pacific Islander

Question 29

A lack of cultural interchange and adaptation could be called ___________, which is judging other cultures by your own standards consistent with your values, not theirs.

A) stereotyping
B) prejudice
C) ethnocentrism
D) cultural competency

Question 30

An expressed philosophy of viewing and treating all peoples as the same is a definition of which of the following?

A) Cultural incapacity
B) Cultural precompetence
C) Cultural proficiency
D) Cultural blindness

Question 31

Poor children have _____________ their more affluent peers.

A) fewer caries than
B) the same number of caries as
C) twice as many caries as
D) four times as many caries as

Question 32

According to the cultural competency education model, ____________ is to understand that one culture is not intrinsically superior to another and to recognize individual and group differences and similarities.

A) self-exploration
B) awareness
C) knowledge
D) skills

Question 33

Balint's patient-centeredness model emphasized that each patient _____________.

A) has to be understood as a unique human being
B) has the right to self-determination
C) has the obligation to follow through on treatment recommendations
D) needs to be informed of all of the potential outcomes of treatment