Another DH Exam

Which of the following is a benefit of providing culturally and linguistically appropriate services in oral health? A. It helps to attract new business. B. It helps to decrease clinical errors. C. It helps to deliver a better quality of care. D. It helps to reduce administrative and other business costs. E. All of the above.

E. All of the above.

Romania/Eastern Europe

Firm handshake, protective of home, introverted

Which of the following is NOT a commonly held health belief model that is prevalent across different cultures? A. Cross-cultural interaction model. B. Biomedical model. C. Holistic model. D. Magico-religious model. E. All of the above are common health belief models.

A. Cross-cultural interaction model.

Mexico

Indirect communication - not blunt Eye contact, physically close, expressive body language

True or False: Oral health service access is not the same as oral health service availability.

True

What is culture? A. Behavioral patterns that may change over time. B. Integrated patterns of human behavior. C. The language, thoughts, communications, actions, customs, beliefs, values and institutions of racial, ethnic, religious or social groups. D. All of the above. E. None of the above.

D. All of the above.

Which of the following is the most basic role that an interpreter usually adopts? A. A resolver. B. A clarifier. C. A mediator. D. A cultural broker. E. A conduit.

E. A conduit

Which of the following is a barrier to accessing oral health care? A. The patient's limited oral health literacy. B. The patient's geographic location. C. The patient's financial resources. D. The patient's perception that there is a lack of resources or staff to meet his/her needs. E. All of the above are barriers to accessing oral health care.

E. All of the above are barriers to accessing oral health care.

What is an oral health disparity? A. A health difference that is closely linked with social, economic and/or environmental disadvantage. B. Discrimination toward a particular group of people in an oral health setting. C. The shared oral health needs across groups of people. D. The opposite of having a privileged social status. E. All of the above are definitions of an oral health disparity.

A. A health difference that is closely linked with social, economic and/or environmental disadvantage.

What is oral health literacy? A. How well a patient obtains, processes, and understands oral health information and services needed to make oral health decisions. B. How well a patient can read printed materials and write legibly. C. How well you and your patient use correct, scientific medical terms for oral health. D. How well a patient adheres to your treatment recommendations and engages in good oral health care practices. E. How much you share all that you know on a particular oral health topic with your patients.

A. How well a patient obtains, processes, and understands oral health information and services needed to make oral health decisions.

Which office strategy helps you comply with federal regulations such as Title VI of the Civil Rights Act, as implemented through Executive Order 13166? A. Providing communication and language assistance to your patients. B. Incorporating more culturally and linguistically appropriate artwork and media into your office. C. Asking patients questions about their oral health beliefs during the clinical exam. D. Discussing cultural and linguistic competency with staff and colleagues. E. Asking patients to complete a culturally focused patient satisfaction survey.

A. Providing communication and language assistance to your patients.

All of the following are barriers to communication, except: A. Respecting a patient. B. Language differences between you and a patient. C. Your patient mistrusting you. D. You and your patient having low oral health literacy. E. Your patient rejecting your advice.

A. Respecting a patient.

If you are considering using pictures and symbols to help improve your communication with your patients who have limited English proficiency (LEP), you should first: A. Speak with a bilingual colleague or staff member to help you understand the cultural relevance of pictures and symbols. B. Contact an illustrator to sketch some symbols and pictures for your review. C. Look on the Internet for pictures featuring culturally diverse individuals demonstrating what you want to communicate. D. Make up some symbols that represent what you want to communicate. E. Use symbols and pictures you found in a colleague's office.

A. Speak with a bilingual colleague or staff member to help you understand the cultural relevance of pictures and symbols.

Which of the following is an example of positive feedback? A. "Your teeth aren't going to get any better if you keep doing what you are doing." B. "I can tell you've worked on making some of the changes we discussed during your last visit." C. "You've been doing all the wrong things in caring for your teeth." D. "You're always going to have this much pain if you don't start flossing more." E. "I know you're trying to brush more often, but you need to try harder."

B. "I can tell you've worked on making some of the changes we discussed during your last visit."

Which of the following is an example of a high cultural competency activity? A. Visiting a foreign country. B. Advocating for better language access services for culturally diverse patients. C. Watching films and reading literature from different cultures. D. Recognizing that all patients have the same oral health preferences. E. Assigning your receptionist to be the only person in your office responsible for monitoring cultural competency.

B. Advocating for better language access services for culturally diverse patients.

What is effective communication? A. Talking in a manner that the information you provide is correctly understood by the individual with whom you are interacting. B. Talking and listening in a manner in which information is correctly understood by you and the individual with whom you are interacting. C. Listening in a manner that you indicate you have understood the information provided by the individual with whom you are interacting. D. Speaking the same language as the individual with whom you are interacting. E. Encouraging the individual with whom you are interacting to speak freely.

B. Talking and listening in a manner in which information is correctly understood by you and the individual with whom you are interacting.

True or false: Microaggressions are brief exchanges—made intentionally or unintentionally—that invalidate or hurt a marginalized group through statements or actions. Microaggressions are brief daily indignities, which typically result in unintentional insults.

Both statements are true

What are proxemics? A. A type of nonverbal communication focused on body language. B. A type of nonverbal communication focused on mimicry. C. A type of nonverbal communication focused on the space between individuals. D. A type of nonverbal communication focused on vocalizations and sounds. E. A type of verbal communication.

C. A type of nonverbal communication focused on the space between individuals.

What does it mean to provide understandable oral health services? A. Providing oral health services that achieve the patient's desired results. B. Providing oral health services that are fair and impartial. C. Providing oral health services that are clear and in a format that can facilitate learning. D. Providing oral health services that hold the patient's opinions in high esteem. E. Providing oral health services that consider and listen to the patient's needs and wants.

C. Providing oral health services that are clear and in a format that can facilitate learning.

Other than English, which of the following languages is most frequently spoken in U.S. homes? A. Chinese B. Farsi C. Spanish D. French E. Hindi

C. Spanish

What is tertiary prevention? A. Taking steps to ensure disease does not occur. B. Taking steps to screen, diagnose and treat disease in its early stages. C. Taking steps to monitor and treat the progression of disease. D. Taking steps to eliminate the existence of disease. E. Taking steps to encourage patients to use research-based treatments for their disease.

C. Taking steps to monitor and treat the progression of disease.

Which is NOT a primary focus in developing office protocols to support a culturally and linguistically appropriate environment in your dental practice? A. To provide effective care. B. To provide understandable care. C. To provide economical care. D. To provide equitable care. E. To provide respectful care.

C. To provide economical care.

Which of the following activities could most involve the use of social media? A. Increasing self-awareness of cultural differences. B. Conducting an organizational assessment of current practices. C. Aligning services with patient needs. D. Gathering patient feedback. E. None of the above.

D. Gathering patient feedback.

Which acronym represents the core principles of Motivational Interviewing (MI)? A. RHYME B. RUN C. RESPECT D. RULE E. RIGHT

D. RULE

What are the social determinants of health? A. Person-to-person interactions that ultimately affect health. B. Labels that are created to describe minority groups. C. The group to which a particular individual identifies and relates. D. The conditions in which people are born, grow, live, work, and age. E. The way people are referred to health care services.

D. The conditions in which people are born, grow, live, work, and age.

Which is NOT an example of ways we might communicate nonverbally? A. Through gesturing with our hands. B. Through diverting eye contact away from another person. C. Through slouching in our chair. D. Through swearing at someone when we are angry. E. Through smiling at someone when he or she pays us a compliment.

D. Through swearing at someone when we are angry.

As you prepare to provide culturally and linguistically appropriate services, why is it useful to review community demographics (e.g., family types, racial/ethnic breakdown, etc.)? A. Because it can prove how diverse the community is or is not. B. To figure out which additional languages I need to learn. C. To help me determine whether to accept Medicare and Medicaid. D. To help me determine which groups to target. E. This is not a useful step.

D. To help me determine which groups to target.

South Africa

Direct communication Handshake, eye contact and smile. Ask about health

Which one of the following individuals is at highest risk of having low oral health literacy? A. A high school graduate. B. An immigrant who has been in the U.S. for 35 years. C. An individual who makes at least $50,000 a year. D. A recent college graduate. E. A 70-year-old male.

E. A 70-year-old male.

Which of the following is a reason to conduct a self-assessment of your current knowledge and practices? A. To help decrease administrative and insurance costs. B. To help determine my level of cultural literacy. C. To help comply with federal regulations such as Title VI. D. To help identify which health belief model to adopt. E. To help identify gaps between my cultural knowledge and practices.

E. To help identify gaps between my cultural knowledge and practices.

Jamaica

Expressive, outspoken

True or False: Linguistic competency is the ability to read, write and speak in a language that is different from one's native language.

False

True or False: Providing culturally and linguistically appropriate services is primarily the front desk staff's responsibility since they see the patient first.

False

True or False: There are no free resources available to help you prepare to provide culturally and linguistically appropriate oral health care and services.

False

True or False: Translation is the same as interpretation.

False

Philippines

Lips/eyebrow positioning, facial animations

Brazil

Tactile, close Clicking tongue/shaking head for disagreement Rubbing hands together: no big deal OK gesture is rude Clicking fingers: long time ago