Chapter 6: Cultural competency in healthcare

What are the six steps of cultural competence

1. Cultural destructiveness 2. Cultural incapacity 3. Cultural blindness 4. Cultural pre-competence 5. Cultural competence 6. Cultural proficiency

What are the five constructs of the process of cultural competence in the delivery of healthcare services model

1. Cultural knowledge 2. Cultural awareness 3. Cultural desire 4. Cultural skill 5. Cultural encounters

In an individualistic environment, a single person is the central decision maker who has autonomy and self determination and is an essential element to make medical and dental care decisions. In a collectivist environment, the group is viewed as the fundamental unit of society and is seen as a decision maker for medical and dental care decisions. A. Both statements are true B. Both statements are false C. The first statement is true, the second statement is false D. The first statement is false, the second statement is true

A. Both statements are true

Poverty often is the reason a patient does not seek dental care. Unemployment often is a barrier to patients meeting the basic need for overall and oral health A. Both statements are true B. Both statements are false C. The first statement is true, the second statement is false D. The first statement is false, the second statement is true

A. Both statements are true

A new patient, Celeste Moon, arrives for dental hygiene treatment. She has many visible tattoos and piercings and is carrying a bag that says, "save the earth." Before she even sits in the chair, the dental hygienist suspects she will have poor hygiene, periodontal disease, and rampant decay. The hygienist also suspects that she would refuse radiographs and think fluoride is poison. This preconceived attitude is an example of: A. Cultural sensitivity B. Stereotyping C. Ethnocentrism D. Cultural incompetence

B. Stereotyping

All of the following are consequences of ineffective communication caused by cultural differences between the clinician and the patient except: A. Clinician dissatisfaction B. Decreased trust C. Adherence to recommendations D. Adverse health outcomes

C. Adherence to recommendations

All of the following forms of nonverbal communication can be a source of miscommunication and cross cultural encounters except: A. Hand gestures B. Facial expressions C. Physical contact D. Eye Contact

C. Physical contact

Cultural competence is attaining knowledge and understanding of another persons culture. Cultural competency adapts interventions and approaches to healthcare to the specific culture of the hygienist. A. Both statements are true B. False both statements are false C. The first statement is true, the second statement is false D. The first statement is false, the second statement is true

C. The first statement is true, the second statement is false

____ Is the process of self examination and self assessment of one's own culture and its potential influence on one's way of thinking and behaving

Cultural awareness

____ Is knowledge and understanding of another persons culture that allows one to better adapt interventions in approaches to healthcare to the specific culture of the patient, family, and social group

Cultural competence

____ Is the information one knows about cultures, including the cultural history, values, beliefs, characteristics, and behaviors of another ethnic or cultural group

Cultural knowledge

____ is the awareness and sensitivity that cultural differences and similarities exist and can affect values, learning, and behavior

Cultural sensitivity

____ is the ability to conduct a cultural and physical assessment to collect relevant cultural data regarding the patient's chief complaint

Cultural skill

____ Is a set of guidelines that one can inherit as a member of a group or society and may influence the way the members of that society or group view the world

Culture

All of the following are social determinants of health except: A. Economic stability B. Health and health care C. Social and community extent D. Access to care

D. Access to care

What is the most important component on using the LEARN model for communicating and cross cultural environments: A. Passive learning B. Active learning C. Passive listening D. Active listening

D. Active listening

Providing culturally sensitive oral healthcare begins in which person? A. Patient's primary care physician B. Receptionist who makes the first patient contact C. Patient's family member or friend D. Clinician providing treatment

D. Clinician providing treatment

When a group of people develop interests that are different from their primary group it is called: A. Cultural sensitivity B. Cultural skill C. Culture shock D. Subculture

D. Subculture

____ Is the belief that one's culture is superior to another culture

Ethnocentrism

____ is the degree to which a patient has the capacity to obtain, process, and understand health information and services needed to make appropriate health decisions in a particular language

Healthcare literacy

____ Is the often erroneous assumption that individuals possess certain characteristics or traits simply because they are members of a particular group

Stereotyping

____ Is a group of people who have developed interests or goals different from the primary culture

Subculture