Ch.2: Cultural Competence

Question 1

a key to understanding cultural diversity is

Answer 1

self awareness and knowledge of one’s own culture

Question 2

an individual’s health status is influenced by a constellation of personal, social, economic, and environmental factors collectively known as

Answer 2

determinants of health

Question 3

The determinants of health is comprised of

Answer 3

political action & legislation,
health care service
social factors (poverty, occupation, neighborhood, environment, lifestyle, behaviors, and genetics)

Question 4

What is the greatest influence on health status?

Answer 4

poverty

Question 5

what is the purpose & goal of Healthy people 2020

Answer 5

to address the multiple determinants of health and evaluate interventions that go beyond the traditional health care provider-patient model
GOAL: ELIMINATE. HEALTH DISPARITIES

Question 6

Health disparities or unfair and avoidable health differences affect people who experience social, economic, and environmental disadvantage. The vulnerable “populations” include

Answer 6

ethnic/racial minorities
people with disabilities
LGBT community

Question 7

Under what provision of the Civil Rights Act of 1964, when people with LEP (limited English proficiency seek health care in settings such as hospitals, nursing home clinics, daycare centers and mental health centers, services cannot be denied to them

Answer 7

Title VI

Question 8

the process of social and psychological exchanges that takes place when there are ongoing encounters between individuals of different cultures, with subsequent changes in either or both groups

Answer 8

acculturation

Question 9

the losses and changes that occur when adjusting or integrating a new system of beliefs, routines, and social roles are known as ________ _____. has important implications for health and illness

Answer 9

acculturative stress

Question 10

borne out of each person’s unique life experience and his or her personal effort to find purpose and meaning in life

Answer 10

spirituality

Question 11

refers to an organized system of beliefs concerning the cause, nature, and purpose of the universe , especially belief in a divine or superhuman power to be obeyed and worshipped as the creator and ruler of the universe

Answer 11

religion

Question 12

religious affiliation can support health and harmony by

Answer 12

social support systems
promote healthy behavior
hope and optimism

Question 13

Assessment in which aids practitioners in understanding the patient’s religious coping to enable them to integrate spirituality in treatment. it examines whether a person is using positive or negative religious coping

Answer 13

Brief R-COPE

Question 14

the balance of the person, both within one’s being (physical, mental, spiritual) and in the outside world.

Answer 14

health

Question 15

symptom labeling and diagnosis depend on

Answer 15

the degree of difference between the persons behavior and those that the group has defined as normal

Question 16

Biomedical theory of illness

Answer 16

cause and effect

human body functions mechanically

Question 17

Naturalistic theory of illness

Answer 17

believe the forces of nature must be kept in natural balance or harmony

Question 18

ying/yang theory

Answer 18

yin-dark, empty cold (female)
yang- positive, bright, warm (male)
foods are classified into hot and cold and are transformed into yin/yang energy

Question 19

magicoreligous theory of illness

Answer 19

the world is an arena in which the actions of supernatural forces dominate

Question 20

implies that the caregiver possess some basic knowledge of and constructive attitude toward the diverse cultural populations found in the setting in which they are practicing

Answer 20

culturally sensitive

Question 21

implies that the caregiver apply the underlying background knowledge the must be possessed to provide a given person with the best possible health caare

Answer 21

culturally appropriate

Question 22

implies that the caregiver understand and attend to the total context of individual’s situation, including awareness of immigration status, stress factors and cultural similarities and differences

Answer 22

cultural competent