Question 1

The definition of ill or sick is based on a:

Accepted Answer

A)  stereotype. 
B)  cultural behavior. 
C)  belief system. 
D)  cultural attitude. 
A)  stereotype. 
B)  cultural behavior. 
C)  belief system. 
D)  cultural attitude. C

Question 2

Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group?

Accepted Answer

A)  Native Americans 
B)  Hispanics 
C)  Chinese 
D)  Italians 
A)  Native Americans 
B)  Hispanics 
C)  Chinese 
D)  Italians C

Question 3

Which variables can intrude on successful communication? (Select all that apply.)

Accepted Answer

A)  Social class 
B)  Gender 
C)  Stereotype 
D)  Phenotype 
E)  Age 
A)  Social class 
B)  Gender 
C)  Stereotype 
D)  Phenotype 
E)  Age A, B, E

Question 4

Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which question has the most potential for exploring a patient's cultural beliefs related to a health problem?

Accepted Answer

A)  "How often do you have medical examinations?" 
B)  "What is your age, race, and educational level?" 
C)  "What types of symptoms have you been having?" 
D)  "Why do you think you are having these symptoms?" 
A)  "How often do you have medical examinations?" 
B)  "What is your age, race, and educational level?" 
C)  "What types of symptoms have you been having?" 
D)  "Why do you think you are having these symptoms?"

Question 5

The attitudes of the healthcare professional:

Accepted Answer

A)  are largely irrelevant to the success of relationships with the patient. 
B)  do not influence patient behavior. 
C)  are difficult for the patient to sense. 
D)  are culturally derived. 
A)  are largely irrelevant to the success of relationships with the patient. 
B)  do not influence patient behavior. 
C)  are difficult for the patient to sense. 
D)  are culturally derived.

Question 6

An example of a cold condition is:

Accepted Answer

A)  a fever. 
B)  a rash. 
C)  tuberculosis. 
D)  an ulcer. 
A)  a fever. 
B)  a rash. 
C)  tuberculosis. 
D)  an ulcer.

Question 7

Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to:

Accepted Answer

A)  forego the examination for fear of violating cultural norms. 
B)  ask a colleague from the same geographic area if this examination is acceptable. 
C)  inform the patient of the reason for the examination and ask if it is acceptable to him. 
D)  refer the patient to a provider more knowledgeable about cultural differences. 
A)  forego the examination for fear of violating cultural norms. 
B)  ask a colleague from the same geographic area if this examination is acceptable. 
C)  inform the patient of the reason for the examination and ask if it is acceptable to him. 
D)  refer the patient to a provider more knowledgeable about cultural differences.

Question 8

As you explain your patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to:

Accepted Answer

A)  tell him that you understand his need to be alone. 
B)  ask whether he has any questions. 
C)  ask whether he would prefer to speak to the clinician. 
D)  tell him that it is all right to be angry. 
A)  tell him that you understand his need to be alone. 
B)  ask whether he has any questions. 
C)  ask whether he would prefer to speak to the clinician. 
D)  tell him that it is all right to be angry.

Question 9

An image of any group that rejects its potential for originality or individuality is known as a(n):

Accepted Answer

A)  acculturation. 
B)  norm. 
C)  stereotype. 
D)  ethnos. 
A)  acculturation. 
B)  norm. 
C)  stereotype. 
D)  ethnos.

Question 10

Mr. Jones is a 45-year-old patient who presents to the office. A person's definition of illness is likely to be most influenced by:

Accepted Answer

A)  race. 
B)  socioeconomic class. 
C)  enculturation. 
D)  age group. 
A)  race. 
B)  socioeconomic class. 
C)  enculturation. 
D)  age group.

Question 11

An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native Americans, Asians, and Middle Eastern groups is Western medicine's attempts to:

Accepted Answer

A)  use a holistic approach that views a particular medical problem as part of a bigger picture. 
B)  determine a specific cause for every problem in a precise way. 
C)  establish harmony between a person and the entire cosmos. 
D)  restore balance in an individual's life. 
A)  use a holistic approach that views a particular medical problem as part of a bigger picture. 
B)  determine a specific cause for every problem in a precise way. 
C)  establish harmony between a person and the entire cosmos. 
D)  restore balance in an individual's life.

Question 12

Campinha-Bacote's Process of Cultural Competence Model includes which cultural constructs? (Select all that apply.)

Accepted Answer

A)  Desire 
B)  Awareness 
C)  Thought processes 
D)  Skill 
E)  Language 
A)  Desire 
B)  Awareness 
C)  Thought processes 
D)  Skill 
E)  Language

Question 13

Which statement is true regarding the relationship of physical characteristics and culture?

Accepted Answer

A)  Physical characteristics should be used to identify members of cultural groups. 
B)  There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics. 
C)  To be a member of a specific culture, an individual must have certain identifiable physical characteristics. 
D)  Gender and race are the two essential physical characteristics used to identify cultural groups. 
A)  Physical characteristics should be used to identify members of cultural groups. 
B)  There is a difference between distinguishing cultural characteristics and distinguishing physical characteristics. 
C)  To be a member of a specific culture, an individual must have certain identifiable physical characteristics. 
D)  Gender and race are the two essential physical characteristics used to identify cultural groups.

Question 14

The motivation of the healthcare professional to "want to" engage in the process of becoming culturally competent, not "have to," is called:

Accepted Answer

A)  cultural knowledge. 
B)  cultural awareness 
C)  cultural desire 
D)  cultural skill. 
A)  cultural knowledge. 
B)  cultural awareness 
C)  cultural desire 
D)  cultural skill.

Question 15

Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care healthcare provider. Which of the following describes a physical, not a cultural, differentiator?

Accepted Answer

A)  Race 
B)  Rite 
C)  Ritual 
D)  Norm 
A)  Race 
B)  Rite 
C)  Ritual 
D)  Norm

Question 16

A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, "Yeah," "No," or "I guess so." Which of the following is appropriate for the interviewer to say or ask?

Accepted Answer

A)  "We will be able to communicate better if you look at me." 
B)  "It's hard for me to gather useful information because your answers are so short." 
C)  "Are you uncomfortable talking with me?" 
D)  "Does your religion make it hard for you to answer my questions?" 
A)  "We will be able to communicate better if you look at me." 
B)  "It's hard for me to gather useful information because your answers are so short." 
C)  "Are you uncomfortable talking with me?" 
D)  "Does your religion make it hard for you to answer my questions?"

Question 17

Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L's son tells you that for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response?

Accepted Answer

A)  "With your father's permission, we will examine the stone and request that it be returned to him." 
B)  "The stone must be sent to the lab for examination and therefore cannot be kept." 
C)  "We cannot let him keep his stone because it violates our infection control policy." 
D)  "We don't know yet if your father has another kidney stone, so we must analyze this one." 
A)  "With your father's permission, we will examine the stone and request that it be returned to him." 
B)  "The stone must be sent to the lab for examination and therefore cannot be kept." 
C)  "We cannot let him keep his stone because it violates our infection control policy." 
D)  "We don't know yet if your father has another kidney stone, so we must analyze this one."

Question 18

As the healthcare provider, you are informing a patient that he or she has a terminal illness. This discussion is most likely to be discouraged in which cultural group?

Accepted Answer

A)  Navajo Native Americans 
B)  Dominant Americans 
C)  First-generation African descendants 
D)  First-generation European descendants 
A)  Navajo Native Americans 
B)  Dominant Americans 
C)  First-generation African descendants 
D)  First-generation European descendants

Exam 2: Cultural Competency

The definition of ill or sick is based on a:

Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group?

Which variables can intrude on successful communication? (Select all that apply.)

Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which question has the most potential for exploring a patient's cultural beliefs related to a health problem?

The attitudes of the healthcare professional:

An example of a cold condition is:

Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to:

As you explain your patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to:

An image of any group that rejects its potential for originality or individuality is known as a(n):

Mr. Jones is a 45-year-old patient who presents to the office. A person's definition of illness is likely to be most influenced by:

An aspect of traditional Western medicine that may be troublesome to many Hispanics, Native Americans, Asians, and Middle Eastern groups is Western medicine's attempts to:

Campinha-Bacote's Process of Cultural Competence Model includes which cultural constructs? (Select all that apply.)

Which statement is true regarding the relationship of physical characteristics and culture?

The motivation of the healthcare professional to "want to" engage in the process of becoming culturally competent, not "have to," is called:

Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care healthcare provider. Which of the following describes a physical, not a cultural, differentiator?

A 22-year-old female nurse is interviewing an 86-year-old male patient. The patient avoids eye contact and answers questions only by saying, "Yeah," "No," or "I guess so." Which of the following is appropriate for the interviewer to say or ask?

Mr. L presents to the clinic with severe groin pain and a history of kidney stones. Mr. L's son tells you that for religious reasons, his father wishes to keep any stone that is passed into the urine filter that he has been using. What is your most appropriate response?

As the healthcare provider, you are informing a patient that he or she has a terminal illness. This discussion is most likely to be discouraged in which cultural group?

The History and Interviewing Process

Examination Techniques and Equipment

Clinical Reasoning

Documentation

Vital Signs and Pain Assessment

Mental Status

Growth, Measurement, and Nutrition

Skin, Hair, and Nails

Lymphatic System

Head and Neck

Eyes

Ears, Nose, and Throat

Chest and Lungs

Heart

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Anus, Rectum, and Prostate

Musculoskeletal System

Neurologic System

Sports Participation Evaluation

Putting it All Together

Emergency or Life-Threatening Situations

Filters