Chapter 20 Cultural Competence
Clinical Case Problem 1: Battering Is Battering—Or Is It?
Select the best answer to the following questions
Clinical Case Problem 2: “So You Think You Understand Me?”
3. Which of the following will most enhance her care of a diverse panel of patients?
c. developing an understanding of any given culture requires asking questions about knowledge, values, and philosophy of the patient’s culture and the impact of those in the treatment plan
d. having spent a summer in a Honduran village, she has acquired an understanding of different cultures
e. she has no biases about skin color, religious belief, or country of origin, so she will have no difficulty providing quality care
4. As she arrives at the clinic, one of her assignments is to assess the “cultural sensitivity” of the clinic by using the Health Resources and Services Administration (HRSA) checklist for self-assessment. All of the following things are included on the checklist except
a. ensuring that printed information disseminated by the practice takes into account the average literacy of the individuals in the practice
b. accepting and respecting that on moving to the United States, individuals accept and encourage the full range of male and female roles that American men and women display
c. ensuring that clinic staff—including students—develop understanding that grief and bereavement are significantly influenced by culture
d. ensuring that clinic staff—including students—not consider socioeconomic or environmental factors when diagnosing and treating patients
5. HRSA and other public and private agencies have increased their concern with cultural competence because
a. patient-physician communication is linked to patient satisfaction, adherence to medical instructions, and health outcomes, so things that contribute to poor communication may translate into worse outcomes
b. the United States is becoming more diverse and clinicians will increasingly see patients with perspectives regarding health that are influenced by varied social and cultural backgrounds
c. improved quality and elimination of disparities have been tied to cultural competence and patient centered care
6. As the student begins to see patients in the clinic, she might encounter cultural differences, such as