Cultural Competence

Chapter 20 Cultural Competence




Clinical Case Problem 1: Battering Is Battering—Or Is It?


A 27-year-old African American woman comes to the office to seek care for a badly sprained wrist. When asked about the mechanism of injury, she indicated she had fallen. However, when questioned further, she admitted that she was the victim of spousal abuse. She indicated that she did not call the police because she was afraid they would not arrest her husband.



Select the best answer to the following questions




1. She did not want to go to a shelter. Her reasons for not choosing to go to the shelter likely included


a. there were unlikely to be any persons of color working at the shelter

b. she had been there before and knew they were not sensitive to food preferences and personal hygiene needs

c. professional staff are perceived to be judgmental about individuals who have been “helpless”

d. African American women have a distinct mistrust of standardized social service agencies

e. all of the above

2. She indicated she was not willing to report the abusive situation because


a. the legal system is often unresponsive to the needs of African American women

b. police are more likely to arrest the abuser in an African American home

c. often the abuse decreases in frequency after a visit by police

d. none of the above

e. all of the above


Clinical Case Problem 2: “So You Think You Understand Me?”


A third-year medical student is about to participate in her first clinical rotation. She will be doing family medicine in a clinic located in an area of the city with a diverse population. She is excited and knows she will do well because she has done a great deal to prepare for this type of rotation.



3. Which of the following will most enhance her care of a diverse panel of patients?


a. a working knowledge of Spanish so she can talk with her patients

b. having passed a course that taught her the meaning and content of cultural sensitivity

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

e. a and c

f. b and d

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

d. all of the above

6. As the student begins to see patients in the clinic, she might encounter cultural differences, such as


a. being noncompliant with medications because the color of the pill is believed to be unlucky

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Oct 1, 2016 | Posted by in GENERAL SURGERY | Comments Off on Cultural Competence

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