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Exam 15: Cultural Competence in Healthcare Social Work

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Question 1

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What are some cultural considerations that a social worker should keep in mind when addressing advanced care directives with patients?

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Question 2

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The __________________________ experiments, which began in 1932 and continued until 1972, were among the most horrific examples of inappropriate and immoral healthcare provided to African Americans.

A) Tecumseh
B) Toomy
C) Kellog
D) Tuskegee

E) A) and B)
F) All of the above

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Question 3

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In ___________ cultures, communication is largely determined by the words selected as well as by voice inflection and tone. Communication tends to be precise, logical, linear, and factual.

The culture of medicine places considerable value on high-context communication.

The efforts of the individual practitioner will not have much impact on the ability to provide culturally competent care unless expectations for culturally competent practice are woven into the fabric of the healthcare organization. Outline the guidelines that Green (1999), Hutchinson (2003), Lum (2003), and Mor Barak (2000) suggest are needed for a culturally competent organization.

Many cultures utilize traditional healers who are called _____________.

___________________ is used to describe an individual's constellation of attitudes and beliefs about the human spirit or soul and its place and relationship to a higher power and the universe.

Bill works in a primary care practice. He has been asked to meet with a patient from Yugoslavia. Bill does not have any experience working with individuals from this country. Bill asks the patient some questions including his reasons for relocation, his legal status, language spoken at home and in the community, and his health beliefs. As Bill asks these questions, he makes a visual representation of the answers, which help Bill gain a better understanding of his patient. Bill is making a _________________________.

The term "Latino" is used to designate people in the United States whose origins can be traced back to the Spanish-speaking countries of Latin America as well as the Caribbean, Mexico, Central America, and South America. The term _____________ was created by the federal government as a classification system for those individuals who speak Spanish.

In general, the use of colloquialisms and idioms is one way to break down barriers to communication with those to another culture.

An organization that believes that good practices in and of themselves are culturally appropriate is seen as culturally _________________.

Leslie is working in an oncology practice. A high proportion of her patients is Latino and Latina. Leslie believes strongly in the concepts of informed consent and patient self-determination and autonomy. Leslie has had to consult her supervisor regarding her uncomfortable feelings, because many of her Latino and Latina patients believe in _____________ and prefer not to be told if they have a terminal prognosis.

__________________ refers to a formal identification and at least minimal participation with an organized religious group.

"Marianismo" is the Latino term that describes the strong value placed on motherhood and having children.

Social workers should not make assumptions or rely on stereotypes based on assumptions or oversimplification. Their therapeutic approach should that of being initially unaware, curious, and culturally humble.

Gena was working with Abioye, a patient from Africa. Abioye had developed a blood clot and needed daily injections of a medication to treat it and prevent future blood clots. Most patients could be taught to give the injection to themselves or have a family member do this. Abioye could not give himself injections due to neuropathy in his fingers. Abioye lived with his adult daughter, Ekua. When Abioye was told his daughter would need to learn to give him the injections, Abioye stated that was not possible because in his culture, a daughter does not touch a father's stomach. Gena told Abioye that she was unfamiliar with his culture, but she asked him to explain his cultural limitation, and they would work together to find a solution that was culturally acceptable. Gena was exhibiting _________________________________.

_____________________________ describes the process whereby the traits of a new culture are adopted and incorporated into an existing culture.

A organization that recognizes and attempts to rectify weakness in serving those from different cultures is regarded as __________.

Because pain is an objective experience that can be measured, it is easy to assess using such tools as a Likert scale.

Herbal remedies and dietary supplements can interact with prescription drugs, so it is important to inquire about their usage. In the United States ______________ of Americans take some form of dietary supplement.