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Delivering Culturally Competent Care: Strategies for Clinicians

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1.  Which of the following statements best describes the relationship between the knowledge-centered and skill-centered approaches to delivering culturally and linguistically competent care? The knowledge-centered approach should be given preference, because specific knowledge about culture or ethnic groups helps therapists define their patients who come from these groups. The skill-centered approach should be given preference, because no therapist can remember all of the facts relating to multiple cultures. Knowledge-centered and skill-centered approaches should be balanced. The knowledge-centered approach presents patients as cultural stereotypes and should not be used.

2.  Which of the following, if any, encompasses the definition of patient-centered care? The therapist is aware of the role of cultural health beliefs and practices in the person's health-seeking behavior and is able to negotiate treatment options appropriately and in a culturally sensitive way. The therapist provides as many services as possible directly to the patient, without relying on other health care providers. The health care team meets with the patient and his or her family to develop a treatment plan for the patient. None of the above

3.  To advocate effectively for cultural competency, therapists need the following skills? Willingness to serve as a change agent Commitment to diversity and provision of quality of care to all, regardless of personal characteristics Ability to work collaboratively to promote change All of the above

4.  All of these statements describe culture, EXCEPT: Culture is learned Culture does not change over the course of one's lifetime Culture is localized Culture confers and expresses values

5.  Which of the following is a contributing factor to health care disparities? Lifestyle choices of the person seeking health care Linguistic barriers and/or inability to understand Degree of trust one has with the healthcare provider All of the above

6.  Which of these describes a preference or an inclination, especially one that inhibits impartial judgment? Bias Assumption Prejudice Stereotype

7.  When a person believes that other groups have "natural" cultural characteristics and there are no variations within a specific culture, this person displays which of the following? Ethnocentrism Essentialism Power differentials None of the above

8.  Why is self-assessment important? It is helpful to examine individual beliefs and behaviors, because they can lead to differential care of patients based on bias or stereotypes By critically examining your own beliefs, biases, and assumptions, you can continually monitor them You can treat the patient based on direct experience, not assumptions or hearsay All of the above

9.  Which of the following is the definition of "illness"? Physiological and psychological processes that affect a person's health Diseases of the human body The psycho-social meaning and experience of the perceived disease for the individual, the family, and those associated with the individual None of the above

10.  Why is cultural competence important? Culture shapes our language, behaviors, values, and institutions Cultural competence can help improve quality of care, patient safety, and patient satisfaction Cultural and linguistic competency skills may help reduce health care disparities All of the above