First edition, 2010 ISBN-13: 9780763757427HCA 505 Multicultural Health Care Text: Multicultural Health Authors: Lois Ritter and Nancy Hoffman Publisher: Jones & BartlettMultiple Choice Questions (Enter your answers on the enclosed answer sheet) l. A person’s physical characteristics and/or genetic or biological makeup. Culture Race Ethnicity None of the above 2. All of the following are characteristics of ethnicity except: Religion Values and Symbols Eye color Language 3. occurs when people act on a belief, and differnces in treatment transpire as a result. Discrimination Ethnicity Culture Relativism 4. When a person believes that his or her culture is superior to another one. Cultural Ethnocentricity Cultural Relativism Cultural Adaptation Acculturation 5. The idea that all cultures are of equal value and need to be studied from a neutral point of view. Cultural Ethnocentricity Cultural Relativism Cultural Adaptation Acculturation6. The degree to which a person or community has adapted to the dominant culture and retained their traditional practices. Cultural Ethnocentricity Cultural Relativism Cultural Adaptation Acculturation 7. The process in which members of one cultural group adopt the beliefs and behaviors of another group. Cultural Ethnocentricity Cultural Relativism Cultural Adaptation Acculturation 8. Which of the following is not a way to eliminate health inequalities? changing policy health education i ncreasi ng access to care creating a culturally competent health-care system 9. A belief of disease causation where it is thought illness is caused by misbehavior or intervention of a supernatural being. A. Personalistic theory 8. Naturalistic theory Germ theory Humoral theory 10. A theory of disease causation where illness results from upset of the balance between the person and environment. A. Personalistic theory 8. Naturalistic theory Germ theory Humoral theory11. An ancient theoretical belief that our bodies have four important fluids that must be balanced for health. Personalistic theory Naturalistic theory Germ theory Humoral theory 12. Theory of illness wherein it is thought that microorganisms cause disease. Personalistic theory Naturalistic theory Germ theory Humoral theory 13. All of the following are examples of homeopathic providers EXCEPT: agriculturists naturopaths homeopaths acupuncturists 14. The perception in the Asian culture is generally: present-focused past oriented future-oriented none of the above 15. All of the following are elements of the Camphina-Bacotes Process of Cultural Competence in the Delivery of Healthcare Services model EXCEPTt: Cultural awareness Cultural knowledge Cultural indoctrination Cultural desire16. All of the following are rings of the Purnell model for Cultural Competence EXCEPT: culture global society community family 17. Treatments utilized in conjunction with western medical therapies. Alternative Medicine Complementary Medicine Integrative Medicine Allopathic Medicine 18. The concepts where complementary and alternative medical practices are incorporated into conventional care. Alternative Medicine Complementary Medicine Integrative Medicine Allopathic Medicine 19. What is the most common CAM practice in the United States? Prayer Natural products Deep breathing Meditation 20. The CAM practice based on the theory that five great elements are the basis for all living things. Ayuvedic Medicine Homeopathy Chiropractic Traditional Chinese Medicine21. The CAM practice based on the Law of Similars and stimulation of the body’s natural healing process. Ayuvedic Medicine Homeopathy Chiropractic Traditional Chinese Medicine 22. An ancient healing practice based on diagnosis from a pattern of symptoms rather than by identifying specific illness. Treatment includes herbs and acupuncture. Ayuvedic Medicine Homeopathy Chiropractic Traditional Chinese Medicine 23. is a CAM practice based on belief that the spine is key to health and spinal misalignment affects the body’s function. Ayuvedic Medicine Homeopathy Chiropractic Traditional Chinese Medicine 24. Magnet Therapy is thought to improve: blood flow arthritis pain tolerance none of the above 25. What represents the single most prominent influence over our health today? Lifestyle Religion Society none of the above26. All of the following are factors that explain religion and health EXCEPT: proscribed behaviors ethnicity social relationships improved coping mechanisms 27. The belief that not participating in healthy behaviors because their health is in God’s hands, so their behavior will not change God’s plan is known as: fatalistic attitude mortality hypertension none of the above 28. Health practices in which religious beliefs create significant influence include all of the following except: Abortion End of life decisions Medication choices Organ donation 29. A set of actions that are usually structured and have symbolic value or meaning. religions rituals traditions none of the above 30. All of the following are considered rituals except: reading the bible maintaining shrines animal sacrifice wearing amulets31. Death rituals playa role in behaviors in all except: what the death certificate should read handle the deceased body respond to death behaviors at the funeral 32. Laws can protect cultural groups or: prohibit cultural practices. emphasize cultural groups disband groups none of the above 33. The U.S. Food and Drug Administration may regulate which of the following practices? prayer chiropractic care herbal remedies meditation 34. The law that prohibits federally funded programs from discriminating on the basis of race, color or national origin. Hill-Burton Act Executive Order #13,166 A & B The Civil Rights Act of 1964 35. For Medicare provider to maintain their status and receive Medicare reimbursement, they need to be accredited by: The Joint Commission CLAS Hill-Burton none of the above36. The principle of veracity involves being: truthful keeping one’s promise courageous all of the above 37. The ethical principle that people should be treated equally and fairly. autonomy beneficence justice respect 38. The ethical principle concerned with a person’s right to self-determination and informed consent in health care. autonomy beneficence justice respect 39. The concept that a healthcare provider should remove harm. autonomy beneficence justice respect 40. A psychological model that tries to predict health behaviors by analyzing individual beliefs and attitudes. Planning Model Health Belief Model PRECEDE-PROCEED Model A & C4l. An approach to health planning that evaluates factors that contribute to behavior change. Planning Model Health Belief Model PRECEDE-PROCEED Model None of the above 42. In the PRECEDE-PROCEED Model the factors considered are all but: policy factors pred isposi ng factors enabling factors re i nforc i ng factors 43. Effective health communication requires which of the following attributes? accuracy, avoidance & timeliness cultural competence, repetition & quick assessment accuracy, consistency & reliability all of the above 44. In the Mexican community, those who promote health in their own community are known as: pol iticians public health nurses community organizers promotores 45. The recommended standards for program evaluation include all but: economics utility feasibility accuracy46. Multicultural evaluation is characterized by: experience reciprocity flexibility accuracy 47. In the Continuum of Multicultural Evaluation (MCE) cultural proficiency is: unacknowledged fundamentally shifted not assumed to be a critical factor steps are taken to incorporate 48. The term Latino: includes everyone from Latin American means from Spain is used solely for people of Mexican descent none of the above 49. The largest subgroup of Hispanics in the United States is: Cubans Mexicans Puerto Ricans South Americans 50.ln the Hispanic community an illness that results from a traumatic experience is known as: Empacho Mal de ojo Susto Currendero 5l. Traditional folk healing in Mexican traditions is known as: Espiritismo Santeria Curandero Empacho52. All of the following diseases are prevalent in the
Hispanic community except: arthritis diabetes infant mortality HIV/AIDS 53. All of the following are appropriate health promotion practices for the Hispanic community except: Use family based interventions when possible Inquire about complementary and alternative medicine treatments used Ensure that all information is available in English Use appropriate titles to show respect. 54. Mal de ojo, sometimes called “evil eye” is: an ill ness that comes from a frightfuI experience an illness that is a result of an envious glance an illness caused by a ball of food clinging to the stomach none of the above. 55. The Afro-Caribbean religion knows as the “Way of the Saints”. Espiritismo Santeria Catholicism None of the above 56. The Latin American belief that good and evil spirits can affect life, health and luck. Espiritismo Santeria Catholicism None of the above57. American Indian tradition where a facilitator poses important questions for the group to address. plants and herb practices sweat lodge healing ceremonies talking circle 58. are used by American Indians to purify the spirit and bring balance to people who are unhealthy in spirit, mind, or body. plants and herbs sweat lodges healing ceremonies talking circles 59. Used by American Indians to help groups of people return to harmony, these are not used for individual healing. plants and herbs sweat lodges healing ceremonies talking circles 60. Recent studies showed that one of the leading causes of death among American Indians and Alaska Natives was: hypertension heart disease violence cancer 6l. The average starting age for drinking for Alaska Natives is: A.12 9 16 2162. All of the following are suggested health promotion practices for American Indians and Alaska Natives except; A. Recognize that there is a great diversity among the tribes so assumptions should be avoided Holistic practices should be utilized to plan care and treatment Be aware of superstitions and their impact Elders should be afforded no more respect than others 63. The leading cause of death among young African-American males 15 to 24 years is: homicide diabetes suicide cancer 64. The primary risk factors among African Americans for diabetes are: obesity and lack of physical exercise eating too much fat and sugar genetic predisposition and lack of prenatal care slow metabolic function 65. Characteristics of the African American community include all of the following except: trust in the healthcare system deep reliance on faith predominance of female headed families large extended families 66. The leading cause of death among black women in the United States is: epilepsy stroke heart disease murder67. Considerations for health promotion among the African American community should include all of the following except: consider using churches to disseminate information peer education is very successfuI be aware of underlying mistrust of the medical system use formal titles until invited to do otherwise 68. Many African Americans believe that natural illness occurs due to : a result of God’s will evil influences evil spirits none of the above 69. Home remedies are common among African American community and can include all of the following except: wild yams St. John’s wart Turpentine iodine 70. The infant mortality rate in the African American community is __ times the infant mortality rate as non-Hispanic whites. A.5.5 B.2.4 6 10 71. In Native Hawaiian tradition healing is practiced by: mana lokohai kahunas A & B72. Leading causes of death in Asian Americans and Pacific Islanders include all of the following except: Parkinson’s disease Cancer Heart disease Stroke 73.A belief that Asians are quiet, do not complain and don’t need health care is known as: Traditional Chinese Medicine Myth of the Model Minority Asian enculturation None of the above 74. The most common health disorder for Pacific Islanders includes all except: cancer alcoholism diabetes heart disease 75. Considerations for health promotion for Asian Americans include all of the followi ng except: ensure good communication encourage them to abandon traditional treatments show respect for family relationships Inquire about traditional treatments being used. 76. According to the U. S. Census Bureau the term “white” applies to: persons having origins in Europe, the Middle East or North Africa. persons having origins in Mexico, and Latin America persons having origins in North America none of the above77. In the Amish community a practice where adolescents are free to explore the outside world is known as: marime wuzo rumspringa brauche 78. A genetic recessive disorder occurring among the Amish as a result of marriage within the small Amish community is: cartilage-hair hypoplasia diabetes cancer none of the above 79.a pejorative term often used about the Roma people Is: half-breed Gypsies outsiders none of the above 80. The Roma term for impurity that causes illness is: marime wuzo rumspringa bgrauche 81. Roma avoid hospitals because they are: unclean expensive prejudiced none of the above82. Due to the fact that the Roma are very concerned about what is considered clean it is necessary in health care planning to consider separation of what is considered from that considered diseased; undiseased clean; polluted dietary, non-dietary none of the above 83. Those who trace their ancestry to Iran are of __ descent . Persian Arab Middle-Eastern none of the above 84. Middle eastern diets include all of the following except: pork is eaten by all groups Vegetables are preferred raw Fruit is usually consumed as dessert some wheat or rice food is eaten with ach meal 85. Health promotion considerations for Arab Americans include all of the following except: respect for religious requirement about food respect for privacy preference for treatment by someone of the same gender as the patient nurses counseling and advice is highly respected by the Arab community 86. Migrant farm workers account for approximately __ million people in the United States. A.3-5 B.5-6 C.7-8 D. none of the above87. A person’s physical, romantic and emotional attraction to another is known as: sexual identity gender identity homosexual ity transgender 88. A person’s internal, personal sense of being male or female is known as: sexual identity gender identity homosexuality transgender 89. A person who’s gender identity is consistent with their physical characteristics and sexual identity is to one of the same sex. sexual identity gender identity homosexual transgender 90. Homosexuality was classified as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders until: 1969 1973 1960 none of the above 91. Cultural Competence strategies for health care and the LGBT person include all of the following except: Use gender neutral language Tell the patient some of your best friends are gay Conduct thorough sexual risk evaluation Do not make assumptions about sexuality92. Accurate information about migrant farm workers in the U.S. is difficult because: A. the workers are reluctant to provide information due to immigration issues. they do not have a home it is against their religious beliefs none of the above 93. Health problems migrant farm workers are exposed to include all of the following except: Respiratory illness Musculoskeletal injuries Tuberculosis Obesity 94. Health promotion considerations for migrant farm workers include all of the following except: determining immigration status recognition of living situation inclusion of the family in decisions acknowledging potential mistrust 95. What type of treatment do migrant farm workers use for skin problems? fertiIizer household products and herbs antibiotics none of the above96. A culturally competent organization displays all of the following except: values diversity relies on others to promote cultural competence institutionalizes cultural knowledge adapts services to fit needs attributes97.The causes of health disparities are all except: complex complete systemic personal 98. One of the primary objectives of Healthy People 2010 is: decrease health disparities in the U.S. increase funding all of the above none of the above 99. Best
practices is also know as: promising practices elimination practices strategy practices none of the above 100. Telemedicine is: A. The use of telecommunications technology to provide, enhance, or expedite health care services. minority care Disparity in healthcare none of the above

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