HCA 505 ( Multicultural Healt care.)

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Multiple Choice Questions (Enter your answers on the enclosed answer sheet)

l. A person's physical characteristics and/or genetic or biological makeup.

A. Culture

B. Race

C. Ethnicity

D. None of the above

2. All of the following are characteristics of ethnicity except:

A. Religion

B. Values and Symbols

C. Eye color

D. Language

3. occurs when people act on a belief, and differnces in

treatment transpire as a result.

A. Discrimination

B. Ethnicity

C. Culture

D. Relativism

4. When a person believes that his or her culture is superior to another one.

A. Cultural Ethnocentricity

B. Cultural Relativism

C. Cultural Adaptation

D. Acculturation

5. The idea that all cultures are of equal value and need to be studied from a neutral point of view.

A. Cultural Ethnocentricity

B. Cultural Relativism

C. Cultural Adaptation

D. Acculturation

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6. The degree to which a person or community has adapted to the dominant culture and retained their traditional practices.

A. Cultural Ethnocentricity

B. Cultural Relativism

C. Cultural Adaptation

D. Acculturation

7. The process in which members of one cultural group adopt the beliefs and behaviors of another group.

A. Cultural Ethnocentricity

B. Cultural Relativism

C. Cultural Adaptation

D. Acculturation

8. Which of the following is not a way to eliminate health inequalities?

A. changing policy

B. health education

C. i ncreasi ng access to care

D. 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

C. Germ theory

D. 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

C. Germ theory

D. Humoral theory

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11. An ancient theoretical belief that our bodies have four important fluids that must be balanced for health.

A. Personalistic theory

B. Naturalistic theory

C. Germ theory

D. Humoral theory

12. Theory of illness wherein it is thought that microorganisms cause disease.

A. Personalistic theory

B. Naturalistic theory

C. Germ theory

D. Humoral theory

13. All of the following are examples of homeopathic providers EXCEPT:

A. agriculturists

B. naturopaths

C. homeopaths

D. acupuncturists

14. The perception in the Asian culture is generally:

A. present-focused

B. past oriented

C. future-oriented

D. 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:

A. Cultural awareness

B. Cultural knowledge

C. Cultural indoctrination

D. Cultural desire

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16. All of the following are rings of the Purnell model for Cultural Competence EXCEPT:

A. culture

B. global society

C. community

D. family

17. Treatments utilized in conjunction with western medical therapies.

A. Alternative Medicine

B. Complementary Medicine

C. Integrative Medicine

D. Allopathic Medicine

18. The concepts where complementary and alternative medical practices are incorporated into conventional care.

A. Alternative Medicine

B. Complementary Medicine

C. Integrative Medicine

D. Allopathic Medicine

19. What is the most common CAM practice in the United States?

A. Prayer

B. Natural products

C. Deep breathing

D. Meditation

20. The CAM practice based on the theory that five great elements are the basis for all living things.

A. Ayuvedic Medicine

B. Homeopathy

C. Chiropractic

D. Traditional Chinese Medicine

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21. The CAM practice based on the Law of Similars and stimulation of the body's natural healing process.

A. Ayuvedic Medicine

B. Homeopathy

C. Chiropractic

D. 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 acu- puncture.

A. Ayuvedic Medicine

B. Homeopathy

C. Chiropractic

D. 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.

A. Ayuvedic Medicine

B. Homeopathy

C. Chiropractic

D. Traditional Chinese Medicine

24. Magnet Therapy is thought to improve:

A. blood flow

B. arthritis

C. pain tolerance

D. none of the above

25. What represents the single most prominent influence over our health today?

A. Lifestyle

B. Religion

C. Society

D. none of the above

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26. All of the following are factors that explain religion and health EXCEPT:

A. proscri bed behaviors

B. ethnicity

C. social relationships

D. 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:

A. fatalistic attitude

B. mortality

C. hypertension

D. none of the above

28. Health practices in which religious beliefs create significant influence include all of the following except:

A. Abortion

B. End of life decisions

C. Medication choices

D. Organ donation

29. A set of actions that are usually structured and have symbolic value or meaning.

A. religions

B. rituals

C. traditions

D. none of the above

30. All of the following are considered rituals except:

A. reading the bible

B. maintaining shrines

C. animal sacrifice

D. wearing amulets

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31. Death rituals playa role in behaviors in all except:

A. what the death certificate should read

B. handle the deceased body

C. respond to death

D. behaviors at the funeral

32. Laws can protect cultural groups or:

A. prohibit cultural practices.

B. emphasize cultural groups

C. disband groups

D. none of the above

33. The U.S. Food and Drug Administration may regulate which of the following practices?

A. prayer

B. chiropractic care

C. herbal remedies

D. meditation

34. The law that prohibits federally funded programs from discriminating on the basis of race, color or national origin.

A. Hill-Burton Act

B. Executive Order #13,166

C. A & B

D. The Civil Rights Act of 1964

35. For Medicare provider to maintain their status and receive Medicare reimbursement, they need to be accredited by:

A. The Joint Commission

B. CLAS

C. Hill-Burton

D. none of the above

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36. The principle of veracity involves being:

A. truthful

B. keeping one's promise

C. courageous

D. all of the above

37. The ethical principle that people should be treated equally and fairly.

A. autonomy

B. beneficence

C. justice

D. respect

38. The ethical principle concerned with a person's right to self-determination and informed consent in health care.

A. autonomy

B. beneficence

C. justice

D. respect

39. The concept that a healthcare provider should remove harm.

A. autonomy

B. beneficence

C. justice

D. respect

40. A psychological model that tries to predict health behaviors by analyzing individual beliefs and attitudes.

A. Planning Model

B. Health Belief Model

C. PRECEDE-PROCEED Model

D. A & C

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4l. An approach to health planning that evaluates factors that contribute to behavior change.

A. Planning Model

B. Health Belief Model

C. PRECEDE-PROCEED Model

D. None of the above

42. In the PRECEDE-PROCEED Model the factors considered are all but:

A. policy factors

B. pred isposi ng factors

C. enabling factors

D. re i nforc i ng factors

43. Effective health communication requires which of the following attributes?

A. accuracy, avoidance & timeliness

B. cultural competence, repetition & quick assessment

C. accuracy, consistency & reliability

D. all of the above

44. In the Mexican community, those who promote health in their own community are known as:

A. pol iticians

B. public health nurses

C. community organizers

D. promotores

45. The recommended standards for program evaluation include all but:

A. economics

B. utility

C. feasibility

D. accuracy

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46. Multicultural evaluation is characterized by:

A. experience

B. reciprocity

C. flexibility

D. accuracy

47. In the Continuum of Multicultural Evaluation (MCE) cultural proficiency is:

A. unacknowledged

B. fundamentally shifted

C. not assumed to be a critical factor

D. steps are taken to incorporate

48. The term Latino:

A. includes everyone from Latin American

B. means from Spain

C. is used solely for people of Mexican descent

D. none of the above

49. The largest subgroup of Hispanics in the United States is:

A. Cubans

B. Mexicans

C. Puerto Ricans

D. South Americans

50.ln the Hispanic community an illness that results from a traumatic experience is known as:

A. Empacho

B. Mal de ojo

C. Susto

D. Currendero

5l. Traditional folk healing in Mexican traditions is known as:

A. Espiritismo

B. Santeria

C. Curandero

D. Empacho

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52. All of the following diseases are prevalent in the Hispanic community except:

A. arthritis

B. diabetes

C. infant mortality

D. HIV/AIDS

53. All of the following are appropriate health promotion practices for the Hispanic community except:

A. Use family based interventions when possible

B. Inquire about complementary and alternative medicine treatments used

C. Ensure that all information is available in English

D. Use appropriate titles to show respect.

54. Mal de ojo, sometimes called "evil eye" is:

A. an ill ness that comes from a frightfu I experience

B. an illness that is a result of an envious glance

C. an illness caused by a ball of food clinging to the stomach

D. none of the above.

55. The Afro-Caribbean religion knows as the "Way of the Saints".

A. Espiritismo

B. Santeria

C. Catholicism

D. None of the above

56. The Latin American belief that good and evil spirits can affect life, health and luck.

A. Espiritismo

B. Santeria

C. Catholicism

D. None of the above

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57. American Indian tradition where a facilitator poses important questions for the group to address.

A. plants and herb practices

B. sweat lodge

C. healing ceremonies

D. 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.

A. plants and herbs

B. sweat lodges

C. healing ceremonies

D. talking circles

59. Used by American Indians to help groups of people return to harmony, these are not used for individual healing.

A. plants and herbs

B. sweat lodges

C. healing ceremonies

D. talking circles

60. Recent studies showed that one of the leading causes of death among American Indians and Alaska Natives was:

A. hypertension

B. heart disease

C. violence

D. cancer

6l. The average starting age for drinking for Alaska Natives is:

A.12

B. 9

C. 16

D. 21

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62. All of the following are suggested health promotion practices for American I ndians and Alaska Natives except;

A. Recogn ize that there is a great diversity among the tri bes so assumptions should be avoided

B. Holistic practices should be utilized to plan care and treatment

C. Be aware of superstitions and their impact

D. 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:

A. homicide

B. diabetes

C. suicide

D. cancer

64. The primary risk factors among African Americans for diabetes are:

A. obesity and lack of physical exercise

B. eating too much fat and sugar

C. genetic predisposition and lack of prenatal care

D. slow metabolic function

65. Characteristics of the African American community include all of the followi ng except:

A. trust in the healthcare system

B. deep reliance on faith

C. predominance of female headed families

D. large extended families

66. The leading cause of death among black women in the United States is:

A. epilepsy

B. stroke

C. heart disease

D. murder

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67. Considerations for health promotion among the African American community should include all of the following except:

A. consider using churches to disseminate information

B. peer ed ucation is very successfu I

C. be aware of underlying mistrust of the medical system

D. use formal titles until invited to do otherwise

68. Many African Americans believe that natural illness occurs due to :

A. a result of God's will

B. evil influences

C. evil spirits

D. none of the above

69. Home remedies are common among African American community and can include all of the following except:

A. wild yams

B. St. John's wart

C. Turpentine

D. 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

C. 6

D. 10

71. In Native Hawaiian tradition healing is practiced by:

A. mana

B. lokohai

C. kahunas

D. A & B

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72. Leading causes of death in Asian Americans and Pacific Islanders include all of the following except:

A. Parkinson's disease

B. Cancer

C. Heart disease

D. Stroke

73.A belief that Asians are quiet, do not complain and don't need health care is known as:

A. Traditional Chinese Medicine

B. Myth of the Model Minority

C. Asian enculturation

D. None of the above

74. The most common health disorder for Pacific Islanders includes all except:

A. cancer

B. alcoholism

C. diabetes

D. heart disease

75. Considerations for health promotion for Asian Americans include all of the followi ng except:

A. ensure good communication

B. encourage them to abandon traditional treatments

C. show respect for family relationships

D. Inquire about traditional treatments being used.

76. According to the U. S. Census Bureau the term "white" applies to:

A. persons having origins in Europe, the Middle East or North Africa.

B. persons having origins in Mexico, and Latin America

C. persons having origins in North America

D. none of the above

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77. In the Amish community a practice where adolescents are free to explore the outside world is known as:

A. marime

B. wuzo

C. rumspringa

D. brauche

78. A genetic recessive disorder occurring among the Amish as a result of marriage within the small Amish community is:

A. cartilage-hair hypoplasia

B. diabetes

C. cancer

D. none of the above

79.a pejorative term often used about the Roma people Is:

A. half-breed

B. Gypsies

C. outsiders

D. none of the above

80. The Roma term for impurity that causes illness is:

A. marime

B. wuzo

C. rumspringa

D. bgrauche

81. Roma avoid hospitals because they are:

A. unclean

B. expensive

C. prejudiced

D. none of the above

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82. 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

A. diseased; undiseased

B. clean; polluted

C. dietary, non-dietary

D. none of the above

83. Those who trace their ancestry to Iran are of __ descent .

A. Persian

B. Arab

C. Middle-Eastern

D. none of the above

84. Middle eastern diets include all of the following except:

A. pork is eaten by all groups

B. Vegetables are preferred raw

C. Fruit is usually consumed as dessert

D. some wheat or rice food is eaten with ach meal

85. Health promotion considerations for Arab Americans include all of the follow- ing except:

A. respect for religious requirement about food

B. respect for privacy

C. preference for treatment by someone of the same gender as the patient

D. 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 above

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87. A person's physical, romantic and emotional attraction to another is known as:

A. sexual identity

B. gender identity

C. homosexual ity

D. transgender

88. A person's internal, personal sense of being male or female is known as:

A. sexual identity

B. gender identity

C. homosexuality

D. transgender

89. A person who's gender identity is consistent with their physical characteristics and sexual identity is to one of the same sex.

A. sexual identity

B. gender identity

C. homosexual

D. transgender

90. Homosexuality was classified as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders until:

A. 1969

B. 1973

C. 1960

D. none of the above

91. Cultural Competence strategies for health care and the LGBT person include all of the following except:

A. Use gender neutral language

B. Tell the patient some of your best friends are gay

C. Conduct thorough sexual risk evaluation

D. Do not make assumptions about sexual ity

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92. 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.

B. they do not have a home

C. it is against their religious beliefs

D. none of the above

93. Health problems migrant farm workers are exposed to include all of the fol- lowi ng except:

A. Respi ratory illness

B. Musculoskeletal injuries

C. Tuberculosis

D. Obesity

94. Health promotion considerations for migrant farm workers include all of the followi ng except:

A. determining immigration status

B. recognition of living situation

C. inclusion of the family in decisions

D. acknowledging potential mistrust

95. What type of treatment do migrant farm workers use for skin problems?

A. ferti I izer

B. household prod ucts a nd herbs

C. antibiotics

D. none of the above

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96. A culturally competent organization displays all of the following except:

A. values diversity

B. relies on others to promote cultural competence

C. institutionalizes cultural knowledge

D. adapts services to fit needs

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97.The causes of health disparities are all except:

A. complex

B. complete

C. systemic

D. personal

98. One of the primary objectives of Healthy People 2010 is:

A. decrease health disparities in the U.S.

B. increase funding

C. all of the above

D. none of the above

99. Best practices is also know as:

A. promising practices

B. elimination practices

C. strategy practices

D. none of the above

100. Telemedicine is:

A. The use of telecommunications technology to provide, enhance, or expedite health care services.

B. minority care

C. Disparity in healthcare

D. none of the above

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