hca_505__multicultural_health 100_questions)

First edition, 2010
ISBN-13: 9780763757427

HCA 505
Multicultural Health Care
Text: Multicultural Health
Authors:
Lois Ritter and Nancy Hoffman
Publisher:
Jones & Bartlett

Multiple 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
Acculturation

6. 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 theory

11. 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 desire

16. 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 Medicine

21. 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 above

26. 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 amulets

31. 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 above

36. 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 & C

4l. 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
accuracy

46. 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
Empacho

52. 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 above

57. 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
21

62. 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
murder

67. 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 & B

72. 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 above

77. 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 above

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
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 above

87. 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 sexuality

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.
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 above

96. 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 attributes

97.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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