Culturally Competent Practice/Cultural Competence Flashcards
Which group makes the most use of traditional, natural, or alternative forms of health care?
One-third of all Americans
Breaking the cycle of oppression involves:
Active reflection, confrontation and transcendence
Machismo is often thought to represent a raw masculinity. In fact, Latino culture identifies masculinity with:
family commitment and responsibility for material support
When an interpreter is need to conduct a social work interview, the least appropriate person is probably
- A child of the client
- A relative
- An untrained interpreter
- An agency staff member such as a clerk or maintenance worker
The correct answer is 1.
The use of a child as an interpreter may alter family power relationships and prevent adults from sharing important or embarrassing details. Children are the least appropriate. Relatives may also impose their own views and hide important or embarrassing details, and an untrained interpreter may miss important clues. Similar criticisms can also be made about using staff, with the additional concern that they may not have a proper concern for confidentiality.
Asian immigrants were not granted citizenship until the year of ____ in the ____ Act
1943, Magnuson
The first wave of Cuban immigration to the United States (1952) was generally characterized as:
Middle class and of European extraction
What is a subtle communication that excludes, negates, or nullifies the thoughts, feelings, or experiences of a person, often based on their membership in a marginalized group?
a microinvalidation
Two ethnic groups who are least likely to trust and make use of Western health and social services are:
Latinos and Hmung
To encourage reluctant patients from third world countries to adopt Western health methods and reject unhelpful traditional medical practices, a social worker would first:
Try to convince the oldest family member
Culture-bound syndromes found in the appendices of the DSM-IV-TR are:
ethnic/national/locality-specific patterns of aberrant behavior and distress
Amok is a culture-bound syndrome associated with:
Southeast asians
The Evergreen Counseling Agency has been serving the community for over 50 years with traditional mental health services. The Board and staff are largely white, middle class, and well-established. The continued growth of a very large Latino community has altered the community, but Evergreen has not changed. Client referrals have declined dramatically and the agency’s future seems dim. What steps should the board take first to respond to the new situation?
The board should thoroughly review its mission, operations, staffing patterns, and programs, preferably with the involvement of an outside consultant and members of the community
The situation facing Evergreen is not unique. To create the changes necessary, the agency must thoroughly review its operation with a view toward rebuilding itself to respond to new community needs. Simply hiring Latino staff, or replacing the director, is not an adequate response. These measures would not address the larger operational problems and questions concerning the appropriateness of the agency’s mission.
A Latino client is brought to a hospital emergency room. The patient alternates between extreme anxiety and rapid, incoherent babbling. He does not respond to English-speaking staff and erupts into a violent outburst when a staff member offers a mild tranquilizer. He shouts that he is not crazy. The hospital social worker might suspect:
A culturally determined response such as an “ataque”
The symptoms described in this question are the classic features of an ataque (listed in DSM-IV-TR). Latino researchers suggest that ataques are cries for help and expressions of distress. Some practitioners argue that the resolution for an ataque is to gather supportive friends or family around the patient until the symptoms subside.
