Deck 5

Question 1

Culture

Answer 1

Values and behaviors shared by a group of individuals.

People may belong to more than one cultural group.

Examples include race, socioeconomic status, sexual orientation, physical abilities (so a culture can be pretty much anything)

Question 2

Cultural competence

Answer 2

A set of congruent behaviors/attitudes/policies that enable you to work effectively in cross-cultural situations

You’re not just being unbiased, you’re also valuing how culture can be a positive factor in someone’s health.

Question 3

Cultural humility

Answer 3

Ongoing effort to make sure you’re not being biased when interacting with someone from another culture

Question 4

Cultural competence is considered to be a ____, not all or nothing

Answer 4

continuum

Question 5

The goal of cultural competence is to build

Answer 5

build honest and trustworthy relationships

Question 6

Implicit/unconscious bias is

Answer 6

exactly what it sounds like

Question 7

How does implicit bias among healthcare workers compare to implicit bias among the general public

Answer 7

it’s the same

Question 8

The most widely used study to measure unconscious bias is the

Answer 8

Implicit Association Test

Question 9

Cultural syndrome

Answer 9

A cluster of symptoms that occur in a specific cultural group. May not be seen as an illness within the culture, but outsiders may recognize it as such

Question 10

Ataque de nervios

Answer 10

A syndrome in Latin America that includes shouting/crying/aggression/dissociation in response to a stressful situation.

Question 11

Cultural idiom of distress

Answer 11

A way of expressing features of distress of a way of talking about suffering that is commonly used among people of a cultural group.

Question 12

Kufungisisa

Answer 12

“Thinking too much”

An idiom of psychosocial and interpersonal distress among the Shona of Zimbabwe.

Associated with anxiety, headache, and dizziness

Question 13

Cultural explanation or perceived cause

Answer 13

a label of explanatory model used to provide an etiology or cause for symptoms, disease or distress

Question 14

Susto

Answer 14

“Fright”

Among Latino, it’s an explanation for distress/misfortune.

Susto happens after a frightening experience that causes the soul to leave the body.

It causes unhappiness and somatic complaints.

Question 15

General health disparities for black and hispanics

Answer 15

they receive less care even after controlling for income and other factors

Question 16

Black psych patients are more likely than white patients to be

Answer 16

hospitalized, involuntarily hospitalized, placed in seclusion, diagnosed as schizophrenic

Question 17

Black psych patients are less likely than white patients to be diagnosed with

Answer 17

affective disorders

Question 18

The highest suicide rate is among which ethnicity

Answer 18

Native Americans and Alaskan Indian

Question 19

Implicit/unconscious bias negatively affects providers’ willingness to

Answer 19

Engage in patient-centered care
Provide referrals to specialized treatment
Adhere to evidence-based guidelines

Question 20

When it comes to implicit/unconscious bias, mental health facilities are

Answer 20

particularly at risk

Question 21

Strategies to mitigate unconscious bias include 4 broad categories. The categories are,

Answer 21

Organizational
Individual
We all have biases
Remembering

Question 22

Strategies to mitigate unconscious bias: Organizational

Answer 22

Commitment to culture of inclusion
Diversity training
Recruit diverse staff

Question 23

Strategies to mitigate unconscious bias: Individual

Answer 23

Reflection and cultural humility

Question 24

Strategies to mitigate unconscious bias: We all have biases

Answer 24

Be aware- How biases may appear as “intuition”

Be systematic- Use concrete guidelines and be transparent in decision-making

Be open to learning new things

Question 25

Strategies to mitigate unconscious bias: Remembering

Answer 25

There is a difference between intent and impact; Consider other’s past experience.

Acknowledge your actions and own the consequences.

Question 26

What percent of LGBTQ experience discrimination

Answer 26

more than 50%

Question 27

Transgender/GNC people postponing medical care

Answer 27

more than 25% have postponed

Question 28

LGBTQ and suicide

Answer 28

2 to 3 times more likely to commit suicide

Question 29

Transgender woman of color

Answer 29

average age of death is 31

Question 30

Transgender people and suicide

Answer 30

40% attempt suicide

Question 31

Transgender people and provider knowledge

Answer 31

More than 50% of transgender people encounter significant lack of provider knowledge.

Question 32

LGBTQ: PMHNP responsibilities:

Answer 32

Ne nonjudgemental and open to learning

Use inclusive language and avoid heterosexual bias (asking “are you married” is not really inclusive because gays might not be able to marry)

Provide diagnosis of gender dysphoria

Assess other psych disorders

Assess the patient’s informed consent to hormonal and surgical options

Provide support for exploration of gender identity etc

Question 33

Gender dysphoria

Answer 33

Incongruence of experienced gender and the gender assigned at birth, demonstrated by at least 2 of the following:

• wants to be another gender
• wants to be treated as another gender
• wants the sexual characteristics of another gender
• wanting to get rid of the current sex characteristics
• believing that you have the feelings/emotions of the other gender

Question 34

Best practices for working with an interpreter

Answer 34

Don’t use family
Use the culturally appropriate type (the right gender, age, etc)
Meet with the interpreter first
Short phrases, no jargon
Ask the same question in different ways
Seat the interpreter behind or next to you
Listen to them even though you don’t understand the language
Remember it takes 2 to 3 times as long to work with an interpreter

Question 35

Cross-dresser

Answer 35

Person wears clothes of the opposite sex for erotic arousal or other psychological reasons. It’s a form of gender expression. Transvestite is no longer used.

Question 36

Misgendering

Answer 36

when someone purposely or accidentally uses the wrong term.

Question 37

Agender

Answer 37

a person who doesn’t identify as having a gender