Diversity in Health Care Jacobs 2013

Question 1

What is the classification of people based on physical or biological characteristics

Answer 1

race

Question 2

What can involve several cultures and ethnic groups

Answer 2

race

Question 3

Understanding culture makes you more effective in treating medical illness and (blank)

Answer 3

reduces health care disparities

Question 4

Students shall demonstrate (blank) for patients, families, the health care team, and self with regard to culture, spiritual beliefs, age, gender, race, ethnicity, sexual orientation, socioeconomic status, and disabilities

Answer 4

sensitivity

Question 5

What is the classification of people based on national origin or culture?

Answer 5

ethnicity

Question 6

What is a set of values, beliefs, attitudes, languages, symbols, rituals, behaviors, and customs of a group of people?

Answer 6

culture

Question 7

Culture can be learned and shared and can be dynamic and changing. T or F

Answer 7

True

Question 8

What Can include obvious groupings related to race and ethnicity but can also refer to less obvious groupings E.g., first generation student, mobility/ handicap, SES, religion, sexual orientation, rural, etc.

Answer 8

culture

Question 9

What descrives the differences based on race, ethnicity , culture and must be considered when provide health care. (BPSS model includes this)

Answer 9

cultural diversity

Question 10

Cultural context affects beliefs, attitudes, and behaviors around …..

Answer 10

health, illness, adherence, appropriate treatment, doctor-patient relations, patients explanatory model (illness story)

Question 11

Ask about the patients beliefs about what why and how about patients illness. These questions illicit what?

Answer 11

a patients explanatory model of illness

Question 12

Cultural contex affects patients and (blank)

Answer 12

physicians

Question 13

The culture of medicine and your cultural background may also affect your beliefs, attitudes and behaviors around….

Answer 13

health and illness, doctor-patient relations, adherence, appropriate treatment

Question 14

What is meliorism?

Answer 14

the belief that the world can be made better by human effort

Question 15

What things does western medicine value i.e what is the culture of western medicine?

Answer 15

progress, dominance, activism, timeliness, therapeutic aggressiveness, future orientation, standardization

Question 16

What are typical non-western cultures of medicine?

Answer 16

accept with grace, harmony with nature, wait and see, cautious deliberation, gentle approach, take life as it comes -time honored, individualized

Question 17

What is the culture of medical students?

Answer 17

different than rest of population (SES, rural, ethnicity, race, college educated parents), affiliate with other highly educated individuals, elevated language,

Question 18

“Nerves,” a condition affecting both men and women and allowing expression of strong emotions is a culture bound syndrome affiliated with what ethnic group and what is it called?

Answer 18

Latino, nervios

Question 19

Young men feeling excessive social pressure and role conflict experience a form of hysteria is a culture bound syndrome affiliated with what ethnic group and what is it called?

Answer 19

malaysian, indonesian.

called Amok

Question 20

A look from an envious person resulting in a variety of illness, depending on the cultural group is a culture bound syndrome affiliated with what ethnic group and what is it called?

Answer 20

Latino, South American, Middle Eastern, North African

called Mal de ojo

Question 21

A caution about diversity is that you should be aware of cultural differences as (blank) to generate questions, but don’t use these to stereotype patients

Answer 21

hypotheses

Question 22

What does it mean to be culturally sensitive/conscious?

Answer 22

Awareness of cultural differences
Awareness of limitations of one’s skills or practices in medicine when working with diverse others
Awareness of disparities and injustices in the world in which medicine is practiced

Question 23

What does it mean to be culturally competent?

Answer 23

Adaptation of one’s values/behaviors
Acceptance and respect for difference
Continuous expansion of cultural knowledge

Question 24

What are the problems with cultural competence?

Answer 24

• Can’t have encyclopedic knowledge about every culture
• Cultural knowledge may not apply to your particular patient
• Culture is dynamic
• “Competence” infers that it is possible to master a theoretical finite body of knowledge

Question 25

Doing these things makes you (blank):
Lifelong process of self-reflection and self-critique to redress power imbalances and develop healthy partnerships with patients
Starting point is not an examination of patient’s belief system but your own assumptions and beliefs as a provider

Answer 25

Culturally humble

Question 26

What does LEARN stand for?

Answer 26

Listen, explain, acknowledge, recommend, negotiate

Question 27

Describe the LEARN model

Answer 27

L-E-A-R-N
Listen to the patient’s perception of the problem
Explain your perception of the problem
Acknowledge and discuss differences/ similarities
Recommend treatment
Negotiate treatment

Question 28

If you have an interpreter, what do you want to do?

Answer 28

meet then, ask for a word for word translation in first person singular, ask interpreters insights about relevant cultural practices, meanings and idioms

Question 29

When working with an interpreter what should you do when with a patient?

Answer 29

begin with introductions, face and speak to patient, use gestures (pointing to specific body parts) while the interpreter is interpreting to patient, use lay English, pause intermittently, check patients understanding

Question 30

What should you do about time and nonverbal communication with interpreters and patients/

Answer 30

give twice as long for appointment,

be careful with non verbal gestures,yet attend to nonverbal communication in patient,

Question 31

What should you not expect interpreters to do?

Answer 31

dont expect interpreters to resolve conflicts.