Module 5 cultural responsiveness

Question 1

CLAS standards

Answer 1

advance health equity
help eliminate disparities
improve quality of services

Question 2

cultural competence

Answer 2

acknowledgement/incorporation and understanding of cultural variability

Question 3

cultural awareness

Answer 3

self-examination and reflection of biases/isms

Question 4

cultural knowlegde

Answer 4

understanding health beliefs

Question 5

constructivism

Answer 5

getting people involved in their own learning through active learning, versus just teaching.

Question 6

societal factors

Answer 6

race 
socioeconomic status
education
language
literacy
culture

Question 7

health literacy

Answer 7

the capacity of a person to find, discuss, and comprehend health information
+
the ability to use that knowledge to make informed decisions

Question 8

Healthy people 2020 goal on improving health communication

Answer 8

increase the proportion of people who report that their health care providers always explain things so they can understand them.

Question 9

health literacy components

Answer 9

oral communication
reading comprehension
numeracy
technology

Question 10

oral communication

Answer 10

understand the role of the family members
plain speech
teach-back method

Question 11

reading comprehension

Answer 11

suggested reading level for health information is 5th grade

Question 12

numeracy

Answer 12

capacity to comprehend quantitative data in all forms and use it to make health decisions.

• telling time
• when to take medications
• self-administer insulin
• medication doses

Question 13

technology

Answer 13

patient must know how to use technology devices if getting virtual education.

• can be helpful for those with low health literacy d/t the number of platforms available
• • audio, video, voiceover, read-only, DVD

Question 14

REALM-SF

Answer 14

7 item instrument to determine health literacy

- only looks at medical word recognition not comprehension or numeracy

Question 15

Ask me 3

Answer 15

Encourages patients and/or family members to ask health care providers 3 primary questions to enhance pt-provider communication
1. What is my main problem?
2. what do i need to do?
3. Why is it important for me to do this?
CON: do not gauge the health literacy of patient

Question 16

Newest vital sign

Answer 16

distributed by Pfizer
- Ice cream label test
Patient and family asked to look at a nutritional label and answer 6 questions that relate to:
- numeracy and general knowledge

Question 17

patient centered environment

Answer 17

always ask and not assume
- culture, racial, ethnic, or gender context
seek a culturally relevant understanding of health form the patient and other sources

Question 18

Minimize clinician bias

Answer 18

Bias can be an unconscious influence on a providers plan of care
- need to recognize and address bias

Question 19

overcome patient barriers: language

Answer 19

Use only approved professional interpreters

Question 20

immigrants unique challenges

Answer 20

poverty
lack of insurance
low educational attainment
substandard housing
language barriers
medical conditions specific to place of origin

Question 21

Common asian healing practices

Answer 21

acupuncture
moxibustion
coin rubbing
cupping

Question 22

traditional chinese

Answer 22

yin and yang
- hot and cold, body and mind
Uses herbs, acupuncture, and food to restore and maintain balance

Question 23

Barriers to access

Answer 23

insurance
language
communication
complexity of health care system

Question 24

Kleinmans 8 questions

Answer 24

• What do you call your problem?
• What do you think causes it?
• why did it start when it did?
• What does your sickness do to your body?
• How severe is it? will it get better soon?
• What do you fear most about your sickness?
• What are the chief problems your sickness has caused for you?
• What kind of treatment do you think you should receive?

Question 25

ETHNIC framework

Answer 25

E: explanation. How do you explain your illness?
T: treatment. What treatment have you tried?
H: healers. Have you sought any advice from healers?
N: negotiate. Mutually agreeable options
I: intervention
C: collaboration