Purpose of Cultural Competence
Cultural competence in healthcare focuses on adapting care to what type of differences?
A. Biological differences
B. Educational differences
C. Cultural differences
D. Economic differences
C. Cultural differences
Cultural competence is about recognizing and responding to culture-related beliefs, values, and practices that shape healthcare experiences. The other options can matter in healthcare, but they are not what “cultural competence” specifically targets.
Cultural competence applies only to minority groups.
A. True
B. False
C. Only in hospitals
D. Only in urban settings
B. False
Cultural competence is relevant in all patient-provider interactions.
Which federal office developed the CLAS standards?
A. CDC
B. Office of Minority Health
C. WHO
D. NIH
B. Office of Minority Health
The CLAS standards originate from the Office of Minority Health and focus on equity and access.
Cultural competence models originated in which nursing specialty?
A. Public health nursing
B. Emergency nursing
C. Transcultural nursing
D. Pediatric nursing
C. Transcultural nursing
Transcultural nursing laid the foundation for many cultural competence frameworks.
In the ASKED model, what does the “A” stand for?
A. Assessment
B. Awareness
C. Advocacy
D. Acculturation
B. Awareness
Awareness is the first step and involves self-examination of biases and beliefs.
Cultural competence aims to improve patient care by responding to patients’ cultural beliefs and practices.
A. False
B. True
C. Only in minority populations
D. Only in international settings
B. True
Cultural competence is meant to improve care by aligning communication and care delivery with patients’ cultural contexts. It is not limited to minority groups or international settings.
Cultural competence encourages providers to ask patients how they prefer to be what?
A. Referred
B. Diagnosed
C. Identified or labeled
D. Treated
C. Identified or labeled
Respecting identity language is a core communication principle.
CLAS standards emphasize culturally and linguistically what services?
A. Uniform
B. Standardized
C. Appropriate
D. Optional
C. Appropriate
CLAS emphasizes responsiveness to patient language and culture, not uniformity.
Which model focuses on six cultural phenomena such as communication, space, and time?
A. Campinha-Bacote’s model
B. Purnell’s model
C. Giger and Davidhizar’s model
D. Spector’s model
C. Giger and Davidhizar’s model
Giger and Davidhizar’s model is known for its six assessment phenomena.
Cultural knowledge includes learning about health beliefs and what type of group differences?
A. Educational differences
B. Economic variations
C. Biological variations
D. Political differences
C. Biological variations
The model highlights biocultural and biological differences affecting care.
What is the primary goal of cultural competence in healthcare?
A. To eliminate cultural differences
B. To adapt healthcare practices to fit cultural differences
C. To promote one cultural perspective
D. To avoid cultural discussions
B. To adapt healthcare practices to fit cultural differences.
The goal is adaptation and responsiveness, not erasing differences or pushing one worldview. Avoiding culture would undermine the purpose entirely.
Intragroup variation refers to differences occurring where?
A. Between cultures
B. Within a hospital
C. Within a cultural group
D. Between organizations
C. Within a cultural group
“Intra” means within, highlighting diversity inside groups.
According to professional health organizations, cultural competence consists of which combination?
A. Laws and regulations
B. Training and certification
C. Attitudes, skills, behaviors, and policies
D. Knowledge and experience only
C. Attitudes, skills, behaviors, and policies
Cultural competence is systemic and involves individual and organizational components.
What is the primary focus of Giger and Davidhizar’s transcultural assessment model?
A. Patient education
B. Language translation
C. Cultural assessment in nursing
D. Global health policy
C. Cultural assessment in nursing
The model is designed to guide culturally informed patient assessment.
Which construct of the Campinha-Bacote model is considered pivotal?
A. Cultural skill
B. Cultural desire
C. Cultural knowledge
D. Cultural awareness
B. Cultural desire
Cultural desire reflects motivation to engage in the process.
Cultural competence encourages providers to avoid cultural issues in clinical practice.
A. True
B. False
C. Only in emergencies
D. Only in large hospitals
B. False
Avoidance leads to miscommunication and poorer care. Cultural competence is about engaging thoughtfully, not ignoring culture.
The term “people of color” can be problematic because it does what?
A. Is universally preferred
B. Groups diverse populations under one general term
C. Is clinically precise
D. Highlights diversity accurately
B. Groups diverse populations under one general term
The term can obscure important differences in lived experiences.
Which of the following is NOT a CLAS standard?
A. Ensuring staff training
B. Developing a strategic plan
C. Providing care in a patient’s preferred language
D. Making cultural competence training optional
D. Making cultural competence training optional
CLAS emphasizes accountability and ongoing training, not optional participation.
Purnell’s model of cultural competence is organized using what shape?
A. Triangle
B. Circle
C. Grid
D. Pyramid
B. Circle
The circular structure reflects nested cultural domains.
Cultural competence is described as a journey rather than a destination. What does this mean?
A. It applies only to experts
B. It is achieved after training
C. It is an ongoing process
D. It is optional
C. It is an ongoing process
Cultural competence requires continual growth, reflection, and experience.
Cultural competence ultimately seeks to improve communication, trust, and what major outcome?
A. Cost efficiency
B. Provider satisfaction
C. Quality of care
D. Speed of treatment
C. Quality of care
Better communication and trust generally improve care quality and outcomes. Cost and speed can be affected indirectly, but they are not the primary target.
An essential step in developing cultural competence is continuously striving to improve what?
A. Policy awareness
B. Communication speed
C. Cultural knowledge and skills
D. Technology use
C. Cultural knowledge and skills
Cultural competence requires ongoing learning and skill application.
How many total CLAS standards exist?
A. 14
B. 10
C. 16
D. 12
A. 14
The CLAS framework consists of exactly fourteen standards.
Purnell’s model includes four rings. Which is NOT one of them?
A. Community
B. Family
C. Global society
D. Health care system
D. Health care system
The four rings represent contextual levels, not institutional systems.
Cultural encounters help prevent what major problem in healthcare?
A. Liability
B. Burnout
C. Misdiagnosis
D. Stereotyping
D. Stereotyping
Real encounters reduce reliance on assumptions and generalizations.