Becoming Culturally Competent
Hospice care is a special kind of medical and supportive care that focuses on symptom management and emotional support when a patient is expected to live six months or less. In hospice, the focus of care is not only the patient, but the entire family. Most hospice care involves active participation in daily caregiving by a family member or friend, supported by an interdisciplinary team of hospice professionals. For most patients, hospice care is covered through the Medicare Hospice Benefit or other health insurance plan.
1. In the first step to become culturally sensitive, the staff should:
A. Identify one's own cultural background and beliefs/values.
B. Evaluate the cultural beliefs of co-workers to get a broader understanding of being culturally sensitive.
C. Learn how to foresee how other races deal with the end-of-life issues.
D. Enroll in a class at the community college on cultures.
2. When speaking with families of another culture, the social worker or nurse should:
A. Use the patient's first name to establish rapport.
B. Speak to the patient as if he/she has already been fully informed of his disease prognosis/ diagnosis.
C. Speak to the translator rather than the patient or family.
D. Determine who makes the decisions for the patient and family.
3. You are giving instructions to a Hispanic patient and family. During your instructions, the patient and family become silent. Being culturally sensitive, you would understand that silence means:
A. They didn't understand your instructions.
B. They need time to process the information.
C. Silence sometimes shows lack of agreement with the plan of care.
D. None of the above.
4. Which culture sees dyspnea as a sign of death?
A. Indian and South Asia
C. African American
D. None of the above
5. Burial is encouraged within 24 hours of death in the following culture:
A. American Indian
D. African American
6. In the Hispanic Culture, this is considered unclean and immodest when used:
D. Hugging/ kissing a stranger
7. A typical American acquired culture is evidenced by:
A. Taking medications exactly as prescribed.
B. Individualism and autonomy are valued.
C. Visiting hours are very specific.
D. All of the above.
8. Asian Indian culture values the following practices:
A. Tend to rely on home remedies rather than Western medications and procedures to alleviate symptoms.
B. Patient makes all of his/her own decisions.
C. Male family member, usually the eldest son, is the decision maker.
D. A and C only.
9. Hospice goals for all cultures is to:
Treat all patient the same regardless of culture since they are now considered American.
Educate well so that they all know what to expect from us.
C. Respectfully ask the family to guide you in .order to do the right thing for all patients.
D. Give them all a big hug and they will feel better.
10. I can find more resources on becoming culturally competent:
A. Resources in all offices on cultural competence.
C. Families of the patients served.
D. All of the above.
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