TEOPIZ, MARK JOVAN JR.

BSN 3-A2

SAS 19

CHECK FOR UNDERSTANDING (25 minutes)

The instructor will prepare a 10 item questions that will help develop the critical thinking skills of the students.
These series of questions will be worked on by the students and they will write their rationale for each
answered question.

Multiple Choice

1. This refers to the ability of health care providers and organizations to understand and respond effectively to
the cultural and linguistic needs of clients
a. Cultural humility
b. Cultural awareness
c. Cultural competence
d. Cultural diversity

ANSWER: C
RATIONALE: Cultural competence encompasses a variety of diversities, including age, culture,
ethnicity, gender, language, race, religion, sexual preference, and socioeconomic status. Cultural
competence encompasses a wide range of activities and considerations and includes providing
respectful care that is consistent with cultural health beliefs of the clients and family members

2. The average overall US life expectancy is at

a. 76.6 years
b. 81.3 years
c. 78.2 years
d. 78.7 years

ANSWER: D
RATIONALE: Disease Control and Prevention National Vital Statistics System reports that the
overall US life expectancy is 78.7 years. However, life expectancy varies by race, with White males
(76.6 years) and White females (81.3 years) higher than African American males (72.1 years) and
African American females (78.2 years).

3. Which of the following is true regarding the 2012 National Healthcare Disparities Report? a. Health care
quality and access are suboptimal, especially for minority and low-income groups. b. Overall quality is
improving, access is getting worse, and disparities are not changing. c. Urgent attention is warranted to
ensure continued improvements in quality of diabetes care, maternal and child health, cancer care, quality
of care among states in the South
d. All of the above

ANSWER: D
RATIONALE: All of these are included in the three themes of the 2012 National Healthcare
Disparities Report.
4. Which of the following healthcare disparities are seen in Asians as compared to
Whites? a. Maternal deaths per 100,000 live births
b. Adults age 50+ who ever received colonoscopy, sigmoidoscopy, or proctoscopy c. Adjusted
incidence of end-stage renal disease due to diabetes per million population d. Hospital patients with
heart attack who received fibrinolytic medication within 30 minutes of arrival
 ANSWER: C
RATIONALE: Other healthcare disparities seen in Asians compared to Whites are: ●
Hospice patients who received the right amount of help for feelings of anxiety of sadness ●
Adults ages 18-64 at high risk (e.g., COPD) who ever received pneumococcal vaccination

5. Which of the following healthcare disparity is not TRUE regarding Hispanics as compared to non-
Hispanic Whites?
a. Home health care patients who have less shortness of breath
b. Advanced stage invasive breast cancer incidence per 100,000 women age 40+ c. Adults age 40+ with
diagnosed diabetes who received 2 or more hemoglobin A1c measurements in the calendar year
d. Hispanic patient with heart attack who received fibrinolytic medication within 30 minutes of arrival.

ANSWER: B
RATIONALE: Letter B is a disparity seen in African Americans or Blacks.

6. In Bolman and Deal’s Organization Culture Perspective, which of the following emphasizes power and
problems
are viewed as “turf” issues
a. Human resource frame
b. Structural frame
c. Political frame
d. Symbolic frame

ANSWER: C
RATIONALE: The political frame emphasizes power and politics. Problems are viewed as “turf”
issues and are resolved by developing networks to increase the power base.

7. The structural frame of Bolman and Deal’s Organizational Perspective focuses on which of the
following a. Facilitating the fit between person and organization
b. Power and politics
c. Following an organization’s rules or protocols
d. Rituals, ceremony, and myths in determining appropriate

ANSWER: C
RATIONALE: Letter A describing Human Resources frame, Letter B is the Political Frame, while
Letter D is the Symbolic Frame

8. Schein has described organizational culture in several levels which include (Select all that
apply) a. Observable artifacts
b. Values
c. Rituals, ceremonies, and myths
d. Inclusive workplace
e. Basic underlying assumptions
ANSWER: A, B, and E
RATIONALE: Schein (2004) describes organizational culture at three levels: (1) observable
artifacts, (2) values, and (3) basic underlying assumptions. Artifacts are visible manifestations of
values.

9. The platinum rule in an inclusive workplace means

a. Treat others as you wish to be treated
b. Treat others as they wish to be treated
c. What you wish upon others, you wish upon yourself
d. Do not treat others in ways that you would not like to be treated

ANSWER: B
RATIONALE: Letters A, C, and D are different forms of the Golden Rule.

10. Which of the following is a major barrier to quality health care?

a. Language
b. Religious practice
c. Folk medicine beliefss
d. Culture

ANSWER: A
RATIONALE: The Institute of Medicine reports that 51% of providers believe that clients do
not adhere to treatment because of culture or language.