In Ch. 12 of your book, there is a diagram outlining levels of cultural awareness.  After reviewing the diagram and the associated text, answer the following question:  As a health care professional, you should strive to function in the first and second levels of cultural sensitivity.

True

False

False

**You should strive to function in the third and fourth stages of cultural sensitivity.

The way a person reacts to health and illness is an attitude and a perception that encompasses all the other cultural components.

True

False

Which of the following areas can create potential discrimination in the delivery of health care?

A. ageism

B. ethnic background

C. internal milieu

D. A, B, and C

E.  A and B only

D. A, B, and C

Entering into a new culture of mutual respect and teamwork, the health care professional will find:

• Acceptance of persons for who they are.
• Total agreement.
• Bias and prejudice.
• The need to alter his or her beliefs.

Acceptance of persons for who they are.

When making allocation decisions of scarce medical resources, AMA's Council on Ethical and Judicial Affairs states that physicians should only consider ethically appropriate criteria, such as quality of life, benefit and duration of benefit, and urgency of need when making allocation decisions.

True

False

Microallocation decisions in the delivery of health care involve decisions made by large bodies such as Congress and health insurance companies.

True

False

False

**Microallocation decisions involve decisions made on an individual basis, usually by local hospital policy and doctors.

According to your textbook, almost 32 million Americans do not have health insurance.

True

False

False

**Per your textbook, it is reported that 46 million Americans are living without health insurance.

Every exchange with a client is a cross-cultural one.

True

False

Level four in the Cultural Congruent Care Levels diagram, states that individuals:

• Become aware that they lack knowledge of diversity.
• Are unaware that they lack knowledge of cultural diversity.
• Automatically provide culturally sensitive care.
• None of the above

Automatically provide culturally sensitive care.

In the soccer locker room, a teenager from Iran brags about his sexual escapade with an American girl in his class saying "Girls in his country must be virgin." This is an example of what cultural component?

• Sexual orientation
• Gender
• Ageism
• All of the above

Gender

Two pregnant women are entering the prenatal clinic. One has a PhD and works in the nursing department at the local college; the other woman is Amish and was home-schooled. This is an example of what cultural component?

• Ageism
• Role models
• Gender
• Educational preparation

Educational preparation

Values are:

A. Morals or standards that are acceptable in a culture.

B. Easy to modify.

C. Determined by family, religious beliefs, culture.

D. A and C

E.  A, B, and C

D. A and C

Prior to the enactment of the Affordable Care Act, virtually all children in the U.S. had adequate health care.

True

False

False

Which decisions are microallocation?

• Congress determined that Medicare should provide medical care to clients with chronic renal failure.
• The federal government determines how much should be allocated for medical research.
• Medical insurance companies determine "reasonable and customary" charges; thus, what services they cover.
• Hospitals determine who shall occupy the one available bed in intensive care.

Hospitals determine who shall occupy the one available bed in intensive care.

Allocation of scarce medical resources refers to:

• A system whereby everyone gets the health care services they require.
• The distribution of available health care resources.
• Those individuals who have health insurance.
• Health maintenance organizations

The distribution of available health care resources.

Due to higher premiums, the Affordable Care Act has caused more people in the U.S. to be without health insurance coverage.

True

False

Which of the following is a provision of the Affordable Care Act?

• It allows children age 25 and younger to stay on their parents' insurance plans
• Preventive care is now covered without patients having to pay any co-pays or deductibles (i.e. cost-sharing)
• Insurance companies can no longer deny coverage for pre-existing conditions
• There are no dollar limits on annual or lifetime coverage
• All of the above

All of the above