Cultural Competence and Diversity Flashcards

A TBI patient's family insists that prayer and faith healing will restore full function and refuses to accept the prognosis given by the rehabilitation team. The CBIS should FIRST:

Answer: Involve hospital chaplaincy and explore how spiritual beliefs can coexist with realistic goal-setting

Integrating spiritual support through chaplaincy while acknowledging the family's beliefs allows for collaborative goal-setting without dismissing their values.

In TBI rehabilitation, 'linguistic competence' refers to:

Answer: The organization's capacity to provide services in patients' preferred languages

Linguistic competence is an organizational standard requiring systems and policies to ensure patients receive services in their preferred language.

A CBIS is conducting a cognitive assessment with a recent immigrant patient. Which factor is MOST likely to confound the results?

Answer: The use of assessment tools normed on different cultural populations

Standardized cognitive assessments are often normed on majority populations and may produce invalid results when used with culturally and linguistically diverse patients.

Which of the following BEST describes the concept of 'cultural brokering' in TBI rehabilitation?

Answer: The act of mediating between patients' cultural frameworks and the healthcare system to reduce barriers

Cultural brokering involves a skilled intermediary who bridges the gap between patients' cultural backgrounds and the healthcare system to facilitate effective care.

LGBTQ+ TBI survivors may face which unique barrier in inpatient rehabilitation settings?

Answer: Discrimination or lack of affirming care, leading to delayed disclosure of identity and suboptimal support

LGBTQ+ patients may conceal their identity in settings perceived as non-affirming, limiting access to appropriate psychosocial support during TBI recovery.

A CBIS specialist notices that a Vietnamese patient nods frequently during education sessions but cannot recall key information when asked. This most likely reflects:

Answer: A cultural communication pattern where nodding signals respect, not comprehension

In many Asian cultures, nodding indicates respect and attentiveness, not necessarily agreement or understanding, requiring teach-back methods to verify comprehension.

Which of the following reflects a structural approach to improving health equity for TBI survivors from marginalized communities?

Answer: Advocating for policies that expand insurance coverage and fund community-based rehabilitation services

Structural approaches address root causes of health inequity through policy and systems change, rather than placing the burden on individuals or individual clinicians alone.