Cultural Competence and Diversity Flashcards

A male TBI patient from a Latino background declines to attend a group therapy session that includes women, citing personal and cultural values. The team should:

Answer: Explore the patient's concerns and discuss possible alternatives such as a same-gender group

Exploring the patient's values and seeking feasible alternatives demonstrates culturally competent practice while maintaining therapeutic goals.

Which of the following is an example of implicit bias that could affect TBI care?

Answer: Unconsciously assuming a patient with a lower income will be non-compliant with home therapy

Implicit bias operates outside conscious awareness and can affect clinical assumptions, communication, and treatment decisions in harmful ways.

The CLAS Standards (Culturally and Linguistically Appropriate Services) issued by the U.S. DHHS are primarily intended to:

Answer: Guide healthcare organizations in providing equitable, culturally and linguistically appropriate care

The CLAS Standards provide a framework for healthcare organizations to improve the quality and equity of services for diverse patient populations.

A TBI survivor who is a military veteran may present with cultural values that include stoicism and self-reliance. This cultural context may most impact TBI care by:

Answer: Reducing the likelihood that the veteran will disclose emotional struggles or accept mental health referrals

Military culture often emphasizes stoicism, which can create barriers to disclosing emotional difficulties or accepting psychological support after TBI.

When working with a patient who has limited English proficiency, which practice violates federal civil rights law?

Answer: Relying solely on the patient's minor child to interpret during medical consultations

Using minor children as interpreters in medical settings violates Title VI of the Civil Rights Act and exposes children to inappropriate medical content.

Which of the following approaches BEST addresses socioeconomic diversity when planning TBI rehabilitation?

Answer: Screening all patients for social determinants of health and connecting them with relevant community resources

Screening for social determinants of health and linking patients to community resources ensures rehabilitation plans are actionable regardless of socioeconomic status.

A CBIS who regularly seeks supervision or peer consultation specifically to examine how their own cultural assumptions affect their clinical decisions is practicing:

Answer: Reflective practice and cultural self-awareness

Reflective practice involves systematically examining one's own values and biases, which is foundational to culturally responsive TBI care.