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1. Which of the following is true in relation to social identity?

A. Social group membership is only based on ethnicity, race, and religion B. Individuals' social identities consist of membership to only one group C. Identification with a social group may change based on the dynamics of a situation D. Social identity is a process by which individuals from one cultural group experience changes in behaviors, attitudes and beliefs as a result of continuous contact with a different culture

2. Which of the following correctly describes integration as related to the concept of acculturation?

A. Individuals lose much of their identity from their home culture and adopt the new host culture B. Individuals have strong identities to their home culture and may not be able to adapt well to the host culture C. Individuals never really understand their home culture or their host culture D. Individuals are able to adopt identities from both the host and home culture

3. Which of the following would occur in a collectivist culture?

A. The individual places greater emphasis on self-reliance B. Emotional distance is prevalent within group members C. Individuals assume greater responsibility for healthcare decisions D. Increased community participation with healthcare decision making

4. Which of the following refers to the practice of eating clay or dirt and is common in Central Africa and the Southern United States?

A. Geophagy B. Mal de ojo C. Dhat D. Susto

5. What is the difference between Hispanic versus Latino?

A. Hispanic is based on whether you or your family speak Spanish whereas Latino is focusing on the geographic location B. Latino is based on whether you or your family speak Spanish whereas Hispanic is focusing on the geographic location C. Hispanic refers to race whereas Latino refers to ethnicity D. Latino refers to race whereas Hispanic refers to ethnicity

6. When considering disease prevalence in Hispanics/Latinos which of the following has been shown to be true?

A. Leading cause of disease is alcoholism B. Leading cause of death is diabetes C. Hispanic individuals have a 48% lower death rate from liver disease than non-Hispanic patients D. Hispanics are approximately 50% more likely to die from diabetes in comparison to non-Hispanics

7. The communication style in African American culture would be displayed accurately by which of the following?

A. Conservative speech and language patterns B. In professional greetings, prefer to be addressed by first name C. Direct eye contact is preferred D. Physical touch is considered inappropriate

8. Why do some individuals in the African American culture tend to use less Western based medicine?

A. Distrust in the system due to the Tuskegee syphilis study B. Prefer using medicine men/women to address disease C. Prefer mind body practices to balance yin and yang D. Belief that only traditional healers and sacred ceremonies can address the true cause of the illness

9. Which of the following would apply to communication styles commonly seen in Asian cultures?

A. Overt displays of strong emotion B. Direct eye contact lasting a few minutes C. Public display of touching D. Being direct

10. Which practice is common in Asian cultures?

A. Ayurvedic medicine B. Root doctors C. Folk medicine D. Curanderismo

11. How was the Native American culture affected when forced to sign treaties and move to reservations?

A. Children were removed from familial homes B. High rates of alcoholism C. Religious practices forbidden D. All the above

12. Which of the following is common in the Middle Eastern culture?

A. Need for personal space B. Uncomfortable with touch C. Matriarchal family structure D. Collectivist family structure

13. Which of the following has been found to be a barrier to cross-cultural communication?

A. Fear B. Slang C. Historical events D. All the above

14. Which of the following would help to overcome barriers in cross-cultural communication?

A. Refer to all patients on a first name basis B. Do not use small talk C. Mimic the greeting that is used by the patient D. Always use direct eye contact

15. Which of the following tools is best used when clinicians sense discordance with the patient relating to adherence to a treatment plan or to the overall visit?

A. Kleiman's model B. BATHE model C. LEARN model D. ENCORE model

16. Which of the following correctly defines the BATHE model?

A. Benefit, attention, troubles, handling, empathy B. Background, affect, troubles, handling, empathy C. Benefit, affect, troubles, hypersensitivity, empathy D. Background, anticipation, troubles, handling, empathy

17. Which of the following is a best practice when working with a medical interpreter?

A. Children can be used as interpreters B. A bilingual coworker is as safe as a medical interpreter C. Provide written materials that are translated into common languages by a medical interpreter D. There is no need to insist upon a medical interpreter if a family member is present