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NBCMI WRITTEN EXAM STUDY GUIDE

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NBCMI WRITTEN EXAM STUDY GUIDE

false cognates - Answers -words that appear similar but are different in meaning

Title VI of the Civil Rights Act of 1964 - Answers -It prohibits discrimination on the basis
of race, color, and national origin in programs and activities receiving federal financial
assistance

**Policy guidance clarifies that LEP individuals must be informed that they have the right
to receive free interpreter services.

Executive Order 13166 - Answers -provide meaningful access to Limited English
Proficient (LEP) individuals to federally assisted and federally conducted programs and
activities

Enhanced Culturally and Linguistically Appropriate Services (CLAS) Standards in
Health Care (2000) - Answers -intended to advance health equity, improve quality, and
help eliminate health care disparities by providing a blueprint for individuals and health
and health care organizations to implement culturally and linguistically appropriate
services.

lThree themes:
Governance, Leadership, and Workforce
Communication and Language Assistance
Engagement, Continuous
Improvement, and Accountability

Department of Justice Regulations 28 Code of Federal Regulations Section 42. -
Answers -Where a significant number or proportion of the population eligible to be
served likely to be directly affected by federally assisted program (e.g. affected by
relocation) needs service or information in a language other than English in order to be
effectively informed of or to participate in the program

Department of Justice Policy Guidance 65 Federal Register 50123 - Answers -Clarifies
and affirms Title VI requirements prohibiting discrimination based on primary language.
Defines requirement of "reasonable steps to ensure meaningful access to information
and services" as consideration of "the number or proportion of LEP persons in the
eligible population, the frequency with which LEP individuals come in contact with the
program, the importance of the service provided by the program, and the resources
available to the recipients [of federal funds]."

Department of Health and Human Services (DHHS) Office of Civil Rights (OCR) Policy
Guidance 65 Federal Register 52762 - Answers -Reaffirms application of Title VI to
prohibit discrimination based on primary language and requiring recipients of federal

, funds to ensure "meaningful access" to health and social services for Limited English
Proficient individuals through language assistance.

role of conduit - Answers -The Message Converter Role is the basic role that is used to
overcome a language barrier. The interpreter converts the messages from one
language into the other as accurately and completely as possible, but not literally. The
interpreter focuses on the transfer of meaning rather than specific words.

Interprets EXACT MEANING
Interprets EVERYTHING
Interprets in first-person
Reflects tone and volume

role of clarifier

- interpreter intervenes when - Answers -The Message Clarifier Role when he or she
identifies words or phrases that may be unclear to one or more persons in the
encounter

- Interpreters and patients do not understand the complex language (register) that
providers frequently use.

role of culture broker - Answers -The Cultural Clarifier Role is used when the meaning
of words or phrases with cultural significance may be unknown or unclear to the
provider, interpreter or patient.

role of patient advocate - Answers -The Patient Advocate Role is used when
interpreters, during the encounter or Day, recognize a problem that may negatively
impact the patient's ability to access or receive quality healthcare services

accuracy - Answers -OBJECTIVE:
To enable other parties to
know precisely what each speaker has said.

1. The interpreter renders all messages accurately and completely, without adding,
omitting, or substituting.
For example, an interpreter repeats all that is said, even if it seems redundant,
irrelevant, or rude.

2. The interpreter replicates the register, style, and tone of the speaker.
For example, unless there is no equivalent in the patient's language, an interpreter does
not substitute simpler explanations for medical terms a provider uses, but may ask the
speaker to re-express them- selves in language more easily understood by the other
party.

3. The interpreter advises parties that everything said will be interpreted.

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