MIDTERM REVIEW WEEK 1-6 (NSGD 3336) UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. Cultural Competence
Answer:
An ongoing process, not a fixed outcome.
Question:
2. Cultural Destructiveness
Answer:
Superiority of one culture imposed on others; other cultures dehumanized or eradicated.
Question:
3. Example of Cultural Destructiveness
Answer:
Residential schools and forced assimilation of Indigenous peoples.
Question:
4. Cultural Incapacity
Answer:
Inability to support cultural differences; dominant culture treated as the norm.
Question:
5. Characteristics of Cultural Incapacity
Answer:
Systemic bias, stereotyping, paternalism; expectation that minority groups adapt.
Question:
6. Example of Cultural Incapacity
Answer:
Lack of interpretation services.
Question:
7. Cultural Blindness
Answer:
Denial or minimization of cultural differences; treating everyone 'the same'.
Question:
8. Focus of Cultural Blindness
Answer:
Focus on equality, not equity; ignores historical and systemic inequities.
Question:
9. Cultural Pre-Competence
Answer:
Awareness of cultural differences; desire to improve practice.
,Question:
10. Limitations of Cultural Pre-Competence
Answer:
Inconsistent or isolated actions; risk of tokenism; limited systemic change.
Question:
11. Cultural Proficiency
Answer:
Culture viewed as a strength; actively seeks cultural knowledge.
Question:
12. Focus of Cultural Proficiency
Answer:
Addresses power, oppression, and inequity; supports innovation and community-led care.
Question:
13. Western Culture in Health Care Context
Answer:
Associated with European traditions and Christian influences; emphasizes scientific/biomedical
approaches.
Question:
14. Visible Minority
Answer:
Statistics Canada term referring to people who are not White and not Indigenous.
Question:
15. Critique of Visible Minority Term
Answer:
Limited attention to power, racism, and lived experience.
Question:
16. Cultural Competence vs Person-Centred Care
Answer:
Person-centred care focuses on empathy, respect, communication, shared decision-making.
Question:
17. Limitation of Person-Centred Care
Answer:
Often does not explicitly address culture, power, or inequity.
Question:
18. Importance of Cultural Competence
Answer:
Adds a critical focus on culture, privilege, access, and equity; prevents culturally unsafe care.
,Question:
19. Key Takeaways on Culture
Answer:
Culture involves patterns of living and power relations; lack of cultural competence can cause harm.
Question:
20. Levels of Cultural Competence
Answer:
Operates at individual (micro), team (meso), and system (macro) levels.
Question:
21. Cultural Proficiency Outcome
Answer:
Enables transformation and innovation.
Question:
22. What does the Myth of Equality assume?
Answer:
It assumes fairness means treating everyone the same, ignoring systemic barriers and institutional
racism.
Question:
23. How does Equality differ from Equity?
Answer:
Equality means providing the same resources for all, while Equity means distributing resources based
on need to achieve equal outcomes.
Question:
24. What is the focus of the justice paradigm?
Answer:
The focus is on removing structural barriers to achieve fairness.
Question:
25. What does the Myth of Reverse Racism claim?
Answer:
It claims that equity initiatives discriminate against dominant groups, based on a false assumption of a
level playing field.
Question:
26. What is the difference between individual discrimination and systemic racism?
Answer:
Individual discrimination refers to personal biases, while systemic racism involves broader societal
structures that perpetuate inequality.
Question:
27. What does the Myth of Sameness suggest about patient care?
, Answer:
It suggests that patients receive better care from providers of the same background, oversimplifying
culture and ignoring intersectionality.
Question:
28. What are some reasons patients may prefer providers from different backgrounds?
Answer:
Confidentiality concerns, social distance, and stigma.
Question:
29. What is the Myth of Culture as a Barrier?
Answer:
It frames culture negatively as an obstacle to care, attributing challenges to patient culture rather than
system limitations.
Question:
30. How should culture be viewed in the context of healthcare?
Answer:
Culture should be viewed as a leverage point and strength that can provide comfort and guidance.
Question:
31. What does the Myth of 'Everything Must Be Acceptable—or Not' imply?
Answer:
It implies that respect does not mean unconditional acceptance and that care must align with legal and
professional standards.
Question:
32. What is the importance of context in interpreting cultural practices?
Answer:
Context is essential to avoid misinterpretation of cultural practices as abuse.
Question:
33. What does the Myth That All Generalizations Are Unacceptable suggest?
Answer:
It suggests that while culture involves shared patterns, generalizations can be useful starting points for
understanding.
Question:
34. What is the difference between generalizations and stereotypes?
Answer:
Generalizations guide inquiry and understanding, while stereotypes are fixed assumptions that limit
understanding.
Question:
35. What does the Myth of Familiarity as Competence state?
Answer:
It states that exposure to diversity does not equal cultural competence and that familiarity can make
differences invisible.
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. Cultural Competence
Answer:
An ongoing process, not a fixed outcome.
Question:
2. Cultural Destructiveness
Answer:
Superiority of one culture imposed on others; other cultures dehumanized or eradicated.
Question:
3. Example of Cultural Destructiveness
Answer:
Residential schools and forced assimilation of Indigenous peoples.
Question:
4. Cultural Incapacity
Answer:
Inability to support cultural differences; dominant culture treated as the norm.
Question:
5. Characteristics of Cultural Incapacity
Answer:
Systemic bias, stereotyping, paternalism; expectation that minority groups adapt.
Question:
6. Example of Cultural Incapacity
Answer:
Lack of interpretation services.
Question:
7. Cultural Blindness
Answer:
Denial or minimization of cultural differences; treating everyone 'the same'.
Question:
8. Focus of Cultural Blindness
Answer:
Focus on equality, not equity; ignores historical and systemic inequities.
Question:
9. Cultural Pre-Competence
Answer:
Awareness of cultural differences; desire to improve practice.
,Question:
10. Limitations of Cultural Pre-Competence
Answer:
Inconsistent or isolated actions; risk of tokenism; limited systemic change.
Question:
11. Cultural Proficiency
Answer:
Culture viewed as a strength; actively seeks cultural knowledge.
Question:
12. Focus of Cultural Proficiency
Answer:
Addresses power, oppression, and inequity; supports innovation and community-led care.
Question:
13. Western Culture in Health Care Context
Answer:
Associated with European traditions and Christian influences; emphasizes scientific/biomedical
approaches.
Question:
14. Visible Minority
Answer:
Statistics Canada term referring to people who are not White and not Indigenous.
Question:
15. Critique of Visible Minority Term
Answer:
Limited attention to power, racism, and lived experience.
Question:
16. Cultural Competence vs Person-Centred Care
Answer:
Person-centred care focuses on empathy, respect, communication, shared decision-making.
Question:
17. Limitation of Person-Centred Care
Answer:
Often does not explicitly address culture, power, or inequity.
Question:
18. Importance of Cultural Competence
Answer:
Adds a critical focus on culture, privilege, access, and equity; prevents culturally unsafe care.
,Question:
19. Key Takeaways on Culture
Answer:
Culture involves patterns of living and power relations; lack of cultural competence can cause harm.
Question:
20. Levels of Cultural Competence
Answer:
Operates at individual (micro), team (meso), and system (macro) levels.
Question:
21. Cultural Proficiency Outcome
Answer:
Enables transformation and innovation.
Question:
22. What does the Myth of Equality assume?
Answer:
It assumes fairness means treating everyone the same, ignoring systemic barriers and institutional
racism.
Question:
23. How does Equality differ from Equity?
Answer:
Equality means providing the same resources for all, while Equity means distributing resources based
on need to achieve equal outcomes.
Question:
24. What is the focus of the justice paradigm?
Answer:
The focus is on removing structural barriers to achieve fairness.
Question:
25. What does the Myth of Reverse Racism claim?
Answer:
It claims that equity initiatives discriminate against dominant groups, based on a false assumption of a
level playing field.
Question:
26. What is the difference between individual discrimination and systemic racism?
Answer:
Individual discrimination refers to personal biases, while systemic racism involves broader societal
structures that perpetuate inequality.
Question:
27. What does the Myth of Sameness suggest about patient care?
, Answer:
It suggests that patients receive better care from providers of the same background, oversimplifying
culture and ignoring intersectionality.
Question:
28. What are some reasons patients may prefer providers from different backgrounds?
Answer:
Confidentiality concerns, social distance, and stigma.
Question:
29. What is the Myth of Culture as a Barrier?
Answer:
It frames culture negatively as an obstacle to care, attributing challenges to patient culture rather than
system limitations.
Question:
30. How should culture be viewed in the context of healthcare?
Answer:
Culture should be viewed as a leverage point and strength that can provide comfort and guidance.
Question:
31. What does the Myth of 'Everything Must Be Acceptable—or Not' imply?
Answer:
It implies that respect does not mean unconditional acceptance and that care must align with legal and
professional standards.
Question:
32. What is the importance of context in interpreting cultural practices?
Answer:
Context is essential to avoid misinterpretation of cultural practices as abuse.
Question:
33. What does the Myth That All Generalizations Are Unacceptable suggest?
Answer:
It suggests that while culture involves shared patterns, generalizations can be useful starting points for
understanding.
Question:
34. What is the difference between generalizations and stereotypes?
Answer:
Generalizations guide inquiry and understanding, while stereotypes are fixed assumptions that limit
understanding.
Question:
35. What does the Myth of Familiarity as Competence state?
Answer:
It states that exposure to diversity does not equal cultural competence and that familiarity can make
differences invisible.