Answer 2026/2027
• culture -✓✓the practices, beliefs, values, and norms which can be learned or shared,
and which guide the actions and decisions of each person in the group
• Cultural competence -✓✓a dynamic, fluid, continuous process whereby an individual,
system or health care agency find meaningful and useful care delivery strategies based
on knowledge of the cultural heritage, beliefs, attitudes, and behavior of those to whom
they render care
the ability of the practitioner to bridge cultural gaps in caring and to work with cultural
difference, enabling the family and patient to receive meaningful and supportive care.
• Five constructs of cultural competence as defined by Campinha-Bacote -
✓✓Awareness
Humility
Knowledge
Skill
Desire
• Cultural Awareness -✓✓Self-examination of one's own prejudices and biases toward
other cultures. An in-depth exploration of one's own cultural/ethnic background.
• Cultural Humility -✓✓A lifelong commitment to self-evaluation and self-critiques,
redressing the power of imbalances in the patient- physician dynamic, developing
mutually. Beneficial relationships.
• Cultural Knowledge -✓✓Obtaining a sound educational foundation concerning the
various worldviews of differences cultures. Obtaining knowledge regarding biological
variations, disease and health conditions and variation in drug metabolism.
• Cultural Skill -✓✓Ability to collect culturally relevant data regarding the client's health
history and presenting problem. Ability to conduct culturally based physician
assessments. Conducting these assessments in a culturally sensitive manner.
• Cultural Desire -✓✓Motivation of the healthcare provider to "want" to engage in the
process of cultural competence, characteristics of compassion, authenticity, humility,
openness, availability, and flexibility, commi tment and passion to caring, regardless of
conflict.
• ethnicity -✓✓the aggregate of cultural practices, social influences, religious pursuits,
and racial characteristics shaping the distinctive identity of community
, • Race -✓✓is defined as a biological designation whereby group members share
features (e.g., skin color, bone structure, genetic traits such as blood groupings)
• Nationality -✓✓the country of birth, or the ancestors' country of birth.
• Norm -✓✓rules and expectations by which a society guides the behavior of its member
• socioeconomic status -✓✓A person's position in society as determined by income,
wealth, occupation, education, place of residence, and other factors
• disparities -✓✓Marked differences or distinctions.
• minorities -✓✓groups in society who do not form the majority of the population
• food desert. -✓✓a community in which the residents have little or no access to fresh,
affordable, healthy foods, usually located in densely populated, urban areas
• accommodation -✓✓To create an environment that accommodates health practice and
ritual from other cultures within a plan of care
• assimilation -✓✓Degree two which an individual from one culture has given up the
traits of that culture and adopted the traits of the dominant cultural in which they now
reside
• acculturation -✓✓The social, economic, and political integration of a cultural group into
a mainstream society to which it may have emigrated
• The National Center for Cultural Competence (NCCC) -✓✓provides national
leadership and contributes to the body of knowledge on cultural and linguistic
competency within systems and organizations
(1) Web-based technical assistance,
(2) knowledge development and dissemination,
(3) supporting a community of learners, and
(4) collaboration and partnerships with diverse groups.
• Four principles of cultural competence -✓✓(1)Care is designed for the specific client.
(2)Care is based on the uniqueness of the person's culture and includes cultural norms
and values.
(3)Care includes self-employment strategies to facilitate client decision making to
improve health behaviors.
(4)Care is provided with sensitivity and is based on the cultural uniqueness of clients.