Deck 9: Communication With Diverse Population Groups

Question 1

Which of the following statements is true of the LGBTQ population?

A) LGBTQ refers to someone's sexual orientation.
B) The LGBTQ population makes up 50 percent of the general population.
C) Health disparities exist among the LGBTQ population.
D) LGBT youth are less likely to be homeless.
E) The LGBTQ population is treated with equity.

Answer 1

C

Question 2

You are working with a family whose four-year-old child has obesity. What could be one recommendation you would provide to the parents?

A) Have the child keep a food diary.
B) Limit screen time to
C) Drink 100 percent fruit juice one time per day.
D) Drink one to two cups of whole milk per day.
E) Provide cognitive behavioral therapy.

Answer 2

B

Question 3

Which of the following is one reason health care providers need to strive toward cultural competence?

A) The demographic population is not diverse.
B) Health care providers are culturally and linguistically diverse.
C) Most cultural groups have the same health status.
D) Most clients have the same socioeconomic status as health care professionals.
E) More than 350 languages are spoken in the United States.

Answer 3

E

Question 4

What are the benefits of using trained medical interpreters?

A) Using a trained medical interpreter can increase the likelihood of interpretation errors.
B) Trained medical interpreters may decide certain information is irrelevant or unnecessary and not do a complete interpretation.
C) Trained medical interpreters have a good understanding of medical and colloquial terminology used in English and other languages spoken.
D) Trained medical interpreters rarely use cultural sensitivity to relay concepts and ideas.
E) Nonprofessional interpreters provide translation services at the same level as trained medical interpreters.

Question 5

Which of the following can health care providers expect in the future as a result of the population trends occurring in the United States?

A) There will be an increase in patients who are 65 years of age and older.
B) There will be an increase in patients who are between 15 and 25 years of age and older.
C) There will be an increase in patients who are English speaking.
D) There will be a decrease in patients who are from a lower socioeconomic status.
E) There will be a decrease in Spanish-speaking adults.

Question 6

Angela is a registered dietitian who counsels clients on weight management. She had her clinic manager purchase larger benches to accommodate her clients of all sizes. However, Angela sometimes thinks her clients do not want to lose weight because they are "lazy." According to the Cultural Competence Continuum, which of the following stages is Angela likely in?

A) Cultural Destructiveness
B) Cultural Competence
C) Cultural Incapacity
D) Cultural Pre-competence
E) Cultural Blindness

Question 7

Which of the following is true regarding the social determinants of health?

A) Minorities often have higher levels of income.
B) Minorities often live in safe neighborhoods.
C) Minorities often have fewer opportunities to engage in health-promoting behaviors.
D) Minorities often have increased access to safe and reliable transportation.
E) Minorities are less likely to live in food deserts, where nutritious food can be expensive or unavailable.

Question 8

Which of the following statements are true of the Campinha-Bacote Model of Cultural Competence?

A) The objective of the model is for health care professionals to be culturally competent.
B) The model is made up of three interdependent constructs: cultural awareness, cultural knowledge, and cultural skill.
C) Cultural encounters play a pivotal role in the process of becoming culturally competent.
D) This model assumes cultural competence cannot be learned.
E) According to the model, the process of gaining cultural competence is envisioned as a succession of stages.

Question 9

Why is listening an important skill for a nutrition counselor when engaging in cross-cultural interviews?

A) During cross-cultural interviews, nutrition counselors should do the majority of the talking so they can understand a client's culture.
B) Active listening demonstrates that the client is less important than the nutrition counselor during the counseling interview.
C) Listening can encourage bias among nutrition counselors.
D) Listening can help the nutrition counselor clearly understand the client's problem or issue.
E) Listening causes nutrition counselors to make assumptions about the client's problem or issue.

Question 10

Using the 4 Cs of Culture Guidelines, what could a registered dietitian say to understand a nutrition-related problem a client is trying to describe?

A) What do you call your problem?
B) How have you been coping?
C) What do you think is wrong?
D) What have you done to try to make it better?
E) Tell me more.

Question 11

Entertainment media screen time can be a major determinant of food behaviors and accounts for 11 hours per day in which of the following groups?

A) Preschool-aged children
B) Middle childhood
C) Adolescence
D) Adults
E) Older adults

Question 12

By 2045, which of the following population groups will become less than 50 percent of the total population of the United States?

A) Asians
B) Blacks
C) Hispanics
D) Non-Hispanic Whites
E) Pacific Islanders

Question 13

Mitchell is a new registered dietitian working in a culturally diverse clinic. During his training, he worked in clinics primarily serving non-Hispanic whites. Mitchell does not believe he has reached "cultural competence," but he has a strong desire to become culturally competent. According to the Campinha-Bacote Model of Cultural Competence, which of the following statements are true?

A) Mitchell is likely not providing appropriate services to his clients.
B) Mitchell likely appears disingenuous.
C) Mitchell is likely meeting the needs of his clients.
D) Mitchell is likely not practicing in a culturally competent manner.
E) Mitchell is likely missing opportunities for successful interventions.

Question 14

When working with an interpreter during a nutrition counseling session, which of the following should you consider?

A) Look at and speak directly to the interpreter, so the interpreter can hear you.
B) Ask two to three questions at a time.
C) Only follow prepared questions; do not expand on new issues brought up by the client.
D) Schedule adequate time, as sessions will generally take extra time.
E) Avoid asking open-ended questions.

Question 15

You are a registered dietitian working in a clinic that serves older adults. You want to be able to quickly assess a patient's nutritional status. How might you do this?

A) Place a referral to Meals on Wheels for assistance.
B) Refer the patient the patient's family medicine provider.
C) Use the MyPlate screening tool.
D) Use the Nutrition Screening Initiative checklist.
E) Use the food frequency checklist.

Question 16

Which of the following is true of food determinants among children ages 6 to 12 years of age?

A) Family, school, and screen media time are minor factors related to food behavior.
B) Television ads related to fruits and vegetables positively influence food behaviors.
C) Parents' eating behaviors at home are important determinants of children's food behavior.
D) The quality of food available is not a determinant of food behaviors.
E) Children in this age group consume the majority of their calories outside of school.

Question 17

Having food jags is common among which of the following groups?

A) Preschool-aged children
B) Middle childhood
C) Adolescence
D) Adults
E) Older adults

Question 18

The process of gaining cultural competence is envisioned as a succession of stages in the Cultural Competence Continuum. Which of the following describes the stage of cultural blindness?

A) Approaches of the dominant culture are applicable for everyone.
B) Attitudes, practices, and policies are destructive to other cultures.
C) Paternalistic attitude toward the "unfortunates." No capacity to help.
D) Blind individuals are not considered a separate cultural group.
E) Weaknesses in serving culturally diverse populations are realized.

Question 19

Which of the following is a nutritional concern among older adults?

A) Low intake of dairy foods and dark green/orange vegetables
B) Low intake of saturated fat
C) Low intake of sodium
D) High intake of antioxidants
E) Low intake of red meat and poultry

Question 20

Which of the following is defined as developing attitudes, skills, and levels of awareness that enable the development of culturally appropriate, respectful, and relevant interventions?

A) Empathy
B) Sympathy
C) Cultural competence
D) Professionalism
E) Complementary interventions

Question 21

List the main categories of eating disorders and describe the approach used to treat eating disorders.

Question 22

Describe the intervention strategies for preschool age children.

Question 23

Which of the following is an example of current language used to describe individuals who have disabilities?

A) Suffers with…
B) He overcame his disability.
C) This person has diabetes.
D) This person is hypertensive.
E) She is physically challenged.

Question 24

There is a surplus of culturally and linguistically diverse health care providers in the United States.

Question 25

Which of the following eating disorders is characterized by extreme thinness, the pronounced fear of becoming fat, and exhibiting endocrine difficulties?

A) Anorexia nervosa
B) Bulimia nervosa
C) Binge eating disorder
D) Eating disorder not otherwise specified
E) Purging

Question 26

You are a registered dietitian working with a client for weight management. After the fourth session, you find out your client had anorexia nervosa. However, your client admits she is "fine" and "recovered from that years ago." You do not have specialized training working with individuals with eating disorders. How would you proceed with this client?

A) Resume the counseling program as usual.
B) Provide education on calorie counting.
C) Provide education on MyPlate without calorie counting.
D) Refer the client to a registered dietitian specializing in eating disorders.
E) Tell the client you can no longer see her and refer her back to her primary care provider.

Question 27

Explain what is meant by social determinants of health and how they affect one's nutrition status.

Question 28

Why is it essential for nutrition counselors to communicate in a culturally competent manner?

Question 29

Which of the following individuals has a hidden disability?

A) A man who is deaf.
B) A woman who is blind.
C) A man who uses a wheelchair.
D) A woman with ulcerative colitis.
E) A man with speech difficulties.

Question 30

Health care providers often lack knowledge and cultural sensitivity and inadvertently stigmatize nonbinary individuals.

Question 31

Describe the guidelines nutrition counselors should follow when working with interpreters.

Question 32

Eating disorders are nutrition-related disorders with diagnostic criteria based on psychological, behavior, and physiological characteristics.

Question 33

Describe how nutrition counselors can communicate effectively with clients from different cultures.

Question 34

Individuals who feel stigmatized by weight bias are more likely to experience

A) depression and anxiety.
B) high self-esteem.
C) body satisfaction.
D) longer life expectancy.
E) happiness.

Question 35

Research indicates dietetic students and dietitians hold negative attitudes and beliefs about overweight individuals.

Question 36

Describe the nutritional issues LGBTQ individuals may experience and why it is important for nutrition counselors to be aware of these issues.

Question 37

Diets of children 6 to 11 years of age are worse than children 2 to 5 years old.

Question 38

Describe the intervention strategies for older adults.