UPENN SOM || Cultural Competency Medical Education Program || Multiple Choice Questions for CME

Attention Educators: Quiz your audience after teaching this case.

Acquiring Cultural Competency: A 35-YEAR OLD AFRICAN-AMERICAN MAN WITH hiv

Select the best answer.

1) The term "being on the down low" refers to males who participate in same-sex behavior but may not self-identify as homosexual or gay. Research shows that patients from which of the following racial/ethnic groups are most likely to be on the "down low"?

a) African-American
b) Hispanic
c) Asian
d) Caucasian

2) When taking a medical history, which of the following approaches would be the best way to develop a patient’s trust and build rapport?

a) Confront patients with targeted questions about their behaviors in a direct manner
b) Provide a setting that is safe for disclosure
c) Always include family members in these conversations
d) Be persistent in your questioning of the patient

3) When questioning a male patient about his sexual orientation, which of the following statements would be most appropriate?

a) Are you gay?
b) Would you consider yourself a homosexual?
c) Are you sexually active with other men?
d) Do you sleep with men?

4) When discussing sensitive and personal issues with a patient that may involve significant lifestyle changes and treatment issues, how should their family be involved in this process?

a) The patient's family should always be actively involved in the conversation.
b) The patient's family is not an important participant in the conversation.
c) The physician should always decide whether or not to include the family based on the patient's wishes.
d) The physician should contact the family prior to speaking with the patient.

5) Which of the following statements is correct regarding identifying patients at risk for HIV infection?

a) All patients should be considered as being at risk for HIV infection.
b) Only homosexual patients are at risk for HIV infection.
c) Only patients who use intravenous drugs are at risk for HIV infection.
d) A monogamous heterosexual woman is not at risk for HIV infection.

6) If it is the right of the patient to decide who to disclose personal medical information to, how should the physician respond when requested to withhold information about a diagnosis from family members?

a) Attempt to convince the patient to tell his or her family of their diagnosis
b) Ignore the patient's request and ask to have a family conference
c) Accept the patient's wishes without further discussion
d) Initiate further discussion and help the patient identify a surrogate decision-maker

7) What is the role of the physician when his or her patient lacks decision-making capacity and someone other than a family member has been designated as the surrogate decision-maker?

a) Follow the instructions of the family and ignore the surrogate
b) Ignore the family and talk only to the surrogate
c) Serve as a mediator between parties and encourage all groups to work together in the best interest of the patient, consistent with the patient's wishes
d) Consult legal affairs to determine who should be the decision-maker

8) Which of the following correctly identifies the role of the physician and his/her patient in making healthcare decisions?

a) The physician is the ultimate authority in making decisions about a patient's health.
b) The physician and the patient must establish together who makes decisions about the patient's health.
c) The physician has little direct influence on the patient's personal health choices.
d) While it is the physician's responsibility to instruct the patient about his or her condition, the physician must ultimately respect the patient's personal health choices.

Answers: 1) A, 2) B, 3) C, 4) C, 5) A, 6) D, 7) C, 8) D