Cultural Competence and Advocacy Flashcards
7 cards from real CBHCM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Cultural Competence and Advocacy flashcards as text
A case manager working with a refugee client notices the client avoids direct eye contact during sessions. The MOST culturally informed response is to:
Answer: Recognize that avoiding eye contact may be a culturally appropriate sign of respect
In many cultures, avoiding direct eye contact is a sign of respect toward authority figures, not a clinical symptom.
Which federal law prohibits discrimination in federally funded health programs on the basis of national origin, which has been interpreted to require language access services?
Answer: Title VI of the Civil Rights Act of 1964
Title VI prohibits national origin discrimination in federally funded programs, requiring meaningful access for limited English proficient individuals.
A CBHCM advocate is helping a client navigate an insurance denial for mental health services. The FIRST advocacy step should be:
Answer: Assist the client in filing a formal internal appeal with the insurer
Internal appeals are typically the required first step before escalating to external review or regulatory complaints.
The concept of 'explanatory model' in cross-cultural care refers to:
Answer: The client's own beliefs about the cause, course, and preferred treatment of their illness
Arthur Kleinman's explanatory model elicits the client's cultural perspective on their illness to improve patient-centered care.
When using a professional interpreter for a client with limited English proficiency, the case manager should:
Answer: Speak directly to the client and use the interpreter as a communication bridge
The case manager should maintain direct communication with the client, with the interpreter serving as a language bridge, not the focus of conversation.
A case manager observes that clients from a specific ethnic community are consistently discharged from services earlier than others with similar diagnoses. This pattern MOST likely reflects:
Answer: Systemic bias or structural inequity in service delivery
Consistent disparities in service utilization patterns across demographic groups often indicate systemic bias or structural inequities rather than individual preference.
Which advocacy role involves a case manager speaking on behalf of a client who is unable to represent their own interests in a service system?
Answer: Surrogate or proxy advocacy
Surrogate or proxy advocacy occurs when the case manager speaks for a client who lacks the capacity or ability to advocate for themselves.