Cultural backgrounds can influence a number of different factors including the foods that you eat, decisions for medical practice, how you dress, and perception of time, to name a few.
Choose the communication variable that is not influenced by culture.
That's right!

Communication Comes in Many Forms

All of the other choices are accurate, based on 
this checklist
. However, don’t fall into the trap of stereotyping based only on what you see—these are merely a guide to help you and your patients.
That's incorrect!

Communication Comes in Many Forms

All of these communication variables are influenced by culture except Ability to learn language are accurate, based on 
this checklist
. However, don’t fall into the trap of stereotyping based only on what you see—these are merely a guide to help you and your patients.
Hint
Consider how you communicate and how this may look different from your loved ones, the people in your community and the people we see on TV.
A patient comes to you with a diagnosis of sickle cell disease exhibiting challenges in hearing.
Is he more likely, less likely, or equally likely to have a hearing loss due to that diagnosis?
Less Likely
Equally Likely
More Likely
That's right!

Why it Matters:

Sensorineural hearing loss (SNHL) has been associated with sickle cell disease (SCD) in older children and adults.  While sickle cell traits can occur across races, the highest incidence is in Black or African-American populations with 1 in 13 babies being born with the trait.
Source
That's incorrect!

Why it Matters:

Sensorineural hearing loss (SNHL) has been associated with sickle cell disease (SCD) in older children and adults.  While sickle cell traits can occur in across races, the highest incidence is in Black or African-American Populations with 1 in 13 babies being born with the trait.
Source
Hint
Sickle cell disease causes a breakdown in the red blood cells. Dizziness, low oxygen, fatigue or malaise are symptoms experienced.
True or false? 
A bilingual clinician needs to be fluent in the client’s language, but does not need to understand normal language acquisition in that language. 
That's right!

Why Is That?

ASHA defines a bilingual professional as one who can describe the process of normal language acquisition for both monolingual and bilingual individuals and how those processes are manifested in oral (or manually coded) and written language.
Source
That's incorrect!

Why Is That?

ASHA defines a bilingual professional as one who can describe the process of normal language acquisition for both monolingual and bilingual individuals and how those processes are manifested in oral (or manually coded) and written language.
Source
Hint
What information do you need to distinguish difference from disorder?
Let’s talk ethics, legislation, and policy. It's important to be familiar with the rules and guidelines so you know how to best advocate for you and your populations.
Which of the following states, "No person in the United States shall, on the ground of race, color or national origin, be excluded from participation in, be denied benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance"?
That's right!

Compliance Is Critical

Title VI applies to not only intentional discrimination, but also procedures, criteria, or methods of administration that appear neutral but have a discriminatory effect on individuals because of their race, color, or national origin.
Source
That's incorrect!

Compliance Is Critical

Title VI applies to not only intentional discrimination, but also procedures, criteria, or methods of administration that appear neutral but have a discriminatory effect on individuals because of their race, color, or national origin.
Source
Don’t take your civics hat off yet.
Which of the following requires the maintenance of a system that allows limited English proficient (LEP) individuals to meaningfully access federal services?
That's right!

Take It From the Top

Signed into effect in 2000, Executive Order 13166 also requires that federal agencies work to ensure that recipients of federal financial assistance provide meaningful access to their LEP applicants and beneficiaries.
Source
That's incorrect!

Take It From the Top

Signed into effect in 2000, Executive Order 13166 also requires that federal agencies work to ensure that recipients of federal financial assistance provide meaningful access to their LEP applicants and beneficiaries.
Source
Let’s keep going.
Which of the following prohibits discrimination in the provision of clinical services based on race, ethnicity, gender identity/gender expression, age, religion, national origin, sexual orientation, disability, culture, language, dialect or socioeconomic status?
That's right!

The Same for Everyone

The ASHA Code of Ethics is a framework that guides professionals in the discipline of communication sciences and disorders—as well as students, other professionals, and the public—in ethical principles and standards that direct professional conduct.
Source
That's incorrect!

The Same for Everyone

The ASHA Code of Ethics is a framework that guides professionals in the discipline of communication sciences and disorders—as well as students, other professionals, and the public—in ethical principles and standards that direct professional conduct.
Source
So then, which of the following provides an individual education program, or IEP, as well as critical civil rights and due process protections for children with disabilities, including students with communication disorders?
That's right!

Leveling the Field

In addition to mandating the opportunity for accommodations, IDEA governs how states and public agencies provide early intervention, special education, and related services to more than 6.5 million eligible infants, toddlers, children, and youth with disabilities. 
Source
That's incorrect!

Leveling the Field

In addition to mandating the opportunity for accommodations, IDEA governs how states and public agencies provide early intervention, special education, and related services to more than 6.5 million eligible infants, toddlers, children, and youth with disabilities. 
Source
Which of the following gives civil rights protections to individuals with disabilities similar to those provided on the basis of race, color, sex, national origin, age, and religion?
That's right!

Access for All

The purpose of the ADA is to make sure that people with disabilities have the same rights and opportunities as everyone else, in all areas of public life. It guarantees equal opportunity for individuals with disabilities in public accommodations, employment, transportation, state and local government services, and telecommunications.  But did you know it wasn’t even a law until 1990?
Source
That's incorrect!

Access for All

The purpose of the ADA is to make sure that people with disabilities have the same rights and opportunities as everyone else, in all areas of public life. It guarantees equal opportunity for individuals with disabilities in public accommodations, employment, transportation, state and local government services, and telecommunications.  But did you know it wasn’t even a law until 1990?
Source
Hint
Carefully consider the audience and it will become clear!
True or false? 
When providing voice and communication services to gender diverse populations, the primary goal is always to lower or raise pitch.
That's right!

Pitch Perfect?

While these services may include altering pitch, goals will also focus on vocal health, resonance, articulation, intonation, language, and nonverbal communication. Studies on listener perception show that perceived gender extends beyond pitch. Hormone therapy and other medical procedures may successfully modify pitch, but voice and communication services also address self and listener perception of communication styles.
Source
That's incorrect!

Pitch Perfect?

While these services may include altering pitch, goals will also focus on vocal health, resonance, articulation, intonation, language, and nonverbal communication. Studies on listener perception show that perceived gender extends beyond pitch. Hormone therapy and other medical procedures may successfully modify pitch, but voice and communication services also address self and listener perception of communication styles.
Source
Hint
Are goals always universal for any one that comes in the door?
True or false? 
There are universal gestures to show agreement, such as nodding the head to mean "yes." 
That's right!

Universal Isn’t Always “Universal”

A few examples: In some Asian communities, bowing, smiling, and nodding do not necessarily indicate agreement or understanding. In many Arab communities, responding "yes" to a request may be an expression of good will rather than an indication that the request will be carried out. And in some Hispanic communities, a client may agree only out of politeness, but will not follow the recommendations.

 

(Note: These statements are intended to provide some examples of variances; however, they are not absolutes for the communities.)

Source
That's incorrect!

Universal Isn’t Always “Universal”

A few examples: In some Asian communities, bowing, smiling, and nodding do not necessarily indicate agreement or understanding. In many Arab communities, responding "yes" to a request may be an expression of good will rather than an indication that the request will be carried out. And in some Hispanic communities, a client may agree only out of politeness, but will not follow the recommendations.

 

(Note: These statements are intended to provide some examples of variances; however, they are not absolutes for the communities.)

Source
Hint
Are there any other gestures that you can think of? Do they always mean the same thing to the same group?
Cultural backgrounds can influence many factors including the foods that you eat, decisions for medical practice, how you dress, and perception of time, to name a few.
Choose the factor that is NOT influenced by culture diversity.
That's right!

Do you really see the people your're working with?

The ASHA Code of Ethics provides guidelines based on the expressed philosophy that being unbiased helps achieve ASHA's vision of making effective communication, a human right, accessible and achievable for all. But this doesn't mean overlooking their experience and how it might be different from our own. We work closely with our populations to ensure that our services reflect their individual needs.

Developing 
cultural competence
 is a complex process that takes time and requires ongoing self-assessment.  
Source
Psssttt… this won’t be included in your score, but we want to know. How important do YOU think cultural diversity is in your work?
5
Least Important
Most Important
That's incorrect!

Are You Blind?

Culturally blind, that is. The ASHA Code of Ethics provides guidelines based on the expressed philosophy of being unbiased and able to function with the belief that color or culture make no difference and that all people are the same.

Developing 
cultural competence
 is a complex process that takes time and requires ongoing self-assessment.  
Source
Psssttt… this won’t be included in your score, but we want to know. How important do YOU think cultural diversity is in your work?
5
Least Important
Most Important
Hint
Culture is made up of the values, beliefs, underlying assumptions, attitudes, and behaviors shared by a group of people.
You have a client who does not speak the same language as you. You are unable to locate a bilingual service provider in the client's language. In order to provide a quality experience, which of the below providers would be the most impactful resource for you to include in your service delivery?
That's right!

Ask a Professional

Using an experienced interpreter/translator who has been specially trained is best, especially someone who is experienced in assessments and intervention specific to audiology, speech-language pathology, or a related discipline.

Source
That's incorrect!

Ask a Professional

Using an experienced interpreter/translator who has been specially trained is best, especially someone who is experienced in assessments and intervention specific to audiology, speech-language pathology, or a related discipline​.

Source
Hint
Who has knowledge of necessary medical terms?
You have completed pure-tone and acoustic impedance audiometry. You need a phonetically balanced word list in order to complete your speech audiometric assessment. Your client speaks Russian only. Which of the following is your best option?
That's right!

More Than One Way

Alternative measures of speech recognition, such as using paired digits as stimuli, are available. Paired digits have been found to accurately evaluate the hearing threshold for speech in nonnative English speaking adults and to closely match the pure-tone average threshold. 

Source
That's incorrect!

More Than One Way

Alternative measures of speech recognition, such as using paired digits as stimuli, are available. Paired digits have been found to accurately evaluate the hearing threshold for speech in nonnative English speaking adults and to closely match the pure-tone average threshold. 

Source
Hint
Switch the languages and scenario. Assuming you have a monolingual English speaking client who went to Russia, which scenario would yield the best information?
Yes or no?
A client calls to make an appointment, and English is not his first language. He is able to successfully make the appointment and provide some background information, but struggles at bit. Should you provide an interpreter for the initial evaluation?
That's right!

Better Safe Than Sorry

You can not assume that because the patient communicated in English that he could do an evaluation. Better to have an interpreter that you might not need than to not have one at all.

Source
That's incorrect!

Better Safe Than Sorry

You can not assume that because the patient communicated in English that he could do an evaluation. Better to have an interpreter that you might not need than to not have one at all.

Source
Hint
What gives you the best likelihood that you know the client understood you?
You have a patient with dysphagia in the hospital who has been on a feeding tube for several days. The patient has been improving and will be moving to a skilled nursing facility in a few days. Time is blocked off in your schedule during the morning and afternoons for feeding evaluations. However, when you come to the room, the patient is praying. What should you do?
That's right!

Be Respectful and Flexible

Productivity requirements in health care settings can make it difficult to modify your schedule; however, it’s essential to make attempts to ensure that you’re respecting religious or spiritual beliefs and practices.

Source
That's incorrect!

Be Respectful and Flexible

Productivity requirements in health care settings can make it difficult to modify your schedule; however, it’s essential to make attempts to ensure that you’re respecting religious or spiritual beliefs and practices.

Source
Hint
Is productivity and scheduling more important than respecting faith and religious practices?