Six cultural phenomena that vary among cultural groups are known to affect health care. The influence of the consequences of these phenomena can be seen in which of the following? (Select all that apply.)

a. Asians and American Indians tend to be nonadherent with medications because they believe that the environment has no control over their fate.
b. Some cancers such as stomach cancer occur less frequently among African Americans.
c. African Americans and American Indians often resist direct eye contact.
d. Mexican Americans are more likely to stand close and touch health care providers.
e. Whites are often late for health care appointments.


ANS: C, D
Correct:
c. The use of eye contact is a cultural communication phenomenon. Cultures such as African American and American Indian may view direct eye contact as rude behavior.
d. Space and touch are cultural phenomena factors. In some cultures, touching strangers is inappropriate. On the other hand, Mexican Americans tend to be comfortable with less space because they like to touch persons with whom they are talking.
Incorrect:
a. Asians and American Indians believe that illness represents a disharmony with nature.
b. The occurrence of stomach cancer is twice as high among African-American men as among white men.
e. Whites represent Western culture, in which punctuality and "watching the clock" are part of the cultural phenomena.

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