Culture influences an individual’s health beliefs, behaviours, activities and medical treatment outcomes.【C1】______the significa

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问题     Culture influences an individual’s health beliefs, behaviours, activities and medical treatment outcomes.【C1】______the significant influence of culture upon health and related outcomes, health care【C2】______should be culturally competent in order to provide【C3】______health care to patients. Cultural competency means considering many options and being more careful about making judgements.【C4】______, scars and bruises that suggest abuse in western culture could【C5】______be symbols of accepted healing methods or sacred rituals.【C6】______, different parts of the body are considered sacred in different cultures.
    Cultural competency in healthcare【C7】______four major challenges for providers. The first is the straightforward challenge of recognizing clinical【C8】______among people of different ethnic and racial groups, e.g., higher【C9】______of hypertension in African Americans and【C10】______diabetes in certain Native American groups.
    The second, and far more complicated, challenge is【C11】______. This deals with everything from the need for interpreters to nuances of words in various languages. Many patients, even in western cultures, are【C12】______to talk with their doctors about【C13】______personal matters as sexual activity or chemical use. How do we overcome this【C14】______among more restricted cultures?
    The third challenge is ethics.【C15】______western medicine is among the best in the world, we do not have all the【C16】______. Respect for the belief systems of【C17】______and the effects of those beliefs on well-being are critically important to competent care.
    The final challenge involves【C18】______. For some patients, authority figures are immediately mistrusted,【C19】______for good reason. Having seen or been victims of atrocities at the hands of authorities in their homelands, many people are as【C20】______of caregivers themselves as they are of the care.
【C11】

选项 A、contact
B、communication
C、understanding
D、translation

答案B

解析 这一句是本段的中心句,需能概括全段。从下文的need for interpreters(需要口译)、talk with their doctors(跟医生交谈)等关键信息来看,这段讲的是交流问题,因此选B项communication“交流”。
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