A. clinical B. communication C. compromises D. critically E. elimina

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问题 A. clinical B. communication C. compromises D. critically E. eliminate
F. frank    G. involves    H. judgements I. overcome J. presently
K. reluctant L. significant    M. symbols    N. trivial O. wary
Culture influences an individual’s health beliefs, behaviours, activities and medical treatment outcomes. Because of the 【C1】______ influence of culture upon health and related outcomes, health care professionals should be culturally competent in order to provide optimum health care to patients. Cultural competency means considering many options and being more careful about making  【C2】______. For example, scars and bruises that suggest abuse in western culture could actually be  【C3】______ of accepted healing methods or sacred rituals. In addition, different parts of the body are considered sacred in different cultures.
Cultural competency in health care holds four major challenges for providers. The first is the straightforward challenge of recognizing 【C4】______ differences among people of different ethnic and racial groups, e.g., higher risk of hypertension in African Americans and of diabetes in certain Native American groups. The second, and far more complicated, challenge is 【C5】______. This deals with everything from the need for interpreters to nuances (细微差别)of words in various languages. Many patients, even in western cultures, are 【C6】______ to talk with their doctors about such personal matters as sexual activity or chemical use. How do we 【C7】______ this challenge among more restricted cultures? The third challenge is ethics. While western medicine is among the best in the world, we do not have all the answers. Respect for the belief systems of others and the effects of those beliefs on well-being are 【C8】______ important to competent care. The final challenge  【C9】______ trust. For some patients, authority figures are immediately mistrusted, sometimes for good reason. Having seen or been victims of atrocities (暴行)at the hands of authorities in their homelands, many people are as 【C10】______ of caregivers themselves as they are of the care. [br] 【C1】

选项

答案 L

解析空格应填入形容词，作名词influence的定语。上一句提到文化对健康理念、医疗效果等的影响，由此可知填入的词应表达正面、积极的含义，significant“意义重大的”符合语义，故选L。trivial“琐碎的，不重要的”为反向干扰，可排除。

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