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PSY FPX 5110 Assessment 2 Multicultural In- Service on Addiction, Biases, & Ethics: A Case Study


Capella University

PSY FPX 5110 Ethics and Multicultural Issues in Psychology

Prof. Name


Case Study Overview

NP Goodwell’s Case Management Approach

NP Goodwell, an experienced Clinical Case Manager at Alliance Health, is committed to ensuring all members under Medicare supplement benefits receive necessary preventive screenings and services to maintain health indicator compliance. With a decade of experience, NP Goodwell has diligently promoted the importance of preventive care among Alliance participants. One of her patients, Esther Weaver, presents a challenging case due to her refusal to seek essential screenings for conditions like diabetes despite being at high risk. Esther’s reluctance stems from her beliefs, financial concerns, and misunderstanding of her health condition.

Cultural and Demographic Differences

NP Goodwell
Esther Weaver





10 generations of U.S. Citizenship

Immigrated to the U.S. from Germany


Rural communal setting

Middle Adulthood – age 32

Late Adulthood – age 72



No children

8 children

Graduate Degree & NP Licensure

8th Grade Education

Upper middle-class

Lower class (poverty)

PSY FPX 5110 Assessment 2 Multicultural In- Service on Addiction, Biases, & Ethics: A Case Study

Relevant Biases and Strategies

  1. Ageism: NP Goodwell acknowledges the challenge of catering to patients from different generations who prioritize healthcare differently. Understanding generational influences helps tailor treatment approaches.
  2. Education: Recognizing differing comprehension levels is crucial. Tailoring communication to Esther’s education level fosters trust and compliance.
  3. Ethnicity/Religion: Appreciating cultural and religious beliefs is vital. Adopting a strengths-based approach respects diverse ideologies.
  4. Socioeconomics: Awareness of socioeconomic disparities is necessary. Considering Esther’s financial constraints and communal lifestyle is crucial for effective intervention.

Best Practices for Cultural Competence Improvement

  • Generational Differences: Tailoring treatment plans to align with generational attitudes fosters better patient compliance (Sansgiry et al., 2013).
  • Cross-Cultural Interaction: Cultivating cultural humility through self-reflection fosters respectful patient care (Kools et al., 2015).
  • Socioeconomic Disparity: Considering patients’ socioeconomic context enhances care adherence and beneficence capacity (Berglund et al., 2019).

Anderson, C., & et al. (2020). The Amish health culture and culturally sensitive health services: An exhaustive narrative review. Soc Sci Med, 1-30. doi:10.1016/j.socscimed.2020.113466

Berglund, E., & et al. (2019). Living environment, social support, and informal caregiving are associated with healthcare seeking behavior and adherence to medication treatment: A cross-sectional population study. Health Social Care Community, 27, 1260-1270. doi:10.1111/hsc.12758

Kools, S., & et al. (2015). Cultural humility and working with marginalized populations in developing countries. Global Health Promotion, (1), 52-59. doi:10.1177/1757975914528728

PSY FPX 5110 Assessment 2 Multicultural In- Service on Addiction, Biases, & Ethics: A Case Study

Sansgiry, S. S. (2013). Use of and attitude toward complementary and alternative medicine: Understanding the role of generational influence. Alternative Therapies, 10-15.

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