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This test consists of 5 short answer questions, 10 short essay questions, and 1 (of 3) essay topics.

Short Answer Questions

1. Why was the ordinance mentioned in Chapter Nine difficult to enforce?

2. How old was Lia when the significant door slamming mentioned in Chapter Three happened?

3. As described in Chapter Six, what does Hmong culture place emphasis on in terms of rank?

4. What diseases do Hmong people suffer from at a higher rate than others?

5. Besides language, what else does the cultural barrier make difficult for doctors and Hmong patients?

Short Essay Questions

1. What is one major difference between American doctors and a txiv neeb?

2. In Hmong tradition, how does childbirth differ from here in America?

3. How did physicians hurt the cycle of rumors and distrust of Americans back in the Hmong refugee camps?

4. How did Anne learn to navigate the cultural differences between her and the Lees?

5. How did the Hmong view the Chinese?

6. Describe the Lee's reaction when Lia returns home from foster care.

7. What is the meaning of qaug dab peg and why is it important to the story?

8. What happened after Neil filed the report with Child Protective Services?

9. How does the author come to know the Lee family?

10. Who do the Lees blame for Lia's mental regression in Chapter Nine?

Essay Topics

Write an essay for ONE of the following topics:

Essay Topic 1

What does the misunderstanding about Lia's hospital transfer represent? Be sure to explain it in terms of the issues in communication between Lia's parents and her doctors.

Essay Topic 2

Even though it is an illness, what is significant in the Hmong culture about qaug dab peg?

Essay Topic 3

Describe the relationship between Nao Kao and Foua Lee and Anne, the author. How does Anne's perception of the Lees change from beginning to end of the book?

(see the answer keys)

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