In Cross's Nigrescence Model, African-Americans are described as progressing through several stages of cultural awareness. In the first stage, pre-encounter, African-Americans tend to view the majority Caucasian culture as being more desirable and would view a doctor of this race as being more skilled.
They would regard them with distrust and prefer to be treated by an African-American practitioner. This answer would be reflective of someone in the immersion-emersion stage of Cross's model. Someone in this stage would view the majority Caucasian culture with resentment and distrust and prefer to be treated by someone of his or her own race.
They would recognize historical injustices in medical care towards racial minorities and work to empower African-American patients to self-advocate. This answer would be representative of someone in the internalization stage, who has integrated aspects of his own culture with that of the majority culture and is working to rectify past racial injustices.
D: Cross posited that culture impacts identity and worldview.
The final stage of the identity transition, internalization-commitment involves reaching a balance of comfort in one's own racial/ethnic identity as well as the racial/ethnic identities of others. This stage makes the distinction between individuals who have internalized their new identity but discontinue their involvement in the movement for social change, and those that have internalizes their identity and continue to be agents of social change.