Cultural Diversity: A Primer for the Human Services 5th Edition Test Bank

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Chapter 1: Introduction© 2015. Cengage Learning. All rights reserved.1Test BankCultural Diversity: A Primer for the Human Services5thEditionMultiple Choice1.Which of the following isNOT identified as areason for the underutilization ofcommunity services by culturally diverse clients?A.Mistrust of providers abilitiesB.Unfamiliarity with services availableC.Lack of services designed for issues specific to an ethnic groupD.Discomfort with the environmentANS:CREF:Introduction2.In the context of culturally competent service provision, being unaware of differences incultural style would be considered:A.discrimination.B.racism.C.cultural unawareness.D.unethical.ANS:AREF:Introduction3.The term“racial group” is defined as:A.agroup that shares a common culture.B.agroup that shares a distinctive genetic heritage.C.non-Whites.D.agroup that shares a common culture and genetic heritage.ANS:BREF:Introduction

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Chapter 1: Introduction2© 2015. Cengage Learning. All rights reserved.4.The term White ethnics refers to:A.Whites who have recently immigrated to the U.S.B.ethnic groups who share physical characteristics with White, dominant culture.C.dominant group members whose origins are not from Northern Europe.D.dominant group members who, despite Northern European origins, affiliatestrongly with ethnic minority groups.ANS:CREF:Introduction5.All of the following are critical demographic items to guide the need of a culturallydiverse clientEXCEPT:A.place of birth.B.number of generations in the United States.C.language spoken at home.D.all of the above are essential to know.ANS:DREF:Introduction6.The surest indicator of cultural insensitivity, according to the author, is:A.the inability to create a welcoming environment for clients of color.B.the lack of understanding of cultural definitions of health and illness.C.unawareness of one’s own prejudices.D.the belief that all members of a particular group share all characteristics.ANS:DREF:IntroductionESSAY QUESTIONS1.The author describesfourcommon characteristics/experiencesof culturally diverseclients.Describe thesecharacteristics and discuss the possible related issues that maybe present in the helping process.REF:Introduction2.What issues might arise due to differences within ethnic groups? How might a providerassess these individual and cultural factors and understand their meaning?REF:Introduction

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Chapter 1: Introduction© 2015. Cengage Learning. All rights reserved.33.The first task of any cross-cultural worker is to carefully assess the client’s demographicand cultural situation. Expand on the critical information deemed necessary indetermining the needs of a culturally diverse client.REF:Introduction

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Chapter 2: What It Means to Be Culturally Competent4© 2015. Cengage Learning. All rights reserved.Test BankCultural Diversity: A Primer for the Human Services5thEditionMultiple Choice1.The 2000 Census, for the first time, attempted to identify what cultural group?A.American IndianB.Pan AmericanC.MultiracialD.Bi-RacialANS:CREF:Demographics2.Which of the following factors contribute most substantially to demographic shifts inthe U.S. population?A.Increased self-identification to minority groupsB.Lower mortality rates among minoritiesC.Increased immigration and birthrateD.Changing labor demographicsANS:CREF:Demographics3.Which of the following isNOTnoted as a reaction to growing diversification in the U.S.population?A.Return to “traditional values”B.Strained relations amongst People of ColorC.Anti-immigrant sentimentD.Anti-affirmative action sentimentANS:BREF:Reactions to Changing Demographics

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Chapter 2: What It Means to Be Culturally Competent© 2015. Cengage Learning. All rights reserved.54.Why is it important to personalize conversations about culture and race in a learningenvironment?A.It builds support groups for students struggling with race-related content.B.It minimized name-calling and labeling.C.It acts as a mechanism for students to recognize and take responsibility for theirown biases and experiences.D.It ensures confidentiality rules will be respected.ANS:CREF:The Fear and PainAssociated With Moving Toward Cultural Competence5.According to Bennett,ethnorelativism is:A.the perspective that values and identity are not ethnically bound.B.the perspective that behavior is assess in relationto one’s own culturalstandards.C.the perspective that behavior can only be understood within a cultural context.D.the perspective that values are constructed by culture.ANS:CREF:The Fear and Pain Associated With Moving Toward Cultural Competence6.Which of the following best describes therole of self-honesty in the pursuit of culturalcompetency?A.Being honest with oneself about one’s own feelings about race createsunnecessary noise in the pursuit of cultural competency.B.Self-honesty allows one to demonstrate sustained commitment to culturalcompetency.C.Denial of one’s own negative feelings about race, culture and ethnicity inhibitsone’s ability to discover the power of cultural competency.D.One should be honest with themselves about the time it will take to becomeculturally competent.ANS:AREF:Speaking Personally About Cultural Competence

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Chapter 2: What It Means to Be Culturally Competent6© 2015. Cengage Learning. All rights reserved.7.Which statement best summarizesCross et. al’s perspective on family and its role in aculturally competent care system?A.Family, as defined by the client’s culture, should be understood as the contextwithin which the client functions.B.Family dynamics often contribute to client issues and therefore should not be aprimary point of intervention.C.Family definitions are consistent throughout minority ethnic groupsD.May not be the primary support whenchurch and community resources areavailable.ANS:DREF:A Model of Cultural Competence8.In working with diverse clients, practitioners should be awareofissues related to self-esteem, identity formation, isolation, and role assumption.Allofthese issues are likelyrelated to which of the following?A.Cultural historyB.Family structureC.Diversity within cultureD.Minority statusANS:CREF:A Model of Cultural Competence9.What is a common pitfall of agencies in theculturalblindnessstage on the culturalcompetence continuum?A.Utilizing providers of color only with clients of their own ethnicityB.Perpetuating social biases and paternalismC.Applying dominant culture approaches to all clientsD.Failing to provided unbiased serviceANS:DREF:A Model of Cultural Competence10.What unique activities do agencies in theculturalproficiencystage of the culturalcompetence continuum undertake?A.Providing competent cross-cultural service deliveryB.Seeking advice from minority communitiesC.Hiring Providers of ColorD.Advocacy and research related to multiculturalism in the health care systemANS:DREF:A Model of Cultural Competence

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Chapter 2: What It Means to Be Culturally Competent© 2015. Cengage Learning. All rights reserved.711.Which of the following stages of the cultural competence continuum do most agenciesfallunder?A.CulturalblindnessB.Basic cultural competenceC.Cultural pre-competenceD.Cultural proficiencyANS:CREF:A Model of Cultural Competence12.Acommon implication ofdynamics ofdifferenceis miscommunication.Which of thefollowing isNOTa common cause of cross-cultural miscommunication?A.Experiences the client or practitioner have had with members of the other’scultural groupB.Current political relations between the client and practitioner’s cultural groupsC.Differences in cultural styleD.Language barriers between the practitioner and clientANS:DREF:A Model of Cultural Competence13.Which of the following isNOTacharacteristic ofaculturally skilled counselor, asdefined by Arrendondo, et al?A.Understanding of the counselor’s own worldviewB.Understanding of agency cultural competenceC.Understanding of clients’ worldviewD.Use of culturally appropriate intervention strategiesANS:BREF:A Model of Cultural Competence14.Which of the following isNOTa reason to adjust generic helping practices whenworking with culturally diverse clients?A.Generic helping practices have their roots inthe dominant cultural paradigm.B.The use of a provider ofcolor will be more successful.C.Treatment goals can differ based on cultural values.D.Interaction style will be better accepted if familiar to the client.ANS:BREF:A Model of Cultural Competence

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Chapter 2: What It Means to Be Culturally Competent8© 2015. Cengage Learning. All rights reserved.15.In 2002, the APA added which of the following requirementsfor psychologistsrelated toissues of diversity?A.Psychologists must become experts in one of more culture outside of their own.B.Psychologists must demonstratemulticulturalethicalcommitment.C.Psychologists must obtain training and experience understanding factorsassociated with diverse groups of clients when essential for implementation ofservice or research.D.Psychologists must participate in culture-centered and ethnical psychologicalresearch.ANS:CREF:A Model of Cultural Competence16.Which of the following process defined by Fisher and the APA discusses the creativeapplication of APA ethics code to fit individual cultural context?A.Multicultural ethicalcommitmentB.Multicultural ethicalawarenessC.Goodness of fitethicsD.Multicultural ethical decision-makingANS:AREF:A Model of Cultural CompetenceESSAY QUESTIONS1.How has the pursuit of cultural competence changed inthe helping professions?Whatare some of the underlying reasons for these changes?2.Describe the key strategies or “ground rules” for creating an effective learningenvironment in relation to discussions of race and ethnicity.3.Agencies in theculturalpre-competencestage of cultural competence often have adifficult time making progress, despite sincere efforts. What are some of the underlyingreasons for this stunted development?4.Knowledge of theclient’scultureis one of Cross et al.’s five cultural competence skillareas. Given that it is impossible to know every culture in depth, what can serviceproviders do to ensure they bring the appropriate understanding into their interactionwith clients?5.Describe the difference betweenmulticultural ethical commitment and multiculturalethical awareness.Discuss how they support each other in ethical decision making.

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Chapter 3: Working with Culturally Diverse Clients10© 2015. Cengage Learning. All rights reserved.Test BankCultural Diversity: A Primer for the Human Services5th EditionMULTIPLE CHOICE1.Which of the following does NOT describe the differences experienced in working withculturally diverse clients?A.It is more likely toemotionally impact theprovider.B.The provider cannot rely on the client to define the process.C.The process must continually be adapted.D.It is more collaborative.ANS:BREF:How is Cross-Cultural Helping Different?2.Pinderhughes defines which of the following four psychological dynamics that definecross-cultural work and the relationship between the client and the provider?A.The psychologies of difference, assimilation, experience and privilegeB.The psychologies of family, acculturation, ethnicity and powerC.The psychologies of family, ethnicity, race and powerD.The psychologies of difference, ethnicity, race and powerANS:DREF:Conceptualize Cross-Cultural Work3.Differences between the client and the practitioner have the potential to:A.cause the provider to devalue theclient.B.causethe patient to resist treatment.C.interfere with successful treatment.D.all of the above.ANS:DREF:Conceptualize Cross-Cultural Work

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Chapter 3: Working with Culturally Diverse Clients© 2015. Cengage Learning. All rights reserved.114.Due to the nature of power and the helping relationship, which ofthe following is mostaccurate?A.The client will find a sense of power over the provider.B.Clients can neutralize their pain.C.The client is in apotentially vulnerable position.D.The provider may be uncomfortable or anxious about the relationship.ANS:CREF:Conceptualize Cross-Cultural Work5.The ADDRESSING framework is best described as:A.aguide for provider self-awareness.B.an addendum to the DSM-IV.C.atool for personal data collection for the provider and client.D.aguide for assessing a clients’ level of cultural identity development.ANS:CREF:Hays’s ADDRESSING Framework6.Which of the following isanaccurate list of the ADDRESSING framework?A.Acculturation,Developmental Disabilities,Disabilities acquired later in life,Religion,Ethnic/Racial identity,Socioeconomic status,Sexual orientation,Indigenous heritage,National origin,GenderB.Age,Developmental Disabilities,Disabilities acquired later in life,Religion,Ethnic/Racial identity,Socioeconomic status,Sexual orientation,Indigenousheritage,National origin,GenderC.Assimilation,Developmental Disabilities,Disabilities acquired later in life,Religion,Ethnic/Racial identity,Socioeconomic status,Sexual orientation,Indigenous heritage,National origin,GenerationD.Age,Developmental Disabilities,Disabilities acquired later in life,Religion,Experiences,Socioeconomic status,Sexual orientation,Indigenous heritage,National origin,GenderANS:BREF:Hays’s ADDRESSING Framework

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Chapter 3: Working with Culturally Diverse Clients12© 2015. Cengage Learning. All rights reserved.7.An example of an important use of ADDRESSING framework data would include:A.preparing for the first session with the client.B.comparison of provider and client religious and/or cultural backgrounds.C.the use of age/date of birth to determine experiences related to significanthistorical events.D.all of the above.ANS:CREF:Hays’s ADDRESSING Framework8.Which of the following would be considered a pitfall in workingwith culturally diverseclients?A.Focusing too heavily ondifferencesB.Failing to place cultural factors ahead of human factorsC.Relying too heavily on clinical concepts and skills, rather than starting fromscratch with a cultural lensD.Failing to include the family in all sessions with cross-cultural clientsANS:AREF:Preparing for Cross-Cultural Work9.In what way is cultural competency relevant to all clients, regardless of ethnicity?A.Northern European values are the foundation from which all culturallycompetent services are builtfrom.B.Every client carries his or her own unique culture; culturally competentproviders can provide services that are sensitive to the client’s inner dynamic.C.Providing culturally competent services to clients of culture help improve thecommunities in which non-ethnic clients live.D.Culturally competent providers can help White clients address their underlyingissues with White privilege.ANS:BREF:Preparing for Cross-Cultural Work10.Which of the following is an example of a question that assessesthe cultural dimensionsof a problem being presentedby a culturally diverse client?A.What is the client’s family’s level of acculturation?B.Is the behavior considered normal within the culture?C.What traditions are still practiced in the home?D.All of the aboveANS:BREF:Assessing Culturally Diverse Clients

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Chapter 3: Working with Culturally Diverse Clients© 2015. Cengage Learning. All rights reserved.1311.Which of the following isNOTa component of the “Outline for Cultural Formulation”Appendix of the DSM-IV?A.A description of the illness from the DSM-IVB.Aspects of self-definitionC.Stresses and supportsD.A description of the illness from the within the cultureANS:AREF:Making Culturally Sensitive DSM-5 Diagnoses12.Which of the following is the order in which Hays suggests using DSM and other tools inproviding aculturally sensitive diagnosis?A.Axis VI, Axis IV, Axis III, ADDRESSING FrameworkB.ADDRESSING Framework, Axis VIC.ADDRESSING Framework, Axis VI, Axis IV, Axis IIID.ADDRESSING Framework and all DSM Axis in orderANS:CREF:Making Culturally Sensitive DSM-5 Diagnoses13.In using Axis I:Clinical Syndromes, what issue should a provider be aware of?A.Language used in describing symptoms have little meaning to those not frommainstream cultures.B.Descriptions of interaction styles are assumed to be global.C.It creates a fuller picture whenused with Axis II.D.It focuses on psychosocial stressors impacting the client’s life.ANS:AREF:Making Culturally Sensitive DSM-5 Diagnoses14.Which of the following isNOTa goal of the first session?A.Gain understanding of the client’s expectationsB.Reassure the clientthat his/her goals will be metC.Establish good rapportD.Ensure an understanding of the client’s problemANS:BREF:Establishing Rapport and the First Session

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Chapter 3: Working with Culturally Diverse Clients14© 2015. Cengage Learning. All rights reserved.15.One of the best ways to help the client understand the helping process is to:A.ask them what they expect.B.explain the process in non-technical terms with specifics about next steps.C.ask them to help you learn about their culture.D.have the client explain their problem in their own words.ANS:BREF:Establishing Rapport and the First SessionESSAY QUESTIONS1.Cross-cultural helping is described as “experiential, freewheeling, and bilateral.” Explainwhat this means in relation to the provider and the client’s experience.2.Discuss the role of power in the helpingrelationship.3.What are some key ideas to remember in preparing for cross-cultural work?4.What issues surface when making culturally sensitive diagnosesusing the DSM-5andwhat approaches have been used to mitigate them?5.What are the four stated goals of the first session with a culturally diverse client?Selecttwo and describe techniques for ensuring those techniques are met.6.How does the notion of transference and countertransference differ in working withculturally diverse clients?

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Chapter 4: Understanding Racism, Prejudice, and White Privilege15© 2015. Cengage Learning. All rights reserved.Test BankCultural Diversity: A Primer for the Human Services5th EditionMULTIPLE CHOICE1.Which of the following is not an element of racism as defined byWijeyesinghe, Griffin,and Love?A.Racism is systemicB.Racism occurs when members of theoppressed group have less powerC.Racism is a result of real or perceived differences in group characteristicsD.Prejudice is the result of racismANS:DREF:Defining and Contextualizing Racism2.Due to the emotional nature of the topicof race, which of the following reactionstoward those who have experienced racismislikely tooccur in adulthood?A.EmpathyB.RationalizationC.HatredD.Offers to helpANS:BREF:Defining andContextualizing Racism3.The tendency to separate oneself from those who are different results inA.fewer miscommunications, due to limited interaction.B.increased categorical thinking.C.intensified perception of threat from out groups.D.aunited front from which to dismiss myths of one’s own group.ANS:CREF:Individual Racism and Prejudice

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