Deck 11: Ethnicity, Culture, and Substance Use Disorders

Question 1

A U.S.-born Korean American man has been attending but not participating in AA meetings. He refuses a referral from the facilitator for individualized treatment from a therapist who is not Korean. Why do you think he refuses?

A) He is concerned about a language barrier.
B) He probably does not have the financial resources or insurance to pay for individualized treatment.
C) He is probably ashamed to lose face and bring dishonor to his family, which he believes seeking help outside of his community would do.
D) He is ashamed to lose face and bring dishonor to his family, which he believes accepting personal treatment would do.

Answer 1

He is probably ashamed to lose face and bring dishonor to his family, which he believes seeking help outside of his community would do.

Question 2

Which statement is true?

A)There is convincing evidence that American Indians have an inordinate susceptibility to alcohol.
B)Research shows that those in American Indian cultures are less prone to alcohol abuse than other those in other cultures.
C)Research shows that American Indians have a physiologic resistance to alcohol.
D)There is no convincing evidence that American Indians have a genetic vulnerability to alcohol

Answer 2

There is no convincing evidence that American Indians have a genetic vulnerability to alcohol

Question 3

What are some prevention measures being taken in the Asian/Pacific Islander American community? What are some prevention measures being taken in the Jewish community?

Answer 3

Not Answer

Question 4

During an interview, an African American woman says she works three part-time jobs to take care of her two children while her drug- dependent husband provides no assistance. She says that as much as she has tried, she can no longer endure the pain it is causing and she needs help. How do you respond to this information?

A) You tell her that her husband needs to come in for an assessment and treatment, and she is the one who can make him do it.
B) You recall the superwoman myth and congratulate her on her decision to come in and focus on her own needs in addition to those of her family.
C) You tell her to call the police the next time her husband takes drugs and have him arrested.
D) You say nothing and let her continue talking.

Question 5

A Jewish American man who was not very religious felt ashamed regarding his heavy drinking. He decided to visit his mother's rabbi for advice. If you were the rabbi, what would you suggest?

A) Tell him Jews do not become alcoholics, and genetics proves it. He has no need for concern.
B) Invite him to the synagogue's Twelve Step program and suggest psychotherapy.
C) Welcome him back to following his religious tradition more faithfully, and that his devotion to God will reduce his shame.
D) Recommend a spiritual retreat through JACS.

Question 6

Suppose you were going to start a mutual-help support group for adult Latina women who speak little English. Where would you hold it?

A) Catholic church near a bus stop
B) Beauty parlor participants can walk to
C) Mormon church participants can walk to
D) Community center where English is taught

Question 7

Briefly, what is the history and background of substance use/abuse among American Indians and Native Alaskans. Briefly, what is the history and background of substance use/abuse among African Americans. Briefly, what is the history and background of substance use/abuse among Hispanic Americans?

Question 8

A young Hopi man living in Phoenix is under assessment. He recently lost his job and is about to lose his home due to alcoholism. He wants to move back to the reservation and return to Hopi spiritual practices, as he believes they would help him stop drinking, but he believes he would not be welcome. What do you recommend?

A) That he meet with Hopi elders to convince them to allow him to return to the reservation, where he would have to stop drinking because it is forbidden
B) That he learn about the 12 Steps in a Circle
C) That he start treatment that includes but is not limited to) a sweat lodge ritual and culturecology
D) That he start treatment that includes but is not limited to) a sweat lodge ritual, a vision quest, and employment services

Question 9

A young Puerto Rican woman saw a telenovela about a woman in a situation similar to hers that prompted her to seek help with her addiction to alcohol. She is having trouble with her spouse and is concerned for the welfare of her two children. What type of treatment do you think might be appropriate for her?

A) Visiting a curandera with her family
B) kiR
C) Praying to saints and attending AA at church
D) A family-oriented, community-supported treatment

Question 10

After 15 years of marriage, the wife of a Mexican American man left him due, she said, to his heavy drinking. He drank only after a hard day's work and does not think he has an alcohol problem. But since she left, he is thinking twice. What occurred?

A) His machismo let him feel that he fulfilled obligations by working hard and he deserved to drink without criticism. Now he feels emasculated and powerless.
B) He is too full of machismo and cannot see how his alcohol dependence ruined his marriage. You are glad his wife finally left him after 15 years.
C) He is experiencing acculturative stress, forgetting the fatalistic perspective of his culture. His wife was fated to leave. He does not have a problem.
D) He has lost his feeling of machismo, which allowed him to hold his liquor.

Question 11

A third-generation Japanese American woman flushes when she drinks alcohol. What might you conclude?

A) The flushing response indicates that she is an alcoholic.
B) The flushing response indicates that she probably has a genetic sensitivity to alcohol.
C) Based on statistics of substance disorders for third-generation women and on her flushing genetic sensitivity to alcohol), she is at risk for alcoholism.
D) She is probably not at risk for alcoholism despite her flushing, because being a third-generation American statistically shows low risk.

Question 12

A sweat lodge is .

A) the same as a vision quest
B) a purification ritual for spiritual renewal
C) a ritual for finding answers to personal problems and to seek the right path
D) made of hot rocks for the purpose of finding answers to personal problems and to seek the right path

Question 13

Briefly, what is the history and background of substance use/abuse among Asian and Pacific Islander Americans? Briefly, what is the history and background of substance use/abuse among Jewish Americans?

Question 14

Across ethnic groups, isare) the strongest indicators) of substance abuse in youths.

A) the absence of parental monitoring
B) poor attitudes toward school
C) peer-related variables
D) not participating in spiritual services

Question 15

Considering American Indian and Native Alaskan, African American, Hispanic American, Asian and Pacific Islander American, and Jewish American communities, how are mutual help groups generally used by each community? Name at least one other culturally relevant treatment for each community adult or youth).

Question 16

According to Klatsky and colleagues, the strongest determinants of drinking patterns in a society are .

A) physiology and genetics
B) physiology and ethnicity
C) ethnicity and culture
D) ethnicity and genetics

Question 17

Why do you think that in 2009 an African American man would be more likely to be incarcerated for a drug-related offense than a white man when the rates of drug disorders among African Americans and whites were about the same?

A) Because authorities would plant the drugs on the African American man due to racism
B) Because the Fair Sentencing Act of 2010 is retroactive
C) Because of the disparity in sentencing for crack more prevalent among African Americans) versus powdered cocaine more prevalent among whites)
D) Because of the disparity in sentencing for powdered cocaine more prevalent among African Americans) versus crack more prevalent among whites)

Question 18

A knowledge of a person's is imperative to therapists developing relevant prevention, assessment, and treatment strategies for that person.

A) cultural history and values
B) native language
C) culinary customs
D) religious celebrations

Question 19

What are some prevention measures being taken in the American Indian and Native Alaskan community? What are some prevention measures being taken in the African American community? What are some prevention measures being taken in the Hispanic American community?

Question 20

A friend of yours is a nurse in the emergency room. He tells you about a Navajo woman who has been in three times recently due to what he believes is an abusive, alcoholic husband. The woman admits her husband drinks heavily but says she does not need any help. As a human services professional, what do you do?

A) To respect American Indian ways, you do not interfere and you advise your friend not to interfere.
B) You recommend that your friend call the police and have them pick up the husband the next time the woman comes in.
C) You offer informational pamphlets on alcoholism and domestic violence in the American Indian population for your friend to share with the woman.
D) You give to your friend your business card and some informational pamphlets on how to get culturally relevant help to share with the woman.