Deck 3: Working With Culturally Diverse Clients

Question 1

The ADDRESSING framework is best described as:

A)a guide to help choose which aspect of a client's cultural identity to privilege over others.
B)an addendum to the DSM-4.
C)a tool for personal data collection for the provider and client.
D)a guide for assessing a clients' level of cultural identity development.

Answer 1

a tool for personal data collection for the provider and client.

Question 2

Which of the following is NOT a goal of the first session?

A)Gain understanding of the client's expectations
B)Reassure the client that his/her goals will be met
C)Establish good rapport
D)Ensure an understanding of the client's problem

Answer 2

Reassure the client that his/her goals will be met

Question 3

Which of the following is an accurate list of the ADDRESSING framework?

A)A cculturation, D evelopmental Disabilities, D isabilities acquired later in life, R eligion, E thnic/Racial identity, S ocioeconomic status, S exual orientation, I ndigenous heritage, N ational origin, G ender
B)A ge, D evelopmental Disabilities, D isabilities acquired later in life, R eligion, E thnic/Racial identity, S ocioeconomic status, S exual orientation, I ndigenous heritage, N ational origin, G ender
C)A ssimilation, D evelopmental Disabilities, D isabilities acquired later in life, R eligion, E thnic/Racial identity, S ocioeconomic status, S exual orientation, I ndigenous heritage, N ational origin, G eneration
D)A ge, D evelopmental Disabilities, D isabilities acquired later in life, R eligion, E xperiences, S ocioeconomic status, S exual orientation, I ndigenous heritage, N ational origin, G ender

Answer 3

A ge, D evelopmental Disabilities, D isabilities acquired later in life, R eligion, E thnic/Racial identity, S ocioeconomic status, S exual orientation, I ndigenous heritage, N ational origin, G ender

Question 4

Which of the following statements accurately describes how the topics of race and ethnicity should be brought into the therapeutic relationship?

A)To be fair, therapists should discuss their own ethnicity during treatment.
B)The responsibility for bringing up issues of race and ethnicity falls on the client.
C)White therapists tend to understand how their racial identity influences the counseling dynamic.
D)Cultural sensitivity typically is viewed from cross-racial therapeutic triads.

Question 5

How do clients benefit when the service provider is therapeutically present? How might providers benefit?

Question 6

Discuss the role of power in the helping relationship.

Question 7

The ADDRESSING framework emphasizes cultural influences that make individuals:

A)disadvantaged.
B)powerless.
C)unique.
D)privileged.

Question 8

Pinderhughes defines four psychological dynamics that define cross-cultural work and the relationship between the client and the provider. What are they?

A)Difference, assimilation, experience, and privilege
B)Family, acculturation, ethnicity, and power
C)Family, ethnicity, race, and power
D)Difference, ethnicity, race, and power

Question 9

Research shows that when clients of color seek therapy, about ________ percent do not return for a second session.

A)25
B)33
C)50
D)75

Question 10

What are some key ideas to remember in preparing for cross-cultural work?

Question 11

When clients experience their practitioners as therapeutically present, it influences the polyvagal system, which:

A)triggers the flight or fight response.
B)causes the patient to resist treatment.
C)interferes with successful treatment.
D)causes them to feel safer within the therapeutic relationship.

Question 12

In what way is cultural competency relevant to all clients, regardless of ethnicity?

A)Northern European values are the foundation from which all culturally competent services are built from.
B)Every client carries his or her own unique culture; culturally competent providers can provide services that are sensitive to the client's inner dynamic.
C)Providing culturally competent services to clients of culture help improve the communities in which nonethnic clients live.
D)Culturally competent providers can help White clients address their underlying issues with White privilege.

Question 13

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 nontechnical 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.

Question 14

Which of the following is NOT a component of the "Outline for Cultural Formulation" Appendix of the DSM-4?

A)A description of the illness from the DSM-4
B)Aspects of self-definition
C)Stresses and supports
D)A description of the illness from the within the culture

Question 15

Cross-cultural helping is described as "experiential, malleable, and collaborative." Explain what this means in relation to the provider and the client's experience.

Question 16

Which of the following best exemplifies a question that assesses the cultural dimensions of a problem presented by a culturally diverse client?

A)When did the client's family immigrate to the United States?
B)Is the behavior considered normal within the culture?
C)What traditions are still practiced in the home?
D)What other cultures are present in the community?

Question 17

What are the five stated goals of the first session with a culturally diverse client? Select two and describe techniques for ensuring those techniques are met.

Question 18

Which of the following does NOT describe the differences most practitioners experience when working with culturally diverse clients?

A)It is more likely to emotionally impact the provider.
B)The provider cannot rely on the client to define the process.
C)The process must continually be adapted.
D)It is more collaborative.

Question 19

Which of the following would be considered a pitfall in working with culturally diverse clients?

A)Focusing too heavily on differences
B)Placing human factors ahead of cultural factors
C)Relying too heavily on clinical concepts and skills, rather than starting from scratch with a cultural lens
D)Failing to include the family in all sessions with cross-cultural clients

Question 20

Which of the following accurately describes the nature of power and the helping relationship?

A)The client always will find a sense of power over the provider.
B)Clients can neutralize their pain.
C)The client is in a potentially vulnerable position.
D)The provider may be uncomfortable or anxious about the relationship.

Question 21

Why is it especially important for White therapists to understand how their racial identities affect clients?