Cultural Diversity--Improving Cultural Competence.
1)

True cultural competence goes beyond knowledge of customs and facts by requiring:
 
Collecting demographic data Ignoring client perspectives Awareness, sensitivity, skill, and reflection Assuming cultural expertise
 
2)

Professional codes of ethics consistently identify cultural responsiveness as:
 
An optional skill A minor guideline A fundamental duty A temporary trend
 
3)

Which concept emphasizes lifelong learning and recognition that clinicians cannot fully master another’s culture?
 
Intersectionality Structural barriers Cultural humility Cultural facts
 
4)

Cultural competence should be understood as:
 
A one-time checklist A dynamic, ongoing process A temporary requirement An outdated idea
 
5)

For mental health practitioners, culture primarily functions as:
 
A fixed set of rules A checklist of customs A lens shaping how clients interpret distress and healing An irrelevant background factor
 
6)

Ethnicity differs from race because it emphasizes:
 
Physical traits Cultural practices, language, and heritage Genetic categories Skin color only
 
7)

What does the concept of intersectionality emphasize?
 
Identities exist in isolation Systems of oppression interlock to shape unique experiences Only race determines outcomes Gender is the sole factor
 
8)

What risk arises when practitioners ignore an intersectional perspective?
 
Stronger therapeutic alliance Overlooking unique challenges and reproducing harm Clearer client focus Simpler treatment planning
 
9)

Why should practitioners acknowledge power imbalances in clinical relationships?
 
To reinforce authority To avoid professional expertise To build trust and reduce retraumatization To minimize client concerns
 
10)

Why is advocacy considered part of cultural competence?
 
It is optional for some cases It replaces therapeutic skills It focuses only on individuals It is an ethical mandate supported by professional codes
 
11)

What is the primary purpose of informed consent in counseling and therapy?
 
To protect only the practitioner To avoid discussing risks To foster client autonomy and strengthen the alliance To replace cultural awareness
 
12)

What is implicit bias in clinical practice?
 
Conscious stereotyping Unconscious assumptions that influence judgment Open discriminatory remarks Neutral client observation
 
13)

Why is cultural sensitivity essential when assessing trauma?
 
Trauma is identical in all cultures Trauma is expressed and understood differently across cultural contexts Only DSM-5-TR criteria matter Physical symptoms are unrelated to trauma
 
14)

What does research in epigenetics suggest about trauma?
 
It has no lasting effects It can alter gene expression and be passed across generations It only affects immediate behavior It is unrelated to cultural narratives
 
15)

What unique challenge do children of immigrant and refugee families often face?
 
Complete cultural assimilation A “double burden” of inherited trauma and acculturation pressures No exposure to trauma Easy balance between two worlds
 
16)

Why might some communities distrust healthcare systems?
 
Lack of interest in treatment Histories of systemic oppression and cultural insensitivity Limited access to media Overuse of services in the past
 
17)

What is a key strategy for avoiding retraumatization in culturally responsive trauma care?
 
Forcing immediate disclosure Ignoring cultural values Pacing disclosure and respecting cultural boundaries Using identical methods for all clients
 
18)

How can safety planning be made more culturally responsive for domestic violence survivors?
 
By insisting all survivors leave immediately By reframing safety in ways that honor cultural values and family loyalty By ignoring cultural stigma By avoiding safety planning altogether
 
19)

Why are interpreters essential in mental health care?
 
To speed sessions Ensure equity and access Replace clinician skill Avoid cultural issues
 
20)

What is a best practice when working with interpreters?
 
Talk mainly to interpreter Skip session pauses Speak directly to client Avoid debriefing
 
21)

What are microaggressions in clinical settings?
 
Direct acts of violence Subtle comments with harmful impact Neutral cultural questions Open statements of respect
 
22)

What is “racial battle fatigue”?
 
Overt acts of violence Cumulative strain of racism Short-term stress response General physical illness
 
23)

Why is it important to acknowledge systemic racism in therapy with African American clients?
 
To avoid difficult topics To validate experiences shaping mental health To reduce session length To ignore cultural identity
 
24)

What is one common protective factor in many Hispanic and Latino communities?
 
Individualism Family and faith Isolation Material wealth
 
25)

Which practice supports effective therapy with Hispanic and Latino/a clients?
 
Ignoring family input Avoiding spiritual topics Providing language access Limiting cultural traditions
 
26)

Why might some AAPI clients remain quiet or indirect in therapy?
 
Lack of interest Language barrier only Respect for elders or authority Avoidance of treatment
 
27)

What is a consequence of the “model minority” stereotype for AAPI clients?
 
Encourages seeking help Obscures struggles and pressures silence Eliminates disparities Reduces stigma
 
28)

What does “historical trauma” in Indigenous communities refer to?
 
Personal life stressors Intergenerational wounds from colonization Short-term family conflict Modern health disparities only
 
29)

How is distress often expressed in MENA communities?
 
Open emotional talk Physical symptoms like pain or fatigue Avoidance of family Clear psychiatric labels
 
30)

What dual reality often defines the immigrant experience?
 
Wealth and stability Hope mixed with loss and uncertainty Simple cultural adjustment Avoidance of resilience
 
31)

How should clinicians approach Christian clients’ spiritual beliefs in therapy?
 
Dismiss them as unhelpful Explore them sensitively and validate meaning Replace them with clinical terms Avoid all discussion of faith
 
32)

How can clinicians demonstrate cultural competence with Muslim clients?
 
Ignore prayer times Respect religious practices and accommodate needs Avoid spiritual discussion Treat faith as irrelevant
 
33)

What does “minority stress” refer to in LGBTQIA populations?
 
Normal life stress Heightened distress from societal bias Exclusive family pressure Lack of social support only
 
34)

Which mental health conditions occur at higher rates in low-income populations?
 
Only phobias Depression, anxiety, PTSD No significant disorders Personality disorders only
 
35)

Why should clinicians ask about factors like childcare or transportation?
 
To save session time They directly affect access to care They are minor details To avoid emotional history
 
36)

What common stigma affects people experiencing homelessness?
 
Seen as resilient Blamed for their situation Valued for independence Considered highly resourceful
 
37)

How should disability be viewed in mental health practice?
 
A problem to solve A part of human diversity A barrier to inclusion A purely medical issue
 
38)

Why should clinicians ask clients how they view their illness?
 
To shorten sessions To uncover cultural beliefs shaping meaning To replace medical treatment To avoid family input
 
39)

What shapes older adults’ perspectives in therapy?
 
Only biological aging Cultural narratives about aging and mortality Peer influence only Lack of family ties
 
40)

How does culture shape experiences of aging?
 
Aging is universal Norms like filial piety or independence guide expectations Only health changes matter Culture has little effect
 
41)

What does historical trauma describe?
 
Personal life stressors Intergenerational wounds from massive group trauma Short-term grief events Only present-day stress
 
42)

What makes trauma-informed care culturally responsive?
 
Using only DSM terms Recognizing trauma through cultural frameworks Avoiding traditional healing Focusing only on symptoms
 
43)

Why might standard CBT clash with some cultural frameworks?
 
It avoids behavior change It focuses on individual thoughts over community or spirituality It rejects evidence-based practice It ignores emotions completely
 
44)

What cultural value is often emphasized in collectivist families?
 
Personal autonomy Harmony and respect for elders Individual boundaries Independence first
 
45)

How can clinicians honor veterans’ experiences in therapy?
 
Assume pathology Invite open narratives about service Minimize cultural identity Focus only on trauma