nce counselingexam.com/culture/1-31-2014

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nce counselingexam.com/culture/1-31-2014
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  1. When therapists respect indigenous helping practices, they are:       Respecting the role caseworkers play in mental health treatment.      Respecting the mental research in their field regarding minorities.      Respecting minority community help-giving networks.      Respecting the need for monolingualism.
    Respecting minority community help-giving networks. V.I.P.! Counselors must respect indigenous helping practices which is accomplished by respecting minority community intrinsic help-giving networks.
  2. When counseling African-Americans, the Stress-Resistant Delivery Model underscores:       Biofeedback coupled with medication.      Use of relaxation techniques.      Use of exercise and diet to control stress.      Identifying resources in the clients' communities that will help them withstand stressors.
    dentifying resources in the clients' communities that will help them withstand stressors. Radiant! Working towards diminishing stress is extremely critical in the African American community. In 1990 the National Urban League released a report on the status of the African American male (Johnson & Watson, 1990) that offered a disturbing portrait of African American male life. According to the report, African American males have a shorter life span than any other population group in America due to a disproportionate vulnerability to disease and homicide. In every age group, African American males are significantly more likely to be victims of violent crime than are White men or women of either race. Among youths ages 14 to 17, the African American male victimization rate is 65.9 per 100,000 in the population, compared to the White male rate of 8.5 per 100,000 (U.S. Department of Justice, 1986).
  3. Which of the following has been found to be a factor considered by lesbian, gay, and bisexual clients in their selection of therapists?       Therapist's knowledge of community resources.      Therapist's location.      Therapist's level of education.      Therapist's sexual orientation.
    Therapist's knowledge of community resources. Knowledge of community resources has been found to be a factor considered by lesbian, gay, and bisexual clients in their selection of psychotherapists. The availability of lesbian, gay, and bisexual community resources varies dramatically according to location; thus it is helpful for psychologists to know that sources of information and support can be found at the local, regional, and national levels.
  4. What is NOT a likely reason for a Hispanic individual to seek mental health care?       Seek to improve their social relationships      Receive a referral for mental health help from a physician      Need help fulfilling responsibilities of life      A friend insisted that they seek help
    A friend insisted that they seek help Hispanics take great stock in their abilities to fulfill life's responsibilities, and if they are unable to do so they are far more likely to seek help. Relationships and the word of a trusted doctor are also strong deciding factors.
  5. African-American adolescents from a single-parent household have been found to possess what?       Lower self-esteem      Lower self-actualization      Lower self-consciousness      Lower self-education
    Lower self-esteem Mandara and Murray (2000) found that self-esteem among African-American teenagers from single-parent households was much lower than in the population from households with both parents.
  6. The rule-of-thumb for main streaming students in public schools is:       Children should be always placed in the least restrictive environment.      Non-disabled children benefit from interaction with their disabled classmates.      All children should be provided with a structured environment.      Disabled children benefit from interaction with non-disabled children.
    Children should be always placed in the least restrictive environment.    The correct answer: Children should be always placed in the least restrictive environment. Satisfaction! The principle of "least restrictive environment" is also true for other aspects of mental health.
  7. A skilled therapist attends to what and how a client says things, which includes both their verbal and nonverbal actions. To successfully do this with a minority client, a therapist must:       Be aware of personality issues with the client.      Be aware of the client's culture to interpret the behavior accurately.      Interpret the client's actions through dominant society standards.      Interpret the client's educational level.
    Be aware of the client's culture to interpret the behavior accurately.    The correct answer: Be aware of the client's culture to interpret the behavior accurately. You're the very best! A skilled therapist should be aware of the client's background and culture to interpret their verbal and nonverbal behaviors accurately.
  8. What is the first step the average single mother in America must take in order to continue their education after the birth of a child?       Complete the SAT      Complete a college application      Complete the GRE      Complete the GED
    Complete the GED    The correct answer: Complete the GED That is a wonderful answer! The majority of single mothers in America have not completed high school, thus making completion of the GED a vital first step in the process of continuing their education.
  9. Many elderly individuals prefer to seek mental health care from:       Primary physicians      Social workers      Nurses      Psychologists
    Primary physicians    The correct answer: Primary physicians You have a high performance brain! Many elderly people are not comfortable with mental health settings due to the association with stigma. Many prefer to receive treatment for mental disorders from their primary care physicians. Due to this, new treatment models propose ways of efficiently integrating mental health services on the primary care environment.
  10. Which therapeutic approach holds the belief that divorce occurs due to a mix of psychological, cultural and social reasons?       Social constructionist      Social responsivity      Social collectivist      Social governance
    The correct answer: Social constructionist Easy as 1 2 3 (ABC)! Rather than accepting that divorce is the result of some sort of personal defect in the individual of family structure, the social constructionist approach finds reasons and effects in a wide variety of factors.
  11. Which of these factors is most pivotal in the healthy formation of a person's sexual identity and orientation?       Strong social support and network of friends      Large extended family      High level of formal education      High level of income
    Strong social support and network of friends Pride! For many homosexuals, it is reported that a network of friends and strong social support is even more vital to a healthy view of their own sexuality than their family of origin.
  12. When a spouse must be selected from outside one's own group, the marital custom is termed:       Endogamy      Internalism      Exogamy      Externalism
    Exogamy Spectacular! The Oxford Dictionary defines exogamy as "the fusion of reproductive cells from distantly related or unrelated organisms, i.e. out breeding."
  13. Appendix I in the DSM-IV is unique in the fact that it contains:       ICD-10 codes      Medication-induced disorders      Glossary of culture-bound syndromes      Annotated listing of changes to the DSM-IV
    Glossary of culture-bound syndromes You're up to speed! Under Appendix I, the DSM-IV lists culture-bound syndromes that are defined as recurrent, locality-specific patterns of aberrant behavior and troubling experience that may or may not be linked to a particular DSM-IV diagnostic category. It also contains an outline for culturally relevant case formulation of the client's presenting concerns.
  14. According to Stanley Sue, the most potent variable predicting outcome of a therapeutic relationship with ethnic minority clients is (are):       Ethnic match between therapist and patient      SES of patient      Individual experiences of client and therapist      Therapist experience
    Individual experiences of client and therapist Second to none! The ethnicity of therapist or patient is important, but only in a distal way. In the therapeutic relationship, it's really the individual differences, what the individual client is like, and what the therapist is like, that is most potent in predicting treatment success.
  15. Individuals from minority groups are most likely to be attracted to a counseling model that is a:       None of these would be effective.      Short-term, problem-solving approach.      Psychoanalytic therapy approach.      Long-term, client-centered approach.
    Short-term, problem-solving approach.    The correct answer: Short-term, problem-solving approach. Superb! Research has suggested that members of minority cultures are much more inclined to prefer brief, short-term problem-solving approach to therapy. One reason for this may be the economic factor. Minority clients tend to be more pragmatic in terms of their needs and preferences.
  16. African-Americans tend to view mental illness within their own ethnic group as:       Stemming from unresolved childhood issues      Genetically determined      Situationally created      A result of incorrect cognitions
    The correct answer: Situationally created Unquestionnably! Reasons For Misdiagnosis Of Depression In African Americans Depression often has been misdiagnosed in the African American community. Factors that can contribute to fewer African Americans being diagnosed with clinical depression include: It is important to note that mental illness has been frequently misdiagnosed in the African American community. This is the result of mistrust of medical health professionals by African Americans, a historically higher-than-average institutionalization for African Americans with mental illness, Cultural barriers, influenced by language and values in the relationship between the doctor and the patient, reliance on the support of family and the religious community, rather than mental health professionals, during periods of emotional distress. a "masking" of depressive symptoms by other medical conditions, somatic complaints, substance abuse and other psychiatric illnesses, and socioeconomic factors, such as limited access to medical care.
  17. Some therapists may find it difficult to work with clients who are Hispanic because of the:       Language barrier.      The clients reluctance to disclose to individuals outside their culture.      Clients lack of commitment to the counseling process.      The clients need to please the therapist.
    The clients reluctance to disclose to individuals outside their culture. Hispanics are culturally not inclined to share personal information outside their family circles.
  18. ___________ applies to acculturation.       A part of Piaget's learning theory      An individual that references one culture for decision-making      Reeducating children who have lost their primary cultural orientation      Culture relearning
    Culture relearning You're right! Acculturation refers to the intercultural borrowing between diverse groups of people with new and blended patterns as the result (Webster's 7th new Collegiate Dictionary). The option "culture relearning" is the only option that applies.
  19. A skilled therapist attends to what and how a client says things, which includes both their verbal and nonverbal actions. To successfully do this with a minority client, a therapist must:       Interpret the client's educational level.      Interpret the client's actions through dominant society standards.      Be aware of the client's culture to interpret the behavior accurately.      Be aware of personality issues with the client.
    Be aware of the client's culture to interpret the behavior accurately. Mega Brain! A skilled therapist should be aware of the client's background and culture to interpret their verbal and nonverbal behaviors accurately.
  20. Propinquity is best related to:       Therapist countertransference      Ethnic intolerance      The decline in racial prejudice when individuals live next door to minority persons      Prejudice
    The decline in racial prejudice when individuals live next door to minority persons Propinquity means proximity in space or time. It is when one lives in close proximity to a minority member that prejudicial feelings and thoughts begin to break down.

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