Deck 3: Working With Culturally Diverse Clients

Question 1

Pinderhughes defines which of the following four psychological dynamics that define cross-cultural work and the relationship between the client and the provider?

A) The psychologies of difference, assimilation, experience and privilege
B) The psychologies of family, acculturation, ethnicity and power
C) The psychologies of family, ethnicity, race and power
D) The psychologies of difference, ethnicity, race and power

Answer 1

The psychologies of difference, ethnicity, race and power

Question 2

Which of the following is an accurate 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, Gender
B) Age, Developmental Disabilities, Disabilities acquired later in life, Religion, Ethnic/Racial identity, Socioeconomic status, Sexual orientation, Indigenous heritage, National origin, Gender
C) Assimilation, Developmental Disabilities, Disabilities acquired later in life, Religion, Ethnic/Racial identity, Socioeconomic status, Sexual orientation, Indigenous heritage, National origin, Generation
D) Age, Developmental Disabilities, Disabilities acquired later in life, Religion, Experiences, Socioeconomic status, Sexual orientation, Indigenous heritage, National origin, Gender

Answer 2

Age, Developmental Disabilities, Disabilities acquired later in life, Religion, Ethnic/Racial identity, Socioeconomic status, Sexual orientation, Indigenous heritage, National origin, Gender

Question 3

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 non-ethnic clients live.
D) Culturally competent providers can help White clients address their underlying issues with White privilege.

Answer 3

Every client carries his or her own unique culture; culturally competent providers can provide services that are sensitive to the client's inner dynamic.

Question 4

Due to the nature of power and the helping relationship, which of the following is most accurate?

A) The client 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 5

Which of the following does NOT describe the differences experienced in 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 6

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

Question 7

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

Question 8

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.

Question 9

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

Question 10

Which of the following is the order in which Hays suggests using DSM and other tools in providing a culturally sensitive diagnosis?

A) Axis VI, Axis IV, Axis III, ADDRESSING Framework
B) ADDRESSING Framework, Axis VI
C) ADDRESSING Framework, Axis VI, Axis IV, Axis III
D) ADDRESSING Framework and all DSM Axis in order

Question 11

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

Question 12

What issues surface when making culturally sensitive diagnoses using the DSM-5 and what approaches have been used to mitigate them?

Question 13

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 significant historical events.
D) all of the above.

Question 14

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

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

Question 15

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 from mainstream cultures.
B) Descriptions of interaction styles are assumed to be global.
C) It creates a fuller picture when used with Axis II.
D) It focuses on psychosocial stressors impacting the client's life.

Question 16

Differences between the client and the practitioner have the potential to:

A) cause the provider to devalue the client.
B) cause the patient to resist treatment.
C) interfere with successful treatment.
D) all of the above.

Question 17

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

A) Focusing too heavily on differences
B) Failing to place cultural factors ahead of human 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 18

The ADDRESSING framework is best described as:

A) a guide for provider self-awareness.
B) an addendum to the DSM-IV.
C) a tool for personal data collection for the provider and client.
D) a guide for assessing a clients' level of cultural identity development.

Question 19

Which of the following is an example of a question that assesses the cultural dimensions of a problem being presented by 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 above

Question 20

Discuss the role of power in the helping relationship.

Question 21

How does the notion of transference and countertransference differ in working with culturally diverse clients?