Deck 11: Ethnicity Culture and the Socioeconomic Determinants of Addiction

Question 1

Protective factors among young,low-income,Mexican American women include

A) ​the breakdown of the family of origin and extended kinship networks
B) ​the survival of poverty
C) ​an attitude of fatalism
D) ​the responsibility of providing family connection and care of the children

Answer 1

​the responsibility of providing family connection and care of the children

Question 2

Explain the Recovery Management model and why it is important in addressing issues that arise because race,ethnicity,culture,and class.

Answer 2

Answers May Vary

Question 3

Discuss why it is that although race is not a biological category,it continues to be widely used.

Answer 3

​
Answers May Vary

Question 4

Among Native Americans and Alaska Natives,which of the following is not a factor in varied drinking and drug use rates?

A) ​tribe
B) ​rural
C) ​urban
D) ​intelligence

Question 5

Among current Native American adults who drink alcohol,the prevalence rate

A) ​varies a great deal
B) ​is the same as the general population
C) ​is lower than the general population
D) ​has never been measured

Question 6

Explain how social class affects the so-called attributes of ethnicity or culture.

Question 7

​The most recent median income figures (United States Census,2015b)indicate that_________ households have the highest median income of any racial group,that is,$100,547.

A) Latino
B) Indian Americans
C) African American
D) non-Hispanic white

Question 8

The use of traditional cultural and spiritual practices in Native American treatment

A) ​is the only effective method of treatment with this population
B) ​needs more systematic evaluation before we can assess the efficacy of this approach
C) ​is not at all effective with this population

Question 9

The term "historical trauma" was originally used by

A) ​Maria Yellow Horse Brave Heart.
B) ​Ja and Aoki.
C) ​van Wormer.
D) ​Lee and Mock

Question 10

Even though Asian Americans in general have a higher educational status and higher income status than other minorities,it is misleading to describe them as a "model minority" because

A) ​they have a higher rate of alcoholism and drug addiction
B) ​their low treatment rate may be the result of the lack of culturally relevant services
C) ​their addiction rates have consistently been under-reported in the prevalence studies
D) ​they uniformly lack the enzyme aldehyde dehydrogenase

Question 11

As related by Raymond Slick,an American Indian,sobriety is the traditional way.His philosophy is called

A) ​The Red Road
B) ​ancestor worship
C) ​tribal essence
D) ​spiritual recovery

Question 12

The term "Hispanic" or "Latino" describes a population that includes the following subgroups except

A) ​Mexican Americans
B) ​Cuban Americans
C) ​Central Americans
D) ​Jamaicans

Question 13

What does the story of Becky and Monique tell us about the path to addiction,the agent of addiction (drug used)and recovery options?

Question 14

Compared to the average national poverty rate of 15.9%,the average poverty rate for American Indians and Alaskan Natives is

A) ​29.2%
B) ​20.1%
C) ​13%
D) ​39.2%

Question 15

Compare variations (for example immigration history)within various Asian American groups relevant to substance misuse.

Question 16

Which group has the highest poverty rate for families?

A) ​Alaskan Natives
B) ​Asian Americans
C) ​African Americans
D) ​Native Americans

Question 17

People who identified themselves as "Asian American" include all groups except:

A) ​Filipinos
B) ​Vietnamese
C) ​Hmong
D) ​Samoans

Question 18

Which factor does not account for the low rate of alcohol/drug misuse for the Asian/Pacific Islander group?

A) ​national database surveys have ignored this group and consistently put Asian/Pacific Islanders in the category of "Other"
B) ​the lack of culturally relevant services which reduces the treatment rate
C) ​methodological weaknesses in the research that has resulted in an underestimation of the levels of substance misuse and dependency
D) ​Asians are the "model minority" without many addiction problems

Question 19

Results from the National Survey on Drug Use and Health (SAMHSA,2014a)indicate that among persons aged 12 or older,the rate of substance abuse was highest among

A) ​American Indians and Alaska Natives
B) ​Asians
C) ​Latinos
D) ​African Americans

Question 20

Which factor is not considered a hallmark of effective treatment with Asians with substance abuse problems?

A) ​screening with culturally sensitive instruments at community events
B) ​culturally competent staff who speak the language of the client
C) ​use of Narrative therapy as an intervention
D) ​use of Motivational interviewing as an intervention

Question 21

Data from school surveys indicate that drug use is higher among Asian youth than among other adolescent groups.

Question 22

The concept of culture

A) ​is not difficult to define
B) ​refers to learned values,behaviors,and beliefs that are shared by other group members
C) ​does not impact our beliefs about the use of alcohol,drugs,and gambling
D) ​is never a barrier to receiving professional help with addiction problems

Question 23

A skill that is not particularly helpful for counselors in developing culturally sensitive practice is:

A) ​networking
B) ​advocacy
C) ​confrontation
D) ​building rapport

Question 24

"The myth of the 'model minority'" is a term applied to Native Hawaiians.

Question 25

The "immigrant paradox" is when foreign-born immigrant family members are found to have few problems than their U.S.born children who are moving toward acculturation.

Question 26

The incidence of problem gambling is higher in

A) ​people of low socioeconomic status
B) ​whites than among racial and ethnic minorities
C) ​rural rather than urban residents
D) ​southern states than among northern states

Question 27

An intervention approach,if it is truly effective,will work well universally.

Question 28

Gambling in the U.S.expanded rapidly since

A) ​the Supreme Court ruling of 1975
B) ​the passage of the 1988 Indian Gaming Regulatory Act
C) ​the development of electronic Keno games
D) ​the Great Lakes vs.Prescott case was decided

Question 29

Most drug and alcohol treatment programs for Hispanic clients employ cultural responsiveness in their programming.