Ch.23 Test Bank Docx Drug, Alcohol, Health Promotion Draguns

Chapter 23. Drug and Alcohol Abuse and Health Promotion in Cross-Cultural Counseling

1. _____________ occurs when the individual maintains his or her cultural identity.

a. Integration or biculturalism

b. Assimilation

c. Separation

d. Marginalization

Cognitive domain: Analysis

Answer location: Acculturation Status Assessment

Question type: MC

2. The “model minority” is a stereotype label used on

a. Asian Americans

b. Latino/a Americans

c. Arab Americans

d. African Americans

Cognitive domain: Knowledge

Answer location: Asian Americans

Question type: MC

3. The less assimilated members of many ___________ subgroups are heavy cigarette smokers.

a. Asian American

b. Latino/a American

c. Arab American

d. African American

Cognitive domain: Knowledge

Answer location: Asian Americans

Question type: MC

4. _____________ occurs when the individual maintains his or her original culture and seeks also to participate in the more dominant cultural network.

a. Integration or biculturalism

b. Assimilation

c. Separation

d. Marginalization

Cognitive domain: Analysis

Answer location: Acculturation Status Assessment

Question type: MC

5. Potential assets for ________clients in substance abuse counseling include the values of respeto, deference to elders and others of higher social ranking.

a. Asian American

b. Latino/a American

c. Arab American

d. African American

Cognitive domain: Knowledge

Answer location: Latino/as

Question type: MC

6. Blending culturally relevant traditional healing practices with more conventional treatment approaches may be beneficial for

a. Alaska Natives only

b. American Indians only

c. Cherokee Indians only

d. All ethnocultural clients

Cognitive domain: Knowledge

Answer location: Cultural Factors in Substance Abuse Counseling

Question type: MC

7. ___________ assessments of acculturation are appropriate for use with clients from most ethnocultural groups.

a. Strengths-based

b. Structured

c. Deficit-based

d. Cognitive-based

Cognitive domain: Application

Answer location: Cultural Factors in Substance Abuse Counseling

Question type: MC

8. _____________occurs when the person has little interest in cultural maintenance or participation in the dominant culture.

a. Integration or biculturalism

b. Assimilation

c. Separation

d. Marginalization

Cognitive domain: Analysis

Answer location: Acculturation Status Assessment

Question type: MC

9. _________ prefer to combine and integrate Western and indigenous approaches.

a. Latino/as

b. Asian Americans

c. American Indians and Alaska Natives

d. African Americans

Cognitive domain: Knowledge

Answer location: Motivational Enhancement Therapy

Question type: MC

10. American Indian and Alaska Natives clients often desire a

a. Non-directive approach

b. Practical, problem-solving approach

c. Somatic-based approach

d. Rogerian approach

Cognitive domain: Knowledge

Answer location: Motivational Enhancement Therapy

Question type: MC

11. ____________occurs when the individual no longer wishes, or is able, to maintain his or her cultural identity but rather adopts that of the majority culture.

a. Integration or biculturalism

b. Assimilation

c. Separation

d. Marginalization

Cognitive domain: Analysis

Answer location: Acculturation Status Assessment

Question type: MC

12. ____________ are useful in assisting clients in identifying important family relationships as well as patterns of substance abuse within kinship networks.

a. Asset maps

b. Genograms

c. Graphs

d. History charts

Cognitive domain: Application

Answer location: Cultural Assessment of Use and Consequences

Question type: MC

13. _______________ allows the client to share local expertise and knowledge about issues as well as solutions that the counselor may not have access to.

a. Collaborative assessment

b. Cross-cultural assessment

c. Structured assessment

d. Non-structured assessment

Cognitive domain: Application

Answer location: A Collaborative Approach

Question type: MC

14. ___________ is a process that requires humility as individuals continually engage in self-reflection and self-critique as lifelong learners and reflective practitioners.

a. Cultural competence

b. Cultural humility

c. Cultural sensitivity

d. Cultural proficiency

Cognitive domain: Analysis

Answer location: Multicultural Substance Abuse Assessment

Question type: MC

15. ___________substance abuse assessment identifies cultural factors that are important to a positive counseling outcome.

a. Multicultural

b. Traditional

c. Multifaceted

d. Historical

Cognitive domain: Comprehension

Answer location: Multicultural Substance Abuse Assessment

Question type: MC

16. Situating the client and his or her community in their current and historical sociopolitical context is

a. Critical

b. Advisable

c. Unnecessary

d. Superfluous

Cognitive domain: Application

Answer location: Sociopolitical Context

Question type: MC

17. More than __________ American Indian and Alaska Native tribes are recognized by the federal government.

a. 565

b. 623

c. 689

d. 725

Cognitive domain: Knowledge

Answer location: Sociopolitical Context

Question type: MC

18. The ____________ between client and counselor is critical for a sense of comfort and for the client’s development of trust that he or she will be understood.

a. Vertical rhythm

b. Interactional rhythm

c. Interpersonal rhythm

d. Multicultural rhythm

Cognitive domain: Comprehension

Answer location: Sociolinguistics

Question type: MC

19. Understanding the client’s experience is essential for developing a

a. Therapeutic alliance

b. Sympathy

c. Self-awareness

d. Skills

Cognitive domain: Application

Answer location: Linguistics

Question type: MC

20. Recognition of __________ is critical to the counselor’s ability to understand the person he or she is working with in the counseling relationship.

a. Linguistic differences

b. Theoretical differences

c. Educational differences

d. Practical differences

Cognitive domain: Application

Answer location: Linguistic

Question type: MC

21. Nonverbal expressions can serve as a source of data that allows the counselor to make assessments about the client and how counseling is progressing.

a. True

b. False

Cognitive domain: Knowledge

Answer location: Sociolinguistics

Question type: TF

22. Values are insignificant aspects of culture.

a. True

b. False

Cognitive domain: Comprehension

Answer location: Values

Question type: TF

23. Culture is a shared meaning system, one that regulates the web of behavior.

a. True

b. False

Cognitive domain: Comprehension

Answer location: Cultural Frames for Alcohol and Drug Abuse Counseling: A Point of Departure

Question type: TF

24. Substance abuse assessment is most effective when practiced using models that systematically bring cultural knowledge into the assessment process.

a. True

b. False

Cognitive domain: Knowledge

Answer location: Multicultural Substance Abuse Assessment

Question type: TF

25. One goal of a collaborative assessment approach is empowerment of the individual through the assessment process.

a. True

b. False

Cognitive domain: Comprehension

Answer location: A Collaborative Approach

Question type: TF

26. In some American Indian and Alaska Native groups, drinking style is often characterized by binge use followed by long periods of abstention.

a. True

b. False

Cognitive domain: Comprehension

Answer location: Cultural Assessment of Use and Consequences

Question type: TF

27. Surveys suggest that drug use prevalence rates are decreasing for younger African Americans.

a. True

b. False

Cognitive domain: Knowledge

Answer location: African Americans

Question type: TF

28. Motivational enhancement therapy (MET) has been found to be less effective than 12-step facilitation with alcohol-dependent American Indians.

a. True

b. False

Cognitive domain: Knowledge

Answer location: Motivational Enhancement Therapy

Question type: TF

29. Motivational enhancement therapy (MET) has been found to be more effective than cognitive behavioral therapies with alcohol-dependent American Indians.

a. True

b. False

Cognitive domain: Knowledge

Answer location: Motivational Enhancement Therapy

Question type: TF

30. An assessment of psychocultural factors is the least important area for multicultural substance abuse treatment and recovery planning.

a. True

b. False

Cognitive domain: Application

Answer location: Strengths-Based Assessment

Question type: TF

31. Define the term collateral assessment.

a. A collateral is someone who can provide an additional perspective on the issues that the client is facing as well as the strengths and resources available to support recovery. The collateral can be a significant other, a relative, or a concerned friend.

Cognitive domain: Comprehension.

Answer location: Collateral Assessment

Question type: SA

32. List and discuss two guiding principles for cross-cultural drug and alcohol abuse counseling.

a. (1) Determine acculturation status and link substance abuse assessment to the personal and community cultural contexts, (2) understand the cultural norms, (3) explore cultural understandings of the role of spirituality in recovery, (4) Work within the cultural, sociolinguistic, and social interactional framework in counseling and the client’s explanatory models, (5) recognize that comorbidity with psychological disorders is the norm in substance abuse disorders

Cognitive domain: Comprehension

Answer location: Summary: Cultural Factors in Multicultural Substance Abuse Counseling

Question type: SA

33. How might genograms be used in the process of assessment?

a. Genograms may be useful in assisting clients in identifying important family relationships as well as patterns of substance abuse within kinship networks. From a strengths-based perspective, genograms may also highlight patterns of wellness, sobriety, and health in kinship networks.

Cognitive domain: Application

Answer location: Cultural Assessment of Use and Consequences

Question type: SA