Test Bank

Chapter 26: Mental Health Promotion among African Americans (Krystal Hays and Karen Lincoln)

Multiple Choice

1. Which U.S. ethnic group has the lowest rates of mental disorders?

a. Latino

b. Caucasian

c. Native Americans

*d. African Americans

Cognitive Domain: Knowledge

Answer Location: Introduction
Question Type: MC

2. What national campaign focused on promoting discussions on mental illness among African Americans?

a. Healing Discussions

b. Promoting Knowledge

*c. Stories that Heal

d. I Am Different Campaign

Cognitive Domain:Knowledge

Answer Location:Macro Level Prevention Efforts
Question Type: MC

3. What is a negative effect of the lack of interventions for African Americans?

a. High comorbidity

*b. Education

c. Increased risk ratio

d.Healthy relationships

Cognitive Domain:Knowledge

Answer Location:Mental Health among African Americans
Question Type: MC

4. What was the target age range for the national campaign that shared stories about African Americans with mental illness?

a. 12–18

*b. 18–25

c. 25–40

d. 60+

CognitiveDomain: Knowledge

Answer Location:Macro Level Prevention Efforts
Question Type: MC

5. What year was the California Mental Heath Services Act enacted that enabled the creation of a culturally competent mental health system?

a. 2010

*b. 2004

c. 2000

d. 2009

Cognitive Domain:Comprehension

Answer Location: Mezzo Level Prevention Efforts
Question Type: MC

6. What is regular monitoring of clinician biases and cultural sensitivity?

*a. Clinical reflexivity

b. Cultural competence

c. Practice wisdom

d. Practice reflection

Cognitive Domain:Comprehension

Answer Location: Culturally Adapted Clinical Interventions: Clinical Assessment
Question Type: MC

7. What is one culturally adapted clinical intervention used with African Americans?

a. Cultural competence

b. Psychoeducation

c. Radio shows

*d.Location of services within client’s community

Cognitive Domain:Comprehension

Answer Location:Culturally Adapted Clinical Interventions: Clinical Assessment Cont’d
Question Type: MC

8. What is an employment practice that promotes positive mental health for African Americans?

a. Offering more overtime

*b. Lowering workload

c. Hosting family programs

d. Increasingwages

Cognitive Domain:Knowledge

Answer Location: Macro Level Implications
Question Type: MC

9. What is the focus of macro-level implications for African Americans ?

*a. Policy and advocacy

b. Political underpinnings

c. Disparities

d. Psychoeducation

Cognitive Domain:Comprehension

Answer Location:Macro Level Implications
Question Type: MC

True/False

1. Despite availability of treatment, less than half of persons who meet the criteria for mental disorders receive any treatment.

*a. True

b. False

Cognitive Domain:Knowledge or Comprehension

Answer Location:Introduction
Question Type: TF

2. The difference between need and service utilization has equalized in the United States for African Americans.

a. True

*b. False

Cognitive Domain: Knowledge or Comprehension

Answer Location:Introduction
Question Type: TF

3. Education, employment, and housing opportunities are reduced for African Americans because of lack of mental health interventions.

*a. True

b. False

Cognitive Domain:Comprehension

Answer Location:Mental Health among African Americans
Question Type: TF

4. Risk ratios for African Americans and non-Hispanic whites are the same.

*a. True

b. False

Cognitive Domain:Knowledge

Answer Location: Mental Health among African Americans
Question Type: TF

5. African Americans have high rates of chronic health conditions, and this increases their risk for mental disorders.

*a. True

b. False

Cognitive Domain:Knowledge

Answer Location:Mental Health among African Americans

Question Type: TF

6. Persistence of mental disorders may be more chronic for non-Hispanic whites than African Americans.

a. True

*b. False

Cognitive Domain:Comprehension

Answer Location:Prevalence of Mental Disorders among African Americans
Question Type: TF

7. African Americans and Caribbean Blacks share similar risk profiles for major depressive disorders.

*a. True

b. False

Cognitive Domain:Knowledge

Answer Location:Prevalence of Mental Disorders among African Americans
Question Type: TF

8. African Americans are less likely than non-Hispanic whites to receive optimal treatment for mental disorders.

*a. True

b. False

Cognitive Domain:Comprehension

Answer Location:Prevalence of Mental Disorders among African Americans
Question Type: TF

9. There is little need for additional research to understand the mental health conditions experienced by African Americans.

a. True

*b. False

Cognitive Domain: Knowledge

Answer Location:Mental Health Disparities
Question Type: TF

10. Current services for African Americans do not infuse models aimed at addressing mental health disparities in delivery of services.

*a. True

b. False

Cognitive Domain: Comprehension

Answer Location:Mental Health Disparities
Question Type: TF

Short Answer

Type: S

1. What are three aspects that are overemphasized in examining mental health disparities for African Americans?

*a. The three aspects that are considered to be overemphasized for African Americans when examining mental health disparities are 1) personal rumination, 2) linguistics, and 3) idiomatic expressions of distress.

Cognitive Domain:Comprehension

Answer Location:Mental Health Disparities
Question Type: SA

Type: S

2. What were the two purposes of the California Mental Health Services Act?

*a. The two purposes of the California Mental Health Services Act were 1) to enable the creation of a culturally competent mental health care system and 2) to enhance access of mental health services for racial/ethnic minorities.

Cognitive Domain:Knowledge

Answer Location:Mezzo Level Prevention Efforts
Question Type: SA

Essay

Type: E

1. Identify and describe two efforts used at the micro level to affect change for African Americans and mental health.

*a. Many interventions are used at the micro/individual level for African Americans, but the ones that seem to have the most impact are those where informal sources such as family, friends, and church members are actively engaged. Others efforts involve the use of primary care clinics rather than stigmatized mental health clinics for individual care.One tool effective in this process is the problem-solving treatment model. This model focuses on the individual with emphasis on skill building and deepening of awareness.

Cognitive Domain:Comprehension

Answer Location:Micro Level Prevention Efforts
Question Type: ESS

Type: E

2. Describe why the promotion of mental health is important in the African American community and what a comprehensive model would entail.

*a. When there are large disparities and limited access to care or persons choosing not to access care for various reasons, there is a public health responsibility to educate and encourage prevention before there is a burden to the individual, the family, and society. Therefore, mental health promotion is very important to African Americans who are an underserved ethnic group. Comprehensive mental health promotion should follow a model that 1) moves beyond mental illness to health and well-being, 2) uses community and cultural strengths, and 3) collaborates between mental health professionals and trusted community resources. This type of mental health promotion will inevitably help reduce disparities and promote efforts focused on structural factors such as discrimination and poverty.

Cognitive Domain:Application

Answer Location:Mental Health Promotion
Question Type: ESS