Chapter 18: Culturally Responsive Strengths-Based Therapy for Immigrants and Refugees

Test Bank

Multiple Choice

1. A(n) ______ is a person outside one’s country of nationality who is unable or unwilling to return to their country because of persecution or well-founded fear of persecution.

A. migrant

B. refugee

C. asylee

D. nationalist

Learning Objective: 18-1: Recall demographics and population statistics of immigrants, refugees, and asylees.

Cognitive Domain: Comprehension

Answer Location: Refugee, Asylee, and Immigrant: Some Working Definitions

Difficulty Level: Medium

2. A(n) ______ is a person who meets the definition of refugee and is already present in the United States or seeking admission at a port of entry.

A. migrant

B. asylee

C. nationalist

D. alien

Learning Objective: 18-1: Recall demographics and population statistics of immigrants, refugees, and asylees.

Cognitive Domain: Comprehension

Answer Location: Refugee, Asylee, and Immigrant: Some Working Definitions

Difficulty Level: Medium

3. What is the difference between immigrants and refugees?

A. Immigrants made a location change voluntarily; refugees made a location change to escape persecution, terror, or other life-threatening situation.

B. Refugees made a location change voluntarily; immigrants made a location change to escape persecution, terror, or other life-threatening situation.

C. Immigrants are able to remain in the United States without going through immigration procedures, refugees are not.

D. Refugees are able to remain in the United States without going through immigration procedures, immigrants are not.

Learning Objective: 18-1: Recall demographics and population statistics of immigrants, refugees, and asylees.

Cognitive Domain: Analysis

Answer Location: Refugee, Asylee, and Immigrant: Some Working Definitions

Difficulty Level: Hard

4. What mental health disorder is important to assess, given immigrants and refugees’ possible chronic exposure to stress?

A. generalized anxiety disorder

B. post-traumatic stress disorder

C. depression

D. acute stress disorder

Learning Objective: 18-4: Understand the mental health issues specific to immigrants and refugees.

Cognitive Domain: Comprehension

Answer Location: Mental Health Issues of Immigrants and Refugees

Difficulty Level: Easy

5. All of the following are types of forced migration except ______.

A. politically induced displacement

B. disaster-induced displacement

C. conflict-induced displacement

D. development-induced displacement

Learning Objective: 18-1: Recall demographics and population statistics of immigrants, refugees, and asylees.

Cognitive Domain: Comprehension

Answer Location: The Forces of Migration

Difficulty Level: Medium

6. Which of the following is not one of the stages of the migration process?

A. premigration

B. migration

C. postmigration

D. post-citizenship

Learning Objective: 18-1: Recall demographics and population statistics of immigrants, refugees, and asylees.

Cognitive Domain: Comprehension

Answer Location: Refugee, Asylee, and Immigrant: Some Working Definitions

Difficulty Level: Easy

7. Cultural bereavement is likely to be reduced if the immigrant or refugee ______.

A. slowly assimilates into the new country

B. is able to maintain ties to the culture of origin

C. has strong social networks in the new country

D. quickly assimilates into the new culture

Learning Objective: 18-4: Understand the mental health issues specific to immigrants and refugees.

Cognitive Domain: Comprehension

Answer Location: Cultural Bereavement: Migrants and Refugees

Difficulty Level: Medium

8. Stress during what part of the migration process could have far-reaching health effects?

A. premigration

B. migration

C. postmigration

D. post-citizenship

Learning Objective: 18-4: Understand the mental health issues specific to immigrants and refugees.

Cognitive Domain: Analysis

Answer Location: Mental Health Issues and Pre- and Postmigration

Difficulty Level: Hard

9. What is the Triple Trauma Paradigm?

A. describes the three phases of traumatic stress that apply to torture survivors

B. the model of the migration process for trauma survivors

C. the pathway to U.S. citizenship for immigrants

D. mental health treatment for refugees and immigrants who have experienced torture

Learning Objective: 18-5: Examine the Triple Trauma Paradigm for working with immigrants and refugees.

Cognitive Domain: Knowledge

Answer Location: The Refugee/Asylee Experience: The Triple Paradigm

Difficulty Level: Medium

10. What skill is particularly important for counselors who work with refugees and immigrants?

A. cultural humility

B. empathy

C. knowledge of trauma and citizenship

D. trustworthiness

Learning Objective: 18-6: Become familiar with counseling and therapy models for working with refugees and immigrants.

Cognitive Domain: Knowledge

Answer Location: Cultural Humility and Clinical Practice With Refugees and Immigrants

Difficulty Level: Easy

11. ______ is when a mental health practitioner begins to feel the effects of being exposed to trauma indirectly through others.

A. Primary trauma

B. Secondary trauma

C. Cultural burden

D. Emotional toll

Learning Objective: 18-6: Become familiar with counseling and therapy models for working with refugees and immigrants.

Cognitive Domain: Comprehension

Answer Location: Secondary Trauma for Mental Health Therapists and Counselors

Difficulty Level: Easy

True/False

1. The term ‘illegal immigrant’ is a legal term meaning that a person moved from their country of origin to another country and did not go through the established immigration procedures.

Learning Objective: 18-1: Recall demographics and population statistics of immigrants, refugees, and asylees.

Cognitive Domain: Comprehension

Answer Location: Refugee, Asylee, and Immigrant: Some Working Definitions

Difficulty Level: Easy

2. Immigrants are disproportionately represented in both high-skilled and lower-skilled jobs.

Learning Objective: 18-3: Recognize immigrants and refugees as contributing members of American society.

Cognitive Domain: Knowledge

Answer Location: Immigrants as Contributing Members of American Society

Difficulty Level: Medium

3. Compared to other marginalized groups, undocumented immigrants are rarely targets of physical and emotional harassment or prejudiced practices.

Learning Objective: 18-2: Analyze stereotypes, microaggressions, and hate crimes against immigrants, refugees, and asylees.

Cognitive Domain: Analysis

Answer Location: Microaggressions, Hate Crimes, and Discrimination Against Immigrants and Refugees

Difficulty Level: Medium

4. Cultural humility denotes a willingness to accurately assess oneself, assess one’s limitations, and acknowledges that it is impossible to adequately be knowledgeable about cultures other than one’s own.

Learning Objective: 18-6: Become familiar with counseling and therapy models for working with refugees and immigrants.

Cognitive Domain: Knowledge

Answer Location: Cultural Humility and Clinical Practice With Refugees and Immigrants

Difficulty Level: Medium

Short Answer

1. List at least three important considerations that clinicians need to think about when working with immigrants, migrants, and/or refugees.

Learning Objective: 18-4: Understand the mental health issues specific to immigrants and refugees.

Cognitive Domain: Analysis

Answer Location: Mental Health Issues of Immigrants and Refugees

Difficulty Level: Medium

2. What is acculturative stress, what factors contribute to acculturative stress, and how does it affect one’s mental health?

Learning Objective: 18-4: Understand the mental health issues specific to immigrants and refugees.

Cognitive Domain: Analysis

Answer Location: Acculturative Stress: A Postmigration Mental Health Issue

Difficulty Level: Hard

3. Describe the Triple Trauma Paradigm.

Learning Objective: 18-5: Examine the Triple Trauma Paradigm for working with immigrants and refugees.

Cognitive Domain: Comprehension

Answer Location: The Refugee/Asylee Experience: The Triple Paradigm

Difficulty Level: Hard

4. List the skills that are designed a mental health practitioner can use to explore trauma and loss while identifying culturally appropriate methods to help the client heal.

Learning Objective: 18-6: Become familiar with counseling and therapy models for working with refugees and immigrants.

Cognitive Domain: Comprehension

Answer Location: Culturally Responsive Strengths-Based Skills With Immigrants and Refugees

Difficulty Level: Hard