Chapter 7: Culturally Responsive Case Conceptualization and Treatment Planning

Test Bank

Multiple Choice

1. A counselor’s case conceptualization for clients is influenced by two distinct areas. Those areas are ______.

A. personal and professional worldviews

B. personal worldview and theoretical perspectives

C. diversity of the counselor and diversity of the client

D. type of training received and openness to different cultures

Learning Objective: 7-1: Explain the process of case conceptualization for working with culturally diverse clients and recognize how cultural factors may impact case conceptualization.

Cognitive Domain: Knowledge

Answer Location: Introduction

Difficulty Level: Medium

2. Why do counselors need a systematic way of incorporating culture into the therapy relationship?

A. because culture plays a significant role in assessment

B. because culture is the primary force in the creation of a person’s identity

C. because culture is the only force in the creation of a person’s identity

D. because culture plays a significant role in treatment

Learning Objective: 7-1: Explain the process of case conceptualization for working with culturally diverse clients and recognize how cultural factors may impact case conceptualization.

Cognitive Domain: Comprehension

Answer Location: Introduction

Difficulty Level: Medium

3. All of the following are key findings from the 2001 U.S. Surgeon General report on the mental health status of racial/ethnic minorities, EXCEPT ______.

A. a clinician’s cultural competency in service delivery is crucial to the well-being of people of color

B. mental health needs for people of color often go unmet

C. understanding cultural and sociopolitical factors for people of color are strongly needed

D. people of color are more likely to seek treatment but it is less likely to be effective

Learning Objective: 7-2: Identify cultural bias and cultural disparities in mental health service delivery systems, including the overdiagnosis of people of color.

Cognitive Domain: Analysis

Answer Location: Cultural Bias and Disparities in Mental Health Service Delivery Systems

Difficulty Level: Hard

4. According to the textbook, what is the best structure for integrating multicultural concepts into case conceptualization?

A. Cultural Formulation Interview (CFI)

B. culturally competence unstructured interview

C. listening for client stories

D. rating scales

Learning Objective: 7-4: Apply the Cultural Formulation Interview for case conceptualization in working with culturally diverse clients.

Cognitive Domain: Knowledge

Answer Location: Culturally Responsive Case Conceptualization

Difficulty Level: Easy

5. What is one of the major advantages of using the Cultural Formulation Interview with culturally diverse clients?

A. It does not require a client to be diagnosed.

B. It promotes individualized assessment.

C. It promotes individualized treatment.

D. It is a norm-referenced, quantitative assessment tool.

Learning Objective: 7-4: Apply the Cultural Formulation Interview for case conceptualization in working with culturally diverse clients.

Cognitive Domain: Knowledge

Answer Location: Advantages of Using the CFI in Case Conceptualization

Difficulty Level: Medium

6. Clinicians should assess two parts of a client’s migration history. These two parts include ______.

A. pre-migration and post-migration

B. post-migration and current functioning

C. pre-migration and immigration journey

D. immigration journey and current functioning

Learning Objective: 7-3: Implement the components of the Cultural Formulation Interview, including assessment of (1) cultural identity, (2) cultural explanations of the illness, (3) cultural factors related to the psychosocial environment and levels of functioning, (4) cultural elements of the clinician–patient relationship, and (5) the overall impact of culture on diagnosis and care.

Cognitive Domain: Knowledge

Answer Location: Using the CFI to Reveal Clients’ Immigration History

Difficulty Level: Medium

7. A clinician who is assessing the client’s way of expressing and perceiving their illness is engaged in what component of the Cultural Formulation Interview?

A. assessing cultural identity

B. cultural explanation of the illness

C. cultural factors related to psychosocial environment

D. overall impact of culture on diagnosis and care

Learning Objective: 7-3: Implement the components of the Cultural Formulation Interview, including assessment of (1) cultural identity, (2) cultural explanations of the illness, (3) cultural factors related to the psychosocial environment and levels of functioning, (4) cultural elements of the clinician–patient relationship, and (5) the overall impact of culture on diagnosis and care.

Cognitive Domain: Knowledge

Answer Location: Cultural Explanations of the Individual’s Illness

Difficulty Level: Easy

8. ______ is when a therapist who is from the same racial or ethnic group overidentify with a client beyond that which would be healthy.

A. Ethnocultural transference

B. Ethnocultural countertransference

C. Cultural compassion

D. Cultural dissonance

Learning Objective: 7-3: Implement the components of the Cultural Formulation Interview, including assessment of (1) cultural identity, (2) cultural explanations of the illness, (3) cultural factors related to the psychosocial environment and levels of functioning, (4) cultural elements of the clinician–patient relationship, and (5) the overall impact of culture on diagnosis and care.

Cognitive Domain: Comprehension

Answer Location: Cultural Issues in the Counseling Relationship: Ethnocultural Transference and Countertransference

Difficulty Level: Medium

9. ______ is when a clinician goes from overcompensation to exaggerated friendliness and suspicion with concealed hostility.

A. Ethnocultural transference

B. Ethnocultural countertransference

C. Cultural compassion

D. Cultural dissonance

Learning Objective: 7-3: Implement the components of the Cultural Formulation Interview, including assessment of (1) cultural identity, (2) cultural explanations of the illness, (3) cultural factors related to the psychosocial environment and levels of functioning, (4) cultural elements of the clinician–patient relationship, and (5) the overall impact of culture on diagnosis and care.

Cognitive Domain: Comprehension

Answer Location: Cultural Issues in the Counseling Relationship: Ethnocultural Transference and Countertransference

Difficulty Level: Medium

10. Which of the following is a strengths-based technique that allows the client to record a specific strength they used every day to handle life issues?

A. strengths journal

B. strengths card

C. strengths memories

D. strengths charts

Learning Objective: 7-6: Utilize culturally responsive strengths-based treatment counseling techniques, such as developing a strengths journal and strengths cards.

Cognitive Domain: Comprehension

Answer Location: Strengths Journal

Difficulty Level: Easy

True/False

1. Mental health disorders among people in most ethnic minority groups are experienced at higher rates, compared to Caucasians.

Learning Objective: 7-2: Identify cultural bias and cultural disparities in mental health service delivery systems, including the overdiagnosis of people of color.

Cognitive Domain: Knowledge

Answer Location: Cultural Bias and Disparities in Mental Health Service Delivery Systems

Difficulty Level: Hard

2. A clinical diagnosis from the DSM-5 is an expression of culture.

Learning Objective: 7-2: Identify cultural bias and cultural disparities in mental health service delivery systems, including the overdiagnosis of people of color.

Cognitive Domain: Knowledge

Answer Location: Case Conceptualization, Diagnosis, and the Revisions in the DSM-5

Difficulty Level: Easy

3. From a strengths-based model, the purpose of a treatment plan is designed to motivate the individual or family to change.

Learning Objective: 7-5: Apply strengths-based case conceptualization and strengths-based treatment plans for treating culturally diverse clients.

Cognitive Domain: Knowledge

Answer Location: Strengths-Based Treatment Plans

Difficulty Level: Medium

Short Answer

1. Briefly describe consequences of clinician bias toward clients.

Learning Objective: 7-2: Identify cultural bias and cultural disparities in mental health service delivery systems, including the overdiagnosis of people of color.

Cognitive Domain: Analysis

Answer Location: What Happens When Clinicians Are Biased Against Their Clients?

Difficulty Level: Hard

2. What is case conceptualization?

Learning Objective: 7-1: Explain the process of case conceptualization for working with culturally diverse clients and recognize how cultural factors may impact case conceptualization.

Cognitive Domain: Comprehension

Answer Location: Case Conceptualization: Some General Elements

Difficulty Level: Medium

3. List the four components of a conceptualization model from a strengths-based therapy perspective.

Learning Objective: 7-5: Apply strengths-based case conceptualization and strengths-based treatment plans for treating culturally diverse clients.

Cognitive Domain: Comprehension

Answer Location: Strengths-Based Case Conceptualization

Difficulty Level: Hard