Improving Cultural Competence
1)

In 1989, Cross et al. defined Cultural Competence as
 
The arts and other manifestations of human intellectual achievement regarded collectively. A set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enable the system, agency, or professionals to work effectively in cross-cultural situations Customs, arts, social institutions, and achievements of a particular nation, people, or other social group. the social behavior and norms found in human societies
 
2)

Why is Cultural Competence Important? 
 
It provides clients with more opportunities to access services that reflect a cultural perspective on and alternative, culturally congruent approaches to their presenting problems. Just to be part of a trend Just for the sake of it Just to have something to learn
 
3)

The lack of cultural knowledge among providers, culturally responsive environments, and diversity in the workforce contribute to
 
PTSD Depression Disparities in Healthcare Trauma
 
4)

Cultural Competence requires counselor 
 
understanding of the client’s worldview and the interactions between that worldview and the cultural identities of the counselor and the client in the therapeutic process. The understanding of social construct that describes people with shared physical characteristics. The understanding of organizational policies and procedures, increases in program accessibility and tailored treatment services, or enhancement of staff training. Understanding of particular type of health difference closely linked with social, economic, and/or environmental disadvantage.
 
5)

The importance and benefit of cultural competence ENDS with changes in organizational policies and procedures, increases in program accessibility and tailored treatment services, or enhancement of staff training.
 
True False
 
6)

Culture is defined as
 
Norms Group of people A community or society that structure the way people view the world which involves particular set of beliefs, norms, and values concerning the nature of relationships, the way people live their lives, and the way people organize their environments. Way of living
 
7)

Race is known as
 
A social construct that describes people with shared physical characteristics. Skin color Way of Living Traditions
 
8)

Ethnicity is known as
 
The social identity and mutual sense of belonging that defines a group of people through common historical or family origins, beliefs, and standards of behavior (i.e., culture). Race Collective norm of a society The tradition of a community
 
9)

Cultural Identity is defined as
 
The collective norm of the community The shared tradition of the community Individual’s affiliation or identification with a particular group or groups Particular type of health difference closely linked with social, economic, and/or environmental disadvantage.
 
10)

The factors that are likely vary among members of the same culture are
 
Socioeconomic status and education Geographic Location and tradition Occupation status and sexuality Socioeconomic status, geographic location, gender, education level, occupational status, sexuality, and political and religious affiliation
 
11)

Language is a key element of culture, but speaking the same language does mean that people share the same cultural beliefs.
 
True False
 
12)

According to (Hernandez 2005; Juang et al. 2012; Lee and Mock 2005a).,the process of acculturation, can significantly affect family roles and dynamics among immigrant families, causing the dissolution of longstanding cultural hierarchies and traditions within the family and resulting in conflict between spouses or different generations of the family 
 
True False
 
13)

According to National Institutes of Health (NIH; 2012, Overview, p. 1), Health Disparities is defined as
 
The lack of education of people Differences in the incidence, prevalence, morbidity, and burden of diseases and other adverse health conditions that exist among specific population groups. The historical inequalities Quality care provided to people
 
14)

Immigrants who are refugees from war, famine, oppression, and other dangerous environments are
 
Less vulnerable to psychological distress More vulnerable to psychological distress Not vulnerable to psychological distress Maybe vulnerable to psychological distress
 
15)

Acculturation is known as 
 
Mutual sense of belonging that defines a group of people through common historical or family origins, beliefs, and standards of behavior An example of Health Disparities The process whereby an individual from one cultural group learns and adopts elements of another cultural group, integrating them into his or her original culture. The dissolution of longstanding cultural hierarchies and traditions within the family and resulting in conflict between spouses or different generations of the family
 
16)

Assimilation is defined as 
 
One outcome of acculturation Collective norm of the community Traditions of the community Collective psychological distress
 
17)

Biculturalism occurs when an individual acquires
 
The language of the community The shared traditions of the community The collective norm of the community The knowledge, skills, and identity of both his or her culture of origin and the mainstream/majority culture and is equally (or nearly equally) capable of social and cultural interaction in both societies.
 
18)

According to Alegria et al. 2006; Grant et al. 2004a; Grant et al. 2004b; Vega et al. 2004, it was found that acculturation or factors related to acculturation are associated with
 
Increased alcohol and drug use and with higher rates of substance use disorders among White, Asian, and Latino immigrants Decreased alcohol and drug use and with lower rates of substance use disorders among White, Asian, and Latino immigrants No effect to the alcohol and drug use and with lower rates of substance use disorders among White, Asian, and Latino immigrants Less conflict within families
 
19)

According to Amaro and Aguiar 1995, other factors that can contribute to increased substance use among more acculturated clients include
 
PTSD Trauma Changes in traditional gender roles, exposure to socially and physically challenging inner-city environments, and employment outside the home (often a role-transforming change that can contribute to increased risk of alcohol dependence). Substance Abuse
 
20)

According to Helms 1990, p. 3, Racial identity refers to
 
A sense of group or collective identity based on one’s perception that he or she shares a common heritage with a particular racial group Traditional gender roles, exposure to socially and physically challenging inner-city environments Dissolution of longstanding cultural hierarchies and traditions Understanding of particular type of health difference closely linked with social, economic, and/or environmental disadvantage.
 
21)

There are two common Racial and Cultural Identity Development processes and these are
 
Process & Development Model Cultural & Racial Model PTSD and OCD R/CID Model and WRID Model
 
22)

According to Bigby and American College of Physicians 2003; Campinha-Bacote et al. 2005, the Mnemonic RESPECT means
 
Respect, Explain, Society, Power, Expectations, Concern, and Trust Reinforce, Eccentric, Sedentary, Pleasant, Educations, Context, and Time Response, Empathy, Status, Passionate, Education, Casual, and Tender Respect, Explanatory Model, Sociocultural Context, Power, Empathy, and Concerns and fears, and Therapeutic alliance/Trust
 
23)

According to Berlin and Fowkes 1983; Dreachslin et al. 2013; Ring 2008, the meaning of LEARN mnemonic is 
 
Listen, Explain, Acknowledge, Recommend, and Negotiate Learn, Education, Assess, Replay, and Negotiate Listen, Education, Assume, Recommend, and Negotiate Learn, Educate, Assign, Recommend, and Negotiate
 
24)

WHO and NIH identified factors that appeared to be universal aspects of mental and substance use disorders and then developed instruments to measure them. These instruments are known as
 
R/CID Model and WRID Model Process & Development Model Cultural & Racial Model Composite International Diagnostic Interview (CIDI) and the Schedules for Clinical Assessment in Neuropsychiatry (SCAN)
 
25)

There are several Stages of Change from Prochaska and DiClemente’s (1984) classic transtheoretical model of change that are applicable to culturally diverse population. These are:
 
Precontemplation, Contemplation, Preparation, Action, and Maintenance Denial, Anger, Bargaining, Depression, and Acceptance Contemplation, Withdrawal, Action, Maintenance, Relapse Relapse, Maintenance, Action, Contemplation, and Preparation
 
26)

Miller and Rollnick (2002) developed a therapeutic style called motivational interviewing, which is characterized by
 
Self-pity, PTSD, and Depression Therapeutic activities of expressing empathy, developing discrepancy, avoiding argument, rolling with resistance, and supporting self-efficacy. Pessimism, Bipolar, and OCD PTSD, Self-reliance, and Bipolar
 
27)

The requirements for an Organizational Cultural Competence  Competence according to Goode 2001 are
 
Defined set of values and principles, behaviors, attitudes, policies, and structures that enable effective work across cultures. Organization must value diversity, conduct self-assessment, manage the dynamics of difference, acquire and institutionalize cu Language Coordinator and Licensed interpreter Licensed to operate Social License
 
28)

A formal strategic planning meeting should be held to determine
 
Vision Mission Specific goals, objectives, and tasks that will ensure quality improvement in culturally responsive services. Goal
 
29)

According to : The Connecticut Department of Children and Families, Office of Multicultural Affairs 2002, the Critical Treatment Issues to consider in providing culturally responsive services are
 
Access, Engagement, and Retention Access, Education, and Relapse Access, Engagement, and Retribution Access, Education, and Retention
 
30)

According to The Connecticut Department of Children and Families, Office of Multicultural Affairs 2002, one the Criteria for Developing an Organizational Cultural Competence Plan are
 
Develop a thorough knowledge and understanding of the social, cultural, and historical experiences of the community of people your agency is serving. Have a Mission Have Vision Have a Goal
 
31)

To conduct Organizational Self-Assessment of Cultural Competence, an organization must have
 
A thorough cultural competency plan An understanding of the social, cultural, and historical experiences of the community of people your agency is serving. A Mission, Vision, and Goal Have an awareness of how it functions within the context of a multicultural environment, evaluating operational aspects of the agency as well as staff ability and competence in providing culturally congruent services to racially and ethnically diverse pop
 
32)

According to The Joint Commission 2009, n organization must anticipate the need for
 
The office set up Language services and the resources required to support these services, including funding, staff composition, program materials, and translation services. The funds for the projects The participants
 
33)

According to OMH 2000; American Translators Association 2011, in recruiting and hiring translators and interpreters, the things should be considered are
 
Education and translation skills Socioeconomic status and education Experience, motivation, skill level, mastery of English, and fluency in the language in need of interpretation Education and history of immigration
 
34)

The Primary purpose of training is
 
To increase cultural competence in the delivery of services, beginning with outreach and extending to continuing care services that support behavioral health. For professional reasons only For completion of the license to socially operate For the sake of completing only
 
35)

One of the qualities of effective Cultural Competence Training is
 
To create a collective norm To produce a shared goal To provide information that is practice- or research-based to ensure that participants see it as reputable and clinically sound. To experience another tradition in the community
 
36)

According to Miville et al. (2005), it suggests that clinical supervisors gain awareness of and assess
 
Their own migration history Their own racial, ethnic, and cultural identities and attitudes and those of their supervisees. Their own ethnic only Their own race only
 
37)

In order to improve Outreach and Access to Healthcare, treatment providers should consider
 
Collaborating with other community only Referring clients to community resources only Creating a one-stop facility only Referring clients to community resources, Collaborating with other community services, Co-locating community services (creating a one-stop facility), and Selecting culturally appropriate strategies to provide community education
 
38)

“African American” is used specifically to
 
Describe people whose families have been in the country since at least the 19th century and thus developed distinct African American cultural groups. Describe people in Africa Describe people random people Describe the African communities in the country
 
39)

According to Paniagua 1998; Wright 2001, counselors should request personal information 
 
Gradually As quick as possible After the first meeting Before the first meeting
 
40)

CBT stands for
 
Cognitive Behavioral Triumph Cognitive Behavioral Therapy Cognitive Behavioral Time Cognitive Behavioral Threshold
 
41)

BellTolliver et al. (2009) and Hill (1972) suggest that strengths of African American family life include
 
Healthy support system Lack of family support Pessimism Strong bonds of extensive kinship, adaptability and strong family hierarchy, strong work, high achievement, and strong religious orientation
 
42)

According to Taylor et al. 2000, Counselors working with African American clients should prepare to include
 
Churches, mosques, or other faith communities in the therapeutic process, and they should develop a list of appropriate spiritual resources in the community. Family Friends Multi-help set up
 
43)

According to U.S. Census Bureau definition, Asian American are
 
People from Africa People whose origins are in the Far East, Southeast Asia, or the Indian subcontinent People from Europe People from United States of America
 
44)

Makimoto 1998 study suggests that besides the variations across different cultures, substance use and abuse among Asian Americans is also influenced by
 
Education Socioeconomic Status Gender Age
 
45)

In Assessing Shame in Asian American Clients, the counselor should be keen of the presence of the following factors that may indicate that a client has shame about seeking treatment
 
Client or family member is concerned about the qualifications of the counselor, hesitant to involve others in the treatment process, excessively worried about confidentiality. Worried about their education Worried about their socioeconomic status Worried about gender roles