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Behavioral Health Treatment for Major Racial and Ethnic Groups

1. The differences between two members of the same racial/ethnic group can be greater than the differences between two people from different racial/ethnic groups.

A. True

B. False


Counseling for African and Black Americans

2. Overall, African Americans are more likely to believe that drinking and drug use are activities for which one is personally responsible; thus, they may have difficulty accepting alcohol abuse/dependence as a disease.

A. True

B. False


3. When comparing African Americans to other racial/ethnic groups who inject heroin in San Francisco, all of the following are true, except:

A. There has been an increase in injectable heroin use among African Americans largely due to an increase in use among younger individuals.

B. African Americans who inject heroin are significantly more likely to also use crack cocaine than White Americans who also inject heroin.

C. African Americans are more methodical and take the time to find a vein, even if it takes multiple attempts.

D. African Americans often use syringes that are already bloodied, increasing their chances of contracting HIV/AIDS and other blood-borne diseases.


4. African Americans are more likely than White Americans to receive treatment for which of the following?

A. Anxiety

B. Mood disorders

C. Drug use disorders

D. All of the above


5. Trauma histories have a lesser effect on relapse of substance abuse for African American clients than for clients from other ethnic/racial groups.

A. True

B. False


6. African Americans who receive services for CODs are more likely to obtain them through mental health programs than substance abuse treatment programs.

A. True

B. False


7. African Americans are most likely to be referred to treatment from which of the following?

A. Criminal justice settings

B. Self-referred

C. Primary care physician

D. None of the above


8. African Americans, even when receiving the same amount of services as White Americans, are less likely to be satisfied with those services.

A. True

B. False


9. All of the following are true with regard to treatment issues and considerations, except:

A. African American clients generally respond better to an egalitarian and authentic relationship with counselors.

B. Counselors should request personal information all at once, rather than gradually, as African Americans see the gradual method as dragging out the treatment.

C. Counselors must establish credibility with their African American clients.

D. Self-disclosure can be difficult for some African American clients because of their histories of experiencing racism and discrimination.


10. Node-link mapping is associated with which of the following for African Americans when compared to White Americans?

A. Lower rates of substance use

B. Better treatment attendance

C. Better counselor ratings of motivation and confidence

D. All of the above


11. To build a support network for African American clients, counselors should start by asking clients to identify people who would be willing and able to support their recovery and then ask clients for permission to contact those people and include them in the treatment process.

A. True

B. False


Advice to Counselors: The Role of African American Religious Institutions in Treatment and Recovery

12. It is not uncommon for African Americans to approach clergy first when faced with their own or family members’ mental health or substance abuse problems, and many African American clergy members believe they are well-prepared to address such problems.

A. True

B. False


Counseling for Asian Americans, Native Hawaiians, and Other Pacific Islanders

13. According to the 2012 NSDUH, Asian Americans use which of the following less frequently and less heavily then members of any other major racial/ethnic group?

A. Alcohol

B. Cigarettes

C. Illicit substances

D. All of the above


14. The longer Asian Americans reside in the United States, the more their substance use resembles that of other Americans.

A. True

B. False


15. Research has found that, of all major racial/ethnic groups in the United States, Asian Americans have the lowest rates of alcohol use disorders, which has typically been explained in part by the fact that some Asians lack which enzyme that chemically breaks down alcohol?

A. Alcohol dehydrogenase

B. Aldehyde dehydrogenase

C. Alcohol carboxylase

D. Aldehyde carboxylase


16. Asian Americans are more likely to present with symptoms of psychological distress and impairment and less likely to present with somatic complaints.

A. True

B. False


17. When working with Asian American clients, counselors should attempt to build client confidence in the first session by introducing themselves by title, displaying diplomas, and mentioning their experience with other clients who have similar problems.

A. True

B. False


18. All of the following are true theoretical approaches and treatment interventions when working with Asian American clients, except:

A. Treatment can be more effective if providers avoid approaches that target emotional responses.

B. Treatment can be more effective if providers use strategies that are more indirect in discussing feelings.

C. Asian American clients are likely to expect that their counselors take a passive role in structuring the therapy sessions.

D. Asian Americans often prefer a solution-focused approach to treatment that provides them with concrete strategies for addressing specific problems.


Advice to Counselors: Culturally Responsive Family Therapy Guidelines for Asian Families

19. To provide culturally responsive therapy to Asian Americans, counselors should do which of the following?

A. Assess support from community and extended family systems.

B. Enable clients, particularly male elders or decision makers, to save face.

C. Validate and address somatic complaints.

D. All of the above.


Counseling for Hispanics and Latinos

20. Latinos are a racial rather than an ethnic group.

A. True

B. False


21. Which of the following is one of the most serious substance use problems in the Latino community?

A. Prescription drug abuse

B. Driving under the influence of alcohol

C. Heroin abuse

D. All of the above


22. When working with Latino clients, counselors should recognize the importance of - and integrate into their counseling style and approach - all of the following, except:

A. A stoic attitude toward problems

B. Expressions of concern

C. Interest in the clients’ families

D. Personal warmth


23. Latino clients are likely to benefit from orientation sessions that review treatment and counseling processes, treatment goals and expectations, and other components of services.

A. True

B. False


24. Research provides consistent findings for client-counselor matching based on similarity of Latino ethnicity on improving engagement and abstinence among Latinos than it does for clients of other ethnicities.

A. True

B. False


25. Node-link mapping has been associated with which of the following in Latino clients?

A. Lower levels of opioid and cocaine use.

B. Better treatment attendance.

C. Higher counselor ratings of motivation and confidence for Latinos in methadone maintenance treatment.

D. All of the above.


Counseling for Native Americans

26. Counselors working with the Native American populations should remember that Native Americans, by virtue of their membership in sovereign Tribal entities, have rights that are different from those of other Americans.

A. True

B. False


27. Trauma histories and PTSD are so prevalent among Native Americans in substance abuse treatment that it is recommended that assessment and treatment of trauma should be a standard procedure for behavioral health programs serving this population.

A. True

B. False


28. To provide culturally responsive treatment to Native American, providers need to do which of the following?

A. Understand the Native American client’s Tribe, its history, its traditions, its worldview, and its beliefs.

B. Understand the dimensions of the Tribe’s substance abuse problem and other community problems, along with the incidence of trauma and abuse among its members.

C. Routinely seek consultation with knowledgable professionals who are experienced in working with the specific Tribal group in question.

D. All of the above.


Counseling for White Americans

29. White American cultural groups do which of the following?

A. Enforce strong cultural prohibitions against most types of illicit drug use.

B. Are less accepting of prescription medication use.

C. Are more likely to perceive prescription medication as potentially harmful.

D. All of the above.


30. Family therapy for White American families should include approaches that encourage open, direct, and nonthreatening communication.

A. True

B. False


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