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Culturally Responsive Evaluation and Treatment Planning

1. Cultural responsiveness in planning and evaluation entails all of the following, except:

A. Being open minded.

B. Communicating with the client’s family often.

C. Selecting appropriate screening and assessment instruments.

D. Identifying culturally relevant concerns and issues that should be addressed to improve the client’s recovery process.


Step 1: Engage Clients

2. All of the following are gestures that establish a first impression and begin building the therapeutic relationship, except:

A. Continual eye contact

B. Handshakes

C. Small talk

D. Facial expressions


3. Fifty percent of racially and ethnically diverse clients end treatment or counseling after one visit with a mental health practitioner.

A. True

B. False


Step 2: Familiarize Clients and Their Families With Treatment and Evaluation Processes

4. Clients from diverse racial and ethnic groups can feel more estranged and disconnected from treatment services when staff members fail to educate them and their families about treatment expectations or when the clients are not walked through the treatment process, starting with the goals of the initial intake and interview.

A. True

B. False


Step 3: Endorse Collaboration in Interviews, Assessments, and Treatment Planning

5. Which of the following represents the client’s views during the evaluation and treatment planning process?

A. Clients may view the initial interview and evaluation as intrusive if too much information is requested or if the content is a source of family dishonor or shame.

B. Clients may resist or distrust the process based on a long history of racism and oppression.

C. Clients may feel inhibited from actively participating because they view the counselor as the authority or sole expert.

D. All of the above.


Step 4: Integrate Culturally Relevant Information and Themes

6. Culturally competent evaluations should always include questions about all of the following, except:

A. The client’s country of origin.

B. The client’s sexual orientation.

C. The client’s immigration status.

D. The client’s length of time in the United States.


Advice to Counselors and Clinical Supervisors: Culturally Responsive Screening and Assessment

7. It should not be assumed that translation into a stated language exactly matches the specific language of the client.  Specifically, the client may not understand the translated language if it does not match his or her ways of thinking or speaking.

A. True

B. False


Step 7: Determine Readiness and Motivation for Change

8. During which stage of the classic transtheoretical model of change does the person become aware of a problem but is ambivalent about the course of action?

A. Action

B. Preparation

C. Contemplation

D. Precontemplation


9. During motivational interviewing, the counselor’s major tool is expressing empathy and supporting self-efficacy.

A. True

B. False


Step 8: Provide Culturally Responsive Case Management

10. Case management includes which of the following?

A. Finding an interpreter who communicates well in the client’s language and dialect and who is familiar with the vocabulary required to communicate effectively about sensitive subject matter.

B. Working within the system to ensure that the interpreter, when needed, can be compensated.

C. Having a list of appropriate referrals to meet assorted needs.

D. All of the above.


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