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Providing Multicultural Therapy: Developing Cultural Efficacy - Test
by Carol Falender, Ph.D. and Tonya Wood, Ph.D.

Course content © copyright 2023 by Carol Falender, Ph.D.. All rights reserved.

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1. What is the primary goal of a culturally informed mental health treatment plan? Help
Eliminate cultural factors that may influence the client's mental health.
 Provide a one-size-fits-all approach to therapy for all clients.
 Promote cultural assimilation for better therapeutic outcomes.
 Address the unique cultural needs and beliefs of the client.
2. In the MECA model, Falicov's primary focus is on: Help
An identity of the client that the therapist views as most salient.
 How identities intersect to represent ecological niches.
 How one particular label is relevant in understanding the client.
 Migration, uprootings and the impact of those on functioning.
3. Immigration is: Help
Generally not relevant to multicultural practice.
 Generally not highly impactful.
 Critical to consider in a frame of preimmigration, migration and postmigration.
 Too personal of an experience to be addressed in therapy.
4. A clinician uses cultural humility in psychotherapy to: Help
Display expertise in the norms of cultural group the client identifies with.
 Adapt therapeutic interventions to client's cultural identity.
 Acknowledge the personal biases of the clinician and display an openness to learning from clients' experiences and perspectives.
 Encourage clients to assimilate into the dominant culture to improve therapeutic outcomes.
5. Which of the following is a potential benefit of attending to cultural factors within the therapeutic relationship? Help
Decreased need for adaptation of treatment interventions.
 Reduction of the therapist's need for ongoing cultural education.
 Increased likelihood of positive therapeutic outcomes.
 Simplified treatment planning due to standardized approaches.
6. Therapists can demonstrate cultural sensitivity in communication with clients by: Help
Assuming that all clients from the same cultural group have similar experiences.
 Using clinical and technical terms in discussion of client's mental health presentation.
 Being attentive to nonverbal cues and actively listening to clients' perspectives.
 Focusing solely on the therapist's cultural identity.
7. Which of the following is not one of the five key domains of the DSM-5 Cultural Formulation Interview (CFI) include: Help
Cultural Identity of the individual.
 Cultural Competence of the clinician.
 Cultural Conceptualization of distress.
 Cultural Explanations of the cause of the disorder.
8. Integrating a measure such as the DSM-5 Cultural Formulation Interview (CFI) is essential in order to: Help
Make a diagnosis of mental disorders within any cultural context.
 Assist clinicians in understanding the cultural competency of the client.
 Replace a standard mental health intake or evaluation.
 Allow for a more comprehensive assessment of the client's cultural background and impact of their cultural identity on their mental health.
9. Which term refers to the interconnectedness of multiple cultural identities and their impact on an individual's personal experience: Help
Intersectionality
 Assimilation
 Acculturation
 Cultural humility
10. Worldviews are: Help
Sets of attitudes, beliefs, assumptions, stories, expectations about the world and social realities.
 Irrespective of self-awareness and openness to input and consideration of our own early life experience and identities.
 Not related to the frame for clinical work and relationship.
 Unlikely to inform thoughts or actions.
11. An ecological niche is: Help
Consideration of the multiple cultural identities of client and therapist.
 Primary focus on presenting problem to exclusion of meanings, beliefs, and judgements.
 Exclusive focus on a single identity.
 All of the above
12. Cultural countertransference typically: Help
Originates from implicit or conscious beliefs, assumptions, biases and unresolved conflicts of the therapist.
 Is relevant generally only in psychodynamic work.
 Is manifest only in intense and sudden emotional arousal.
 All of the above.
13. To navigate privilege and oppression in clinical practice, the therapist should: Help
Be aware of and proactive in identifying conflicts and multiple messages.
 Use gender language syntonic with the client.
 Be mindful and proactive in understanding the socio-political climate.
 All of the above
14. To increase self-awareness about multicultural practice, the clinician could be attentive to: Help
Privilege across client(s), therapist, and setting.
 Establish an environment of safety in discussion of cultural identities.
 Ecological niches.
 All of the above
15. Navigating privilege and oppression requires: Help
Consideration of sociopolitical context.
 Considering one's own personal stereotypes and which might be oppressive.
 Taking into account intersectional identities and resultant worldviews.
 All of the above
16. Cultural biases in psychotherapy practice: Help
May result from the use of culture-bound heuristics of which the therapist is not consciously aware.
 Rarely result in undetected prejudices and erroneous judgements.
 Are unlikely to result in prioritizing information that supports one's own personal worldview.
 Are very rare in occurrence.
17. Microaggressions: Help
Are common in clinical setting.
 May occur by individuals unaware they are engaging in racially demeaning ways toward target groups.
 Inflict substantial harm on both individuals and the setting.
 All of the above
18. In response to microaggressions, individuals may engage in microinterventions. These might include: Help
Apologizing personally at some later time for the microaggressor.
 Rephrasing the microaggression.
 Interrupting, redirecting, asking for clarification.
 Ignoring so as to invalidate.
19. Emotional expression is: Help
Totally distinct from cultural identities.
 A cultural variant and must be considered in client(s) and therapist.
 Rarely associated with rupture in the therapeutic relationship.
 Minimally important in understanding clinical dynamics; e). all of the above
20. Mujerista counseling theory encourages the: Help
Empowerment and liberation of Latina women.
 Separation of psychological research from broader social and cultural contexts.
 Assimilation of Latina women into the dominant culture.
 Use of traditional gender roles within the Latinx community.
21. Which of the following describes the role of cultural adaptation in psychotherapy: Help
Encouraging clients to adopt the therapist's cultural values and beliefs.
 Modifying therapeutic techniques to align with the client's background, worldview and experiences.
 Teaching clients about their cultural heritage to enhance treatment outcomes.
 Eliminating cultural elements in therapy to maintain fidelity to evidence based treatment models.
22. The process of integrating multicultural factors into a mental health treatment plan should be: Help
A rigid and scientific approach to ensure consistency.
 Reserved only for clients who explicitly request it.
 Tailored to each individual client's unique cultural needs.
 Informed by the therapist's cultural background.
23. Which of the following is NOT recommended by Hays when integrating culture into a CBT framework: Help
Challenge core cultural beliefs
 Question the helpfulness of belief systems when using cognitive restructuring
 Clarify what aspects of the client's presenting problem is environmental vs. cognitive
 Emphasize and incorporate culturally responsive behaviors when assessing the client's needs
24. According to a 2008 article (Huey & Polo) examining effectiveness of evidence-based treatments with minority youth, clinicians can enhance treatment outcomes with diverse populations by: Help
Waiting until after diagnosis and case conceptualization to consider cultural variables.
 Recognizing that cultural factors have no impact on treatment outcomes.
 Increasing their knowledge and skills in regards to effective cross-cultural interactions.
 Maintaining treatment fidelity without modifying or tailoring evidence-based treatments for diverse populations.

 

 

  
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