Cultural Competence in Substance Abuse Treatment Flashcards
7 cards from real CAADE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Cultural Competence in Substance Abuse Treatment flashcards as text
A Latino client refuses to discuss personal problems with a counselor of a different ethnicity, citing familismo values. The most culturally competent response is to:
Answer: Explore the client's preference and consider incorporating family members into sessions
Exploring the client's preference and incorporating family reflects respect for familismo, a core Latino cultural value emphasizing family loyalty.
Which of the following best describes 'cultural humility' as distinct from 'cultural competence'?
Answer: A lifelong process of self-reflection and recognizing power imbalances
Cultural humility emphasizes ongoing self-reflection and acknowledging power differentials, whereas cultural competence often implies a fixed end-state of knowledge.
An Indigenous client describes using sweat lodge ceremonies as part of their sobriety journey. A culturally competent counselor should:
Answer: Integrate traditional healing practices alongside clinical treatment when the client desires
Integrating traditional Indigenous healing with clinical treatment honors the client's cultural identity and improves engagement and outcomes.
When assessing alcohol use in an Arab American Muslim client, the counselor should be aware that:
Answer: Shame and stigma tied to religious identity may cause underreporting
Religious and cultural shame can lead Muslim clients to underreport alcohol use, requiring a nonjudgmental and sensitive assessment approach.
The LEARN model used in cross-cultural clinical encounters stands for:
Answer: Listen, Explain, Acknowledge, Recommend, Negotiate
The LEARN model guides culturally sensitive clinical conversations: Listen, Explain, Acknowledge, Recommend, and Negotiate.
A Black client expresses distrust of the mental health system based on historical mistreatment such as the Tuskegee experiment. The counselor's best response is to:
Answer: Acknowledge the legitimacy of the distrust and work transparently to build trust
Acknowledging historical trauma and systemic racism validates the client's experience and is foundational to building a therapeutic alliance.
Which concept refers to the stress experienced by individuals who must navigate between their culture of origin and the dominant culture?
Answer: Acculturation stress
Acculturation stress occurs when individuals face pressure to adapt to a new dominant culture while maintaining their cultural identity, which is a known risk factor for substance use.