CBHCM - Certified Behavioral Health Case Manager Cultural Competence and Advocacy Questions and Answers

Question 1

A behavioral health case manager is working with a client from a collectivist culture who is reluctant to discuss personal issues without their family present.
The case manager's agency has a strict policy emphasizing individual client confidentiality.
What is the MOST culturally competent initial action for the case manager to take?

Accepted Answer

D. Explore with the client the cultural significance of family involvement in their care to find a collaborative path forward.

Answer

A. Inform the client that agency policy requires all sessions to be individual to protect their confidentiality.

Answer

B. Immediately refer the client to a case manager who shares the same cultural background.

Answer

C. Document the client's reluctance as resistance to treatment in the progress notes.

Question 2

A case manager writes a letter to a state legislator highlighting the lack of supportive housing for individuals with serious mental illness in their community, using anonymized data and client stories to support their argument for policy change. This action is an example of:

Accepted Answer

A. Systems advocacy

Answer

B. Case advocacy

Answer

C. Clinical intervention

Answer

D. Service linkage

Question 3

Which of the following is the foundational first step for a behavioral health case manager to develop cultural competence?

Accepted Answer

C. Examining their own cultural background, assumptions, and implicit biases.

Answer

A. Memorizing the customs and traditions of all major ethnic groups in the service area.

Answer

B. Attending a cultural festival for a prominent client community.

Answer

D. Learning to speak a second language commonly used by clients.

Question 4

A client with a documented disability is denied an apartment because of a 'no pets' policy, despite providing a letter from their therapist for an emotional support animal (ESA). What is the case manager's most appropriate initial advocacy action?

Accepted Answer

D. Help the client understand their rights under the Fair Housing Act and assist them in requesting a 'reasonable accommodation' from the landlord in writing.

Answer

A. Advise the client to find a different apartment complex that allows pets.

Answer

B. Immediately file a formal complaint with the Department of Housing and Urban Development (HUD) on the client's behalf.

Answer

C. Tell the client there is nothing that can be done since an ESA is not a trained service animal.

Question 5

The concept of 'cultural humility' is best described as a case manager's:

Accepted Answer

A. Commitment to a lifelong process of self-reflection and learning to address power imbalances between provider and client.

Answer

B. Achievement of expert-level knowledge about a client's specific culture.

Answer

C. Ability to treat all clients in the exact same way to ensure fairness.

Answer

D. Willingness to defer all clinical decisions to the client's family members.

Question 6

A case manager is working with a client who is a recent immigrant, has a substance use disorder, and identifies as LGBTQ+. The client reports feeling unwelcome at a local support group. To be an effective advocate who respects the client's intersectionality, the case manager should first:

Accepted Answer

B. Explore with the client which aspects of their intersecting identities they feel are being misunderstood or discriminated against.

Answer

A. Immediately contact the support group facilitator to file a formal complaint about discrimination.

Answer

C. Find a support group exclusively for LGBTQ+ individuals or for new immigrants.

Answer

D. Recommend that the client stop attending that specific support group to avoid further distress.