CBHCM Cultural Competence and Advocacy 2

Question 1

A case manager working with a refugee client notices the client avoids direct eye contact during sessions. The MOST culturally informed response is to:

Accepted Answer

Recognize that avoiding eye contact may be a culturally appropriate sign of respect

Answer

Redirect the client to maintain eye contact as a sign of respect

Answer

Document the behavior as a possible symptom of depression

Answer

Refer the client for a psychiatric evaluation

Question 2

Which federal law prohibits discrimination in federally funded health programs on the basis of national origin, which has been interpreted to require language access services?

Accepted Answer

Title VI of the Civil Rights Act of 1964

Answer

Americans with Disabilities Act (ADA)

Answer

Mental Health Parity and Addiction Equity Act

Answer

Health Insurance Portability and Accountability Act (HIPAA)

Question 3

A CBHCM advocate is helping a client navigate an insurance denial for mental health services. The FIRST advocacy step should be:

Accepted Answer

Assist the client in filing a formal internal appeal with the insurer

Answer

File a complaint with the state insurance commissioner

Answer

Contact the client's employer to pressure the insurer

Answer

Advise the client to seek care out-of-pocket

Question 4

The concept of 'explanatory model' in cross-cultural care refers to:

Accepted Answer

The client's own beliefs about the cause, course, and preferred treatment of their illness

Answer

The clinician's diagnostic framework based on DSM criteria

Answer

A standardized cultural assessment tool used in intake

Answer

A model for explaining clinical decisions to culturally diverse clients

Question 5

When using a professional interpreter for a client with limited English proficiency, the case manager should:

Accepted Answer

Speak directly to the client and use the interpreter as a communication bridge

Answer

Direct all questions to the interpreter rather than the client

Answer

Ask the client's bilingual family member to interpret to save time

Answer

Simplify all clinical language so the interpreter can translate easily

Question 6

A case manager observes that clients from a specific ethnic community are consistently discharged from services earlier than others with similar diagnoses. This pattern MOST likely reflects:

Accepted Answer

Systemic bias or structural inequity in service delivery

Answer

Better treatment outcomes in that community

Answer

Cultural preference for shorter treatment duration

Answer

More effective coping skills among that population

Question 7

Which advocacy role involves a case manager speaking on behalf of a client who is unable to represent their own interests in a service system?

Accepted Answer

Surrogate or proxy advocacy

Answer

Self-advocacy facilitation

Answer

Legislative advocacy

Answer

Peer advocacy