HSP Cultural and Individual Diversity

Question 1

A Health Service Psychologist working with a Native American client notices the client avoids direct eye contact. What is the most culturally competent interpretation?

Accepted Answer

Direct eye contact may be considered disrespectful in many Native American cultures

Answer

The client is being deceptive or evasive

Answer

The client has a social anxiety disorder

Answer

The client is not engaged in the therapeutic process

Question 2

Which model best describes the process by which individuals of minority cultures adopt elements of the dominant culture while maintaining their own cultural identity?

Accepted Answer

Acculturation/Biculturalism

Answer

Assimilation

Answer

Separation

Answer

Marginalization

Question 3

According to APA multicultural guidelines, which of the following is a foundational competency for culturally responsive health service psychology practice?

Accepted Answer

Self-awareness of one's own cultural biases and worldview

Answer

Treating all clients identically regardless of background

Answer

Referring all minority clients to providers of their same background

Answer

Using only evidence-based treatments validated on White samples

Question 4

A Latina client presents with 'susto,' a culturally bound syndrome involving fright and soul loss. What is the most appropriate clinical response?

Accepted Answer

Explore the client's explanatory model and integrate cultural healing practices where appropriate

Answer

Diagnose with conversion disorder and begin CBT immediately

Answer

Dismiss the concept as superstition and focus on biomedical symptoms

Answer

Refer the client to a curandera exclusively and discontinue psychological services

Question 5

The concept of 'minority stress' in health service psychology refers to:

Accepted Answer

Chronic stress experienced by stigmatized minority group members due to prejudice and discrimination

Answer

Stress caused by working with minority populations

Answer

Stress from being a numerical minority in a workplace

Answer

Acute stress reactions specific to immigrant populations

Question 6

When selecting a psychological assessment instrument for a client who recently immigrated from Southeast Asia, which factor is MOST critical to consider?

Accepted Answer

The normative sample and cultural validity of the instrument

Answer

Whether the instrument is the shortest available

Answer

Whether the instrument is computer-administered

Answer

The cost of the instrument

Question 7

Which dimension of Hofstede's cultural framework describes the degree to which individuals are integrated into groups versus expected to look after only themselves?

Accepted Answer

Individualism vs. collectivism

Answer

Power distance

Answer

Uncertainty avoidance

Answer

Masculinity vs. femininity