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Ethical Interventions in Working with Immigrant and Refugee Clients

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1.  An asylum seeker is unable to return home due to
  1. a well-founded fear of persecution
  2. preferring to live in their host country
  3. being legally prohibited from doing so
  4. being unwelcome in their host country
2.  Refugees may be displaced due to
  1. migration stressors, trauma, mental health challenges
  2. documentation status, previous traumatic experiences, changes in parental position
  3. persecution, conflict, human rights violations
  4. work, family reunification, educational opportunities
3.  The most common reason for seeking asylum is due to an individual’s
  1. social group
  2. political opinion
  3. religion
  4. sexual orientation
4.  Family reunification is an example of a
  1. persecution
  2. emotional trigger
  3. push factor
  4. pull factor
5.  Which of the following are protective factors for immigrant’s mental health:
  1. documentation status
  2. parent employment
  3. systemic racism
  4. resettlement stressors
6.  Respecting clients and valuing their decision-making autonomy is an example of
  1. beneficence and non-maleficence
  2. fidelity and responsibility
  3. integrity
  4. autonomy and Informed Consent
7.  Which of the following is NOT one of APA’s ethical standards?
  1. professional consultation
  2. resolving ethical complaints
  3. privacy and confidentiality
  4. assessment
8.  Ethical challenges can be managed by
  1. taking on more clients than one’s schedule allows
  2. focusing on areas of political difference
  3. centering the client’s worldview
  4. highlighting the power differential between clinician and client
9.  Which of the following is NOT one of the aspects of the ADDRESSING model
  1. age
  2. spiritual orientation
  3. indigenous heritage
  4. diagnoses
10.  Clinicians’ roles can be determined by assessing
  1. cultural borderlands, differing political views, level of trauma
  2. locus of the problem, goals of helping, level of acculturation
  3. level of acculturation, client’s preferences, client’s mistrust
  4. availability of consultation, clinician bias, reflexivity of worldviews
11.  Low connection with host country, high connection with culture of origin is an example of
  1. integration
  2. separation
  3. assimilation
  4. marginalization
12.  Overlapping aspects of identity is an example of
  1. intersectionality
  2. integration
  3. individuation
  4. internalization
13.  Multicultural humility can be achieved through
  1. developing an awareness of one’s cultural values
  2. learning to value others’ worldview
  3. repairing imbalances in power
  4. treating all clients the same
14.  Identify sociocultural barriers to care
  1. lack of culturally sensitive treatment; lack of interpreters
  2. flight and transition; internal resilience
  3. cultural expression of symptoms; stigma
  4. misdiagnosis; clinician bias
15.  The engagement stage of CBT+ involves
  1. assessment, congruency with clients’ beliefs, psychoeducation
  2. identifying symptoms, bidirectional communication
  3. exposures, behavioral activation, assessing PTSD
  4. instilling hope, assessing past history of therapy, identifying barriers to treatment

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