Multiple Choice Questions
Difficulty: 1 = Easy; 2 = Medium; 3 = Challenging
Choose the best possible answer for each of the following.
1. According to Klatsky and colleagues, the strongest determinants of
drinking patterns in a society are ________.
A. physiology and genetics
B. physiology and ethnicity
C. ethnicity and culture
D. ethnicity and genetics
Answer: C
Difficulty: 1
2. A knowledge of a person’s _______ is imperative to therapists
developing relevant prevention, assessment, and treatment strategies
for that person.
A. cultural history and values
B. native language
C. culinary customs
D. religious celebrations
Answer: A
Difficulty: 1
3. Which statement is true?
A. There is convincing evidence that American Indians have an
inordinate susceptibility to alcohol.
B. Research shows that those in American Indian cultures are less
prone to alcohol abuse than other those in other cultures.
C. Research shows that American Indians have a physiologic
resistance to alcohol.
D. There is no convincing evidence that American Indians have a
genetic vulnerability to alcohol
Answer: D
Difficulty: 1
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91
4. A sweat lodge is ________.
A. the same as a vision quest
B. a purification ritual for spiritual renewal
C. a ritual for finding answers to personal problems and to seek the
right path
D. made of hot rocks for the purpose of finding answers to personal
problems and to seek the right path
Answer: B
Difficulty: 1
5. Across ethnic groups, ________ is(are) the strongest indicator(s) of
substance abuse in youths.
A. the absence of parental monitoring
B. poor attitudes toward school
C. peer-related variables
D. not participating in spiritual services
Answer: C
Difficulty: 2
6. A young Hopi man living in Phoenix is under assessment. He recently
lost his job and is about to lose his home due to alcoholism. He wants
to move back to the reservation and return to Hopi spiritual practices,
as he believes they would help him stop drinking, but he believes he
would not be welcome. What do you recommend?
A. That he meet with Hopi elders to convince them to allow him to
return to the reservation, where he would have to stop drinking
because it is forbidden
B. That he learn about the 12 Steps in a Circle
C. That he start treatment that includes (but is not limited to) a
sweat lodge ritual and culturecology
D. That he start treatment that includes (but is not limited to) a
sweat lodge ritual, a vision quest, and employment services
Answer: D
Difficulty: 2
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92
7. A friend of yours is a nurse in the emergency room. He tells you about
a Navajo woman who has been in three times recently due to what he
believes is an abusive, alcoholic husband. The woman admits her
husband drinks heavily but says she does not need any help. As a
human services professional, what do you do?
A. To respect American Indian ways, you do not interfere and you
advise your friend not to interfere.
B. You recommend that your friend call the police and have them
pick up the husband the next time the woman comes in.
C. You offer informational pamphlets on alcoholism and domestic
violence in the American Indian population for your friend to
share with the woman.
D. You give to your friend your business card and some
informational pamphlets on how to get culturally relevant help to
share with the woman.
Answer: D
Difficulty: 2
8. During an interview, an African American woman says she works three
part-time jobs to take care of her two children while her drugdependent husband provides no assistance. She says that as much as
she has tried, she can no longer endure the pain it is causing and she
needs help. How do you respond to this information?
A. You tell her that her husband needs to come in for an
assessment and treatment, and she is the one who can make
him do it.
B. You recall the superwoman myth and congratulate her on her
decision to come in and focus on her own needs in addition to
those of her family.
C. You tell her to call the police the next time her husband takes
drugs and have him arrested.
D. You say nothing and let her continue talking.
Answer: B
Difficulty: 2
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93
9. Why do you think that in 2009 an African American man would be
more likely to be incarcerated for a drug-related offense than a white
man when the rates of drug disorders among African Americans and
whites were about the same?
A. Because authorities would plant the drugs on the African
American man due to racism
B. Because the Fair Sentencing Act of 2010 is retroactive
C. Because of the disparity in sentencing for crack (more prevalent
among African Americans) versus powdered cocaine (more
prevalent among whites)
D. Because of the disparity in sentencing for powdered cocaine
(more prevalent among African Americans) versus crack (more
prevalent among whites)
Answer: C
Difficulty: 2
10. Suppose you were going to start a mutual-help support group for adult
Latina women who speak little English. Where would you hold it?
A. Catholic church near a bus stop
B. Beauty parlor participants can walk to
C. Mormon church participants can walk to
D. Community center where English is taught
Answer: B
Difficulty: 3
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