1. A white person who is moving towards a non-racist white identity is more likely in which stage of the Helms white racial identity model?


1. contact stage

1. disintegration stage

1. reintegration stage

1. pseudo-independence stage

1. pre-encounter stage


1. The Therapist Variable includes each of the following except


1. physical safety

1. predictable stable relationships

1. reduction of symptoms

1. adhering to the ethical code about refusing gifts from clients

1. re-establishment of social relationships



1. Neurasthenia, once considered a physical illness in China, is now considered a representation of which mental illness


1. anxiety

1. depression

1. eating disorder

1. substance abuse

1. bipolar disorder



1. Asian-Americans are often referred to as


1. the model minority

1. the invisible minority

1. spirituality based

1. Superstitious

1. the silent majority


1. The phrase “”local moral world”” refers to


1. limited English proficiency predictable stable relationships

1. a social space that illuminates cultural relational issues between consumers and providers

1. stigma-related concerns common among immigrant women

1. the lack of adequate health insurance for Latinos

1. patient-level factors contributing to mental-health-care disparities in the Latino population



1. The “”immigrant paradox”” refers to


1. foreign-born people reporting less psychiatric morbidity than their US-born counterparts

1. the finding that Latinos consistently report lower rates of lifetime psychiatric disorders than non-Latino whites

1. the fact that immigrants are more likely to be bilingual than Latin Americans born in the United States.

1. uniformity of prevalence among all Latino groups

1. the fact that Latinos are less likely to received evidence-based treatment than non-Latino whites


1. Freelisting refers to


1. field operations

1. sharing psychoeducational information

1. requesting community members to volunteer for leadership roles

1. using open-ended conversation to identify life-challenging issues

1. using interventions that are not evidenced based


1. The most successful aspects of community mental-health interventions focus on


1. imparting psychoeducational material

1. formal interventions

1. providing leaders and leadership for the community

1. working independently from other organizations

1. fostering dependency on mental-health-service providers


1. The primary goal of the Sphere Project is to


1. provide ideas and values about the needs of the community

1. avoid taking an ecological perspective

1. only use evidence-based approaches

1. prevent the number of disasters that occur each year

1. return to normalcy

1. The recommended size of a multidisciplinary ACT team is


1. 5-10 staff to 50 clients

1. 15 staff to 30 clients

1. 10-12 staff to 100 clients

1. 20-25 staff to 100 clients


1. A core value of the IDDT is


(A) placing responsibility for treatment on the client

(B) placing responsibility for treatment on the treatment system

(C) brief clinical interventions

(D) long-term residential treatments

(E) shared decision-making


1. The Integrated Dual Disorder Treatment model (IDDT) is


(A) not evidence-based

(B) involving cross-trained practitioners

(C) based on the abatement of one disorder before addressing the other

(D) associated with higher rates of relapse

(E) parallel but separate mental-health and substance-abuse systems



1. The first medication prescribed to reduce the hallucinations, delusions, and thought disorder of schizophrenia was


(A) lithium

(B) chlorpromazine

(C) benzodiazepine

(D) gamma-amino butric

(E) divalproex


1. Nicotine may help people with schizophrenia to think more clearly.


(A) True

(B) False


1. Which of the following focuses on the time of overlap before and after discharge from institutions to community living?


(A) Brokered Case Management

(B) Continuous Treatment Teams

(C) Critical Time Intervention

(D) Intensive Case Management

(E) the Strengths Model


1. A system that a person uses to understand what is happening in their lives according to values, symbols, and the customs of their specific culture is


(A) cultural competence

(B) cultural identity

(C) evidence-based practice

(D) recovery

(E) mental-health parity


1. An approach that emphasizes relationship-centered, comprehensive care along with increased accountability and the proper alignment of incentives is


(A) managed care

(B) Medicaid

(C) patient-centered medical home

(D) primary care services

(E) common practice alignment


1. Recognition that one may not have the luxury or ability to pursue an ideal course of action but must be content with what is good enough, rather than the absolute best, describes


(A) system bifurcation

(B) theory of satisfaction

(C) theory of diversification

(D) unity theory

(E) health-care integration


1. Leaders in the field predict that managing chaos will be the primary task of mental-health leaders in the next decade.


(A) True

(B) False


1. A key change needed in the system of care for older adults is


1. treatment refractory

1. more availability to employment counseling

1. more nursing-home facilities

1. separation of mental-health and medical services

1. support for family caregivers


1. The greatest need of older people with long-term psychiatric disorders is


1. adult medical day centers

1. institutionalization

1. medical marijuana

1. recovery goals emphasizing employment

1. support to live in the community



1. Social isolation among older adults emerges from living alone.


1. True

1. False


1. One of the reasons serious and persistent mental illness declines with age is that


1. depression is a normal and healthy response to developmental changes of aging

1. life expectancy of people with serious mental illness is considerably lower than the general population

1. older adults are more likely to become asymptomatic

1. older adults experience less substance abuse than younger adults

1. there aren’t enough service providers to diagnose it

1. The differential access and distribution of services and opportunities to the benefit of dominant racial groups are examples of


1. individual racism

1. institutional racism

1. internalized racism

1. white supremacy

1. microaggressions