Concerns | Questions and Answers | 2026 Update
| 100% Correct
Section 1: Cultural Competence & Diversity in Counseling (Worldviews, Bias, Ethics)
Q1: A counselor working with a client from a collectivist cultural background notices
the client consistently defers to family members during decision-making discussions.
The counselor interprets this behavior as evidence of codependency and lack of
autonomy. This interpretation best exemplifies which concept?
A. Ethnocentrism — evaluating another culture solely by the standards of one's own
culture
B. Acculturation stress — the psychological impact of adapting to a new cultural
environment
C. Cultural encapsulation — the inability to perceive reality outside one's own
cultural framework
D. Worldview mismatch — a fundamental disagreement between counselor and
client values
Correct Answer: C
Rationale: Cultural encapsulation occurs when a counselor is trapped within their
own cultural assumptions, unable to recognize that behaviors like family
interdependence may be culturally normative rather than pathological. This goes
beyond simple ethnocentrism to a systemic inability to step outside one's cultural
lens.
Q2: According to Sue and Sue's (2016) tripartite model of cultural competence, which
three dimensions must a counselor develop to work effectively across cultures?
A. Awareness, Knowledge, and Advocacy
B. Awareness, Knowledge, and Skills
C. Attitudes, Beliefs, and Competencies
D. Sensitivity, Training, and Experience
Correct Answer: B
, Rationale: Sue and Sue's foundational model identifies three interdependent
dimensions: awareness of one's own cultural values and biases, knowledge of diverse
cultural worldviews and practices, and skills to implement culturally appropriate
interventions.
Q3: A counseling program requires all students to complete a multicultural training
course. A student complains that this requirement represents "reverse
discrimination" and that cultural competence is "just common sense." This student's
response is most consistent with which stage of Helms's White Racial Identity
Development Model?
A. Contact — unawareness of racial-cultural issues
B. Disintegration — confusion and guilt about racial privilege
C. Reintegration — reassertion of White superiority
D. Autonomy — internalized multicultural identity
Correct Answer: C
Rationale: The Reintegration stage is characterized by idealization of Whiteness and
denigration of other racial groups, often manifesting as resistance to multicultural
initiatives through claims of reverse discrimination or dismissal of cultural
competence as unnecessary.
Q4: A counselor is working with a Muslim client who requests to reschedule sessions
during Ramadan. The counselor initially feels frustrated, believing the client is not
committed to treatment. The counselor's best next step, according to the ACA Code of
Ethics (2014) and AMCD Multicultural Counseling Competencies, is to:
A. Maintain the existing schedule and explore the client's resistance to treatment
B. Reschedule sessions and consult literature on Islamic spiritual practices to
increase cultural understanding
C. Refer the client to a Muslim counselor to avoid cultural complications
D. Discuss the counselor's frustration with the client to model authentic self-
disclosure
Correct Answer: B
Rationale: The ACA Code of Ethics (Section C.2.a) and AMCD Competencies require
counselors to seek understanding of clients' cultural contexts; rescheduling
demonstrates respect while self-directed learning addresses the counselor's own
cultural encapsulation.