Social Work Practice in Healthcare Advanced Approaches and Emerging Trends 1st Edition Allen - Test Bank

Chapter 3: Knowledge and Theoretical Foundations of Healthcare Social Work Practice Multiple Choice 1. You are a social worker employed in an oncology practice. You are providing adjustment-to-illness counseling for your patients and families. What will be your focus in this practice setting? a. Addressing personality disorders b. Addressing chronic mental illness c. Helping to resolve longstanding dysfunctional family dynamics *d. Providing problem-oriented interventions @ Cognitive domain: Application; Answer location: Adjustment To Illness Counseling; Question type: MC 2 . A ___________________ is a metaphor used to describe the layers of social systems that surround and influence an individual. a. Maze *b. Set of nested Russian dolls c. Library d. Onion @ Cognitive domain: Comprehension; Answer location: System-Based Theories: Question type: MC 3. In Erik Erikson’s life-cycle model of development, each stage of development involves a specific challenge or developmental turning point. This is called __________________. a. Ego strength *b. Epigenetic crisis c. Epigenetic principle d. Superego strength @I Cognitive domain: Knowledge; Answer location: Human Development Theories: Question type: MC 4. Jane is a nurse who works in a primary care clinic. After meeting with one of the clinic patients, she asks Mike, the social worker, to see the patient. Jane states no matter how many time she has told the patient that he needs to stop smoking, the client does not listen to her. Jane expresses frustration that she cannot fix the patient. Jane is exhibiting ______________. a. Self-management *b. The righting reflex c. Empathy d. Internalization @ Cognitive domain: Comprehension; Answer location: Cognitive Behavioral Approaches: Question type: MC 5. ______________________________ is a process of being. a. Health *b. Wellness c. Illness d. Health status @ Cognitive domain: Comprehension; Answer location: Definitions Of Health, Wellness, Disease, and Disability; Question type: MC 6. You meet with a patient who has smoked cigarettes for more than 20 years. He has the early stages of congestive heart failure and would benefit from quitting smoking. The nurse has asked you to meet with the patient to “get him to quit smoking.” When you speak with the patient, he states, “I know I should stop smoking. It is an expensive habit and it is not good for me. But I love smoking. I am no longer able to do as much as I used to be able to do, and smoking is the one thing that still brings me joy. I’m not going to quit right now.” In the motivational interviewing model, what stage of change is the currently in? a. Precontemplative *b. Contemplative c. Preparation d. Action/willpower @ Cognitive domain: Comprehension; Answer location: Cognitive Behavioral Approaches: Question type: MC 7. You have been meeting regularly with a patient who would benefit from quitting smoking cigarettes. He has not shown any interest in quitting despite understanding the consequences of continuing to smoke. On this visit, he says, “Well, you know. I’m thinking that maybe it is getting close to the time for me to quit smoking, but really, I’m not sure I can. I’ve been smoking for so long. Do you think it’s even possible for someone like me to quit?” The patient is now in the __________________________ stage of change. a. Precontemplative b. Contemplative *c. Preparation d. Action/willpower @ Cognitive domain: Comprehension; Answer location: Cognitive Behavioral Approaches: Question type: MC 8. The biopsychosocial framework has been expanded to acknowledge the ____________________ dimension of human experience. a. Fifth b. Moral c. Aesthetic *d. Spiritual @ Cognitive domain: Knowledge; Answer location: Integrative Approaches: Question type: MC 9. _________________________ is a state of being. *a. Health b. Wellness c. Illness d. Health status @ Cognitive domain: Knowledge; Answer location: Definitions of Health, Wellness, Disease, and Disability; Question type: MC 10. The first step in crisis intervention is to _____________________. a. Precontemplate b. Make plans *c. Define the problem d. Obtain commitment @ Cognitive domain: Application; Answer location: Crisis Intervention: Question type: MC 11. Heather works in a primary care office as a social worker. She has been working with Keith to help him adjust to his recently diagnosed heart disease. What type of interventions will Heather be utilizing in her work with Keith? *a. Problem-oriented interventions b. Reparative therapy c. Psychoanalytic therapy d. Play therapy @ Cognitive domain: Application; Answer location: Adjustment To Illness Counseling: Question type: MC 12. An essential feature of narrative therapy is ________________________________. a. The person is the problem. b. The client’s “lens “ may be distorted, and it is the therapist’s job to refocus the “lens” for the client. *c. The problem is the problem. d. Having the client read aloud their stories in front of their families. @ Cognitive domain: Comprehension; Cognitive Behavioral Approaches: Question type: MC 13. Leah is a social worker who has been working to help Howard with his anxiety. Leah has taught Howard relaxation exercises such as deep breathing, creative visualization, and body relaxation. Leah is teaching Howard ____________________ strategies. *a. Stress-management b. Action/Willpower c. Precontemplation d. Cognitive distortion @ Cognitive domain: Application; Answer location: Cognitive Behavioral Approaches: Question type: MC 14. One of the tools Leah employs with Howard as she helps him learn to manage his anxiety is ___________________. Howard uses this tool to describe and chart the severity of his anxiety before and after he uses the relaxation exercises Leah has taught him. a. Narrative therapy b. Logo therapy c. Hypnosis *d. Scaling @ Cognitive domain: Application; Answer location: Cognitive Behavioral Approaches: Question type: MC 15. The social systems in which social workers interact are ___________________ systems because interaction occurs between the system and its broader environment. a. Outcome b. Closed c. Process *d. Open @ Cognitive domain: Knowledge; Answer location: Cognitive Behavioral Approaches: Question type: MC 16. ____________________________ is a branch of existential therapy focused on healing, wholeness, and finding will and purpose during challenging times. a. Cognitive behavioral therapy b. Motivational Interviewing c. Crisis intervention *d. Logo therapy @ Cognitive domain: Knowledge; Answer location: Cognitive Behavioral Approaches: Question type: MC 17. Some models of motivational interviewing include a sixth step, which is _______________. a. Maintenance *b. Relapse c. Contemplation d. The “righting reflex” @ Cognitive domain: Comprehension; Answer location: Motivational Interviewing: Question type: MC 18. The ___________ model assists social workers to conceptualize and interpret human development and behavior within the context of the person-in-environment. a. Cognitive-behavioral *b. Ecological c. Psychoanalytic d. Psychodynamic @ Cognitive domain: Knowledge; Answer location: Systems-Based Theories: Question type: MC 19. Mary is a social worker who has been given a referral to see Candice. Candice has recently been diagnosed with rheumatoid arthritis. Candice spends most of the first session describing how one of the most difficult aspects of her disease is no longer thinking of herself as someone who is healthy. Mary realizes that Candice is grieving for her former self and experiencing a ______________________. a. Physical loss b. Normative loss *C. Psychosocial loss d. Nonnormative loss @ Cognitive domain: Comprehension; Answer location: Grief and Loss: Question type: MC 20. Paul is a social worker who has been given a referral to see Dan. Dan has recently been diagnosed with terminal cancer. As Dan walks into the room, he immediately states, “What did I do to deserve this? Why is God doing this to me? I’ve always been a good person and tried to do the right thing. There are so many bad people doing bad things and God is not punishing them.” Paul realizes that Dan is having a(n) __________________________. *a. Existential crisis b. Developmental crisis c. Situational crisis d. Ecosystem crisis @ Cognitive domain: Application; Answer location: Crisis Intervention: Question type: MC 21. A pathological, biomedical condition that interferes with the body’s capacity to regulate itself and perform essential functions is ___________________. a. Homeostasis b. Illness C. Disability *D. Disease @ Cognitive domain: Knowledge; Answer location: Definitions Of Health, Wellness, Disease, and Disability: Question type: MC 22. The disability rights movement emphasizes that many instances of impairment result from limitations in ______________________. *a. The environment b. The individual c. Motivation d. Ineffective vaccines @ Cognitive domain: Comprehension; Answer location: Definitions Of Health, Wellness, Disease, And Disability: Question type: MC 23. A social worker, John, joins a medical practice. On his first day, the physician, Dr. White, greets John and immediately asks John to go see “the patient with diabetes in room 2.” Dr. White states, “I doubt there is anything you will be able to do for the patient, but since you’re here, you might as well see the patient. “ As John opens the door to the patient’s room, he realizes the only thing he knows about the patient is that the patient has diabetes. What is most likely Dr. White’s practice model? a. Whole person b. Patient centered *c. Medical d. Integrated care @ Cognitive domain: Application; Answer location: The Medical Model Of Practice: Question type: MC 24. Mary is doing research for her new job working in a primary care clinic. Mary is new to the community and is interested in learning about the overall health of the community. Where would be the best place that Mary could find this information? *a. The U.S. Department of Health and Human Services Community Health Status Indicator b. Wikipedia c. The United States Census d. Reviewing patient charts @ Cognitive domain: Application; Answer location: Definitions Of Health, Wellness, Disease, And Disability: Question type: MC 25. Healthcare reforms are prompting a shift in focus to all of these services except _____. a. Care coordination b. Health promotion *c. Disease driven d. Patient outcomes research @ Cognitive domain: Comprehension; Answer location: The Changing HealthCare System; Question type: MC True/False 1. According to the WHO, mental disorders such as depression, bipolar disorders, and anxiety are among the twenty leading causes of disability worldwide. *a. True b. False @ Cognitive domain: Knowledge Answer location: Definitions of Health, Wellness, Disease, and Disability; Question type: TF 2. Healthcare social workers, whose role will increasingly be to coordinate patient care across the healthcare continuum, will be too busy with the new responsibilities to be responsible for the behavioral health needs of their patients. a. True *b. False @ Cognitive domain: Comprehension; Answer location: The Changing Healthcare System; Question type: TF 3. When a patient chooses to belong to a medical home, the primary care physician associated with their medical home is the only physician approved to provide all of their medical care. a. True *b. False @ Cognitive domain: Comprehension; Answer location: The Changing Healthcare System; Question type: TF 4. “Disability” is a socially constructed term highly dependent on culture, politics, resources, and values. *a. True b. False @ Cognitive domain: Analysis; Answer location: Definitions Of Health, Wellness, Disease, And Disability; Question type: TF 5. Kubler-Ross and Rando’s models of grief differ in that Rando insisted individuals move through the stages in a linear fashion, while Kubler-Ross’s model allowed for movement in and out of the stages throughout the grieving process. a. True *b. False @ Cognitive domain: Knowledge; Answer location: Grief and Loss; Question type: TF 6. When doing narrative therapy with a client, it is important for the social worker to step back and simply record the story as it unfolds. a. True *b. False @ Cognitive domain: Application; Answer location: Narrative Therapy; Question type: TF 7. Integrative approaches address the body–mind–spirit framework with techniques like yoga and meditation. *a. True b. False @ Cognitive domain: Knowledge; Answer location: Integrative Approaches; Question type: TF 8. Logo therapy is empowering in that it involves helping the client refuse to accept that they may not have any choices about certain conditions in their life. a. True *b. False @ Cognitive domain: Comprehension; Answer location: Behavioral Approaches; Question type: TF 9. Illness is an individual’s subjective experience of disease. *a. True b. False @ Cognitive domain: Comprehension; Answer location: Definitions Of Health, Wellness, Disease, Illness And Disability; Question type: TF 10. A serious healthcare crisis can be composed of developmental, situational, and existential crises. *a. True b. False @ Cognitive domain: Comprehension; Answer location: Crisis Intervention; Question type: TF Short Answer/Essay 1. _______________________ is a pathological, biomedical condition that interferes with the body’s capacity to regulate itself and perform essential factors. *a. Disease @ Cognitive domain; Knowledge; Answer location: Definitions Of Health, Wellness, Disease, And Disability; Question type: FIB 2. The ____________________ is a “lens” in which all conditions are diseases requiring diagnosis, medication, and intervention. *a. Medical model @ Cognitive domain; Knowledge; Answer location; The Medical Model; Question type: FIB 3. _______________________ recognizes the mutual influence of family members upon each other within the context of the broader social environment. *a. Family systems/Family systems theory @ Cognitive domain: Knowledge; Answer location; Systems-Based Theories; Question type: FIB 4. The medical model focuses on impairment, disease, and symptoms rather than on the individual. What two steps can social workers take to assist in the evolution from this model to recognition of patient self-determination and inclusion? *a. Advocate for patients; b. Provide culturally sensitive biopsychosocial-spiritual histories and assessments; c. Educate other healthcare professionals; d. Take on more leadership roles; e. Educate social work students @Cognitive domain: Analysis; Answer locations: The Medical Model Of Practice; Question type: ESS 5. The changing healthcare climate includes a shift from a disease-driven focus to a wellness-driven focus. Care will be patient centered and address the concerns of the “whole person.” Care will be delivered across the continuum, and behavioral health and physical health will be integrated. List three traditional social work perspectives that can be used as a theoretical framework for caring for patients under this new model. *a. Multisystem, ecological, person-in-environment interventions in health interventions in health settings. Strengths based. Evidenced based. @Cognitive domain: Analysis; Answer: Definitions of Health, Wellness, Disease, and Disability; Question type: ESS Chapter 6: Practice-Based Research in Healthcare Social Work Multiple Choice 1. Karen has started a job in an oncology office. This is a new area of practice for her. Karen looks on the Association of Oncology Social Workers (AOSW) website for published, scholarly research to answer questions about the type of treatment shown to be most effective with this population. Karen is beginning the process of ________________________. a. Plagiarism *b. Evidence-based practice c. Critical pathways d. Formative evaluation @ Cognitive domain: Application; Answer location: Introduction; Question type: MC 2. Karen consults the website of the National Comprehensive Cancer Network (NCCN) for the distress screening ________________________________, which are the treatment protocols for evaluating the subjective distress of cancer patients. a. Evaluation target b. Clinical trails c. Empirical studies *d. Clinical pathways or clinical practice guidelines @ Cognitive domain: Application; Answer location: Evidence-Based Practice: Question type: MC 3. Mary is team lead for the social work department of a community hospital. She is collecting the data from the caseloads of the social workers she is overseeing in order to better understand which programs should be maintained. Mary is practicing ___________________. *a. Program evaluation b. Single-subject design c. Best-practice models d. Evidence-based practice @ Cognitive domain: Comprehension; Answer location: Introduction: Question type: MC 4. _______________________ incorporate(s) the most efficient and effective standards of care. a. Bureaucracy *b. Best-practice models c. Ambulatory care d. Epidemiology @ Cognitive domain: Knowledge; Answer location: Introduction: Question type: MC 5. _______________________ is a decision-making process that uses established evidence to design, select, implement, and evaluate practice interventions. *a. Evidence-based practice b. Bureaucracy c. Representative case studies d. Cost-benefit analysis @ Cognitive domain: Knowledge; Answer location: Evidence-Based Practice Question type: MC 6. Program, department, and/or agency evaluation can be done on the _____________________ level. a. Micro b. Mezzo and macro c. Macro *d. Micro, mezzo, and macro @ Cognitive domain: Knowledge; Answer location: Introduction: Question type: MC 7. Criteria for evaluating articles in journals include all except _________________________? a. Is the article published in a peer-reviewed journal? b. Is the author identified? c. Where the study limitations discussed? *d. Are mostly primary sources cited? @ Cognitive domain: Application; Answer location: Evidence-Based Practice: Question type: MC 8. According to the National Institute of Health (NIH), there are ___________________ phases to clinical trials. a. 9 b. 2 *c. 4 d. 5 @ Cognitive domain: Knowledge; Answer location: Evidence-Based Practice: Question type: MC 9. Studies that have proceeded through all phases of clinical trial, including random assignment of patients to experimental and control groups, are referred to as the _________________ of medical research. a. Benchmark *b. Gold standard c. Gold star d. Apex @ Cognitive domain: Knowledge; Answer location: Evidence-Based Practice: Question type: MC 10. __________________________ synthesizes and evaluates the findings of multiple research studies that address a particular problem using established criteria for judging the quality of the studies included in the analysis. a. Gestalt process b. Gold standard c. Integrated studies *d. Meta-analysis @ Cognitive domain: Comprehension; Answer location: Evidence-Based Practice: Question type: MC 11. Sandra is the team lead for a social work department. Recently, the hospital has had several unexpected patient deaths, which appear to be due to poor care provided by the organization. The hospital is concerned. In the past, Sandra worked at a hospital in which all staff members continually engaged in activities that evaluated and improved the quality of services. Sandra suggests to administration that they bring this same system, ___________________, to the hospital. a. Six sigma b. Systemness *c. Continuous quality improvement (CQI) or total quality management (TQM) d. Root cause analysis @ Cognitive domain: Application; Answer location: Evidence-Based Practice: Question type: MC 12. Mary worked in a hospital in which a patient that did not speak English had the wrong leg amputated. This was a _____________________, and Mary was part of a team that worked to identify ways to ensure that this would not happen again. *a. Sentinel event b. Mortality c. Cultural humility d. Epigenetic crisis @ Cognitive domain: Knowledge; Answer location: From Research To Quality Improvement; Question type: MC 13. Following the amputation of the wrong leg of a patient, Mary lead a team of healthcare practitioners in a _______________________________ in order to analyze what went wrong and propose corrective steps that minimize or eliminate reoccurrence of those problems. a. Flow chart b. Benchmark *c. Brainstorming session d. Postworkshop evaluation @ Cognitive domain: Comprehension; Answer location: From Research To Quality Improvement; Question; Question type: MC 14. Due to staffing shortages, the medical surgical unit had three patients injured as a result of falls in a 6-months period. This is an example of a(n) ______________________________. a. Bad luck *b. Adverse occurrence c. Critical incident debriefing d. Active surveillance @ Cognitive domain: Knowledge; Answer location: From Research To Quality Improvement: Question type: MC 15. Keith has been asked to design a psychoeducation group for people who have been newly diagnosed with diabetes. Keith wants to ensure that the program is providing beneficial information to the group. For his pilot group, he gives them a pretest and then a posttest at the end to evaluate what changes occurred for the group members. Keith is using a ___________________ evaluation. a. Level I summative evaluation b. Level II summative evaluation c. Level III summative evaluation *d. Level IV summative evaluation @ Cognitive domain: Comprehension; Answer location: Formative and Summative Evaluations; Question type: MC 16. A formative evaluation collects data _____________________. a. Before the time of service *b. During the time of service c. After the time of service d. Before and after the time of service @ Cognitive domain: Knowledge; Answer location: Formative and Summative Evaluations Question type: MC 17. Karen asked all the social workers in her department to verify if all the patients in their caseload had an advanced directive and, if so, whether the advance directive was on file. The social workers were to collect this data for a period of one month. This is an example of a ___________. *a. Convenience sample b. Representative sample c. Random sample d. Retrospective audit @ Cognitive domain: Application; Answer location: Evolution of Medical Social Work Practice: Question type: MC 18. ________________________________ research uses large samples to gather objective, numerical data to measure relationships between variables or the impact of interventions. a. Qualitative research design b. Practice-based research *c. Quantitative research design d. Meta-analysis @ Cognitive domain: Knowledge; Answer location: Evaluation Designs: Question type: MC 19. Pam is the team lead for an inpatient social work department. She is concerned about the number of readmissions that arise due to patients being unable to afford their prescription medications. She would like to hire a social worker whose focus would be a medication assistance program. Pam is positive this will save the hospital money and help a lot of patients. In order to convince administration, Pam will need to do a _______________________ to show how the cost of providing this service will be offset with the financial benefit to the system. a. Flow chart b. Fishbone diagram *c. Cost-benefit analysis d. Single-subject design @ Cognitive domain: Application; Answer location: Evaluation Designs: Question type: MC 20. Jane is a 75-year-old patient in a community hospital. She has been hospitalized due to periods of unexplained of dizziness. She has been diagnosed as having anemia and dehydration. She has received a blood transfusion and several liters of fluids. She has been in the hospital for 24 hours and is still weak. Cindy, the case manager, has reviewed Jane’s case, and Jane no longer meets criteria for hospitalization and must be discharged or pay privately to stay in the hospital. Cindy has conducted a ______________________________________ of Jane’s case. *a. Utilization review b. Accountable care review c. Active surveillance d. Continuous quality improvement @ Cognitive domain: Comprehension; Answer location: From Research To Quality Improvement Question type: MC True/False 1. Double-barreled questions, such as “Overall, I felt the hospital social worker was knowledgeable and available to me” are good because you can test two variables with only one question. a. True *b. False @ Cognitive domain: Comprehension; Answer location: Evaluation Design; Question type: TF 2. Data mining occurs after a service has been rendered. *a. True b. False @ Cognitive domain: Knowledge; Answer location: Best Practice In Evaluation Design; Question type: TF 3. Time studies provide the most effective data regarding efficiency of staff if they are performed continuously. a. True *b. False @ Cognitive domain: Comprehension; Answer location: Practice-Based Evaluation; Question type: TF 4. Since single-subject designs have an n = 1, they cannot possibly provide enough information to be useful. a. True *b. False @ Cognitive domain: Comprehension; Answer location: Single-Subject Design; Question type: TF 5. Regression to the mean is the tendency for subjects to select the midpoint when answering questions in order to avoid taking an extreme position. *a. True b. False @ Cognitive domain: Knowledge; Answer location: Evaluation Designs; Question type: TF 6. Representative case studies are well suited for training purposes. *a. True b. False @ Cognitive domain: Knowledge; Answer location: Representative Case Studies; Question type: TF 7. Informed consent must always be obtained prior to patients’ or family members’ participation in surveys or focus groups. *a. True b. False @ Cognitive domain: Knowledge; Answer location: ; Question type: TF 8. When creating a survey, decide if you will ask open-ended questions or closed-ended questions and then stick with whichever one you chose. a. True *b. False @ Cognitive domain: Application; Answer location: Evaluation Design; Question type: TF Short Answer/Essay 1. A ________________________________ is done when we review patient medical records after a service has been provided. *a. Retrospective audit or data mining @ Cognitive domain; Knowledge; Answer location: Best Practice In Evaluation Design ; Question type: FIB 2. When conducting practice-based evaluation, we begin the evaluation project by asking _________________________, which are formulated like the questions in a research study. *a. Evaluation questions @ Cognitive domain; Knowledge; Answer location; ; Question type: FIB 3. What are two things a supervisor can do to create a positive culture for evaluation? *a. Avoid overevaluation, b. Provide constructive staff supervision, c. Provide continuing education opportunities, d. Encourage staff to engage in continual self-assessment, e. Evaluations should conclude if they are not found to be useful in understanding or reshaping practice. @Cognitive domain: Application; Answer locations: Creating A Positive Culture For Evaluation; Question type: ESS 4. Name two crucial ethical issues that must be considered when engaging in practice evaluation. *a. Bias toward wanting to study and report successes, b. Administration, funders, and clinicians may seek to influence the findings, c. Using evaluations to highlight the conflicts among the needs of an organization, its patients, and its workers, d. Recognizing actions that can influence the dissemination or suppression of evaluation findings, e. Avoiding the use of information gathered for one purpose (such as program improvement) for different purposes (such as performance evaluation), f. Changing evaluations midstream or at the time of reporting. @Cognitive domain: Analysis; Answer: Practice-Based Evaluation; Question type: ESS Social Work Practice in Healthcare Test Bank, Allen Social Work Test Bank, Healthcare Social Work Exam Questions, Test Bank for Advanced Social Work Practice, Emerging Trends in Healthcare Test Bank, Clinical Social Work Test Bank, Advanced Practice in Healthcare Test Bank, Test Questions for Healthcare Social Workers, Healthcare Systems and Services Test Bank, Interprofessional Collaboration Exam Questions, Ethical Issues in Healthcare Test Bank, Psychosocial Assessment in Healthcare Test Bank, Cultural Competence in Healthcare Exam Questions, Palliative Care and End-of-Life Issues Test Bank, Mental Health in Healthcare Test Bank, Test Bank for Health Promotion in Social Work, Healthcare Policy and Advocacy Exam Questions, Substance Abuse in Healthcare Test Bank, Gerontology and Aging Issues Test Bank, Test Bank for Social Work Ethics in Healthcare, Social Work with Children and Families in Healthcare Exam Questions, Trauma and Crisis Intervention in Healthcare Test Bank, Test Bank for Mental Health Diagnosis and Treatment, Social Work Research in Healthcare Exam Questions, Test Bank for Health Disparities and Inequalities, Social Work Practice Models in Healthcare Test Bank, 1st Edition Allen Test Bank, Social Work in Healthcare Settings Test Bank, Social Work and Healthcare Integration Exam Questions, Emerging Challenges in Healthcare Test Bank.