Test Bank

Chapter 17: Transition in Pediatric Oncology (Amber Denblaker)

Multiple Choice

1. What term is used to explain the period following a cancer diagnosis of being cancer-free?

a. Life-after

b. Cancer-free

c. Transition

*d. Survivorship

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: MC

2. What is the multifaceted and active process of attending to medical, psychosocial, and educational needs?

a. Social worker’s role

b. Treatment models

*c. Transition

d. Survivorship

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: MC

3. To which phase will an adolescent enter while transitioning in their care?

a. Teenage years

*b. Adulthood

c. World of work

d. Maturity

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: MC

4. What are the two main periods of significant distress for adolescent youth?

*a. Time of diagnosis and time of transition

b. Time of care and time of exploration

c. Time of caregiver assessment and time of risk assessment

d. Time of evaluation and time of follow-up

Cognitive Domain: Comprehension

Answer Location: Micro Assessment

Question Type: MC

5. What focuses on sociocultural experiences of people of different genders, social classes, religious and spiritual beliefs, sexual orientations, ages, and physical and mental abilities?

a. Individual care

b. Culture

*c. Diversity

d. Role of social worker

Cognitive Domain: Knowledge

Answer Location: Diversity Considerations

Question Type: MC

6. What two factors are said to be driven by culture?

a. How a patient judges the social worker and how a social worker provides care

*b. How a patient understands illness and how they would proceed with treatment

c. How a patient listens to treatment instructions and how they would respond to care

d. The type of a role the family plays and their level of engagement

Cognitive Domain: Comprehension

Answer Location: Diversity Considerations

Question Type: MC

7. Which phase of transition do social workers serve as members of the healthcare team to empower patients to take active roles in their own care?

*a. Transition planning

b. Transition assessment

c. Transition discharge

d. Transition continuity of care

Cognitive Domain: Comprehension

Answer Location: Interventions

Question Type: MC

8. What evidence-based practice is a sensitive approach that builds on adolescent internal motivation while respecting autonomy and valuing perspective?

a. Psychoeducation

b. Solution-focused

c. Cognitive behavioral

*d. Motivational interviewing

Cognitive Domain: Comprehension

Answer Location: Motivational Interviewing

Question Type: MC

9. What intervention uses techniques to minimize pressures and demands and to offer choices?

a. Psychoeducation

*b. Motivational interviewing

c. Decision making

d. Cognitive behavioral

Cognitive Domain: Knowledge

Answer Location: Motivational Interviewing

Question Type: MC

10. What evidence-based intervention encompasses attention to health education, problem-solving strategies, and overall social-emotional support?

*a. Psychoeducation

b. Motivational interviewing

c. Solution-focused

d. Cognitive behavioral

Cognitive Domain: Comprehension

Answer Location: Psychoeducation

Question Type: MC

True/False

1. Psychoeducational interventions are effective in preventing logistical and emotional barriers as adolescent and young adult (AYA) youth transition to adult care.

*a. True

b. False

Cognitive Domain: Knowledge or Comprehension

Answer Location: Psychoeducation

Question Type: TF

2. Technology and the internet are two important tools in the role of support for AYA youth.

*a. True

b. False

Cognitive Domain: Knowledge or Comprehension

Answer Location: Psychoeducation

Question Type: TF

3. The internet, when used in transition to adult care, can be used to engage in care, to monitor progress, and to plan.

*a. True

b. False

Cognitive Domain: Comprehension

Answer Location: Psychoeducation

Question Type: TF

4. Psychoeducation tools may include questionnaires and checklists.

*a. True

b. False

Cognitive Domain: Knowledge

Answer Location: Psychoeducation

Question Type: TF

5. Practitioners and providers can experience guilt when exploring transference and countertransference in cancer care.

*a. True

b. False

Cognitive Domain: Knowledge

Answer Location: Transference and Countertransference Issues

Question Type: TF

6. The most common concerns of transference are privacy, confidentiality, and informed consent.

a. True

*b. False

Cognitive Domain: Knowledge

Answer Location: Legal and Ethical Concerns

Question Type: TF

7. There is a specific age at which a person in treatment can start the transition process.

a. True

*b. False

Cognitive Domain: Comprehension

Answer Location: Legal and Ethical Concerns continued

Question Type: TF

8. Given the breadth of advancements in technology and care for adolescents with cancer, there is a decreased need for federal and state policy regarding insurance and access to affordable care.

a. True

*b. False

Cognitive Domain: Comprehension

Answer Location: Macro: Policy Analysis and Policy Advocacy

Question Type: TF

9. Psychoeducation and evidence-based motivational interviewing techniques can be used throughout the transition process.

*a. True

b. False

Cognitive Domain: Comprehension

Answer Location: Conclusion

Question Type: TF

Short Answer

Type: S

1. What are the four needs to which the transition process responds?

*a. The four needs to which the transition process responds are medical, psychosocial, educational, and vocational needs.

Cognitive Domain: Comprehension

Answer Location: Introduction

Question Type: SA

Type: S

2. What is the system of care that an adolescent leaves and where do they go?

*a. The adolescent in care often leaves from a child-focused system to an adult-focused system of care.

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: SA

Type: S

3. What can an adolescent experience during the transition process of entering adulthood?

*a. During the transition phase, the adolescent may experience a sense of independence, autonomy, and self-sufficiency.

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: SA

Essay

Type: E

1. Define and describe the role of motivational interviewing in the care and treatment of adolescents with cancer.

*a. Motivational interviewing is a collaborative, person-centered form of guiding to elicit and strengthen motivations for change. It can be applied to adolescents transitioning to adult care as a method to enhance motivation for health behavior change. A sensitive approach builds on adolescent internal motivation while respecting autonomy and valuing perspective. Overall, it is a useful strategy to enhance communication between the provider and client for goal development.

Cognitive Domain: Application

Answer Location: Motivational Interviewing

Question Type: ESS

Type: E

2. Describe psychoeducation and what does it promote.

*a. Psychoeducation is an intervention that encompasses health education, problem-solving, and overall social-emotional support. It largely has been effective in promoting three aspects: 1) positive growth in transition to adulthood and adult care, 2) patient education preparations for transition process and healthy decision making, and 3) prevention of logistical and emotional barriers to the transition to adult care. Through psychoeducation, patients learn to use technology and internet to engage in their care, monitor their progress, and plan their future.

Cognitive Domain: Comprehension

Answer Location: Psychoeducation

Question Type: ESS

Type: E

3. Describe the three leading ethical concerns that are common throughout the transition process and the role of social workers in addressing these concerns.

*a. Ethical concerns are common throughout the transition process; however, it is always important to pay attention to privacy, confidentiality, and informed consent. Social workers can help in this process at all levels by using their clinical skills to assess the patient’s developmental stage and levels of understanding. They can also influence how the medical teams deliver care by working alongside the team to provide guidance in advocating for the extent of autonomy and decision making the patient should have.

Cognitive Domain: Application

Answer Location: Legal and Ethical Concern

Question Type: ESS