Test Bank

Chapter 4: Chronic Illness: A Case Study Application with a Latina Client (Dawn Joosten)

Multiple Choice

1. Which of the following two groups are at the highest risk for obesity?

a. African Americans and Hispanics

b. Asians and African Americans

c. Central and South Americans

*d. African Americans and Mexican Americans

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: MC

2. Of the many chronic illnesses in the United States, which is often considered #1?

a. Diabetes

b. Obesity

*c. Heart disease

d. Cancer

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: MC

3. What are two therapies that social workers can use in working with persons with chronic illnesses?

a. Disease management and motivational interviewing

*b. Problem-solving therapy and cognitive behavioral therapy

c. Hope therapy and pain therapy

d. Cognitive behavioral therapy and disease management therapy

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: MC

4. What are the two theories/perspectives that guide social workers in working with persons with chronic disease?

a. Life course and strengths perspective

b. Developmental and strengths perspective

c. Systems and developmental theory

*d. Ecological and life course theory

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: MC

5. Biopsychosocial-spiritual assessment is said to inform what type of interventions?

a. Family-centered interventions

b. Care model interventions

*c. Evidence-based interventions

d. Interdisciplinary team-based interventions

Cognitive Domain: Comprehension

Answer Location: Micro Perspective: Assessment

Question Type: MC

6. Which of the following tasks are completed through the assessment process?

a. Capturing general public interest

*b. Prioritizing patient’s presenting health problems

c. Advocating for better medical care

d. Mapping out a plan of care

Cognitive Domain: Comprehension

Answer Location: Micro Perspective: Assessment

Question Type: MC

7. What are the four theories that inform a typical biopsychosocial-spiritual assessment?

*a. Strengths, ecological, lifespan, and development theory

b. Systems, ecological, role, and developmental theory

c. Feminist, strengths, resilience, and developmental theory

d. Race, systems, resilience, and ecological theory

Cognitive Domain: Comprehension

Answer Location: Micro Perspective: Biopsychosocial-spiritual Assessment

Question Type: MC

8. There are ten factors that inform any biopsychosocial-spiritual assessment. What are the first five factors?

a. Psychological functioning, grief and loss, environmental, financial, and social factors

b. Grief and loss, diversity, family, financial, and social factors

c. Financial, medical, family, diversity, and interdisciplinary communication factors

*d. Health, family, developmental stage, diversity, and support system factors

Cognitive Domain: Comprehension

Answer Location: Micro Perspective: Factors in Biopsychosocial-spiritual assessment

Question Type: MC

9. Name the NASW standard that is most relevant for social work practice in cultural settings.

a. Social justice

*b. Cultural competence

c. Self-determination

d. Respect

Cognitive Domain: Knowledge

Answer Location: Micro Perspective: Diversity Consideration

Question Type: MC

True/False

1. One step a social work must perform prior to selecting an intervention is to conduct a comprehensive biopsychosocial-spiritual assessment.

*a. True

b. False

Cognitive Domain: Knowledge or Comprehension

Answer Location: Micro Perspective: Intervention

Question Type: TF

2. Transference is the potential to bring past relationships into current relationships.

*a. True

b. False

Cognitive Domain: Knowledge or Comprehension

Answer Location: Micro Perspective: Transference/ Countertransference

Question Type: TF

3. Two ethical principles for patient care noted by the NASW are competence and responsibility.

a. True

*b. False

Cognitive Domain: Knowledge

Answer Location: Micro Perspective: Legal and Ethical Concerns

Question Type: TF

4. The Culturally and Linguistically Appropriate Services Standards outline 15 standards that have been divided into two separate categories: Mandates and Guidelines.

a. True

*b. False

Cognitive Domain: Knowledge

Answer Location: Mezzo Practice: Organization and/or Community Issues

Question Type: TF

5. Social work policy advocacy can happen at the organizational level; legislative and community levels; and the federal, state, and county levels.

*a. True

b. False

Cognitive Domain: Knowledge

Answer Location: Macro Perspective: Policy Advocacy

Question Type: TF

6. In their capacity as policy advocates, social workers are unable to bring salience of issues about chronic disease to the attention of community members and leaders due to conflict to interest.

a. True

*b. False

Cognitive Domain: Comprehension

Answer Location: Macro Perspective: Policy Advocacy

Question Type: TF

7. The role of social work has been magnified with integrated health care/behavioral health care models across the United States.

*a. True

b. False

Cognitive Domain: Comprehension

Answer Location: Introduction

Question Type: TF

8. Despite medical advances, there is an overwhelming increase in the number of children being diagnosed with diabetes.

a. True

*b. False

Cognitive Domain: Knowledge

Answer Location: Introduction

Question Type: TF

9. Ecological perspective is used to recognize the myriad of systems through which a patient must manage illness.

*a. True

b. False

Cognitive Domain: Comprehension

Answer Location: Introduction

Question Type: TF

Short Answer

Type: S

1. When using the life course theory lens in disease management, what should a social worker pay particular attention to?

The worker must pay attention to responding to the need of managing changing behaviors of the patient as they learn to live and cope with their disease at each stage of life.

Cognitive Domain: Comprehension

Answer Location: Introduction

Question Type: SA

Type: S

2. What three tasks are completed during the intervention phase when meeting with an interdisciplinary team?

When meeting with the interdisciplinary team following the assessment, the team spends time completing three tasks. These tasks are 1) developing a treatment plan, 2) developing treatment goals based on the assessment, and 3) mapping out desired outcomes for the patient.

Cognitive Domain: Comprehension

Answer Location: Micro Perspective: Intervention

Question Type: SA

Type: S

3. Identify and define the four ethical principles of patient care as outlined by the NASW.

The four ethical principles for patient care by NASW are 1) beneficence, 2) non-maleficence, 3) autonomy, and 4) justice. Beneficence means social workers should consider the benefits and burdens of treatment options to clients. Non-maleficence means that health care workers should do no harm. Autonomy means that social workers should respect a patient’s right to self-determination. Justice means that social workers should ensure justice and equal treatment in decision making about treatment.

Cognitive Domain: Knowledge

Answer Location: Micro Perspective: Legal and Ethical Concerns

Question Type: SA

Essay

Type: E

1. Social workers rely on assessments to establish a plan of care for a patient. Describe four functions of a completed assessment during the intermediate phase that are relevant to a patient’s care prior to goal setting and interventions.

*a. Before a social worker can establish goals and interventions, completion of an assessment is required. This is because an assessment can achieve four functions relevant to patient care. The four functions are that it: 1) helps prioritize patient’s presenting health problems; 2) allows the social worker to infuse patient’s values, preferences, attitudes, and actions into the desired change; 3) provides time for a thorough literature review to be conducted in order to identify evidence-based interventions for best fit with the presenting problem; and 4) offers the social worker the ability to use their expertise to better inform recommendations in light of assessment factors.

Cognitive Domain: Application

Answer Location: Micro Perspective: Assessment

Question Type: ESS

Type: E

2. Describe two elements of cultural competence in social work that enhances the effectiveness of practitioners.

*a. Cultural competence in social work allows practitioners to understand, recognize, have respect for, and appreciate patient preferences. They can also have the opportunity to seek and gain knowledge regarding the client’s beliefs, values, customs, and history and to incorporate that into patient care decision making.

Cognitive Domain: Knowledge

Answer Location: Micro-Perspective: Diversity Considerations and Cultural Competence

Question Type: ESS

Type: E

3. The Affordable Care Act represented a shift toward prevention with the establishment of the Prevention and Public Health Fund. This fund has four aims: community prevention, clinical prevention, public health infrastructure and training, and research surveillance focused on workforce wellness. Describe what these changes would mean for an individual and for the community.

a. The four aims may affect the local person and community positively. This is largely because health programs targeted to prevent chronic illness and diseases utilizing a community prevention approach should result in an increase in the community life span. In addition, not only will these persons have knowledge through community programs, but will have access to care and medication through clinical prevention and public health infrastructure. Ultimately, together with the research evidence also used to translate data into practice in the workplace, there would be a holistic change in the community including attitudes toward prevention.

Cognitive Domain: Application

Answer Location: Micro Perspective: Affordable Care Act

Question Type: ESS