Chronic Illness Issues And Interventions Test Bank Docx Ch.7

Chapter 7: Chronic Illness: Issues and Interventions

Multiple Choice

1. ___________________________ is the period of life spent with chronic disease or loss of functional mobility.

a. Mortality

b. Morbidity

c. Middle age

d. Somatization

@ Cognitive domain: Knowledge; Comprehension; Answer location: Introduction: Question type: MC

2. Morbidity rates have _______________________ in recent decades.

a. Increased

b. Decreased

c. Stayed the same

d. Plateaued

@ Cognitive domain: Comprehension; Answer location: Introduction: Question type: MC

3. Which of the following is not an example of a psychosocial determinant of health?

a. Transportation

b. Socioeconomic status

c. Housing

d. Genes

@ Cognitive domain: Knowledge; Answer location: Health Disparities And Associated Costs Of Chronic Illness: Question type: MC

4. Mary Lou works for a primary care office. She meets with Timothy, a patient who has recently been diagnosed with diabetes. Timothy has been out of work and does not have insurance. He also has no prior knowledge of diabetes. Mary Lou meets with Timothy, who states he wants to take care of his health so he can look for a job again. Mary Lou agrees that this is important. Mary Lou provides Timothy with information on his insurance options. She also works with Kim, the nurse at the diabetes center where Timothy will get education and emotional support, to make sure Timothy will have immediate access to medication while he waits to get insurance. Mary Lou sets up an appointment to meet with Timothy in one week to check in with him. Mary Lou and Kim working together is an example of _________________________________.

a. Care coordination

b. Transitional care management

c. Team lead

d. Medical model

@ Cognitive domain: Comprehension; Answer location: Evolution of Medical Social Work Practice: Question type: MC

5. According to the __________________________________________ model, a person who believes that there is nothing they can do to keep from getting sick is not as likely to follow the recommendations of their healthcare providers.

a. Ecologic

b. Medial

c. Health belief

d. Guided care

@ Cognitive domain: Comprehension; Answer location: Evolution of Medical Social Work Practice: Question type: MC

6. The unfavorable consequences of diabetes in the African American and Hispanic community do not seem to be due to _______________________________________.

a. Inherent biological differences

b. Denial being higher in these groups

c. Limited access to medical care

d. Awareness and perceptions of one’s own health condition

@ Cognitive domain: Comprehension; Answer location: Diabetes: Question type: MC

7. ____________________ of dependent individuals in the community rely on informal caregivers such as family.

a. One fourth

b. Half

c. Two thirds

d. One third

@ Cognitive domain: Knowledge Answer location: The Impact Of Chronic Illness On Family Functioning; Question type: MC

8. During the initial crisis phase of a chronic disease, a social worker will want to explore the families’ belief about the cause of an illness separately from their beliefs about _______________.

a. What can influence outcomes

b. Their religion

c. The trustworthiness of their healthcare team

d. The afterlife

@ Cognitive domain: Application; Answer location: The Impact Of Chronic On Family Functioning. Question type: MC

9. Modifiable health risk behaviors that are responsible for much of the illness, suffering, and early death are all of the following except _____.

a. Lack of physical activity

b. Poor nutrition

c. Tobacco use

d. Exposure to radiation

@ Cognitive domain: Knowledge; Answer location: Chronic Disease Overview; Question type: MC

10. The number-one “killer” in America is ____________________.

a. Cancer

b. Diabetes

c. Obesity

d. Heart disease

@ Cognitive domain: Knowledge; Answer location: Chronic Disease Overview; Question type: MC

11. The leading cause of death for women of most racial/ethnic groups in the United States is ____________________________.

a. Breast cancer

b. Lung cancer

c. Heart disease

d. Obesity

@ Cognitive domain: Knowledge; Answer location: Heart Disease; Evolution of Medical Social Work Practice: Question type: MC

12. Web-based interventions may _______________________ disparities in health.

a. Increase

b. Decrease

c. Not effect

d. Help some ethnic/racial groups’ but may not affect other ethnic/racial groups’

@ Cognitive domain: Comprehension; Answer location: Heart Disease; Question type: MC

13. The cultivation hypothesis predicts people ____________________________ men’s likelihood of dying from prostate cancer and women’s chance of dying from breast cancer.

a. Overestimate

b. Underestimate

c. Don’t know

d. Ignore

@ Cognitive domain: Comprehension; Knowledge; Answer location: Cancer; Evolution of Medical Social Work Practice: Question type: MC

14. Web-based intervention can be effective in delivering chronic disease self-management programs because __________________________________.

a. Almost everyone has access to the Internet

b. People can complete the programs anonymously, so there is a greater chance they will be honest

c. Patients are assigned to teams, and they don’t want to let their teammates down

d. The programs can overcome educational barriers by means of animation or videos

@ Cognitive domain: Comprehension; Answer location: Heart Disease; Question type: MC

15. A social worker who utilizes the cultural practices and philosophies of racial and ethnic communities is using ___________________________ as a strategy for enhancing the health of the community.

a. Culturegrams

b. Cultural leverage

c. Cultural humility

d. Data mining

@ Cognitive domain: Application; Answer location: Diabetes; Question type: MC

16. While the exact cause of Type 1 diabetes is unknown, the risk factors include all of the following except _____.

a. Autoimmune issues

b. Obesity

c. Genetic factors

d. Environmental factors

@ Cognitive domain: Knowledge; Answer location: Evolution of Medical Social Work Practice: Question type: MC

17. Kathy works in a primary care office. Her patient Andrew has not been taking his medicine to control his high blood pressure. The physician in the office expresses frustration with Andrew. He states, “It’s only one pill a day. How hard can it be to take one pill a day? Kathy, please meet with the patient and talk some sense into him.” Kathy meets with Andrew and acknowledges that sometimes it is hard to do something that seems so simple to someone else. Kathy asks Andrew what most days are like for him. Andrew tells Kathy that he has been working overtime and has been alternating between day and night shifts. He used to take his medicine every morning when he got up, but with his new schedule, he has not been getting up and going to bed at the same times. Kathy worked with Andrew to find something that ,despite his upside down schedule, he does every day. Andrew noted he has a cup of coffee every morning, so he does not get a headache. Andrew realized this could be his daily cue to take his medication. Kathy said she would check back in with Andrew next week to see if this new strategy for remembering to take his medicine was working. Kathy is practicing from what perspective?

a. Reciprocal

b. Deontological

c. Consequentialist

d. Social marketing

@ Cognitive domain: Application; Answer location: Health Disparities And Associated Costs Of Chronic Disease; Question type: MC

18. The chronic care model (CCM) can be utilized on the ____________________________ level.

a. Micro and mezzo

b. Micro and macro

c. Micro, mezzo, and macro

d. Mezzo and macro

@ Cognitive domain: Comprehension; Answer location: Health Disparities And Associated Costs Of Chronic Disease; Question type: MC

19. The ___________________ model uses the principles of chronic care, disease management, self-management, case management, lifestyle modification, transitional care, caregiver education and support, and geriatric evaluation and management.

a. Medical model

b. Health beliefs

c. Accountable care organizations

d. Guided care model

@ Cognitive domain: Comprehension; Answer location: Health Disparities And Associated Costs Of Chronic Disease; Question type: MC

20. Concern about chronic disease has prompted a paradigm shift from regarding individuals as consumers of health care to _________________________________.

a. Health seekers

b. Healthcare providers

c. Clients

d. Patients

@ Cognitive domain: Comprehension; Answer location: Facilitating Adherence To Medical Regimens: Question type: MC

True/False

1. Racial and ethnic minorities experience higher rates of morbidity and mortality than nonwhites.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Health Disparities And Associated Costs Of Chronic Disease; Question type: TF

2. Rates of adherence to medical regiments in chronic illness are approximately 50%.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Facilitating Adherence to Medical Regimens; Question type: TF

3. Life cycles occur the same way for all families.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: The Impact Of Chronic Illness On Family Functioning; Question type: TF

4. The manner in which a chronic illness impacts a family system is dependent in part on the convergence of the roles the family member with the illness fulfills in the family and the extent to which treatment modalities and illness symptoms, illness course, and related functional limitations affect an individual’s ability to fulfill his or her existing roles.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: The Impact Of Chronic Illness On Family Functioning; Question type: TF

5. An estimated 20% of the school-age population experiences a chronic mental illness or disabling condition.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Special Considerations: Chronic Illness in Childhood; Question type: TF

6. Chronic diseases are only the leading causes of death in countries with the lowest levels of income.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Chronic Disease Overview; Question type: TF

7. The most common type of cancer is breast cancer.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Cancer; Question type: TF

8. Diabetes can only be controlled with daily injections of insulin.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location Question type: Diabetes; TF

Short Answer/Essay

1. One year lost of “healthy” life is called one ________________________________.

a. DALY (disability-adjusted life year)

@ Cognitive domain; Knowledge; Answer location: Introduction; Question type: FIB

2. Name four ways the Patient Protection and Affordable Care Act is addressing health disparities and the rising costs of chronic illness.

a. Elimination of preexisting conditions; b. Encourages use of generic drugs; c. Limits on out-of-pocket expenses; d. Removes lifetime caps; e. Provides subsidies for health coverage purchased on the health exchange.

@Cognitive domain: Analysis; Answer locations: Health Disparities And Associated Costs Of Chronic Illness; Question type: ESS

3. Racial and ethic groups continue to face disparities in the quality of healthcare in the United States. Lower quality of care or poor outcomes can stem from patient-level factors, provider-level factors, health-system factors, and social and political factors. Describe one way each of these factors impacts the quality of care for ethnic and racial minorities.

a. Patient level: mistrust; b. Provider level: stereotyping or prejudice; c. Health system: lack of adequate insurance coverage, fragmented care, and lack of service coordination; d. Social and political factors: weakened or strained social support networks, lack of chronic-disease prevention.

@Cognitive domain: Analysis; Answer location: Health Disparities And Associated Costs Of Chronic Illness; Question type: ESS