Full Test Bank Ch1 The Context Of Mental Health Social Work

Chapter 1

The Context of Mental Health Social Work Practice in Canada

Multiple Choice Questions

1. The Canadian Association of Social Workers states that mental health encompasses ________.
2. an external locus of control
3. stable housing
4. general well-being
5. ability to maintain adequate employment
6. The World Health Organization (WHO) states that determinants of mental health include not only individual attributes but also ________.
7. geographic influences
8. cultural influences
9. religious influences
10. educational influences
11. Social workers’ skills are well suited to mental health practice, due in part to which of the following?
12. Their focus on social dimensions of well-being
13. Their deficit-based approach
14. Their knowledge of psychotropic medications
15. Their adherence to long-standing policies
16. According to Brien (2015), what percentage of national health care funding was spent on non-dementia related mental health care in 2015?
17. 2.8%
18. 1.3%
19. 8.2%
20. 7.2%
21. In 2015, the document Informing the Future: Mental Health Indicators for Canada identified serious challenges with respect to the nation’s mental health, including ________.
22. lack of access to stable housing
23. lack of access to medications
24. suicide rates and self-harm, especially among youth and young adults
25. lack of mental health services for seniors
26. The Canadian government recognizes social determinants of health that provide a foundation for advocating for basic human rights such as ________.
27. adequate housing
28. subsidies for medication
29. employment insurance
30. food banks in every community
31. The Canadian Association of Social Workers (2019) identified three main areas of mental health social work practice. Which of the following was NOT identified?
32. Prevention
33. Rehabilitation
34. Treatment
35. Diagnosis
36. The literature notes that interprofessional teams can experience challenges to collaboration, including ________.
37. pay inequities
38. divergent diagnostic tools
39. lack of respect
40. confidentiality breaches
41. According to the CASW Code of Ethics (2005), there are six core areas of social work values. Which of the following is NOT among these?
42. Integrity in professional practice
43. Pursuit of social justice
44. Confidentiality
45. Dedication to self-care
46. The Culturally-Responsive Model of Recovery focuses on three recovery elements. Which of the following is NOT one of these elements?
47. Individuals live in a web of relations.
48. Social determinants of health are central to recovery.
49. Recovery centres around the mental health care system.
50. Culture is a central factor in recovery.
51. Psychiatric medications include ________.
52. NSAIDS
53. mood stabilizers
54. anticholinergics
55. diuretics
56. The social worker’s role in supporting clients with their medications includes ________.
57. reporting directly to the physician if the client does not take their medications
58. informing the client that the benefits of taking medications always outweigh the risks
59. advocating for the client by consulting with other interprofessional team members
60. directing the client to stop taking medications if they experience side effects
61. In 1993, the US Supreme Court cited four factors to assess whether a particular test used to support expert evidence has a reliable foundation. Which of the following is NOT included in these factors?
62. Has the theory or technique been tested?
63. Has the theory or technique been peer reviewed?
64. Has the rate of error been established?
65. Has the theory or technique been used in other countries?
66. According to Proctor and Rosen (2004), evidence-based practice (EBP) has three main points, including which of the following?
67. EBP is based on anecdotal information.
68. EBP is monitored infrequently.
69. EBP is critically assessed for appropriateness of practice.
70. EBP should be the main practice model for Canadian social workers.
71. Bellamy et al. (2011) asserted that EBP includes ________.
72. updated training manuals
73. a commitment to lifelong professional learning
74. adherence to a medical practice model
75. a top-down approach to client care
76. Decision-making using EBP involves a series of steps. Which of the following is NOT included in these steps?
77. Evaluation of the presenting issue
78. Critical evaluation of available evidence
79. Imposition of professional assessment on the client
80. Evaluation of intervention outcomes
81. Regehr et al. (2007) suggest a model for choosing the most appropriate intervention, including which of the following factors?
82. Client adherence to intervention protocol
83. Frequent physician follow-ups
84. Access to third-party insurance for medication coverage
85. Consideration of agency constraints
86. Farkas et al. (2005) posit that the recovery model should integrate with EBP. Which of the following is NOT one of their recommended components?
87. Person orientation
88. Self-determination
89. Medication compliance
90. Growth potential
91. Social workers play key roles in supporting individuals with mental health issues, including ________.
92. working independently from interprofessional teams
93. focusing solely on the client’s needs, without family or community inclusion
94. participating in mental health policy change
95. minimizing the importance of addressing client concerns
96. According to the text, social work assessments address ________.
97. the disparity in access to client services
98. whether or not the client can afford treatment
99. the psychodynamic factors informing client mental health
100. the client’s ability to adhere to a treatment regimen
101. According to the text, knowledge of the Diagnostic and Statistical Manual of Mental Disorders (DSM) is ________.
102. invaluable for social work practice
103. not necessary for social workers
104. important, especially when communicating across disciplines
105. only helpful when practicing clinical social work
106. According to the text, mental health social work has the potential for exposure to which of the following?
107. Civil unrest
108. Criminal activity
109. Threats to personal safety
110. Contagious diseases
111. Which of the following is NOT included in the list of negative reactions to mental health social work practice?
112. Posttraumatic stress
113. Vicarious trauma
114. Hypertension
115. Acute stress
116. Health care agencies can take measures to mitigate the impact of stress, including ________.
117. designing safer working environments
118. hiring security personnel
119. providing “danger pay”
120. reducing the number of sick days for staff
121. The British Association of Social Workers (2017) states that prior to entering practicum, students must demonstrate which of the following?
122. An understanding of the importance of personal and professional boundaries
123. The ability to relocate for work after graduation
124. Leadership skills
125. High grades

True or False Questions

1. The Canadian Association of Social Workers (CASW) defines mental health as a state of well-being in which individuals realize their own potential, cope with normal stresses, and contribute to their community.
2. Statistics Canada reported in 2017 that suicide was the leading cause of death among youth and young adults between the ages of 15-34 in Canada.
3. Clinical social workers are limited to providing diagnoses and treatment for mental health disorders.
4. In 2014, the Mental Health Commission of Canada produced a mental health recovery declaration based on the three core principles of hope, faith, and dignity.
5. A recent meta-analysis showed that people with schizophrenia associated a personal sense of recovery most strongly with a reduction of psychotic symptoms.
6. One of the critiques of the recovery model of mental health is that it puts the burden of recovery on the individual.
7. In a random sample survey of US social workers, 96% felt that discussing a client’s feelings about taking psychiatric medications was within their scope of practice.
8. According to the Canadian Institutes of Health Research Institute of Gender and Health, diagnostics and clinical programs are always evaluated for differential effects related to gender and sex.
9. Social workers have never been in support of the Indigenous residential school system.
10. Sowers (2005) stated that the recovery model and evidence-based practice are not in opposition to one another.
11. Aspects of the Assertive Community Treatment model could undermine the effectiveness of the recovery model.
12. The most effective treatment approaches are those that are tailored to the individual’s symptomology and challenges.
13. This textbook advocates for a biopsychosocial approach to mental health assessment and intervention.
14. Social workers do not experience incidents impacting personal safety.
15. Social workers can protect themselves by obtaining training in evidence-based stress reduction techniques.

Short Answer Questions

1. Identify some of the main areas of practice for social workers and clinical social workers.
2. Describe ways in which social workers can mitigate challenges when working with other professional groups.
3. Describe the recovery model of mental health care.
4. Describe some of the psychological and social factors that can affect a person’s response to psychiatric medication.
5. What are some of the criticisms of evidence-based practice within the field of social work?