Healthcare Social Work Practice – Verified Test Bank | Ch4

Chapter 4: Healthcare Social Work Practice Skills and Competencies

Multiple Choice

1. Practicing healthcare social work at the macro level includes __________________________.

a. Individual and family counseling

b. Case management

c. Leading groups

d. Assisting in the educational preparation of social workers for health practice.

@ Cognitive domain: Comprehension; Answer location: Definition Of Healthcare Social Work Practice; Question type: MC

2. Healthcare social work practice differs from other areas of social work practice ___________________.

a. Because it is practiced in a host setting

b. Because practitioners rarely meet with clients for more than one encounter

c. Because it is more costly

d. Because its practitioners are not held accountable

@ Cognitive domain: Analysis; Answer location: Definition Of Healthcare Social Work Practice: Question type: MC

3. Over the past 20 years, there has been a dramatic shift from hospital-based care to care provided in the home or community. Which factor is responsible for this shift?

a. Evolving technologies

b. A younger population needing more services

c. HIPAA

d. Patient preference

@ Cognitive domain: Analysis; Answer location: The Roles And Functions Of Healthcare Social Work Practice; Question type: MC

4. Mark works for a large hospital system. His patient has multiple physical and mental health issues. Mark is assisting with the patient’s discharge planning. Mark contacts the patient’s family, his primary care physician, and the local mental health center to help develop a plan to ensure the patient has follow-up care and support. Mark is practicing __________________________.

a. Transitional care planning

b. Active surveillance

c. High-risk screening

d. Personalized medicine

@ Cognitive domain: Application; Answer location: Care (Case) Coordinator/Manager Question type: MC

5. Kara works for the case management department of community hospital as a transitional care manager. While Kara is employed by the hospital, she must work with other providers within her organization and providers from other organizations. This ____________________ requires that she have relationship skills, the ability to strategize, and knowledge of other community resources.

a. High-risk screening

b. Boundary spanning

c. Focus on public health

d. Intradisciplinary teamwork

@ Cognitive domain: Comprehension; Answer location: Care (Case) Coordinator/Manager Question type: MC

6. Carol meets monthly as a facilitator with the ALS support group. Her role is to combine emotional support with disease- and treatment-related information. Carol is providing _________________________.

a. Case management

b. Transitional care management

c. Psychoeducational group leadership

d. Advocate

@ Cognitive domain: Application; Answer location: Counselor/Therapist: Question type: MC

7. Working for healthcare organizations, social workers frequently serve as gatekeepers to the provider system. This means they find themselves in the difficult position of sensitively advocating for the needs of patients in the face of frequent limitations on availability of healthcare resources. The ethical challenge in this case is _________________________.

a. Advocacy vs. resource control

b. Autonomy vs. beneficence

c. Justice

d. The least restrictive principle

@ Cognitive domain: Analysis; Advocate; Question type: MC

8. By engaging in ________________________________ efforts that evaluate the effectiveness of their own practice, social workers contribute to enhanced outcomes for patients and service delivery systems.

a. Individual practice associations

b. Continuous quality improvements

c. Regulatory agencies

d. Guided care model

@ Cognitive domain: Application; Answer location: Researcher and Evaluator; Question type: MC

9. There are _____________________ phases to the helping process as applied to healthcare social work practice.

a. 9

b. 6

c. 5

d. 3

@ Cognitive domain: Knowledge; Answer location: The Helping Process Applied To Healthcare Social Work Practice; Question type: MC

10. ____________________________ is an example of concrete services.

a. Financial assistance

b. Cognitive behavioral therapy

c. Logo therapy

d. Crisis intervention

@ Cognitive domain: Knowledge; Answer location: Researcher and Evaluator; Question type: MC

11. Karen works in a hospital social work department. Every morning, she prints the census for the units she covers. After carefully reviewing the demographics of the patients listed, she prioritizes the patients she will attempt to meet with that day. Karen is practicing in a system with a(n) ____________________________.

a. Critical pathway

b. Open referral system

c. Closed referral system

d. Evaluation target

@ Cognitive domain: Application; Answer location: Phase I. Identification, Engagement, Assessment and Care Planning: Initial Patient Need Identification and Prioritization; Question type: MC

12. Jane works in a hospital. Each morning, she checks her inbox for referrals. Once she has reviewed the reason for each referral, she starts to meet with the patients she has been requested to see. Jane is practicing in a system with a(n) ___________________________.

a. Critical pathway

b. Open referral system

c. Closed referral system

d. Evaluation target

@ Cognitive domain: Application; Answer location: Phase I. Identification, Engagement, Assessment and Care Planning: Initial Patient Need Identification and Prioritization; Question type: MC

13. Medicare guidelines note that at least three general dimensions of the patient should be assessed. These include the patient’s functional status, including ability for self-care and mobility, level of cognitive functioning, and __________________________________.

a. Spirituality

b. Experience of uncontrolled pain

c. Suspected/actual patient/family history of substance abuse

d. Extent of family support

@ Cognitive domain: Comprehension; Answer location: Phase I. Identification, Engagement, Assessment and Care Planning: Initial Patient Need Identification and Prioritization; Question type: MC

14. ________________________________ is a safety-net program.

a. Medicare

b. Patient Protection and Affordable Care Act

c. Hospice/palliative care

d. Managed care

@ Cognitive domain: Knowledge; Answer location: Phase I. Identification, Engagement, Assessment And Care: Planning/Goal Development; Question type: MC

15. The planning phase of the helping process is _______________________________.

a. A product

b. A process

c. Both a product and a process

d. Considered paternalistic

@ Cognitive domain: Comprehension; Answer location: Phase I. Identification, Engagement, Assessment And Care: Planning/Goal Development; Question type: MC

16. Mary is a social worker on an organ transplant team. One of Mary’s roles on the team is ensuring the other team members have awareness and understanding of the complicated, high-risk problems that impact their patients’ care and health status. In order to garner this information, Mary will most likely be conducting __________________________________.

a. Biopsychosocial assessments

b. Problem-oriented assessments

c. Psychoeducational groups

d. Peer supervision

@ Cognitive domain: Application; Answer location: Phase I. Identification, Engagement, Assessment And Care: Planning/Goal Development; Question type: MC

17. Rachel is a social worker in an oncology practice. She frequently uses ________________________ as a means of aiding patients to visualize patterns of health and behavior in their family.

a. Crude death rate

b. Genograms

c. Data mining

d. Culturegrams

@ Cognitive domain: Application; Answer location: Phase I. Identification, Engagement, Assessment And Care: Assessment; Question type: MC

18. Medicaid is administered at the _______________________________.

a. Local level

b. Federal and state level

c. Federal level

d. State level

@ Cognitive domain: Knowledge; Answer location: Phase I. Identification, Engagement, Assessment And Care: Planning/Goal Development; Question type: MC

19. Individuals who qualify for Medicaid are allowed _____________________________.

a. To own a home

b. To seek services in any state

c. To take up to one year to complete their application

d. To keep their retirement savings

@ Cognitive domain: Knowledge; Answer location: Phase I. Identification, Engagement, Assessment And Care: Planning/Goal Development; Question type: MC

20. Melvin is a social worker who has been working on a discharge plan for Mary. Mary is an 82-year-old woman who fell and broke her hip at home. The plan is for Mary to be discharged from the hospital to an extended care facility, where she will continue her recovery. In order to ensure the extended care facility has the essential information it needs to take over care of Mary, Melvin will complete a _______________________________ and send it to the extended care facility.

a. Critical pathway

b. Safety plan

c. Transfer form

d. Civil commitment

@ Cognitive domain: Application; Answer location: Phase II. Implementation and Goal Attainment: Question type: MC

21. Termination occurs when __________________________ decides to end services.

a. The social worker

b. The patient

c. Either the social worker or the patient

d. The patient’s family

@ Cognitive domain: Comprehension; Answer location: Phase III. Evaluation and Termination; Question type: MC

True/False

1. Termination does not need to be addressed if the social worker is going to be having a brief and time limited encounter with a patient.

a. True

b. False

@ Cognitive domain: Application; Answer location: Phase III. Evaluation and Termination; Question type: TF

2. Healthcare social workers’ services are no longer offered through hospital-based departments.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Definition of Healthcare Social Work Practice; Question type: TF

3. Since social worker education does not include classes in the biomedical sciences, social workers are not prepared to perform as formal leaders in organizations.

a. True

b. False

@ Cognitive domain: Analysis; Answer location: Leader; Question type: TF

4. Because Medicare is a safety-net program, it is automatically granted to an individual if they become disabled.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Phase I. Identification, Engagement, Assessment And Care: Planning/Goal Development; Question type: TF

5. There are no clear-cut guidelines about BSW and MSW task assignments.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: The Roles And Functions Of Healthcare Social Work Practice; Question type: TF

6. Ethical challenges faced by healthcare social workers include advocacy vs. resource control, autonomy vs. beneficence, and justice (or fair decision making).

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: The Roles And Functions Of Healthcare Social Work Practice: Advocacy; Question type: TF

7. Mary is called to the emergency room to meet with a patient who does not have a ride home from the hospital. The patient was brought in by ambulance and is now not sure how he will get home. When Mary meets with him, she will most likely conduct a problem-oriented assessment.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Ethics Committees; Question type: TF

8. Joe works in a primary care clinic as a social worker. He notices that his Hispanic patients only come to the doctor when they are ill. They are not utilizing the preventative services offered by the practice. After speaking with several of his Hispanic patients, Joe realizes that the health-promotion campaign was conducted only in English. Joe develops a plan to have the health-promotion campaign translated and then distributed widely. Joe is practicing an outreach activity.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Ethics Committees; Question type: TF

Short Answer/Essay

1. Bathing, toileting, dressing, cleaning, and meal preparation are all examples of ______________.

Activities of daily living (ADLs)

@ Cognitive domain; Knowledge; Answer location: Phase I. Identification, Engagement, Assessment and Care Planning; Question type: FIB

2. List at least 10 key elements of a patient biopsychosocial profile.

a. Demographic information; b. religious affiliation; c. mobility status; d. functional status; e. mental/cognitive status; f. current/history of substance abuse; g. social history; h. current emotional state; i. current risk factors for abuse, neglect, financial exploitation; j. social support system; k. living arrangements; l. financial resources; m. insurance status; n. education level; o. cultural considerations; p. perception of health/health problems; q. goals of treatment and discharge; and r. strengths and barriers in achieving goals.

@ Cognitive domain; Knowledge; Answer location: Phase I. Identification, Engagement, Assessment and Care Planning; Question type: ESS

3. Social workers often serve in formal and informal leadership roles within the healthcare field. List three factors that contribute to social workers being well equipped to hold these positions.

a. Knowledge of psychosocial dynamics; b. sensitivity to ethical decision making; c. concern for patient/family rights; d. recognition of the need for prudent resource utilization; e. trained to understand how systems work and work together.

@ Cognitive domain; Analysis; Answer location: Phase I. Identification, Engagement, Assessment and Care Planning; Question type: Short Answer