Pediatric Healthcare Social Work | Test Bank + Answers Ch.12

Chapter 12: Pediatric Healthcare Social Work Practice

Multiple Choice

1. ________________ is a genetic disease that involves mucus buildup that obstructs vital organs in the body and ultimately results in breathing problems when mucus clogs the lungs.

a. Asthma

b. Diabetes

c. Upper respiratory infection

d. Cystic fibrosis

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

2. Nationally, increased attention is being directed at the mental healthcare needs of children. In part, this heightened awareness is due to _____________________.

a. An increase in the number of psychotropic medications that have been given FDA approval for use in children

b. Incidents of gun violence perpetrated by children

c. The growing use of computer games and their impact on children

d. Concern that vaccines might cause autism

@ Cognitive domain: Comprehension; Answer location: Mental Health; Question type: MC

3. Between 2006 and 2008, developmental disabilities were reported in approximately _________________ children in the United States.

a. One in 6

b. One in 10

c. One in 20

d. One in 100

@ Cognitive domain: Knowledge; Answer location: Developmental Disabilities; Question type: MC

4. A developmental disability must be manifested before the age of _________________.

a. 16

b. 18

c. 21

d. 22

@ Cognitive domain: Knowledge; Answer location: Developmental Disabilities: Question type: MC

5. The Developmental Disabilities Assistance and Bill of Rights Act of 2000 requires states to establish __________________.

a. Health exchanges

b. Protection and advocacy centers to ensure that the rights of the individuals are protected

c. Respite care programs for parents of profoundly disabled children

d. A website with a list of active clinical trials

@ Cognitive domain: Comprehension; Answer location: Developmental Disabilities; Question type: MC

6. The _____________________________ model provides a framework for understanding the impacts of a child’s condition on his or her family.

a. Family Adjustment and Adaptation Response (FAAR)

b. Childhood Illness Predictive Index (CIPI)

c. Child–Parent Attachment (CPA)

d. Parent Adjustment Scale (PAS)

@ Cognitive domain: Knowledge; Answer location: Impact of Illness on Children and Families; Question type: MC

7. ___________________ is a model of care in which the patient’s preferences and instructions are primary in designing and implementing services and the treatment plan.

a. Medical home

b. Person-centered planning

c. Medical model

d. Integrated care

@ Cognitive domain: Comprehension; Answer location: Developmental Disabilities; Question type: MC

8. You are a social worker in a hospital. You have been called down to the emergency room because a 10-year-old boy has been brought in by ambulance from his school. The boy has asthma and began to have significant difficulty breathing while at school. When staff call the boy’s primary care pediatrician, they learn the boy has not attended the last four appointments that have been scheduled for him. This could be an example of ___________________, and you should complete a comprehensive psychosocial assessment to help determine the reason he has missed his medical appointments.

a. Medical neglect

b. Risk of harm

c. Medical child abuse

d. Physical abuse

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

9. Katherine is a social worker in Indiana. As such, she is a _____________________ and has a legal duty to report any incidence of suspected child abuse.

a. Capias mittimus

b. Ex parte

c. Mandated reporter

d. Guardian ad litem

@ Cognitive domain: Knowledge; Answer location: Child Maltreatment; Question type: MC

10. Obesity is most often defined as excess body weight as measured by _________________, which is a reflection of weight adjusted for height.

a. BIPM

b. BWXBH

c. BPF

d. BMI

@ Cognitive domain: Knowledge; Answer location: Obesity; Question type: MC

11. Individuals can qualify for special education from early childhood up until the age ______________________.

a. 18

b. 21

c. 23

d. 26

@ Cognitive domain: Knowledge; Answer location: Developmental Disabilities; Question type: MC

12. Each public school child who receives special education and related services must have a _____________________, which must be designed for each student and must be a truly individualized document. School social workers and special education teachers work together through the development of this plan.

a. Child first plan

b. Free appropriate plan of education

c. Individualized education plan (IEP)

d. Individual education evaluation (IEE)

@ Cognitive domain: Knowledge; Answer location: Developmental Disabilities; Question type: MC

13. The number-one cause of death in children up to the age of 19 years in the United States is ______________________.

a. Suicide

b. Unintentional injuries

c. Cancer

d. Cystic fibrosis

@ Cognitive domain: Knowledge; Answer location: Accidental Injury; Question type: MC

14. Fran covers the critical care unit. Her patient Robert has just had a craniotomy and is not awake when she enters his room to meet him. There are several family members in the room, including Robert’s two daughters, who appear healthy. Both girls tell Fran that their dad just had an operation. They describe having been very worried about him, but seeing him now “sleeping peacefully,” they are feeling better. Fran discovers that Robert and his girlfriend have shared custody with Robert’s ex-wife and that Robert works in a factory. Fran tells the family she will come back when Robert has woken up. As she leaves the room, one of the family members follows her out and introduces herself as Robert’s cousin, Rita. Rita tells Fran that Robert is unemployed and “running around.” Rita states, “Robert is irresponsible, and he is a bad father.” Fran documents the full content of the conversation with Rita, including the fact that Robert is “unemployed, irresponsible and a bad father,” in Robert’s medical record. Fran’s supervisor meets with her later and tells her that this should not have been included in Robert’s medical record because it is _________________________.

a. Hearsay

b. A lie

c. Lis pendens

d. Objective

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

15. Nancy has been working in a children’s hospital with a team of four social workers. The social workers would like to implement a new program to further assist the siblings of children who have chronic health conditions. Nancy reviews peer-reviewed journals for articles describing evidence-based programs that have been effective and describe the patient outcomes. Nancy computes the financial benefits as well as the financial outlays of providing the programs. Nancy takes this information to her administrator and asks for another social worker to be hired to staff the program. Nancy is performing _________________.

a. Informed self-advocacy

b. Best interest advocacy

c. Peer advocacy

d. Professional/specialist advocacy

@ Cognitive domain: Application; Answer location: Practice Opportunities; Question type: MC

16. One of the most charged ethical issues in pediatric social work practice relates to ____________________________.

a. Participation of patients in clinical trials

b. End-of-life and quality-of-life decisions

c. Consent, assent, and disclosure issues

d. Disparities in access to quality medical care

@ Cognitive domain: Analysis; Answer location: Professional Values And Ethics; Question type: MC

17. Angie is called to the emergency room. The police and an employee of the child welfare department have brought in a young child for an examination. The child was living in a home that was being used for the manufacture of methamphetamines. The police have arrested the child’s parents, and child welfare has taken over the care of the child. This is an example of ______________________ child maltreatment.

a. Physical abuse

b. Emotional abuse

c. Medical child abuse

d. Risk of harm

@ Cognitive domain: Applied; Answer location: Child Maltreatment; Question type: MC

18. Bruce is called to the pediatric unit of the tertiary care hospital. A child has been brought in with multiple medical issues. As Bruce enters the room, he sees a child who is pale, small for his age, and lethargic. Despite a complete medical workup, the medical staff is unable to determine what is causing the child to be so sick. The next day, the pediatrician calls Bruce. The night nurse found the child’s mother injecting the child with something that was cloudy and smelled sweet. The syringe was taken to the hospital lab, and the staff determined antifreeze was in the syringe. Bruce calls the child welfare department to make a report of suspected _______________________.

a. Physical abuse

b. Neglect

c. Risk of harm

d. Medical child abuse

@ Cognitive domain: Application; Answer location: Child Maltreatment; Question type: MC

19. The staff of the labor and delivery department call Taylor and relay that a woman is being brought to the hospital by ambulance in active labor. The emergency medical technicians report they responded to a call about a woman who was screaming and in distress. When they arrived, they found the woman lying on a blow-up mattress in an apartment in active labor. As they looked around the apartment, they noticed that it was empty except for the plastic mattress. The woman will not tell anyone her name or provide any additional information about herself. After the woman has delivered the child, Taylor meets with her. The woman states she just wants to leave the hospital with her baby. Taylor asks what resources the woman has in place, but the woman continues to refuse to provide any additional information. Taylor calls the child welfare department to report her concerns regarding possible child _____________________ if the woman is permitted to leave the hospital with no resources in place.

a. Physical abuse

b. Emotional abuse

c. Neglect

d. Medical child abuse

@ Cognitive domain: Applied; Answer location: Child Maltreatment; Question type: MC

20. A 6-month-old baby is brought to the emergency room with a head laceration. There are bruises all around his mouth and on his arms, legs, and chest. The parents are both very young. The mother does not make eye contact and the father appears very scared. The father tells the social worker that the baby rolled off the couch and hit its head on the coffee table. The attending physician tells the social worker that he has found multiple old injuries as well. As the social worker talks with the grandparents, she learns that both the mother and father were in child protective services as children. The social worker calls the child welfare department to report her suspicion of _______________________.

a. Physical abuse

b. Risk harm

c. Neglect

d. Medical child abuse

@ Cognitive domain: Applied; Answer location: Child Maltreatment; Question type: MC

True/False

1. Suicide is the number-one cause of death in children up to the age of 19 years in the United States.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Accidental Injury; Question type: TF

2. The pediatric primary care medical home model of care was initially targeted toward children with special needs, but the philosophy has evolved as an ideal for all children.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Pediatric Primary Care Clinics; Question type: TF

3. Studies have identified the importance of maternal mental health, noting that the mother’s psychological well-being typically impacts the overall health of the entire family.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: The Impact of Illness on Children and Families; Question type: TF

4. The CDC released a report warning of the overreporting of mental illness in children between the ages of 3 and 17 years.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Mental Health; Question type: TF

5. There is a uniform national definition of what constitutes child maltreatment.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Child Maltreatment; Question type: TF

6. Children in poor families are five times as likely to be in fair or poor health as children in families that are not poor.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Child Health In The United States; Question type: TF

7. When reporting child maltreatment concerns to child welfare, it is best not to tell the parents, since it will ruin any therapeutic relationship you have developed with them.

a. True

b. False

@ Cognitive domain: Analysis; Answer location: Child Maltreatment; Question type: TF

8. The main purpose of clinical documentation is to have a record of your actions in case you are ever sued.

a. True

b. False

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

Short Answer/Essay

1. __________________ risk factors for child abuse include homelessness, limited or insufficient financial resources, recent or long-standing unemployment, inadequate or suboptimal child-care arrangements, lack of access to affordable health insurance, and linguistic, cultural, or religious barriers to accessing healthcare or supportive services.

Environmental

@ Cognitive domain; Comprehension; Answer location: ; Question type: FIB

2. _______________ risk factors for child abuse include age (the younger the child, the more risk), difficult temperament (actual or perceived by the caregiver), physical or cognitive disability, and a chronic medical or mental condition.

Child

@ Cognitive domain; Knowledge; Answer location; Child Maltreatment; Question type: FIB

3. Name the six main categories of child maltreatment and give an example of each.

a. Physical abuse—Inflicting injuries to a child including bruises, burns, fractures, abdominal trauma, and abusive head trauma; Sexual abuse—Any form of sexual contact with a child, including fondling, penetration, oral or genital contact, exposing a child to pornography, or creating pornographic images of a child; Emotional abuse—Demeaning behavior toward a child, including yelling, belittling, blaming, or humiliation; Neglect—Failing to meet a child’s basic needs, including food, clothing, shelter, healthcare, or education; Risk of harm—exposing a child to a situation that causes a risk to the child but has not actually caused any harm (e.g., exposing the child to domestic violence, chemical dependency, or criminal activity in the home); Medical child abuse—(Previously known as Munchausen syndrome by proxy): fabricating or producing medical symptoms in a child that result in a child receiving unnecessary and harmful or potentially harmful medical care

@ Cognitive domain; Application; Answer location; Child Maltreatment; Question type: ESS

4. Healthcare models are moving toward utilizing interdisciplinary and transdisciplinary teams. What are some challenges facing social workers who are members of these types of teams?

a. Limited health team knowledge regarding social work roles; Perception a family will be offended by a social work consult; Fear social work will “intrude” on the medical team’s relationship with the patient and family; Perceived overlapping or disagreement about responsibilities and roles on the team; Conflicts in training and/or disagreements on warranted intervention modalities among team members

@Cognitive domain: Analysis; Answer locations: Integration and Collaboration with the Healthcare Team; Question type: ESS

5. What are some ways social workers can respond to the challenges of being a member of a interdisciplinary team?

a. Inventory their professional knowledge and skills, identifying opportunities for growth and development; Develop expertise in their specific practice area to enhance competency and demonstrate credibility to the team; Reflect on the role they play in team integration challenges and request feedback so as to gain an understanding of role perceptions and ways to improve collegial collaboration; Initiate open and honest discussions with team members to define and clarify roles and discuss team dynamics and serve as a role model for mutual respect and solution-focused problem solving

@Cognitive domain: Analysis; Answer: Integration and Collaboration with the Healthcare Team; Question type: ESS