Test Bank Answers Healthcare Social Work Knowledge Chapter 3

Chapter 3: Knowledge and Theoretical Foundations of Healthcare Social Work Practice

Multiple Choice

1. You are a social worker employed in an oncology practice. You are providing adjustment-to-illness counseling for your patients and families. What will be your focus in this practice setting?

a. Addressing personality disorders

b. Addressing chronic mental illness

c. Helping to resolve longstanding dysfunctional family dynamics

d. Providing problem-oriented interventions

@ Cognitive domain: Application; Answer location: Adjustment To Illness Counseling; Question type: MC

2 . A ___________________ is a metaphor used to describe the layers of social systems that surround and influence an individual.

a. Maze

b. Set of nested Russian dolls

c. Library

d. Onion

@ Cognitive domain: Comprehension; Answer location: System-Based Theories: Question type: MC

3. In Erik Erikson’s life-cycle model of development, each stage of development involves a specific challenge or developmental turning point. This is called __________________.

a. Ego strength

b. Epigenetic crisis

c. Epigenetic principle

d. Superego strength

@I Cognitive domain: Knowledge; Answer location: Human Development Theories: Question type: MC

4. Jane is a nurse who works in a primary care clinic. After meeting with one of the clinic patients, she asks Mike, the social worker, to see the patient. Jane states no matter how many time she has told the patient that he needs to stop smoking, the client does not listen to her. Jane expresses frustration that she cannot fix the patient. Jane is exhibiting ______________.

a. Self-management

b. The righting reflex

c. Empathy

d. Internalization

@ Cognitive domain: Comprehension; Answer location: Cognitive Behavioral Approaches: Question type: MC

5. ______________________________ is a process of being.

a. Health

b. Wellness

c. Illness

d. Health status

@ Cognitive domain: Comprehension; Answer location: Definitions Of Health, Wellness, Disease, and Disability; Question type: MC

6. You meet with a patient who has smoked cigarettes for more than 20 years. He has the early stages of congestive heart failure and would benefit from quitting smoking. The nurse has asked you to meet with the patient to “get him to quit smoking.” When you speak with the patient, he states, “I know I should stop smoking. It is an expensive habit and it is not good for me. But I love smoking. I am no longer able to do as much as I used to be able to do, and smoking is the one thing that still brings me joy. I’m not going to quit right now.” In the motivational interviewing model, what stage of change is the currently in?

a. Precontemplative

b. Contemplative

c. Preparation

d. Action/willpower

@ Cognitive domain: Comprehension; Answer location: Cognitive Behavioral Approaches: Question type: MC

7. You have been meeting regularly with a patient who would benefit from quitting smoking cigarettes. He has not shown any interest in quitting despite understanding the consequences of continuing to smoke. On this visit, he says, “Well, you know. I’m thinking that maybe it is getting close to the time for me to quit smoking, but really, I’m not sure I can. I’ve been smoking for so long. Do you think it’s even possible for someone like me to quit?” The patient is now in the __________________________ stage of change.

a. Precontemplative

b. Contemplative

c. Preparation

d. Action/willpower

@ Cognitive domain: Comprehension; Answer location: Cognitive Behavioral Approaches: Question type: MC

8. The biopsychosocial framework has been expanded to acknowledge the ____________________ dimension of human experience.

a. Fifth

b. Moral

c. Aesthetic

d. Spiritual

@ Cognitive domain: Knowledge; Answer location: Integrative Approaches: Question type: MC

9. _________________________ is a state of being.

a. Health

b. Wellness

c. Illness

d. Health status

@ Cognitive domain: Knowledge; Answer location: Definitions of Health, Wellness, Disease, and Disability; Question type: MC

10. The first step in crisis intervention is to _____________________.

a. Precontemplate

b. Make plans

c. Define the problem

d. Obtain commitment

@ Cognitive domain: Application; Answer location: Crisis Intervention: Question type: MC

11. Heather works in a primary care office as a social worker. She has been working with Keith to help him adjust to his recently diagnosed heart disease. What type of interventions will Heather be utilizing in her work with Keith?

a. Problem-oriented interventions

b. Reparative therapy

c. Psychoanalytic therapy

d. Play therapy

@ Cognitive domain: Application; Answer location: Adjustment To Illness Counseling: Question type: MC

12. An essential feature of narrative therapy is ________________________________.

a. The person is the problem.

b. The client’s “lens “ may be distorted, and it is the therapist’s job to refocus the “lens” for the client.

c. The problem is the problem.

d. Having the client read aloud their stories in front of their families.

@ Cognitive domain: Comprehension; Cognitive Behavioral Approaches: Question type: MC

13. Leah is a social worker who has been working to help Howard with his anxiety. Leah has taught Howard relaxation exercises such as deep breathing, creative visualization, and body relaxation. Leah is teaching Howard ____________________ strategies.

a. Stress-management

b. Action/Willpower

c. Precontemplation

d. Cognitive distortion

@ Cognitive domain: Application; Answer location: Cognitive Behavioral Approaches: Question type: MC

14. One of the tools Leah employs with Howard as she helps him learn to manage his anxiety is ___________________. Howard uses this tool to describe and chart the severity of his anxiety before and after he uses the relaxation exercises Leah has taught him.

a. Narrative therapy

b. Logo therapy

c. Hypnosis

d. Scaling

@ Cognitive domain: Application; Answer location: Cognitive Behavioral Approaches: Question type: MC

15. The social systems in which social workers interact are ___________________ systems because interaction occurs between the system and its broader environment.

a. Outcome

b. Closed

c. Process

d. Open

@ Cognitive domain: Knowledge; Answer location: Cognitive Behavioral Approaches: Question type: MC

16. ____________________________ is a branch of existential therapy focused on healing, wholeness, and finding will and purpose during challenging times.

a. Cognitive behavioral therapy

b. Motivational Interviewing

c. Crisis intervention

d. Logo therapy

@ Cognitive domain: Knowledge; Answer location: Cognitive Behavioral Approaches: Question type: MC

17. Some models of motivational interviewing include a sixth step, which is _______________.

a. Maintenance

b. Relapse

c. Contemplation

d. The “righting reflex”

@ Cognitive domain: Comprehension; Answer location: Motivational Interviewing: Question type: MC

18. The ___________ model assists social workers to conceptualize and interpret human development and behavior within the context of the person-in-environment.

a. Cognitive-behavioral

b. Ecological

c. Psychoanalytic

d. Psychodynamic

@ Cognitive domain: Knowledge; Answer location: Systems-Based Theories: Question type: MC

19. Mary is a social worker who has been given a referral to see Candice. Candice has recently been diagnosed with rheumatoid arthritis. Candice spends most of the first session describing how one of the most difficult aspects of her disease is no longer thinking of herself as someone who is healthy. Mary realizes that Candice is grieving for her former self and experiencing a ______________________.

a. Physical loss

b. Normative loss

C. Psychosocial loss

d. Nonnormative loss

@ Cognitive domain: Comprehension; Answer location: Grief and Loss: Question type: MC

20. Paul is a social worker who has been given a referral to see Dan. Dan has recently been diagnosed with terminal cancer. As Dan walks into the room, he immediately states, “What did I do to deserve this? Why is God doing this to me? I’ve always been a good person and tried to do the right thing. There are so many bad people doing bad things and God is not punishing them.” Paul realizes that Dan is having a(n) __________________________.

a. Existential crisis

b. Developmental crisis

c. Situational crisis

d. Ecosystem crisis

@ Cognitive domain: Application; Answer location: Crisis Intervention: Question type: MC

21. A pathological, biomedical condition that interferes with the body’s capacity to regulate itself and perform essential functions is ___________________.

a. Homeostasis

b. Illness

C. Disability

D. Disease

@ Cognitive domain: Knowledge; Answer location: Definitions Of Health, Wellness, Disease, and Disability: Question type: MC

22. The disability rights movement emphasizes that many instances of impairment result from limitations in ______________________.

a. The environment

b. The individual

c. Motivation

d. Ineffective vaccines

@ Cognitive domain: Comprehension; Answer location: Definitions Of Health, Wellness, Disease, And Disability: Question type: MC

23. A social worker, John, joins a medical practice. On his first day, the physician, Dr. White, greets John and immediately asks John to go see “the patient with diabetes in room 2.” Dr. White states, “I doubt there is anything you will be able to do for the patient, but since you’re here, you might as well see the patient. “ As John opens the door to the patient’s room, he realizes the only thing he knows about the patient is that the patient has diabetes. What is most likely Dr. White’s practice model?

a. Whole person

b. Patient centered

c. Medical

d. Integrated care

@ Cognitive domain: Application; Answer location: The Medical Model Of Practice: Question type: MC

24. Mary is doing research for her new job working in a primary care clinic. Mary is new to the community and is interested in learning about the overall health of the community. Where would be the best place that Mary could find this information?

a. The U.S. Department of Health and Human Services Community Health Status Indicator

b. Wikipedia

c. The United States Census

d. Reviewing patient charts

@ Cognitive domain: Application; Answer location: Definitions Of Health, Wellness, Disease, And Disability: Question type: MC

25. Healthcare reforms are prompting a shift in focus to all of these services except _____.

a. Care coordination

b. Health promotion

c. Disease driven

d. Patient outcomes research

@ Cognitive domain: Comprehension; Answer location: The Changing HealthCare System; Question type: MC

True/False

1. According to the WHO, mental disorders such as depression, bipolar disorders, and anxiety are among the twenty leading causes of disability worldwide.

a. True

b. False

@ Cognitive domain: Knowledge Answer location: Definitions of Health, Wellness, Disease, and Disability; Question type: TF

2. Healthcare social workers, whose role will increasingly be to coordinate patient care across the healthcare continuum, will be too busy with the new responsibilities to be responsible for the behavioral health needs of their patients.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: The Changing Healthcare System; Question type: TF

3. When a patient chooses to belong to a medical home, the primary care physician associated with their medical home is the only physician approved to provide all of their medical care.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: The Changing Healthcare System; Question type: TF

4. “Disability” is a socially constructed term highly dependent on culture, politics, resources, and values.

a. True

b. False

@ Cognitive domain: Analysis; Answer location: Definitions Of Health, Wellness, Disease, And Disability; Question type: TF

5. Kubler-Ross and Rando’s models of grief differ in that Rando insisted individuals move through the stages in a linear fashion, while Kubler-Ross’s model allowed for movement in and out of the stages throughout the grieving process.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Grief and Loss; Question type: TF

6. When doing narrative therapy with a client, it is important for the social worker to step back and simply record the story as it unfolds.

a. True

b. False

@ Cognitive domain: Application; Answer location: Narrative Therapy; Question type: TF

7. Integrative approaches address the body–mind–spirit framework with techniques like yoga and meditation.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Integrative Approaches; Question type: TF

8. Logo therapy is empowering in that it involves helping the client refuse to accept that they may not have any choices about certain conditions in their life.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Behavioral Approaches; Question type: TF

9. Illness is an individual’s subjective experience of disease.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Definitions Of Health, Wellness, Disease, Illness And Disability; Question type: TF

10. A serious healthcare crisis can be composed of developmental, situational, and existential crises.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Crisis Intervention; Question type: TF

Short Answer/Essay

1. _______________________ is a pathological, biomedical condition that interferes with the body’s capacity to regulate itself and perform essential factors.

a. Disease

@ Cognitive domain; Knowledge; Answer location: Definitions Of Health, Wellness, Disease, And Disability; Question type: FIB

2. The ____________________ is a “lens” in which all conditions are diseases requiring diagnosis, medication, and intervention.

a. Medical model

@ Cognitive domain; Knowledge; Answer location; The Medical Model; Question type: FIB

3. _______________________ recognizes the mutual influence of family members upon each other within the context of the broader social environment.

a. Family systems/Family systems theory

@ Cognitive domain: Knowledge; Answer location; Systems-Based Theories; Question type: FIB

4. The medical model focuses on impairment, disease, and symptoms rather than on the individual. What two steps can social workers take to assist in the evolution from this model to recognition of patient self-determination and inclusion?

a. Advocate for patients; b. Provide culturally sensitive biopsychosocial-spiritual histories and assessments; c. Educate other healthcare professionals; d. Take on more leadership roles; e. Educate social work students

@Cognitive domain: Analysis; Answer locations: The Medical Model Of Practice; Question type: ESS

5. The changing healthcare climate includes a shift from a disease-driven focus to a wellness-driven focus. Care will be patient centered and address the concerns of the “whole person.” Care will be delivered across the continuum, and behavioral health and physical health will be integrated. List three traditional social work perspectives that can be used as a theoretical framework for caring for patients under this new model.

a. Multisystem, ecological, person-in-environment interventions in health interventions in health settings. Strengths based. Evidenced based.

@Cognitive domain: Analysis; Answer: Definitions of Health, Wellness, Disease, and Disability; Question type: ESS