Test Bank Chapter 4 Social Work Assessment In Mental Health

Chapter 4
Social Work Assessment in Mental Health

Multiple Choice Questions

1. Intervention without assessment has the potential for being:
2. Appropriate
3. Person centered
4. Iatrogenic
5. Evidence based
6. SWOT is an acronym used to describe a process that identifies environmental factors impacting organizations, or in the case of mental health social work, factors impacting individuals. Which of the following does not represent a letter in the acronym?
7. Strengths
8. Weaknesses
9. Opportunities
10. Treatments
11. Mental health social workers are required to have special knowledge and skills relating to their area of practice. Which of the following requirements is not mentioned in the text?
12. Mental health social workers are required to be skilled in standard psychosocial assessments
13. Mental health social workers must be capable of performing mental status examinations
14. Mental health social workers must also be familiar with the classification of mental health problems as specified by the Diagnostic and Statistical Manual of Mental Disorders (APA, 2013)
15. Mental health social workers must be familiar with the administration of anti-psychotic medications
16. Which one of the following is not identified as a group impacted by access to mainstream health services?
17. Gender
18. Sexual orientation
19. Urban residents
20. Social class
21. According to the Cultural Influences on Mental Health framework (2008) there are several areas where culture contributes to differences in mental health, including:
22. Preference of certain medications
23. The expression of distress
24. Family size
25. Length of time living within Canada
26. In 2015, Canada welcomed 25,000 Syrian refugees. What percentage of this refugee population were under the age of 18?
27. 25%
28. 70%
29. 50%
30. 15%
31. Indigenous men living on reserve have a 24 per cent chance of dying before the age of 65 compared to what percentage of males in the general population?
32. 14%
33. 4%
34. 10%
35. 34%
36. Researchers’ findings reveal that individuals with African and Afro-Caribbean backgrounds have a different rate of diagnosis of schizophrenia in Western countries, compared with individuals of other races. Which of the following is the correct rate of diagnosis?
37. This group is 50% more likely to be diagnosed with schizophrenia
38. This group is less likely to receive the diagnosis
39. This group is more likely to receive the diagnosis
40. This group is 50% less likely to receive the diagnosis
41. Cultural beliefs may dissuade Individuals from seeking mainstream mental health services in favour of other forms of support. Which of the following is not included in the list provided in the text?
42. Informal supports
43. Spiritual leaders
44. Indigenous healers
45. Recreational groups
46. The CCSA reports that biological sex-related factors affect a person’s response to substances, whereas gender-related roles and identity affect:
47. Access and use of substances
48. Frequency of use
49. The amount of substances used
50. Choice of substance
51. Compared with a 1.6% lifetime rate of suicide attempts within the general population, what is the rate of suicide attempts among transgender individuals?
52. 57%
53. 48%
54. 75%
55. 27%
56. According to Ozonoff (2018) most cases of autism spectrum disorder are diagnosed in pre-school children and are the result of:
57. Social and communication delays
58. Poor spatial reasoning
59. Poor hand-eye coordination
60. Difficulty walking
61. According to de Lijster et al. (2017), childhood onset of anxiety disorders is associated with a number of factors. Which one of the following is not mentioned in the text?
62. More severe pathology
63. Greater comorbidity
64. More avoidance behaviour
65. Parenting skills
66. Data collection for mental health assessments includes which one of the following areas?
67. Information from family or significant people in the person’s life
68. Academic transcripts
69. Workplace conduct reports
70. Criminal record checks
71. Which one of the following is not included in the description of the initial steps of an assessment interview?
72. Social worker introduction
73. Identifying their role in the organization
74. Identifying the purpose of this meeting
75. Sharing personal contact information for client follow up
76. According to the text, what final question should the social worker ask the client or family members prior to completing the assessment interview?
77. Did they feel comfortable during the assessment process?
78. Will they need assistance arranging for transportation after the meeting?
79. Is there anything else that they would like to add, or questions they may have?
80. Are they comfortable with the social worker sharing the results of the interview with their colleagues?
81. The “Formulation” section of the assessment has five components. Which one of the following is not among the five components listed in the text?
82. Perpetuating
83. Preliminary
84. Precipitating
85. Predisposing
86. A standard mental status examination consists of nine key elements. Which one of the following is not included in the list within the text?
87. Level of formal education
88. Appearance, attitude, and behaviour
89. Mood and affect
90. Insight and judgement
91. When conducting a mental status examination, consideration of the person’s appearance is important. What incongruencies should the social worker note?
92. The person is dressed according to the weather
93. The person has bathed prior to meeting
94. The individual is huddled in a corner
95. The individual is wearing makeup
96. For the mental status exam, affect can be described as:
97. Dysphoric
98. Labile
99. Depressed
100. Euphoric
101. Mental status exams use terminology that defines examples of thought form disturbances. Which one of the following is not included in the list provided in the text?
102. Word Salad
103. Echolocation
104. Neologism
105. Perseveration
106. According to the text, delusions may include content that is:
107. Persecutory
108. Florid
109. Vivid
110. Personal
111. Which one of the following is not included in the list of perceptual disturbances?
112. Olfactory hallucinations
113. Tactile hallucinations
114. Depersonalization
115. Derailment
116. Social workers have identified disadvantages to using the DSM, including:
117. Challenges with understanding clinical language
118. Lack of academic preparedness
119. Diagnostic labels can be stigmatizing
120. Difficulty in articulating diagnoses to clients
121. The Cultural Formulation Interview has four domains. Which one of the following is not included in the domains described in the text?
122. The cultural definition of the problem
123. Current help-seeking
124. Cultural perceptions of the cause, context, and support
125. Cultural perceptions of Western medicine in general

True or False Questions

1. Assessment is the foundation upon which effective and evidence-based intervention can be built.
2. At the community level, policies and practices are in place that limit or enhance opportunities for mental health services.
3. According to Blackstock (2009), when working with Indigenous people, the mental health assessment must include the world view of the client and their cultural group.
4. One reason for the change in health status of newcomer groups is unequal access to health care due to systemic barriers.
5. Cultural differences do not influence assessment and treatment.
6. Discrimination occurs at both interpersonal and systemic levels.
7. Indigenous girls between the ages of 15 and 19 who live on reserve have a mortality rate nearly 3 times that of the general population.
8. According to Ryder et al (2008) western psychologization may be more of a cultural phenomenon than Asian somatization.
9. There is no association between migration and rates of psychotic illness and schizophrenia diagnosis in Western European immigrant groups living in the United States.
10. Immigration status has no impact on a person’s ability to access services.
11. According to the Canadian Institutes of Health Research (CIHR) Institute for Gender Health (2013), approximately 20 per cent of the women in the world report a history of physical or sexual abuse.
12. Rigid adherence to mental health assessment interview guidelines is critical for capturing important client information.
13. Within the overview of the multi-perspective formulation model provided by Weerasekera (1993), both individual factors and systemic factors that contribute to the client’s problem are considered.
14. Social workers are not legally permitted to conduct mental status examinations.
15. Delusions are fixed false beliefs that are consistent with the person’s cultural or religious background.

Short Answer Questions

1. Identify some of the additional knowledge and skills required for mental health social work.
2. Briefly describe the different levels of information that contribute to a social work mental health assessment.
3. Describe the ways in which culture is a consideration for mental health service delivery.
4. Describe some of the advantages and disadvantages of using the DSM-V.
5. Briefly describe the components of a social work mental health assessment (box 4.2)