Test Bank Docx Ch4 Families With Special Needs

Chapter 4: Families With Special Needs: A Journey from Coping and Adaptation to Resilience and Hope

Multiple Choice

1. A social construct refers to

a. An idea related to a disability

b. An idea based on biological causes

c. An idea that originates from the social environment

d. An idea that is based on individual beliefs

Answer location: Definition of Terms

Question type: MC

Cognitive Domain: Comprehension

2. According to the U.S. Department of Health and Human Services, a child born with Down syndrome is considered

a. A burden to society

b. A child with special health care needs

c. A typical child

d. An invalid

Answer location: Introduction, p. 80

Question type: MC

Cognitive Domain: Knowledge

3. Mia was born with Down syndrome. The social construct of disability and special needs focuses on

a. The interaction between Mia and her environment

b. Mia’s biological traits

c. Mia’s medical needs

d. Mia’s cognitive functioning

Answer Location: Definition of Terms, pp. 80-81

Question Type: MC

Cognitive Domain: Comprehension/Application

4. Key predictors of the health, stability, and well-being of a person with special needs and his or her family are

a. The family’s perception of the individual and socioeconomic status

b. The individual’s cognitive abilities and his or her ability to be independent

c. The family’s willingness to support the individual for his or her whole life

d. The individual’s functionality and the available social supports

Answer location: Definition of Terms, p. 81

Question type: MC

Cognitive Domain: Comprehension

5. One of the first theoretical perspectives developed specific to families with special needs identified five crisis stages. Theses stages include all but

a. Grief

b. Impact

c. Focusing outward

d. Regret

Answer location: Theoretical Frameworks: Families With Special Needs as Complex Systems, p. 82

Question type: MC

Cognitive Domain: Knowledge

6. According to Boss (1999, 2002), ambiguous loss in the case of a family with special needs explains the concept that the family experiences

a. A physical presence but a psychological absence

b. A physical and psychological absence

c. A psychic absence that impacts the family’s ability to cope

d. A confusion about the individual’s future residence

Answer location: Ambiguous Loss, p. 82

Question type: MC

Cognitive Domain: Comprehension

7. The Smiths have one child (out of three) with cerebral palsy. They have experienced stress over the years but agree that they feel stronger as a couple and that they can cope with “whatever life throws their way.” This is an example of

a. Denial

b. Risk factors that have strengthened the family

c. Protective factors in the marital subsystem

d. Strengths in the family’s external context

Answer location: Internal Context: Subsystems of Families With Special Needs, p. 83

Question type: MC

Cognitive Domain: Comprehension

8. Parents of children with special needs

a. Are considerably more prone to divorce

b. Have different experiences (mothers express more stress-related issues than fathers)

c. Seldom find time to attend to their relationship

d. Have extreme difficulty adjusting to their child

Answer location: Parents of Children With Special Needs, p, 85

Question type: MC

Cognitive Domain: Comprehension

9. Research on children with special needs has predominantly

a. Focused primarily on mothers

b. Focused primarily on the family unit

c. Focused on the sibling relationship

d. Ignored the family and focused on the child with special needs

Answer location: Parents of Children With Special Needs, p. 85

Question type: MC

Cognitive Domain: Comprehension

10. Key elements in family adaptation process include all BUT

a. Family demands

b. Family resources

c. Problem solving

d. Type of disability

Answer location: External Context: Resources and Support Systems in Coping, Adaptation, and Building Resilience, p.86

Question type: MC

Cognitive Domain: Knowledge

11. The Hernandezes have a child (Juan) with Autism and are considered a resilient family. Indicator/s of their resilience include

a. Both parents work, and the family’s overall income is very adequate

b. They only have one child and therefore their attention is very focused

c. Mrs. Hernandez’s mother comes for dinner every week

d. The family has a clear structure and defined roles

Answer location: External Context: Resources and Support Systems in Coping, Adaptation, and Building Resilience, p. 86

Question type: MC

Cognitive Domain: Application

12. Nadia is pregnant and was just given the information that her baby has Down syndrome.

a. Her physician is more likely to be negative and lack compassion

b. Her physician is more likely to provide her with accurate information and genuine support

c. Her physician will convince her to have the pregnancy terminated

d. Her physician will refer her to a different obstetrician

Answer location: Health Systems, p. 87

Question type: MC

Cognitive Domain: Comprehension

13. Ms. Doctor is a school social worker that works with the Hernandezes and Juan, who just relocated from the Los Angeles area. She noticed that the family was isolated because of language barriers, and that Mrs. Hernandez often was teary when she left Juan at school. The parents agreed to meet with Ms. Doctor, and they created a plan for Juan’s parents to begin a support group for parents of children with Autism and for Juan to get into a play group twice per week. This is an example of

a. An Individual Educational Plan (IEP)

b. The daily tasks of a school social worker

c. Assisting the family with social supports

d. Poor boundaries in the social worker

Answer location: Social Support Systems, p. 88

Question type: MC

Cognitive Domain: Application/Analysis

14. When exploring the external context for resources, one would focus on all but

a. Health systems

b. Education systems

c. Parental employment

d. Family system

Answer location: External Context: Resources and Support Systems in Coping, Adaptation, and Building Resilience, pps. 86-87

Question type: MC

Cognitive Domain: Knowledge

15. According to the chapter, topics of further research needed in the area of families with special needs include all but

a. The impact of gentle pets on families with special needs

b. Experiences of diverse families with special needs

c. More focus on positive and negative aspects of having children with special needs

d. More focus on differences in adjustment processes of different types on special needs

Answer location: Implications for Research and Professional Practice, p. 89

Question type: MC

Cognitive Domain: Comprehension

16. Social support systems for families with children with special needs

a. Are nonexistent because of the stigma associated with having a child with special needs

b. Are for the most part not helpful because families experience marginalization

c. Are considered crucial internal supports

d. Have been considered by parents to be the most important factors to cope

Answer location: Social Support Systems, p. 88

Question type: MC

Cognitive Domain: Comprehension

17. The internal context varies from the external context in that

a. It is more important

b. It impacts the family’s well-being to a greater extent

c. It includes a focus on the family subsystems

d. It includes a focus on parental employment

Answer location: Contextual Model of Family Stress, p. 83

Question type: MC

Cognitive Domain: Comprehension/Analysis

18. The external context varies from the internal context in that

a. It is more important

b. It impacts the family’s well-being to a greater extent

c. It includes a focus on the family subsystems

d. It includes a focus on parental employment

Answer location: Contextual Model of Family Stress, p. 83

Question type: MC

Cognitive Domain: Comprehension/Analysis

19. When exploring research on siblings of children with special needs all are true but

a. When the child with special needs was a girl, siblings had more positive feelings for her

b. Siblings with a brother with special needs displayed more behavior problems than siblings with a sister with special needs

c. Behavior problems in the sibling with special needs predicted behavior problems in other siblings

d. There are both positive and negative effects on siblings

Answer location: Siblings of Children With Special Needs, p. 84

Question type: MC

Cognitive Domain: Comprehension

20. Families with special needs are at greater risk for experiencing stress due to all but

a. Extended caregiving roles

b. The gender of the child with special needs

c. Navigating multiple systems

d. Demands on family resources

Answer location: Theoretical Frameworks: Families With Special Needs as Complex Systems, p. 81

Question type: MC

Cognitive Domain: Knowledge

True/False

1. For children, the term exceptional refers to a child with above average intelligence.

a. True

b. False

Answer Location: Definition of Terms, p. 80

Question Type: TF

Cognitive Domain: Comprehension

2. Siblings of a child with special needs report overwhelmingly negative experiences when the child has autism.

a. True

b. False

Answer location: Siblings of Children With Special Needs, p. 84

Question type: TF

Cognitive Domain: Comprehension

3. Families with children with special needs experience similar levels of stress as parents without children with special needs due to the available social supports.

a. True

b. False

Answer location: Theoretical Frameworks: Families With Special Needs as Complex Systems, p. 81

Question type: TF

Cognitive Domain: Comprehension

4. The ambiguity that stems from a special needs diagnosis includes the uncertainty of the level of the impairment and the family’s grief at the loss of the more typical child and the life path they were anticipating.

a. True

b. False

Answer location: Ambiguous Loss, p. 82

Question type: TF

Cognitive Domain: Knowledge

5. Research has indicated that, when maternal grandmothers are emotionally supportive to the mother, the child with special needs has fewer symptoms of depression.

a. True

b. False

Answer location: Grandparents of Children With Special Needs, p. 84

Question type: TF

Cognitive Domain: Comprehension

6. Fathers of children with Down syndrome reported less stress and more positive perceptions of their children than fathers of children with other types of special needs.

a. True

b. False

Answer location: Parents of Children With Special Needs, p. 85

Question type: TF

Cognitive Domain: Knowledge

7. Considering the external context of a family with a child with special needs refers to exploring the family systemic factors.

a. True

b. False

Answer location: External Context: Resources and Support Systems in Coping, Adaptation, and Building Resilience, p. 86

Question type: TF

Cognitive Domain: Comprehension

8. The health system is considered a component of the external context of a family with a child with special needs.

a. True

b. False

Answer location: External Context: Resources and Support Systems in Coping, Adaptation, and Building Resilience, p. 86

Question type: TF

Cognitive Domain: Knowledge

Essay

1. Discuss how the term disability has moved from a person-centered description to a social construct. How has this shift impacted the field? How is disability defined as a social construct?

2. What are three reasons that families with members with special needs experience greater stress?

3. Maria and Jen were excitedly waiting for the birth of their daughter. Mia was born with Down syndrome. Explain the family’s experience through the lens of ambiguous loss.

4. Discuss how research in the area of families with children with special needs is limited, and address what areas need further development.

a. Answers may include

• Further research is needed to explore the experiences of families with special needs from more diverse populations, including greater socioeconomic, ethnic, and demographic diversity (Cuskelly, Hauser-Cram, & Van Riper, 2009; Hodapp, 2007).
• Additional research also is needed to understand differences in the adjustment process of families across different types of special needs/disability diagnoses, as well as longitudinally across the life span.
• Most research on families with special needs continues to focus primarily on mothers with limited emphasis on the experiences of fathers or the broader impact on the couple and family system, including both internal and external contextual factors (Boss, 2002).

Answer location: Implications for Research and Professional Practice, p. 89

Question type, ESS

Cognitive Domain: Analysis