Direct Practice in Health Care Midterm

Which phrase(s) should be avoided when telling parents their child has Down Syndrome? A. "I'm afraid we have some bad news about your child." B. "She looks perfectly health, but we recommend that she see another physician." C. "It will be important that you have an opportunity to talk with other parents who have children with Down syndrome." D. B and C

A. "I'm afraid we have some bad news about your child."

In first world countries, short falls in medical care account for approximately _______ of early mortality. A. 10% B. 15% C. 25% D. 60%

A. 10%

Which of the following was not an activity of medical social workers as outlined in the survey of schools of social work? A. Attending to patient hygiene B. Securing data C. Follow up D. Health teaching

A. Attending to patient hygiene

To gain the approval of the hospital to hire social workers, Cabot highlighted their ability to: A. Be cost-effective and save the hospital money B. Help families cope with patient illnesses C. Explain things in a sensitive, understanding way to patients and their families D. Implement doctor's orders

A. Be cost-effective and save the hospital money

The interactions between patients and providers that occur during the healthcare encounter and the outcomes that accrue from those interactions are known as which of the following? A. Clinical Reality B. Clinical Bonds C. Medical Relationships D. Patient Provider Reality

A. Clinical Reality

Which of the following includes neighborhood norms and values, number of parks, quality of schools and amount of crime in a given neighborhood? A. Contextual Features B. Compositional Features C. Multi Analysis Features D. Contractual Features

A. Contextual Features

The process through which a social worker considers the nature of a client's mental health issues and their influencing factors is called A. Differential assessment B. Variance analysis C. Differential diagnosis D. Variance assessment

A. Differential assessment

Bronstein (2003) suggests that transdisciplinary collaboration is grounded in all but which of the following models? A. Family centered theory B. Collaboration theory C. Role theory D. Ecological systems theory

A. Family centered theory

Disability can bring devastating financial burdens in which three areas? A. Hospital/medical expenses, loss of income or earning potential for the individual and her family caregiver, and additional community/living expenses B. Additional community/living expenses, hospital/medical expenses, and inability to navigate through insurance bureaucracy C. Loss of income or earning potential for the individual and her family caregiver, additional community/living expenses, and inability to navigate through insurance bureaucracy D. Loss of income or earning potential for the individual and her family caregiver, hospital/medical expenses, and inability to navigate through insurance bureaucracy E. None of the above

A. Hospital/medical expenses, loss of income or earning potential for the individual and her family caregiver, and additional community/living expenses

Which of the following phrases best describes the biopsychosocial model? A. It expanded thinking beyond bodily pathology and greatly shifted the focus to psychological and family issues. B. It acknowledges that the patient is not a passive recipient of care. C. It shifts the focus from the impairment within an individual to the environment. D. It enables clinicians and investigators to diagnose, study, and treat people with various disorders.

A. It expanded thinking beyond bodily pathology and greatly shifted the focus to psychological and family issues.

Regulatory standards for social work in health care vary by state in the United States, with each state having a different set of _____________________ for social workers. A. Licensing rules B. Ethics C. Policies D. Standardized measures

A. Licensing rules

_____________________ is often defined as the adaptation to loss. A. Mourning B. Chronic Sorrow C. Sadness D. Depression E. None of the above

A. Mourning

A series of problems was highlighted in the American Association of Medical Social Worker's 1934 report as requiring particular attention. Which of the following was not one of these problems? A. Problems of family bereavement B. The integration of psychological concepts C. Problems of functional and mental disease D. Problems of methods of thinking

A. Problems of family bereavement

This culture-specific syndrome is characterized by illness that arises from fright in which the soul is thought to leave the body. A. Susto B. Koro C. Arctic Hysteria D. Pibloktoq

A. Susto

___________ commonly refers to the social worker's observations of the ways in which the client demonstrates his emotional state during the clinical interview. A. Mood B. Affect C. Disposition D. Temper E. None of the above

B. Affect

As the U.S. population grew, communities developed ________________ to care for persons who were physically or mentally ill, aged and ill, orphaned, or vagrant. A. Hull houses B. Almshouses C. Treatment units D. Nursing homes

B. Almshouses

Increasingly, the recommended approach for healthcare service delivery today is: A. Psychological B. Biopsychosocial C. Physiological D. Cognitive Behavioral

B. Biopsychosocial

What is the most common cause of childhood mortality in developing countries? A. Complications at birth B. Communicable diseases C. Environmental Conditions D. Hunger related issues

B. Communicable diseases

Which of the following includes individual ethnicity, income, education, and health behaviors? A. Contextual Features B. Compositional Features C. Social Features D. Contractual Features

B. Compositional Features

The development of __________________ meant that social workers now had limited time to work with patients and forced an emphasis on discharge planning. A. HMOs B. DRGs C. CBPs D. PRNs

B. DRGs

Social workers may work on interdisciplinary teams. In these teams: A. Each member does work individually and collaborates only with the patient and their family B. Each professional interacts with one another to provide services but maintains clear professional boundaries C. Each member shares a common professional language and jargon D. None of the above

B. Each professional interacts with one another to provide services but maintains clear professional boundaries

The effect of __________________ on health is not completely understood, but it appears to operate through such important mediators as health behaviors, access to care, place of residence, and ability to cope with stressful situations. A. Income B. Education C. Race D. Age

B. Education

There is some evidence that ______________ may modify the relationship between income, ethnicity and health. A. Family support B. Education C. Job skills D. Occupation

B. Education

According to the survey of schools of social work published by the American Association of Hospital Social Workers, medical social work was considered to be: A. Undergraduate-level work B. Graduate-level work C. Entry level work D. Basic work that anyone with a tenth-grade education could do

B. Graduate-level work

A concept that is patterned by social, psychological, and cultural factors is best defined as: A. Disease B. Illness C. Biological malfunctions D. Cultural Sick

B. Illness

__________ are defined as "disturbances of body structures of processes." A. Disability B. Impairment C. Handicap D. Injury

B. Impairment

The Medical Model is problematic for the following reasons except: A. It often elicits unexpected and negative reactions from physicians and caregivers B. It acknowledges that the patient is not a passive recipient of care. C. It can "trap" the individual diagnosed with a chronic or permanent condition in the "sick" role forever. D. Professionals may abandon incurable patients in order to protect themselves from feelings of failure

B. It acknowledges that the patient is not a passive recipient of care.

Health is considered across the life course in micro and macro level settings from: A. Infant care to middle adult hood B. Prenatal care to end-of-life care C. Newborn care to late adulthood D. Middle childhood to late adulthood

B. Prenatal care to end-of-life care

Each of the following are reasons social work in health care has evolved and change since it's origin except which one A. Demographics of the U.S. population during the nineteenth and early twentieth centuries B. The invention of the automobile C. Attitudes about how the sick should be treated and where treatment should occur D. Attitudes toward the role of social and psychological factors in health

B. The invention of the automobile

Sometimes health care social workers may experience interprofessional strain due to: A. Collaboration being hampered by ambiguity of roles and tasks, and different disciplines potentially not understanding one another's lexicon and procedures. B. Other professionals maybe becoming annoyed by patient and family behavior that does not fit neatly with the policies and procedures of health care agencies or institutions. C. Both A & B D. Neither A nor B

C. Both A & B

Social workers can minimize role conflict with other members of the health team by: A. Taking on the roles of other team members B. Keeping psychosocial information about the client confidential C. Continuously updating their knowledge base related to the practice area D. Disregarding the opinions of other team members about case management

C. Continuously updating their knowledge base related to the practice area

Which of the following is not essential to maximal team collaboration? A. Consensus on group norms B. Commitment C. Designating a sole leader D. Role clarity

C. Designating a sole leader

Malfunctioning or maladaptation of biologic and psychophysiologic processes in an individual is known as which of the following? A. Cancer B. Illness C. Disease D. Biologic abnormality

C. Disease

It has been found that residents of higher-income communities tend to: A. Have higher rates of obesity B. Be in polygamous or short-term relationships C. Form longer-term relationships for frequently D. Be more disease burdened

C. Form longer-term relationships for frequently

Low income and low educational attainment are also associated with ____________________. A. Receiving adequate health care B. Low insurance premiums C. Homelessness D. Anorexia Nervosa

C. Homelessness

Which of the following defines dispensaries? A. Dependent hospitals that relied on volunteer donations B. Independent hospitals operated by the state government C. Independent of hospitals and financed by bequests and voluntary subscriptions D. Facilities designed to provide long term care to returning war veterans

C. Independent of hospitals and financed by bequests and voluntary subscriptions

When thinking about structuring interventions, clinicians must remember: A. There is a correct way for patients to approach disability adjustment B. Most people perceive their disability the same way. C. People's perceptions of their disability change over time. D. The adaptation process should end within five years. E. There is a final stage of acceptance of the disability.

C. People's perceptions of their disability change over time.

Which of the following is NOT a microsystem? A. Individual activity B. Individual physical and mental health status C. Relationships with family D. Individual roles E. All of the above are true.

C. Relationships with family

The number of intimate relationships a person has with both individuals and groups as well as one's sense of having multiple social roles and communal connections with others is known as A. Social support B. Social networks C. Social integration D. Social Capital E. Societal Concept

C. Social integration

The current major specialty organization for social workers in health care on the national level is: A. National Association of Health Care Social Work B. National Alliance of Medical Social Workers (NAMSW) C. Society for Leadership in Health Care D. American Medical Association for Helping Professionals

C. Society for Leadership in Health Care

______________ opened the first mental hospital, which began admitting anyone needing care for mental illness in 1834. A. Dr. Elizabeth Blackwell B. Ida Cannon C. The Quakers D. Jane Addams

C. The Quakers

The hypothesis that contends that higher rates of obesity and diabetes among ethnic minorities arise from a genetic predisposition to energy storage in abdominal fat is known as what? A. Generation Gene B. ABA Gene C. Thrifty Gene D. Gyclogene

C. Thrifty Gene

Medical social work was defined by the American Association of Medical Social Workers as: A. A type of social work that focuses on the relationship between patients and their families. B. A specific type of social work that mainly deals with the cases of medical patients. C. A specific form of social work that aids patients in coping and dealing with their illness(es). D. A specific form of social casework that focuses on the relationship between disease and maladjustment.

D. A specific form of social casework that focuses on the relationship between disease and maladjustment.

Which of the following are true of "macrosystems?" A. Macrosystems are the frame of reference of the person seeking help. B. Macrosystems include cultural influences that may shape the experience and communication of pain. C. Macrosystems are sometimes described in generalized statements that may overlook diversity in groups. D. All of the Above E. None of the Above

D. All of the Above

Cabot set about to reform the treatment process in outpatient clinics by hiring someone to: A. Critique while helping socialize medicine B. Act as a translator between the physician, patient and their family C. Provide information on social and mental factors D. All of the above

D. All of the above

Critics of the social model argue that: A. Because it remains a medical paradiagm, it is prone to misinterpretation and labeling. B. It ignores the real and often distressing aspects of living life with limitations and illness. C. It focuses solely on pathology, rather than environmental factors. D. All of the above

D. All of the above

Health beliefs are guided by culture and dictate which of the following? A. How symptoms are identified and which are considered appropriate to take to providers B. How patients understand the causes and treatment of their illness C. What patients expect from providers D. All of the above

D. All of the above

Health social workers typically directly address the ________________ concerns of clients. A. Social B. Behavioral C. Emotional D. All of the above

D. All of the above

Neighborhoods can positively influence health by doing which of the following? A. Providing access to healthy foods B. Minimizing toxins C. Having sufficient green space D. All of the above

D. All of the above

One of the most valuable commodities during the framing process is access to a counselor who will: A. Be nonjudgmental B. Provide views from a wide range of health professionals C. Share views of individuals and families affected by the condition D. All of the above E. A and C only

D. All of the above

Social workers conserve institutional resources by: A. Linking patients with insurance and resources thus increasing reimbursement B. Reducing hospital stays through effective discharge planning C. Enhance revenue through the creation of new services and programs D. All of the above

D. All of the above

Social workers would conduct evaluations of: A. Strengths of client B. Members of client's social support network C. Client assets D. All of the above

D. All of the above

The current healthcare environment in the United States emphasizes: A. Cost containment B. Shorter hospital stays C. Briefer medical interventions D. All of the above

D. All of the above

The duties of the first hospital almoner in London included: A. Being a competent person of education B. Considering the positions and circumstances of patients C. Decided who was eligible for services D. All of the above

D. All of the above

The increasing prevalence of obesity appears to be caused by: A. Shifts towards higher-calorie diets B. Decrease in physical activity C. Decrease in cost of food as a percentage of income D. All of the above

D. All of the above

When observing speech and language, social workers focus on which of the following? A. Aphasia B. Comprehension of language C. Volume of speech D. All of the above E. None of the above

D. All of the above

Which of the following contributes to the differences in disease prevalence? A. Health Behaviors B. Access to Care C. Income D. All of the above

D. All of the above

Which of the following is a social determinant of health? A. Economic Circumstances B. School segregation C. Residential discrimination D. All of the above

D. All of the above

A biopsychosocial model of health service would: A. Assess a patient's blood work results B. Develop a plan for chemotherapy with a cancer patient C. Focus only on laboratory results D. Assess patient's ability to purchase recommended medicine

D. Assess patient's ability to purchase recommended medicine

It is important to remember that the relationship between national wealth and public health infrastructure is not always: A. Linear B. Important C. Positive D. Both A & C

D. Both A & C

The main goal(s) of the first training course in medical social work were/was: A. To foster and coordinate the training of social workers in hospitals B. To educate social workers on medical tasks and procedures C. To enhance communication between schools of social work and practitioners D. Both A and C

D. Both A and C

Which of the following is not a common task of a medical social worker? A. Helping clients solve and cope with life stressors B. Linking clients with resources C. Promoting effective and humane service systems D. Evaluating which medical doctors should be a part of a patient's interdisciplinary team

D. Evaluating which medical doctors should be a part of a patient's interdisciplinary team

Health care social workers need to remember that clients do not normally present to the healthcare system for social work services; rather, they present with __________________ that have ___________________. A. Medical needs, psychological needs B. Psychological needs, medical concerns C. Psychosocial needs, medical concerns D. Medical needs, psychosocial components

D. Medical needs, psychosocial components

Acts in violence of some taboo or moral injunction causing disease indirectly is known as which of the following? A. Spirit Aggression B. Sorcery C. Witchcraft D. Mystical Retribution

D. Mystical Retribution

Cabot held that is was not possible to restore patients to health without considering what he called the _______________ ___________, such as living conditions. A. Social factors B. Hereditary history C. Emotional state D. Nonsomatic factors

D. Nonsomatic factors

Which of the following is not a social circumstance? A. Crime B. Employment C. Poverty D. Quality of housing

D. Quality of housing

Disabilities can be sorted by all of the following impairment types except A. Mobility impairments B. Cognitive impairments C. Sensory impairments D. Social impairments

D. Social impairments

During sensitive counseling sessions regarding disability, it is important for social workers to do which of the following: A. Provide adequate time for the session B. Provide a safe environment C. Avoid eye contact D. Focus less on what the patient deems as helpful, and more on how to get them through the Kubler-Ross disability adjustment model E. A and B only F. A and D only

E. A and B only

Religion may positively influence health through which of the following pathways: A. Supporting positive health behaviors B. Fostering social integration and support C. Providing comfort D. Encouraging social isolation E. A, B, and C

E. A, B, and C

Influence of racism on health should be examined through research on the following issues: A. Economic and social deprivation B. Toxic substances and hazardous conditions C. Socially inflicted trauma D. Targeted marketing of commodities that can harm health E. All of the above

E. All of the above

The formal mental status exam addresses which of the following domains: A. Thought processes B. Appearance, attitude, and activity C. Mood and affect D. Speech and language E. All of the above

E. All of the above

Which of the following are disability models? A. Medical model B. Social model C. Biophychosocial Model D. Rehabilitation Model E. All of the above

E. All of the above

In healthcare settings, depression and anxiety may be expressed through: A. Fewer medical visits B. Weight gain or loss C. Gastrointestinal problems D. A and C E. B and C

E. B and C

Which of the following are stages in the stages of change model? A. Awareness B. Contemplation C. Maintenance D. All of the above E. B and C

E. B and C

Our perspective becomes critical when discussing disability. Which of the following is true of perspectives? A. Our perspectives are never-changing. B. Our perspectives are influenced by our life experiences, age, and health C. Our perspectives are not affected by societal norms or historical context. D. Our perspectives can be influenced by our own self-image as someone who identifies as a person with a disability or a person without a disability. E. Both B and D

E. Both B and D

Which of the following statements is NOT true about the ADA's definition of a person with a disability? ADA defines a person with a disability as A. Having a physical or mental impairment that substantially limits one's ability to perform one or more major life activities B. Having a record of such an impairment C. Being regarded as having such an impairment D. All of the above E. None of the above

E. None of the above

Because healthcare providers chose a helping profession, they usually do not harbor negative views about disability.

False

Brief, quickly completed forms may suffice for social worker documentation if they have a large caseload and time constraints.

False

Family structure and the availability of social support has no direct impact on the health of patients across their life course.

False

IDEA provides the right to free and appropriate private education for children regardless of the type or extent of their disability

False

Members of the client's social support network are not considered an important part of the transdisciplinary team.

False

Studies have shown that whether or not someone feels safe in their neighborhood has nothing to do with how often they exercise outdoors.

False

When observing speech and language, social workers do not focus on what is being expressed, but only on what is being said.

False

_____ Ida Cannon was a main contributor to the development of hull houses.

False

_____ The first hospital social worker and the first hospital almoner were both men.

False

_____ The passage of the Social Security Act had very little impact on social work in health care.

False

A "disability" is any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being, whereas a "handicap" is a social disadvantage individuals experience as a result of impairment or disability.

True

Both disease prevalence and access to care vary by ethnicity.

True

Cabot felt so strongly about the use of medical social workers that he chose to pay for the salaries of 13 social workers in the hospital where he worked.

True

Changes in health care delivery and organizational constraints affect all members of the health team.

True

Counseling is not a helpful tool to help social workers closely examine their own perceptions of disability.

True

Crisis intervention models emphasize the temporary disruption in functioning and emotional stability that is created whenever a person experiences an event that is perceived to be a threat to one's life or the life of a loved one or which has the potential to become overwhelming.

True

Cuba is often cited as an example of the health success than can be attained through public health practices.

True

During the Eugenics Movement in the United States during the early 20th Century, American physicians routinely facilitated the deaths of babies with birth defects and sterilized institutionalized residents with intellectual disabilities.

True

In the United States, low-income individuals are exposed to more outdoor tobacco advertising than individuals with higher income.

True

PTSD is associated with several health conditions, including hypertension, atherosclerotic heart disease, chronic pain, and vulnerability to infections.

True

Physical environment refers to sanitation; quality of housing, food and water; and exposure to environmental toxins and pathogens.

True

The role of health care social worker has changed to accommodate federal, state, and local policy changes, trends in health and disease, and the changing roles of other health care professionals.

True

When a person's symptoms overlap across conditions, the diagnosis that holds a higher place in the diagnostic hierarchy of the DSM-IV-TR is applied.

True

_____In the late 1600s and early 1700s, persons who were sick were cared for at home.

True