Deck 7: Chronic Illness: Issues and Interventions

Question 1

___________________________ is the period of life spent with chronic disease or loss of functional mobility.

A) Mortality
B) Morbidity
C) Middle age
D) Somatization

Answer 1

Morbidity

Question 2

Morbidity rates have _______________________ in recent decades.

A) Increased
B) Decreased
C) Stayed the same
D) Plateaued

Answer 2

Increased

Question 3

Which of the following is not an example of a psychosocial determinant of health?

A) Transportation
B) Socioeconomic status
C) Housing
D) Genes

Answer 3

Genes

Question 4

Mary Lou works for a primary care office. She meets with Timothy, a patient who has recently been diagnosed with diabetes. Timothy has been out of work and does not have insurance. He also has no prior knowledge of diabetes. Mary Lou meets with Timothy, who states he wants to take care of his health so he can look for a job again. Mary Lou agrees that this is important. Mary Lou provides Timothy with information on his insurance options. She also works with Kim, the nurse at the diabetes center where Timothy will get education and emotional support, to make sure Timothy will have immediate access to medication while he waits to get insurance. Mary Lou sets up an appointment to meet with Timothy in one week to check in with him. Mary Lou and Kim working together is an example of _________________________________.

A) Care coordination
B) Transitional care management
C) Team lead
D) Medical model

Question 5

According to the __________________________________________ model, a person who believes that there is nothing they can do to keep from getting sick is not as likely to follow the recommendations of their healthcare providers.

A) Ecologic
B) Medial
C) Health belief
D) Guided care

Question 6

The unfavorable consequences of diabetes in the African American and Hispanic community do not seem to be due to _______________________________________.

A) Inherent biological differences
B) Denial being higher in these groups
C) Limited access to medical care
D) Awareness and perceptions of one's own health condition

Question 7

____________________ of dependent individuals in the community rely on informal caregivers such as family.

A) One fourth
B) Half
C) Two thirds
D) One third

Question 8

During the initial crisis phase of a chronic disease, a social worker will want to explore the families' belief about the cause of an illness separately from their beliefs about _______________.

A) What can influence outcomes
B) Their religion
C) The trustworthiness of their healthcare team
D) The afterlife

Question 9

Modifiable health risk behaviors that are responsible for much of the illness, suffering, and early death are all of the following except _____.

A) Lack of physical activity
B) Poor nutrition
C) Tobacco use
D) Exposure to radiation

Question 10

The number-one "killer" in America is ____________________.

A) Cancer
B) Diabetes
C) Obesity
D) Heart disease

Question 11

The leading cause of death for women of most racial/ethnic groups in the United States is ____________________________.

A) Breast cancer
B) Lung cancer
C) Heart disease
D) Obesity

Question 12

Web-based interventions may _______________________ disparities in health.

A) Increase
B) Decrease
C) Not effect
D) Help some ethnic/racial groups' but may not affect other ethnic/racial groups'

Question 13

The cultivation hypothesis predicts people ____________________________ men's likelihood of dying from prostate cancer and women's chance of dying from breast cancer.

A) Overestimate
B) Underestimate
C) Don't know
D) Ignore

Question 14

Web-based intervention can be effective in delivering chronic disease self-management programs because __________________________________.

A) Almost everyone has access to the Internet
B) People can complete the programs anonymously, so there is a greater chance they will be honest
C) Patients are assigned to teams, and they don't want to let their teammates down
D) The programs can overcome educational barriers by means of animation or videos

Question 15

A social worker who utilizes the cultural practices and philosophies of racial and ethnic communities is using ___________________________ as a strategy for enhancing the health of the community.

A) Culturegrams
B) Cultural leverage
C) Cultural humility
D) Data mining

Question 16

While the exact cause of Type 1 diabetes is unknown, the risk factors include all of the following except _____.

A) Autoimmune issues
B) Obesity
C) Genetic factors
D) Environmental factors

Question 17

Kathy works in a primary care office. Her patient Andrew has not been taking his medicine to control his high blood pressure. The physician in the office expresses frustration with Andrew. He states, "It's only one pill a day. How hard can it be to take one pill a day? Kathy, please meet with the patient and talk some sense into him." Kathy meets with Andrew and acknowledges that sometimes it is hard to do something that seems so simple to someone else. Kathy asks Andrew what most days are like for him. Andrew tells Kathy that he has been working overtime and has been alternating between day and night shifts. He used to take his medicine every morning when he got up, but with his new schedule, he has not been getting up and going to bed at the same times. Kathy worked with Andrew to find something that ,despite his upside down schedule, he does every day. Andrew noted he has a cup of coffee every morning, so he does not get a headache. Andrew realized this could be his daily cue to take his medication. Kathy said she would check back in with Andrew next week to see if this new strategy for remembering to take his medicine was working. Kathy is practicing from what perspective?

A) Reciprocal
B) Deontological
C) Consequentialist
D) Social marketing

Question 18

The chronic care model (CCM) can be utilized on the ____________________________ level.

A) Micro and mezzo
B) Micro and macro
C) Micro, mezzo, and macro
D) Mezzo and macro

Question 19

The ___________________ model uses the principles of chronic care, disease management, self-management, case management, lifestyle modification, transitional care, caregiver education and support, and geriatric evaluation and management.

A) Medical model
B) Health beliefs
C) Accountable care organizations
D) Guided care model

Question 20

Concern about chronic disease has prompted a paradigm shift from regarding individuals as consumers of health care to _________________________________.

A) Health seekers
B) Healthcare providers
C) Clients
D) Patients

Question 21

Racial and ethnic minorities experience higher rates of morbidity and mortality than nonwhites.

Question 22

Rates of adherence to medical regiments in chronic illness are approximately 50%.

Question 23

Life cycles occur the same way for all families.

Question 24

The manner in which a chronic illness impacts a family system is dependent in part on the convergence of the roles the family member with the illness fulfills in the family and the extent to which treatment modalities and illness symptoms, illness course, and related functional limitations affect an individual's ability to fulfill his or her existing roles.

Question 25

An estimated 20% of the school-age population experiences a chronic mental illness or disabling condition.

Question 26

Chronic diseases are only the leading causes of death in countries with the lowest levels of income.

Question 27

The most common type of cancer is breast cancer.

Question 28

Diabetes can only be controlled with daily injections of insulin.

Question 29

One year lost of "healthy" life is called one ________________________________.

Question 30

Name four ways the Patient Protection and Affordable Care Act is addressing health disparities and the rising costs of chronic illness.

Question 31

Racial and ethic groups continue to face disparities in the quality of healthcare in the United States. Lower quality of care or poor outcomes can stem from patient-level factors, provider-level factors, health-system factors, and social and political factors. Describe one way each of these factors impacts the quality of care for ethnic and racial minorities.