Question 1

Managed care organizations make providing therapy difficult in which of the following ways?

Accepted Answer

Managed care organizations often limit the length of treatment and can deny care based on their policies, making it difficult for providers to offer continuous or certain types of therapy.

Question 2

Evidence-based practice is an approach to care wherein professionals use research to maximize opportunities to help clients and avoid harm.

Accepted Answer

Evidence-based practice involves integrating clinical expertise with the best available research evidence and patient values to make decisions about the care of individual patients. This approach aims to improve patient outcomes by applying the most current and valid research findings to clinical decision-making.

Question 3

Social workers providing services to community groups may find that dual relationships are unavoidable.

Accepted Answer

In community settings, social workers often work in close-knit environments where professional and personal lives can intersect, making dual relationships sometimes unavoidable due to the interconnected nature of these communities.

Question 4

Which of the following is one of the ways in which to dump a client?

Accepted Answer

All of the options listed are unethical but recognized ways in which a worker might attempt to end their professional relationship with a client, often referred to colloquially as "dumping" a client.

Question 5

Discuss how managed care organizations limit therapeutic services for clients.

Accepted Answer

The answer of Discuss how managed care organizations limit therapeutic...

Question 6

Which of the following is NOT an ethical dilemma that has developed as a result of technology?

Accepted Answer

Sharing files with colleagues is generally not considered an ethical dilemma developed as a result of technology in the same way as the other options. It can involve ethical considerations, such as copyright issues, but it does not inherently pose a complex ethical dilemma like questions of beneficence, equity of access, or ensuring widespread benefits from technology.

Question 7

Discuss the types of ethical dilemmas that are created by managed care organizations.

Accepted Answer

The answer of Discuss the types of ethical dilemmas that...

Question 8

In order to provide a "reimbursable service" for a client, the practitioner may have to consider fudging the diagnosis in some way.

Accepted Answer

A practitioner should never fudge a diagnosis to provide a reimbursable service for a client. This is unethical and could have serious consequences for the practitioner and the client.

Question 9

Long term therapy is the preferred mode of intervention of the managed care organizations.

Accepted Answer

Managed care organizations often prioritize cost-effectiveness and efficiency, leading them to favor shorter-term therapy options or interventions that demonstrate quick, measurable outcomes.

Question 10

In the 2008 McBeath and Meezan study comparing the outcomes of children who received fee based services with the outcomes of those who received managed care services, which of the following was found to be true?

Accepted Answer

The study found that performance-based managed care was related to suppressed service provision and service disparities, indicating that this model might limit access to or the quality of services for certain groups.

Question 11

Which of the following is NOT an expectation placed on social workers?

Accepted Answer

Social workers are expected to promote welfare, engage in social and political action, and provide emergency services, but they are not required to support only politicians endorsed by the National Association of Social Workers (NASW). Their professional commitment is to social justice and welfare, not to partisan political activities.

Question 12

Which of the following would be considered to be "dumping a client"?

Accepted Answer

Referring a client who can no longer pay for services is considered "dumping" because it is based on the client's inability to pay, rather than clinical or ethical reasons.

Question 13

Social workers employed in governmental agencies can be assured that their electronic messages are safe from being publicly monitored.

Accepted Answer

Social workers employed in governmental agencies are subject to public records laws and information security policies that may allow for monitoring and disclosure of electronic messages under certain circumstances.

Question 14

According to the Code of Ethics, social workers have an ethical responsibility to address the lack of health care available to the poor in this country.

Accepted Answer

The Code of Ethics for social workers emphasizes the profession's commitment to social justice, which includes addressing and working towards eliminating barriers to resources such as healthcare, especially for marginalized or disadvantaged groups like the poor.

Question 15

Managed care allows the social worker and patient complete autonomy.

Accepted Answer

Managed care often involves guidelines and restrictions that can limit the choices and autonomy of both the social worker and the patient in terms of treatment options and service providers.

Question 16

Native Americans in the United States live an average of 5 years longer any other ethnic group.

Accepted Answer

Native Americans in the United States have a lower life expectancy compared to most other ethnic groups, due in part to higher rates of certain diseases, limited access to healthcare, and socio-economic factors.

Question 17

Which of the following groups is NOT pressuring social workers and human service organizations for evidence that they are accountable and their services are beneficial to those they are serving?

Accepted Answer

Clients, while they do seek quality services, are generally not the group pressuring social workers and human service organizations for formal evidence of accountability and beneficial outcomes in the same way that public organizations, private entities, and third-party payers do. These latter groups often require formal evaluations and proof of effectiveness for funding and regulatory reasons.

Question 18

"Dumping the client" is one way that some practitioners have responded to clients who can no longer pay for services.

Accepted Answer

Some practitioners may choose to terminate services with clients who are unable to continue paying for them, a practice colloquially referred to as "dumping the client." This can occur in various professional settings, including legal, medical, and therapeutic services, although it raises ethical concerns regarding client care and professional responsibility.

Question 19

A number of factors have combined to escalate health care costs beyond the rate of inflation in the United States.Among these factors are:

Accepted Answer

A) The growing aged population increases demand for healthcare services, costly new treatments drive up prices, and an emphasis on acute care rather than preventive care leads to higher costs due to treating conditions in advanced stages rather than preventing them.

Question 20

Managed care is one major strategy developed in an attempt to control health and mental health costs by monitoring access to and the type of health care patients receive from health care practitioners or HMOs.

Accepted Answer

Managed care is a strategy used to control costs in the healthcare system by regulating patients' access to services and the types of care they receive, often through arrangements with specific providers or health maintenance organizations (HMOs).

Quiz 12: Changing World, Changing Dilemmas