Question 1

You are a social worker employed in an oncology practice. You are providing adjustment-to-illness counseling for your patients and families. What will be your focus in this practice setting?

Accepted Answer

In an oncology practice setting, the focus of adjustment-to-illness counseling is on providing problem-oriented interventions. This involves helping patients and their families cope with the immediate challenges and changes brought about by a cancer diagnosis and treatment, rather than addressing long-term mental health issues or family dynamics.

Question 2

A ___________________ is a metaphor used to describe the layers of social systems that surround and influence an individual.

Accepted Answer

The metaphor of a "set of nested Russian dolls" is used to describe the layers of social systems that surround and influence an individual, similar to how each doll fits within another.

Question 3

In Erik Erikson's life-cycle model of development, each stage of development involves a specific challenge or developmental turning point. This is called __________________.

Accepted Answer

Erikson's model posits that each stage of development is characterized by a specific conflict or crisis (epigenetic crisis) that the individual must resolve to move successfully to the next stage.

Question 4

Jane is a nurse who works in a primary care clinic. After meeting with one of the clinic patients, she asks Mike, the social worker, to see the patient. Jane states no matter how many time she has told the patient that he needs to stop smoking, the client does not listen to her. Jane expresses frustration that she cannot fix the patient. Jane is exhibiting ______________.

Accepted Answer

Jane is exhibiting the righting reflex, a common reaction among healthcare professionals, which is the desire to fix what seems wrong with patients and to directly correct their unhealthy behaviors. This is evident in her frustration and repeated attempts to get the patient to stop smoking despite his resistance.

Question 5

______________________________ is a process of being.

Accepted Answer

Wellness is considered a process of being because it encompasses the active pursuit of activities, choices, and lifestyles that lead to a state of holistic health. Unlike health status, which is more static and can be a state at any one time, wellness is dynamic and involves continuous engagement and decision-making towards a healthy life.

Question 6

You meet with a patient who has smoked cigarettes for more than 20 years. He has the early stages of congestive heart failure and would benefit from quitting smoking. The nurse has asked you to meet with the patient to "get him to quit smoking." When you speak with the patient, he states, "I know I should stop smoking. It is an expensive habit and it is not good for me. But I love smoking. I am no longer able to do as much as I used to be able to do, and smoking is the one thing that still brings me joy. I'm not going to quit right now." In the motivational interviewing model, what stage of change is the currently in?

Accepted Answer

The patient acknowledges the negative aspects of smoking and recognizes the need to quit, indicating awareness and consideration of change, but is not yet ready to commit to action. This aligns with the contemplative stage of change in the motivational interviewing model.

Question 7

You have been meeting regularly with a patient who would benefit from quitting smoking cigarettes. He has not shown any interest in quitting despite understanding the consequences of continuing to smoke. On this visit, he says, "Well, you know. I'm thinking that maybe it is getting close to the time for me to quit smoking, but really, I'm not sure I can. I've been smoking for so long. Do you think it's even possible for someone like me to quit?" The patient is now in the __________________________ stage of change.

Accepted Answer

The answer of You have been meeting regularly with a...

Question 8

The biopsychosocial framework has been expanded to acknowledge the ____________________ dimension of human experience.

Accepted Answer

The biopsychosocial framework has been expanded to acknowledge the spiritual dimension of human experience, recognizing spirituality's role in health and well-being.

Question 9

_________________________ is a state of being.

Accepted Answer

Health is a state of being, referring to the overall condition of a person's body or mind and the presence or absence of illness or injury.

Question 10

The first step in crisis intervention is to _____________________.

Accepted Answer

The first step in crisis intervention is to define the problem, as it is crucial to understand the specific issue at hand before any effective intervention strategies can be planned or implemented.

Question 11

Heather works in a primary care office as a social worker. She has been working with Keith to help him adjust to his recently diagnosed heart disease. What type of interventions will Heather be utilizing in her work with Keith?

Accepted Answer

Problem-oriented interventions are used by social workers to help clients like Keith address specific issues or challenges, such as adjusting to a new health diagnosis. These interventions focus on identifying problems and developing strategies to solve them, which is relevant to helping Keith adjust to his heart disease.

Question 12

An essential feature of narrative therapy is ________________________________.

Accepted Answer

In narrative therapy, the problem is externalized or separated from the person. This approach emphasizes that "the person is not the problem; the problem is the problem," allowing individuals to address issues in a more objective and empowered way.

Question 13

Leah is a social worker who has been working to help Howard with his anxiety. Leah has taught Howard relaxation exercises such as deep breathing, creative visualization, and body relaxation. Leah is teaching Howard ____________________ strategies.

Accepted Answer

Leah is teaching Howard stress-management strategies, as relaxation exercises like deep breathing, creative visualization, and body relaxation are commonly used techniques to manage and reduce stress and anxiety.

Question 14

One of the tools Leah employs with Howard as she helps him learn to manage his anxiety is ___________________. Howard uses this tool to describe and chart the severity of his anxiety before and after he uses the relaxation exercises Leah has taught him.

Accepted Answer

Scaling is a technique used in therapy to help clients rate the severity of their symptoms or feelings on a scale, such as from 1 to 10. This allows them to quantify their anxiety levels before and after interventions, like relaxation exercises, to gauge their effectiveness.

Question 15

The social systems in which social workers interact are ___________________ systems because interaction occurs between the system and its broader environment.

Accepted Answer

Social systems in which social workers operate are considered open systems because they interact with and are influenced by their broader environment. This interaction allows for the exchange of information and resources, which is characteristic of open systems.

Question 16

____________________________ is a branch of existential therapy focused on healing, wholeness, and finding will and purpose during challenging times.

Accepted Answer

Logotherapy, developed by Viktor Frankl, is a form of existential therapy that emphasizes finding meaning in life, especially during difficult periods. It focuses on the will to meaning as the primary motivating force in humans.

Question 17

Some models of motivational interviewing include a sixth step, which is _______________.

Accepted Answer

Relapse is considered by some models as a sixth step in motivational interviewing, acknowledging that setbacks can be a part of the process of change.

Question 18

The ___________ model assists social workers to conceptualize and interpret human development and behavior within the context of the person-in-environment.

Accepted Answer

The Ecological model is designed to help social workers understand how various systems (environmental, social, economic, etc.) interact with and influence individual development and behavior. This approach emphasizes the importance of considering the broader context in which a person lives.

Question 19

Mary is a social worker who has been given a referral to see Candice. Candice has recently been diagnosed with rheumatoid arthritis. Candice spends most of the first session describing how one of the most difficult aspects of her disease is no longer thinking of herself as someone who is healthy. Mary realizes that Candice is grieving for her former self and experiencing a ______________________.

Accepted Answer

Candice is experiencing a psychosocial loss, which refers to the loss related to one's social roles, identity, or psychological well-being, rather than a physical or tangible loss. In this case, Candice is grieving over the change in her self-perception and identity due to her diagnosis, which fits the definition of a psychosocial loss.

Question 20

Paul is a social worker who has been given a referral to see Dan. Dan has recently been diagnosed with terminal cancer. As Dan walks into the room, he immediately states, "What did I do to deserve this? Why is God doing this to me? I've always been a good person and tried to do the right thing. There are so many bad people doing bad things and God is not punishing them." Paul realizes that Dan is having a(n) __________________________.

Accepted Answer

Dan is experiencing an existential crisis, as he is questioning the meaning and fairness of life and his suffering in the context of his terminal illness.

Quiz 3: Knowledge and Theoretical Foundations of Healthcare Social Work Practice