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The primary purpose of reminiscence therapy is to stimulate memory in order to make connections with the past and possibly provides an opportunity for conscious or unconscious resolution of unresolved grief or other issues. ____________________________ reminiscence involves the pleasant recollection of past memories for the purpose of enjoyment. correct answer: Simple reminiscence Lisa is working in a community hospital on the medical surgical unit. Her patient, Ruth, is 82 years old. Ruth was brought to the hospital with a severe bowel obstruction and ended up needing surgery. When Ruth woke up from the surgery, she was very agitated and repeatedly tried to get out of bed. Lisa also observed that Ruth was unable to follow the topic of conversation, and Ruth was picking at the air like she was trying to catch bugs that only Ruth could see. Lisa immediately became concerned that Ruth was suffering from correct answer: delirium The highest rate of suicide in the United States is among ____________. correct answer: Elderly white males ____________________ interventions focus on preventing problems from occurring and are exemplified in health and wellness programs as well as targeted efforts to intervene with
specific problems like alcoholism. correct answer: Primary interventions Social workers and nurses typically use the ______________________ to determine a patient's general orientation. correct answer: Mini Mental Status Exam ________________ is a genetic disease that involves mucus buildup that obstructs vital organs in the body and ultimately results in breathing problems when mucus clogs the lungs. correct answer: Cystic fibrosis Nationally, increased attention is being directed at the mental healthcare needs of children. In part, this heightened awareness is due to _____________________. correct answer: Incidents of gun violence perpetrated by children A developmental disability must be manifested before the age of correct answer: 22 The _____________________________ model provides a framework for understanding the impacts of a child's condition on his or her family. correct answer: Family Adjustment and Adaptation Response (FAAR) ___________________ is a model of care in which the patient's preferences and instructions are primary in designing and implementing services and the treatment plan. correct answer: Person-centered planning
The police have arrested the child's parents, and child welfare has taken over the care of the child. This is an example of ______________________ correct answer: Risk of harm Bruce is called to the pediatric unit of the tertiary care hospital. A child has been brought in with multiple medical issues. As Bruce enters the room, he sees a child who is pale, small for his age, and lethargic. Despite a complete medical workup, the medical staff is unable to determine what is causing the child to be so sick. The next day, the pediatrician calls Bruce. The night nurse found the child's mother injecting the child with something that was cloudy and smelled sweet. The syringe was taken to the hospital lab, and the staff determined antifreeze was in the syringe. Bruce calls the child welfare department to make a report of suspected _______________________. correct answer: Medical child abuse The staff of the labor and delivery department call Taylor and relay that a woman is being brought to the hospital by ambulance in active labor. The emergency medical technicians report they responded to a call about a woman who was screaming and in distress. When they arrived, they found the woman lying on a blow-up mattress in an apartment in active labor. As they looked around the apartment, they noticed that it was empty except for the plastic mattress. The woman will not tell anyone her name or provide any additional information about herself. After the woman has delivered the child, Taylor meets with her. The woman states she just wants to leave the hospital with her baby. Taylor asks what resources the woman has in place, but the woman continues to refuse to provide any additional information. Taylor calls the child welfare department
to report her concerns regarding possible child _____________________ if the woman is permitted to leave the hospital with no resources in place. correct answer: neglect A 6-month-old baby is brought to the emergency room with a head laceration. There are bruises all around his mouth and on his arms, legs, and chest. The parents are both very young. The mother does not make eye contact and the father appears very scared. The father tells the social worker that the baby rolled off the couch and hit its head on the coffee table. The attending physician tells the social worker that he has found multiple old injuries as well. As the social worker talks with the grandparents, she learns that both the mother and father were in child protective services as children. The social worker calls the child welfare department to report her suspicion of _______________________. correct answer: Physical abuse The pediatric primary care medical home model of care was initially targeted toward children with special needs, but the philosophy has evolved as an ideal for all children. correct answer: false Studies have identified the importance of maternal mental health, noting that the mother's psychological well-being typically impacts the overall health of the entire family. correct answer: true There is a uniform national definition of what constitutes child maltreatment. correct answer: false
Existential correct answer: Related to uncertain disease course and/or fear of death. Macy's patient Tom has Stage IV lung cancer. Macy and Tom had been working together since he was diagnosed with cancer. Despite aggressive treatment, the cancer continued to spread, and Tom's condition is now terminal. Tom only has a few weeks at most to live. Macy asks Tom if he would like to do __________________________________________. She explained that she would provide him with a list of questions about his life and give him a couple of days to think about them. They would meet a few days later, and she would ask Tom the questions and record the interview. Macy would then have the interview transcribed, edit it to ensure it provided a precise and flowing account of what Tom had said, and then review the document with Tom to make sure it was correct. Tom would then be given the document to keep. correct answer: Dignity therapy ____________________________ is a type of care that provides medical and supportive services to help alleviate pain and other symptoms of illness. Currently, few payment models are in place to provide this care on an outpatient basis. correct answer: Palliative Treatments for cancer have become _________________________________. correct answer: Less harsh, surgery is less disfiguring, and chemotherapy is less disabling
Severe symptoms of depression in cancer patients are of concern because of their association with a reduced quality of life. Additional concerns about depression in cancer patients include all of the following except correct answer: They incur more frequent and prolonged hospitalizations. Social workers are the only professionals employed as patient navigators. correct answer: false The rates of depression in people with cancer are at least three times as common as those found in the general population. correct answer: true Dawn is called to the emergency room to meet with a patient and her family. The patient is an elderly woman who is disheveled. She appears very frail and thin. Dawn asks the woman if she can tell Dawn her name; the woman just stares blankly at Dawn. Next, Dawn asks the woman if she knows where she is. The woman nods her head and says she is in her grandmother's home. Dawn asks if the woman knows the time of day; the woman just stares at Dawn. Dawn tries asking what month, season, or year it is, but the woman is unable to answer any of these questions. The woman's family tells Dawn that the woman has been like this for some time and they do not feel they can care for her at home any longer. They ask Dawn if the woman can be admitted to the hospital. Dawn suspects that this patient has ______________________. correct answer: Dementia The "spheres" of orientation include all of the following except _____. correct answer: Direction
Social workers are among the healthcare professionals who conduct competency evaluations. correct answer: false In terms of elder abuse, the most common abuser of the elderly is a paid caregiver. correct answer: false A legal guardian has the authority to make healthcare decisions regarding the patient's care and treatment as well as to handle the financial affairs of the individual. correct answer: false The two main forms of dementia are Alzheimer's disease and vascular dementia. correct answer: true ________________ continue to suffer the greatest burden from common types of cancer. correct answer: black americans was developed with the goal of eliminating barriers to timely cancer screening, diagnosis, treatment, support, and end-of-life care. correct answer: Patient navigation You are working with Helen, who has a diagnosis of breast cancer. Helen and her family have adapted fairly well to her situation. What type of intervention would you use with Helen and her family? correct answer: Psychoeducation A tool that has been modified to measure patient distress in cancer patients is the correct answer: Brief Symptom Inventory Katrina has been working with a patient in the outpatient oncology clinic. The patient, Norman, states he doesn't know what to do. He is tired all the time, he can't sleep, and nothing
tastes good. His affect is flat, his speech is slow, and he barely makes eye contact. Katrina asks Norman if he still finds joy in anything, like seeing his grandchildren, who he has talked about at every visit before this. Norman states he is ashamed to say it but "No, actually it is so hard to be around them right now. I feel guilty about this. I must be a bad grandfather." Katrina asks how long Norman has been feeling this way, and Norman tells her it started about a month ago and has gradually gotten worse. He describes the last two weeks as having been "the worst of my life." Concerned, Katrina asks Norman if it has gotten so bad that he has thought of ending his life or harming himself. Norman says he had the thought once but has been able to "shake it off." Katrina should _____. correct answer: Conduct a risk assessment and safety plan and then refer Norman to a psychiatrist for an evaluation for possible antidepressants. Cancer tumors that have spread to the brain and spinal cord and tumors in the lungs can cause other health problems with the symptoms of anxiety. This is __ correct answer: Organic anxiety Jen's patient, Dennis, was told he would need a feeding tube. Dennis argued that he would be fine without one and said he would refuse to undergo the procedure. When Jen asked Dennis why he felt this way, he told Jen, "I am afraid if I existentialhave anesthetic, I will not wake up." Dennis was exhibiting ___ correct answer: Situational anxiety Counseling approaches that are effective for helping patients with posttraumatic stress disorder are correct answer:
____________________ arises when problems result from conditions beyond a clients ability to change or influence them as an individual. correct answer: Problem advocacy Dementia correct answer: Loss of brain function that occurs with certain diseases. Affects memory, thinking, language, judgment, and behavior. Alzheimers correct answer: Progressive brain disease characterized by decreases in memory and cognitive functioning. Vascular Dementia correct answer: Decreased cerebrovascular flow resulting in decreased ______________ is the capacity to rebound from adversity strengthened and more resourceful. correct answer: resilience Social Workers are not required to have a comprehensive knowledge of the individual state child welfare laws and definitions, including, mandated reporting laws, of the State in which you practice. correct answer: false
