Introduction To Social Work An Advocacy Based Profession 1st Edition Cox Test Bank

Introduction to Social Work An
Advocacy Based Profession 1st Edition

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1 Cox, Introduction to Social Work Instructor Resource
Test Bank for Chapter 7: Health Care and Health Challenges
Multiple Choice
1. According to the World Health Organization, health is:

a. The lack of disease or infirmity
b. A metaphor for well-being
*c. A state of complete physical, mental, and social well-being
d. Accurately reflected in the infant mortality rate and life expectancy
Cognitive domain: Knowledge
Answer location: Health Challenges and the American Health Care System
Question type: MC
2. Life expectancy in the United States was ____ years in 1900; today, it is about ____ years.
a. 47; 83
b. 43; 77
*c. 47; 77
d. 43; 83
Answer location: Threats to Americans’ Health
Question type: MC
3. Today, lifestyle continues to threaten health in all but which of the following ways, according to your
text?
a. Chronic illness
*b. Drug use
c. Stress
d. Heart disease
Cognitive domain: Comprehension
Answer location: Threats to Americans’ Health
Question type: MC
4. Chronic diseases:
a. Last for more than a year but are not necessarily fatal
b. Can be cured, but may be very painful while they last
c. Cause about 25% of deaths
*d. Are the leading cause of death and disability in the United States
Cognitive domain: Comprehension ?
Answer location: Chronic Illness
Question type: MC
5. Which of the following is true about stress?

a. Stress has significant psychological impact but negligible physical impact
*b. Stress affects sleep and leads to health problems such as heart disease, hypertension, and obesity
c. Stress increases people’s capacity for logical, reasonable thinking

d. The majority of the research into stress’s impact on health has been conducted by social workers
Answer location: Stress
Question type: MC
6. Which of the following is true about poverty and health?

*a. Poor people are less apt to have access to fruits and vegetables than cheaper, less-healthy foods
b. Poor people have equal access to quality health care thanks to Medicaid
c. Thanks to the Affordable Care Act, even poor people have access to quality health insurance
d. People in poverty tend to seek out higher-quality care since they know they won’t have to pay for it
Answer location: Health Disparities and the Uninsured
Question type: MC
7. The Health Insurance Portability and Accountability Act (HIPAA):

a. Has greatly helped people with individual insurance plans to have access to quality care
b. Was opposed by Republicans (people with a residual view) but supported by Democrats (people with
an institutional view)
*c. Ensured that people who already had been treated (or were currently being treated) for a health
condition could not be discriminated against receiving insurance
d. Expanded Medicare to include Part D, a component which gave Medicare recipients access to
affordable prescription coverage
Answer location: Health Insurance
Question type: MC
8. Under the Affordable Care Act (ACA):

*a. As of May 1, 2014, every American must have health insurance or face IRS penalties
b. Children may stay on their parents’ insurance up until age 22
c. Insurance companies may deny coverage to people with preexisting conditions
d. The national debt is expected to double over a 10-year span
e. The United States health care system is now socialized medicine
Answer location: Affordable Care Act
Question type: MC
9. A partnership between patient and practitioner in the healing process, appropriate use of conventional
and alternative methods to facilitate the body’s innate healing response, and use of effective, less-natural
interventions whenever possible are all elements of:
a. The Affordable Care Act
b. Socialized medicine
c. Doctor-patient synergy
*d. Integrative medicine
e. Slow medicine
Answer location: Integrative Medicine
Question type: MC
10. A key factor in recovery from disease, injury, and medical procedures is resilience, which is:
a. A person’s susceptibility to severe illness
*b. A major strength that allows people to “bounce back” from setbacks and illnesses
c. The preponderance of risk factors in a person’s life that put one at risk for death
d. A measure of one’s immunity from a chemical standpoint
Answer location: Recovery, Rehabilitation, and Resiliency
Question type: MC
11. Jim has an HMO plan and Kendra has a PPO insurance policy. Which of the following is probably
true regarding Jim and Kendra’s health care?
a. Jim pays a larger deductible than Kendra
b. Kendra has a smaller co-pay than Jim
*c. Kendra has no “gatekeeper” primary care physician while Jim does
d. Jim pays a larger premium than Kendra
Answer location: Managed Care
Question type: MC
12. In 1905 in Boston, Ida Cannon became the first person hired as a:
a. School social worker
b. Government social worker
c. Child welfare social worker
*d. Medical social worker
Answer location: History of Health Social Work
Question type: MC
13. Which of the following statements about the history of social work in health care is false?
a. Social worker Grace Abbott helped write the Social Security Act
b. The American Association of Hospital (Medical) Social Workers was founded before NASW
c. In the early 20th century, health social workers followed a diagnostic, Freudian approach to health and
mental health
*d. Ten college-level medical social work courses were offered as early as 1895
Question type: MC
14. Which of these is not a goal for health social workers as outlined in the NASW Standards for Social
Work Practice in Health Care Settings?
a. Ensure that the highest quality of social work and client- and family-centered services are provided to
clients and families in health care settings
*b. Advocate for a single-payer health care system that will allow equal access to high-quality health care
for all Americans
c. Encourage social work participation in the development, refinement, and integration of best practices in
health care and health care social work
d. Advocate for clients’ rights to self-determination, confidentiality, access to supportive services and
resources, and appropriate inclusion in medical decision making that affects their well-being
e. Inform policymakers, employers, and the public about the essential role of social workers across the
health care continuum
Answer location: Social Workers’ Roles in Health Care Practice
Question type: MC
15. Which of the following is true about emergency rooms (ERs)?

a. Poor people tend to avoid them due to the high costs of care there
b. Social work in hospital ER settings is a drain on the hospital budget
c. They tend to be an area where the hospital commits a large part of its budget
*d. They are heavily impacted by frequent visits from uninsured individuals
Answer location: Emergency Room, Trauma, and Urgent Care Centers
Question type: MC
16. Which of the following statements is true about Veterans Affairs (VA) hospitals?
*a. They are one of the largest employers of MSW social workers
b. They have been unfairly criticized for long wait times and bad practices
c. Their telehealth program fails to reach rural residents efficiently
d. They have recently been reducing the size of their mental health staff
Answer location: Veterans Affairs Hospitals
Question type: MC
17. All but which of the following are required to employ social workers?
a. Nursing homes with at least 120 beds
b. Hospitals
c. Public schools
*d. Drug treatment centers
Answer location: Various sections and chapters
Question type: MC
18. Which of the following is true about hospice care?

a. It must take place in a hospital or other institutional setting

b. It is fairly standard treatment offered in nursing home settings
c. It has been criticized for being too rigid in its approach
d. It focuses on relieving the pain and suffering of patients, whether they are dying soon or not
*e. It involves a team-oriented approach to care, pain management, and support tailored to the individual
Answer location: Hospice, End-of-life, and Palliative Care
Question type: MC
19. What do hospice and palliative care have in common?

a. They exclusively treat people who are near death
b. They both involve support from a patient’s loved ones
*c. They embrace the idea that, at the end of life, comfort is more important than continued aggressive
treatment
d. They are both typically provided at home
Cognitive domain: Analysis
Question type: MC
20. A __________ social worker may help implement communitywide programs, make home visits,
conduct community health fairs, and assist with vaccination seminars.
a. Hospice social worker
b. Hospital social worker
c. Long-term care social worker
*d. Public health social worker
Answer location: Public Health Services
Question type: MC
21. The fastest growing segment of the population is:

a. Children
b. The middle-aged
*c. People over 80
d. Women
e. African Americans
Answer location: Diversity and Health Care
Question type: MC
22. Women:
a. Live about 2 years longer than men on average
b. Are less at risk for acute health conditions, but more at risk of chronic illnesses
*c. Report more sickness than men do
d. Who are older are finding it easier and easier to find loved ones to care for them

Question type: MC
23. Gay men and lesbians:

*a. Are more likely to smoke cigarettes than heterosexuals are
b. Are less likely to be sexually assaulted during their lifetimes than their heterosexual counterparts
c. Are equally likely to develop HIV and AIDS than heterosexuals are
d. Have no special needs to be addressed by the health care system that heterosexuals do not have
Question type: MC
24. Regarding prescription drugs:

a. Though they are less expensive than name-brand drugs, they are also less effective
*b. America has the most efficient market for generic drug substitution in the developed world
c. American doctors are more reluctant to prescribe them than doctors in other countries
d. Manufacturers who have the patent over the brand-name drug also have exclusive rights to market its
generic equivalent
Answer location: Political Access
Question type: MC
25. The top three causes of death in the United States are all but which of the following?
a. Heart disease
b. Stroke
c. Cancer
*d. Diabetes
Answer location: Exhibit 7.1
Question type: MC
True or False
26. People who live in poverty suffer from a disproportionate amount of chronic disease.
*a. True
b. False
Answer location: Chronic Illness
Question type: TF
27. Heart disease is the number three cause of death for women and the number one cause of death for
men.
a. True
*b. False
Answer location: Heart Disease
Question type: TF
28. In 2013, more than 40 million Americans had no health insurance.

*a. True
b. False
Question type: TF
29. When uninsured people cannot pay medical bills, health care organizations write off the cost or pursue
legal action against the uninsured, rather than passing the cost on to other insured people through higher
premiums.
a. True
*b. False
Question type: TF
30. Medicare Part D provides prescription drug coverage.

*a. True
b. False
Answer location: Health Insurance
Question type: TF
31. Most of our chronic diseases can be more easily prevented by healthy lifestyle choices than they can
be cured by medical intervention.
*a. True
b. False
Answer location: Chronic Illness; Prevention and Wellness
Question type: TF
32. The five hallmarks of chronic inflammation can be remembered by the acronym PRISH.
a. True
*b. False
Answer location: Inflammation
Question type: TF
33. Health/medical social work was one of the first three major areas of social work, and the first to
organize formally as professionals.
*a. True
b. False
Question type: TF
34. Social workers in teaching hospitals can have either a BSW or MSW degree.
a. True
*b. False
Question type: TF
35. Hospice care may occur in a person’s home.

*a. True
b. False
Question type: TF
Short Answer
36. Explain the concept of slow medicine. What are its benefits compared to typical medical care?
a. Slow medicine is the avoidance of inappropriate or harmful care and a more deliberate approach to
determining which medical procedures to follow. Family, friends, or neighbors team up with an older
person who has health issues and with health care providers, including home health nurses and other
providers, to improve the quality of life while the person is under medical care.
Cognitive domain: Comprehension, Analysis
Answer location: Slow Medicine
Question type: SA
37. Name four common duties of health/medical social workers.

a. Crisis intervention, grief counseling, chart documentation, debriefing with colleagues, discharge
planning, chemical dependency evaluation, mental health assessment, short-term decision-making
counseling, facilitating support groups, specialty evaluations and coordination, child abuse investigations
and reporting.
Question type: SA
38. How might health social workers have to advocate for aging immigrants and/or refugees?
a. They often present with anxiety, depression, and other mental health problems that may create physical
health problems. It is not uncommon for immigrants and refugees to have been persecuted, to have lost
loved ones, and also to be uninsured. When immigrants and refugees do not know where to go for
illnesses or injuries, they may land in an ER or hospital bed feeling overwhelmed and alone.
Answer location: Hospitals and Acute Care
Question type: SA
39. Name four typical tasks performed by a social work in a long-term care (nursing home) setting.
a. They make home visits, perform intake assessments, handle discharge planning, facilitate resident and
family council meetings, provide educational training, and much more.
Answer location: Long-term Care
Question type: SA
40. Name three forms of rehabilitation.

a. Vocational rehab, rehab after a neurological injury or TBI, addiction/substance abuse recovery, etc.
Answer location: Rehabilitation Services
Question type: SA
Short Essay
41. Explain what is meant by health disparities. Who is affected, and why? How does access to health
insurance impact people’s overall health and patterns of accessing health care services?
a. Socioeconomic status has been and remains persistently related to stressful and harmful living
conditions, disease, and lack of access to adequate health care. Unfortunately, impoverished and other
oppressed people often do not have access to the health care that could help them treat their conditions.
The term health disparities refers to gaps between population groups in the availability and quality of
health care, disease rates and severity, and overall health. One major contributor to health disparities has
been difference in access to health insurance. People who are medically uninsured tend to postpone
necessary care and forgo preventive care, such as childhood immunizations and routine checkups.
Uninsured people usually have no regular physician and limited access to prescription medications.
Therefore, they are more likely to be hospitalized for health problems that could have been avoided. More
than one third of uninsured adults state that they have problems paying their bills, which explains why
many do not seek care until the last minute. When uninsured people cannot pay medical bills, the burden
falls on those who do have insurance.
Question type: ESS
42. Name and explain the various types of health care coverage provided by the government. How are
these programs funded? How are some countries able to provide better access to quality health care for all
their citizens?
a. Insurance for public-sector employees, Medicare, Medicaid, Veterans Affairs, and the State Children’s
Health Insurance Program are the programs that should be addressed.
Answer location: Health Care Policy in the United States
Question type: ESS
43. Explain in detail the differences between HMOs and PPOs. Which would you prefer to have and
why?
a. Exhibit 7.3 gives a detailed breakdown of the differences, as does the chapter section on managed care.
Answer location: Exhibit 7.3; Managed Care
Question type: ESS
44. What efforts may social workers need to make to advocate for social justice for clients involved in the
health care system? Come up with a specific, original hypothetical example of such a scenario.
a. Assist with obtaining and understanding insurance coverage, managing the personal and economic
burdens of chronic disease, navigating the hospital system (both medically and financially) and outpatient
care, and moving through the VA health care system.
Cognitive domain: Application
Answer location: Advocacy on Behalf of People with Health Care Challenges
Question type: ESS
45. Explain in detail the various advantages and disadvantages of electronic medical records.
a. See exhibit 7.4 for a detailed chart.
Answer location: Exhibit 7.4
Question type: ESS

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Introduction to Social Work An

Advocacy Based Profession 1st Edition

Test Bank for Chapter 7: Health Care and Health Challenges

1. According to the World Health Organization, health is:

5. Which of the following is true about stress?

c. Stress increases people’s capacity for logical, reasonable thinking

6. Which of the following is true about poverty and health?

7. The Health Insurance Portability and Accountability Act (HIPAA):

8. Under the Affordable Care Act (ACA):

15. Which of the following is true about emergency rooms (ERs)?

18. Which of the following is true about hospice care?

a. It must take place in a hospital or other institutional setting

19. What do hospice and palliative care have in common?

21. The fastest growing segment of the population is:

Cognitive domain: Knowledge

23. Gay men and lesbians:

24. Regarding prescription drugs:

28. In 2013, more than 40 million Americans had no health insurance.

30. Medicare Part D provides prescription drug coverage.

35. Hospice care may occur in a person’s home.

37. Name four common duties of health/medical social workers.

40. Name three forms of rehabilitation.

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