Social Welfare Policy Study Guide Questions
Course Introduction
Social Welfare Policy explores the development, implementation, and impact of policies designed to improve social well-being and address issues such as poverty, health care, housing, child welfare, and unemployment. The course examines the historical evolution of social welfare systems, the role of government and non-governmental organizations, and the influence of economic, political, and cultural factors on policy decisions. Students analyze contemporary policy debates, assess the effectiveness of various approaches, and consider ethical implications, with a focus on how social welfare policies affect diverse populations and contribute to social justice.
Recommended Textbook Fundamentals of Case Management Practice Skills for the Human Services 5th Edition by Nancy
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Chapter 1: Case Management: Definition and Responsibilities
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Q1) The resiliency model of case management refers to:
A) The changing view of mental illness and substance abuse from one of gradual deterioration to one of recovery and a productive life
B) Emphasis on the client's personal choices and activities for the life that is most meaningful to that individual
C) A positive view of the child's life and circumstances in which the provider actively seeks the child's strengths on which to build
D) The movement toward services that are diverse enough to meet the client's needs, are well coordinated and easily accessible
Answer: C
Q2) A plan that is formulated after the assessment phase is a/n?
Answer: <i>Individualized plan </i>
Q3) What are the 4 levels of case management?
Answer: <i>Intensive,Administrative,Resource Coordination and Blended </i>
Q4) Give 3 examples of Informal and Folk supports that a case manager will refer a client to for help.
Answer: <i>Any services identified by the Instructor in their community is an appropriate answer.</i>
Page 3
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Chapter 2: Ethics and Other Professional Responsibilities for Human Service Workers
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Q1) The term confidentiality is best described as an ethical and (fill in the blank)concept.
Answer: The term confidentiality is best described as an ethical and legal concept.
Q2) On a social networking site such as Facebook,a social services provider may discuss a client:
A) When the patient's identifying information is removed
B) When the site is a private one and not part of the caring institution or agency
C) Under no circumstances
D) Only with people who do not know the patient
Answer: C
Q3) Ethical practices in the social services are in place because:
A) They prevent a civil suit being brought against the human service worker
B) They prevent the social human worker from being fired
C) They prevent the exploitation of the individuals seeking human services
D) Most professions monitor the behavior of their members
Answer: C
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4
Chapter 3: Applying the Ecological Model: A Theoretical
Foundation for Human Services
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Q1) Aspects of the personal context that a person grew up in and is now functioning in (meso level context)include:
A) Social class
B) Motivation
C) Personality
D) Life transitions
Answer: A
Q2) The context level immediately surrounding the client such as family,church group,close friends,etc.would be considered:
A) The micro level
B) The meso level
C) The macro level
D) Unimportant because human service workers should be able to intervene on all three levels
Answer: B
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Chapter 4: Cultural Competence
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Q1) Name 4 countries that tend to be individualistic
Q2) In our efforts to improve communication with someone who is different from us,we:
A) Habitually categorize them
B) Establish eye contact with them
C) Remove distractions from the environment
D) Attribute their positive behavior to the environment or the circumstances
Q3) When we project our own assumptions about persons from a different culture,we:
A) Are creating the opportunity for clearer communication with them
B) Improve our understanding of their culture
C) Are including them into our group
D) Are attempting to reduce our own anxiety or uncertainty about them
Q4) What are 3 ways individualistic cultures view time?
Q5) Name 4 countries that tend to be collectivistic.
Q6) Describe what the author defines as a stranger?
Q7) Name 3 ways that people in collectivistic cultures handle conflict.
Q8) Briefly define prejudice.
Q9) Briefly define culture.
Q10) Briefly define race.
Q11) Briefly define ethnocentrism. Page 6
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Page 7
Chapter 5: Attitudes and Boundaries
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Q1) As case managers,we need to erect useful boundaries between ourselves and the client.This means:
A) Understanding the differences between our situation and the client's situation despite possible similarities
B) Letting the client know that he or she can benefit from our similar experiences
C) Ensuring the client makes continued progress toward goals by stepping up our level of involvement in the case
D) Seeking employment in an agency that deals with issues similar to those in our own life
Q2) Name 2 ways in which case managers discourage clients.
Q3) Name 2 false attributes.
Q4) What are the 3 basic helping attitudes?
Q5) Briefly define transference.
Q6) Briefly define countertransference.
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Page 8
Chapter 6: Clarifying Who Owns the Problem
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Q1) Briefly describe why it is not uncaring to allow a client to own the problem.
Q2) How should a case manager resolve an issue if they own the problem?
Q3) A 17-year-old single mother of a severely disabled child has been disowned by her family and seeks help sorting out her situation:
A) The case manager owns the problem because the client is too young to make decisions for herself
B) Both the client and case manager own the problem, but because the client is too young to make decisions for her life, the case manager is ultimately responsible for finding a solution
C) The client owns the problem, but the case manager needs to take the reins in finding a solution in consultation with the client
D) The client owns the problem and must take the reins in finding a solution to her problem despite her youth
Q4) When a client comes to you with a problem,______.
A) You must solve it for them
B) Listen, and then advise the best solutions for the client
C) Listen, provide resources and help the client arrive at a solution
D) The client must demonstrate that he or she can solve it
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Page 9
Chapter 7: Identifying Good Responses and Poor
Responses
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Q1) In order to make your clients feel comfortable and safe enough to be open,you should:
A) Console them and support them in a sympathetic manner
B) Make critical life decisions for them
C) Let them know that you are in charge and everything is under control
D) Identify their feelings and reflect them back
Q2) Describe and give 2 examples of how a case manager can invite collaboration.
Q3) What is the difference in giving false praise versus positive feedback?
Q4) "It appears to me that ." Is an example of what?
Q5) Good responses in a therapeutic setting tend to:
A) Demonstrate that the worker has the correct answers and solutions
B) Enhance dialogue and collaboration
C) Cause the client to speak in pleasantries
D) Make clear the superiority of the worker
Q6) Good responses in a therapeutic setting are:
A) Praising or agreeing
B) Reassuring, sympathizing, consoling or supporting
C) Probing, questioning, interrogating
D) Identifying and confirming
Q7) "Thanks for telling me." Is an example of what? Page 10
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Chapter 8: Listening and Responding
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Q1) What are 4 other words to describe overwhelmed?
Q2) He is trying to speak to the parents who refuse to look at him. <u>Write one (1)closed ended questions you might ask the young man.</u>
Q3) List the 2 positive reasons for reflective listening.
Q4) You finally go upstairs to see the girl. She is not responding to your quiet knocks on the door. You are about to give up when she opens the door and slowly lets you in. You can see she has been crying. <u>Write a word the describes how she maybe feeling and an empathic response</u>
Q5) The daughter acknowledges her parents. She then asks them to please be quiet and listen to her. <u>Give an example of what you might say to help the daughter address her parents.</u>
Q6) Reflective listening in a therapeutic setting:
A) Allows the clinician to offer advice or solutions
B) Is a roadblock to communication
C) Often creates misperceptions
D) Is empathetic and the most useful kind of response
Q7) List 4 other words for that might describe anger.
Q8) Name the 2 aspects of reflective listening.
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Chapter 9: Asking Questions
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Q1) A main goal of the clinician's questions during the interview is to:
A) Arrive at a solution in the most efficient way
B) Direct the client toward your predetermined solution
C) Listen to the client's concerns and sort out the best way to approach a solution
D) Compile information for assessment and referral purposes
Q2) Describe and give 2 examples of open questions a case manager might asked a client.
Q3) Open-ended questions are:
A) Never formulaic
B) Constructed in a way to encourage the client to provide identifying information
C) Constructed in a way to encourage the client to express feelings and opinions
D) Enhanced by using the words "how," "why," "what," "when" and "where"
Q4) Sometimes the worker needs to ask the client closed questions in order to:
A) Find a solution to the client's problem
B) Encourage the client to talk about the situation freely
C) Better understand which aspects of the situation are important to the client
D) Compile information for assessment and referral purposes
Q5) What is the trouble with starting a question with "Why?"
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Chapter 10: Bringing up Difficult Issues
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Q1) The clinician uses confrontation because:
A) The clinician owns the problem
B) The client owns the problem
C) Both the clinician and the client own the problem
D) It is up to the client to find a solution
Q2) "The way it appears,housing certainly isn't a high priority for you! You never follow through" is an example of a(n):
A) I-message
B) Prying question
C) Inappropriate confrontation
D) Appropriate confrontation
Q3) At times,the clinician must advocate for the client by confronting others who may be interfering with the clinician's ability to interact effectively with the client.The clinician's message in this case must be:
A) A request for advice or suggestion
B) Tentative
C) One in which a display of anger is justified
D) Pleasant, but firm
Q4) A case manager should focus on tangible behavior.What does tangible mean?
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Chapter 11: Addressing and Disarming Anger
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Q1) What are 2 reasons why it is important to disarm anger?
Q2) In David Burns' Feeling Good,which of the following is not one of the recommended four steps in disarming anger?
A) Being appreciative
B) Finding common ground
C) Cutting off the counselee and redirecting him or her to a more relevant or relaxed topic
D) Asking for more information
Q3) What is wrong with the following statement: <i>"You are not listening to me.I feel that you would be better off if you went to rehab."</i>
Q4) Reacting with an authoritative tone to a situation in which a client's anger appears on the verge of escalating can:
A) Demonstrate to the client that you are in charge
B) Show that you are not going to allow the anger/outburst to continue
C) Fuel an already volatile situation
D) Unwittingly demonstrate to the client that you are helpless
Q5) Name 2 of the 4 steps in disarming anger effectively.
Q6) Name one reasonwhy a client might be angry.
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Chapter 12: Collaborating With People for Change
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Q1) When a client speaks openly about his or her ambivalence,it should be obvious that:
A) You have hit a roadblock.
B) Your path, until now, has been counterproductive.
C) It is time for you as the counselor to take control and lead more effectively.
D) Something positive and therapeutic has happened.
Q2) In ch 12,the author states who is responsible for change?
Q3) Name 2 symptoms of a discouraged client.
Q4) Reflective listening is best used:
A) After each individual probing question
B) At the end of a series of probing questions
C) When the client cues that he or she has something constructive to add
D) Only when you sense it is vital for the client to "re-hear" what he or she has said
Q5) Because change does not happen quickly,it is better viewed as:
A) A stage
B) A process
C) The responsibility of the client
D) An undertaking for higher functioning clients
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Page 16
Chapter 13: Case Management Principles: Optional Review
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Q1) On a verification form,what date should a case manager put on the date line?
Q2) Which of the following is an appropriate description of the mood of a client undergoing intake?
A) Mark expressed feelings of hopelessness; however after speaking with me, he seemed as if an initial weight had been lifted from his shoulders.
B) Mark initially cried inconsolably, stating he believed he was the only person in the world with such a problem.
C) Mark reports that he has been episodically depressed since his mother passed away last year.
D) Mark, a court-referred client, expressed hostility and anger.
Q3) When recording the "chief complaint," the person conducting the intake should:
A) Strive to be concise yet accurate
B) Go into as much detail as possible; the details of the complaint can be "whittled down" later
C) Describe the reasons in generalities
D) Include all relevant background information
Q4) Name 2 of the 4 guidelines for filling out forms.
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Chapter 14: Documenting Initial Inquiries
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Q1) Write an open question that can help the client begin to tell their story.
Q2) Describing payment details and procedures during the first session is:
A) Too early; this is typically a subject for the second meeting
B) Obligatory
C) Potentially insulting
D) Too late; the intake was the proper time for this
Q3) Identify 1 thing a case manager can do to prepare for the initial interview with a client.
Q4) In relationship to your own feelings,insights,approaches,and knowledge,information conducted by an intake person other than you should be regarded as:
A) Universally relevant
B) Subjective
C) Objective
D) If not accurate, at least well-meaning
Q5) Name 2 tasks that need to be completed at the initial interview.
Q6) The general purpose of an initial interview is to .
Q7) What is your understanding of<i> "door knob syndrome"?</i>
Q8) Discuss your thoughts on why having personal items (e.g.pictures of your family)may be inappropriate.
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Chapter 15: The First Interview
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Q1) What is a valid concern when using electronic or mobile devices in taking social histories? What are ways to remedy that?
Q2) Brief intakes are:
A) Mostly for therapy of short duration
B) A result of external pressures placed upon counseling professionals
C) For clients whose problems are generally clearly defined
D) Considered more effective as they take the focus off of unimportant issues
Q3) There are advantages to taking a social history in a client's home.Briefly discuss what they are and what are the disadvantages.
Q4) Therapeutically speaking,when interviewing the client about his or her religious affiliation,it is important to pay particular attention to:
A) Discomfort
B) Anger
C) Overdependence
D) Nonfulfillment
Q5) Write one question a case manager might ask a client for their assessment of the problem.
Q6) What are the 3 things that should be included on a brief social history?
Q7) Name 2 things a case manager might note under <i>impressions.</i>
Page 19
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Chapter 16: Social Histories and Assessment Forms
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Q1) In the DSM 5,there are no more:
A) Diagnoses
B) Symptoms
C) Codes
D) Axes
Q2) Although helpful to those in various health-care settings,a primary danger of formal diagnosis and the DSM in general is:
A) Overuse
B) Blame
C) Labeling
D) Misuse by those without adequate knowledge and training
Q3) Using the DSM-IV-TR,each individual received a diagnosis along with five separate:
A) Symptoms
B) Dimensions
C) Axes
D) Lists
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Chapter 17: Using the Dsm
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Q1) Client 1 has a Major Depressive Disorder with melancholic features.Using the DSM V,if available,write the code,symptoms and prevalence in the general population.
Q2) What are some observations that would cause a case manager concern when doing a home visit? Would these be a symptom of an active mental illness?
Q3) If you know that the diagnosis for schizophreniform disorder is an episode of the disorder lasting at least 1 month but less than 6 months and you must make the diagnosis without waiting for recovery,you would mark the diagnosis:?
Q4) What are 3 things that a case manager should observe as part of the Mental Status Exam?
Q5) Your subject,Steven,is having tangible difficulty participating in the interview.He frequently gets up from the couch and plays with his hands the duration of the interview.Steven's behavior might be described as:
A) Combative
B) Awkward
C) Hyperactive
D) Listless
Q6) A euthymic mood is what type of mood? How does it differ from a labile mood?
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Page 21
Chapter 18: The Mental Status Examination
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Q1) Your client "M" has undergone an HIV test.Much to his relief,the test came back negative.The results can be released:
A) Freely
B) With verbal consent only
C) Without need for a formal release because the shame factor is no longer present
D) Only with the proper release form
Q2) In a majority of circumstances and locales,information regarding a client's HIV and AIDS status is on a "need to know" basis.This basis is:
A) Ethical
B) Moral
C) Legal
D) Professionally mandated
Q3) A blanket release-of-information form is:
A) Highly efficient
B) Illegal
C) Professionally prudent
D) Recommended by the American Psychological Association (APA)
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Chapter 19: Receiving and Releasing Information
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Q1) Name 3 common barriers that can prevent a case manager from fully understanding a client.
Q2) Intellectual Disability is most likely to affect which part of the service plan?
A) Follow through
B) Conception
C) Signing
D) Planning
Q3) A hobby:
A) Has only a superficial connection to strengths
B) According to most experts, should remain just that: a pleasurable pastime
C) Is a legitimate area for strength-based assessment
D) Is not strongly linked to treatment; however, it is a good segue into deeper areas of strength assessment
Q4) What are 3 areas that a case manager might look to find strengths?
Q5) The DSM diagnostic section of the treatment plan is meant to be filled in:
A) During initial intake
B) By the case manager after all relevant information has been compiled
C) After the planning meeting and with the input of other relevant individuals
D) By a supervisor only
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Chapter 20: Developing a Service Plan at the Case Management Unit
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Q1) A panel of professionals that decides on which services to provide to the client would typically be:
A) Homogeneous
B) Interdisciplinary
C) Multidisciplinary
D) Large in number
Q2) The presenter's case before the team should take approximately:
A) 5 minutes
B) 15 minutes
C) 30 minutes
D) 60 minutes
Q3) A case manager who is presenting on behalf of a client should monitor him-or herself for:
A) Nervousness
B) Defensiveness
C) Ability to establish rapport
D) Reciprocity
Q4) Name the 3 things recommended to bring to a planning meeting.
Page 24
Q5) Name 2 elements of a case managers presentation at a planning meeting.
Q6) What are the 3 goals for a planning meeting?
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Chapter 21: Preparing for a Service Planning Conference or Disposition Planning Meeting
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Q1) Which of the following is not an activity completed following the case meeting?
A) The supervisor signs the formal service plan.
B) The final plan is discussed with the client.
C) The final service plan is rewritten.
D) The client is asked for feedback, and an assessment of his or her feelings is undertaken.
Q2) How many dates appear on a typical referral form?
A) 3
B) 4
C) 2
D) 5
Q3) A referral for notification form typically contains:
A) A multi-axial diagnosis
B) A diagnosis with a code
C) The anticipated cost of service
D) A detailed description of the client's symptoms
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Chapter 22: Making the Referral and Assembling the Record
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Q1) Mannerisms,dress,attitudes,or expressions-all impressions of a client during a contact-reflect:
A) The level of motivation
B) The level of compliance with the program
C) The client's state of mind
D) The ability of the client to conform to expectations
Q2) Writing and maintaining notes that are accurate,comprehensive,and up-to-date is a(n)___________ obligation.
A) Legal
B) Professional
C) Moral
D) Ethical
Q3) List 5 words that could be construed as judgmental in documenting a contact with a client
Q4) Name the 3 types of contact a case manager might have with a client.
Q5) The use of black ink when filling out case notes and other forms is:
A) Practical
B) Mandated by the APA, ACA, and a host of other professional organizations
C) Required by state and federal law
D) Required by federal law
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Chapter 23: Documentation and Recording
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Q1) Monitoring of treatment and/or services is a fundamental aspect in the demand for: A) Progress
B) Goal achievement
C) An agency's seal of quality
D) Reimbursement
Q2) Once the treatment plan is established and the counselee becomes part of a caseload:
A) The counselor has carte blanche to interview any relevant person.
B) The counselor has carte blanche to interview any relevant person as long as sensitive aspects of the case are not divulged.
C) Monitoring is subject to rules of confidentiality.
D) All aspects of the case can be discussed except for diagnoses and information pertaining to HIV-AIDS.
Q3) List and describe the 4 steps involved in responding to a crisis.
Q4) Briefly describe the financial purpose of monitoring services and following a client.
Q5) Describe how a case manager can monitor a client outside of the office environment.Be sure include the advantages of doing so.
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Chapter 24: Monitoring the Services or Treatment
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Q1) Which of the following is a goal,not an objective?
A) "Damon will work an eight-hour shift."
B) "Damon will appear in uniform by 8 a.m. sharp."
C) "Damon will refrain from arguing with coworkers and his site supervisor."
D) "Damon will complete his work-adjustment training program as mandated by grades of 90% or higher in:"
Q2) The provider agency:
A) Receives general goals, which it then formulates into specific goals and objectives
B) Receives specific goals, which are scaled back into broader expectations
C) Makes no changes to the goals you have sent; they are simply a surrogate that enacts the plan
D) By law cannot deviate from the goals and objectives sent by the referring agency
Q3) A goal is most often decided upon by two parties only,the client and his or her case manager.An exception is:
A) A court-mandated counselee
B) A violent offender
C) A counselee not yet at the age of majority
D) A counselee with mental retardation
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Chapter 25: Developing Goals and Objectives at the Provider Agency
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Q1) What,specifically,should be discussed in a final interview with a client: name 2-3 items.
Q2) Which of the following is an acceptable way in which to close a case?
A) A warm phone call
B) A highly explanatory and detailed letter
C) Face to face
D) An e-mail, Skype, or IM
Q3) Medications noted on the discharge summary must include:
A) Any and all medications prescribed by doctors associated with the present case management team
B) Any and all medications prescribed by doctors, internal or external, during the tenure of the current treatment
C) Any and all medications prescribed by doctors during the past 5 years
D) Medications prescribed by doctors associated with the present case management team that have not been discontinued
Q4) List 2 reasons why a case manager might close a case.
Q5) List 4 things that need to be included in the discharge summary.
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Q6) What are the 2 things a client should receive from a case manager when a case has been successfully terminated?