Social Work Post-Test

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Video: Transcript Questions The answer to Question 1 is found in Section 1 of the Course Content. The Answer to Question 2 is found in Section 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.

Questions: 1. What question was asked to relate the Geometric Puzzle to Effie's life experiences? 2. What is said to compliment Marie for her success with Caps-in-a-Bowl? 3. What was said to help Freida identify pictures in the Reality Orientation Book? 4. What are the "Approaches" suggested for Fannie? 5. What was said to create a successful experience for Marie? 6. What activities could you try with a resident like Mabel? 7. How was Scent Therapy reinforced? 8. What are sample Care Plan Goal starter phrases for Lillian? 9. What was done to communicate with Mary?

Answers: A. a. To encourage her to say words; b. To repeat words she says that are understandable; c. If you don't understand simply say, "I don't understand what you said." B. Commented on eyes open and noise; "You're looking right at me now. That makes me feel really good. And you're breathing harder.  That really makes me feel good; you're responding more." C. "Did you and your sister ever play games or puzzles when you were a kid?" D. To squeeze hand upon request; To roll Bean Bag with total physical assistance. E. "What a good job! I could tell that that's clearly M-A-R-I-E." F. "Great. Good job! I see you are using those fingers there. Ah, you even got the last one!" G. Comment on opening and closing eyes; Comment on making noise; Getting in Mary's line of sight; Raising volume of voice; Use of an amplifier. H. Yarn Winding, Magazine Folding, Grocery Bag Weaving. I. "Can you see these trees right here?" Pointed to trees in picture.

Course Article Questions The answer to Question 10 is found in Section 10 of the Course Content. The Answer to Question 11 is found in Section 11 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.

Questions: 10. According to Douthit, how might it be possible to counteract the damaging effects of Alzheimer’s genes?  11. What areas involving counseling older adults are there few or inadequate ethical guidelines that currently exist?  12. What are the most important predictors of harm for persons with cognitive impairment living alone? 13. According to Zarit, what manifestations of dementia are more responsive to behavioral and environmental intervention? 14. What is "pseudodementia"?   15. As Alzheimer's disease advances, what two advance directives are important to bring up while the patient still has decision-making capacity?   16. What are the intrapersonal issues older adults face near the end of life? 17. Past therapeutic work with older adults focused on having clients review their feelings about past negative events and relationships. What is the theme of newer therapeutic work with older adults? 18. According to Welfel, what are the guidelines to assist counselors in reporting suspected cases of elderly maltreatment/abuse?  19. What is the most common cause of dementia in clients younger than 50 years of age? 20. What gerontological counseling methods have been proven effective with older clients?  21. What are common interventions used with dementia clients?

Answers: A.  A theme in much of the newer therapeutic work is to help older adults rediscover and expand on existing competencies and improve their sense of perceived efficacy. B.  by building complex verbal skills early in life C.  Mutable conditions, such as client's behavior, mood and functional competency, should be the focus of treatment, though gains may be temporary. D.  cognitive behavior, life review, and bibliotherapy E. alcoholism and AIDS  F. Autonomy/control, decision-making capacity, dignity, existential issues and spiritual beliefs, fear, grief, hopelessness, and psychodynamic issues and counter-transference. G. the unique needs of older adults who have cognitive impairments, victims of abuse, and those with a terminal illness H.  the durable power of attorney for health care, which allows a family member or other person to make healthcare decisions in the event of the patient's incapacity, and the living will. I. special design of the care environment, reality orientation, reminiscence, validation therapy, psychotherapy, cognitive-behavior J. a syndrome of reversible objective or subjective cognitive problems caused by a non-organic disorder, such as clinical depression  K. (1)  routinely consider elder maltreatment as a possibility when dealing with an older client who is dependent on family or others for care (2) provide an empathic and supportive atmosphere in which to discuss the older person's problems  (3) gather information related to the risk factors for abuse (4) interviewing family members separately is more likely to result in honest disclosures than is a multiple-person session (5) educate clients about the services available to assist them L. (1) the etiology of the cognitive impairment; (2) the kinds of cognitive deficits exhibited; (3) the behavior disturbances present; and (4) existing social resources

True/False Statements: The Answer to Statement 1 is found in Section 1 of the Course Content... and so on. Enter T only for True, or F only for False for each statement below. Place letter only in the box before the corresponding statement. Do not add any periods or spaces.

True/False Statements: 1. “Did you and your sister ever play games or puzzles when you were a kid?” was the question asked to relate the Geometric Puzzle to Effie’s life experiences. 2. “Great. Good job! I see you are using those fingers there. Ah, you even got the last one!” was said to compliment Marie for her success with Caps-in-a-Bowl. 3. “Can you see these trees right here?” while pointing to the trees in the picture was said to help Freida identify pictures in the Reality Orientation Book. 4. The “Approaches” suggested for Fannie included: a. To encourage her to say words; b. To repeat words she says that are understandable; and c. If you don't understand simply say, “I don't understand what you said.” 5. “What a good job! I could tell that that's clearly M-A-R-I-E.” was said to create a successful experience for Marie. 6. Yarn Winding, Magazine Folding, and Grocery Bag Weaving were activities suggested for a resident like Mabel. 7. Scent Therapy was reinforced by commenting on eyes opening and noise, such as “You're looking right at me now. That makes me feel really good.” 8. Sample Care Plan Goal starter phrases for Lillian included: To squeeze hand upon request; and To roll Bean Bag with total physical assistance. 9. Communication with Mary included commenting on opening and closing eyes, commenting on making noise, getting in Mary's line of sight, raising volume of voice, and using an amplifier. 10. According to Douthit, it may be possible to counteract the damaging effects of Alzheimer’s genes by building complex verbal skills early in life. 11. There are few or inadequate ethical guidelines involving the unique needs of older adults who have cognitive impairments, victims of abuse, and those with a terminal illness. 12. The most important predictors of harm for persons with cognitive impairment living alone are: (1) the etiology of the cognitive impairment; (2) the kinds of cognitive deficits exhibited; (3) the behavior disturbances present; and (4) existing social resources. 13. According to Zarit, mutable conditions such as the client’s behavior, mood, and functional competency are more responsive to behavioral and environmental intervention. 14. Pseudodementia is a syndrome of reversible objective or subjective cognitive problems caused by a non-organic disorder, such as clinical depression. 15. As Alzheimer’s disease advances, two important advance directives to discuss are the durable power of attorney for health care and the living will.  16. Intrapersonal issues older adults face near the end of life include autonomy/control, decision-making capacity, dignity, existential and spiritual issues, fear, grief, hopelessness, and psychodynamic issues and counter-transference. 17. A theme in newer therapeutic work with older adults is helping them rediscover and expand existing competencies and improve their sense of perceived efficacy. 18. According to Welfel, guidelines for reporting suspected elder abuse include routinely considering maltreatment, providing an empathic atmosphere, gathering information on risk factors, interviewing family members separately, and educating clients about available services. 19. Alcoholism and AIDS are the most common causes of dementia in clients younger than 50 years of age. 20. Cognitive behavior, life review, and bibliotherapy are gerontological counseling methods proven effective with older clients. 21. Common interventions used with dementia clients include special design of the care environment, reality orientation, reminiscence, validation therapy, psychotherapy, and cognitive-behavioral approaches.

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