Exam 8: Evaluation Termination and Follow up in Generalist Practice

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The first step in implementing a single-subject evaluation is to identify an easily measured goal.

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Jan has just gotten a new job as a nurse's aide. She seems happy and expresses her glee to her social worker, Dorothy, at their last session together. What should Dorothy say?

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Identify and discuss the possible intervention outcomes that may be discovered during follow-up.

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Possible intervention outcomes that may be discovered during follow-up could include:

1. Improved behavior or symptoms: The intervention may have successfully addressed the targeted behavior or symptoms, leading to a reduction or elimination of the problem.

2. No change in behavior or symptoms: It is possible that the intervention did not have the desired effect, and the behavior or symptoms remain unchanged.

3. Unintended consequences: Sometimes, interventions can have unintended consequences, such as new symptoms or behaviors emerging as a result of the intervention.

4. Need for further intervention: Follow-up may reveal that additional or different interventions are needed to address the problem effectively.

5. Improved quality of life: Even if the targeted behavior or symptoms have not changed, the intervention may have still improved the individual's overall quality of life in other ways.

6. Regression: In some cases, individuals may initially show improvement but then experience a regression of symptoms or behaviors.

During follow-up, it is important to carefully assess and discuss these possible outcomes to determine the effectiveness of the intervention and make any necessary adjustments to the treatment plan.

Treatment group members are likely to experience less intense reactions to termination than task group members.

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The one thing that follow-up does not determine is whether an intervention worked.

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Regarding client follow-up, which of the following is (are) true?

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Feelings and beliefs of clients are examples of situations where self-reports can appropriately be used to gather information.

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Explain the purposes of evaluation at the micro, mezzo, and macro levels.

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Which of the following is true about termination?

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Micro-level evaluations are focused on whether entire programs accomplished their purpose.

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One of the ways of stabilizing change in large systems is to ensure that newly created policies and procedures are very clear.

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The independent variable is the outcome or end product of the helping process.

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_____ is the alternate explanation for program outcomes when people are merely interacting to new things.

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_____ is the extent to which an instrument measures the same phenomenon in the same way each time the measure is used.

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Program evaluation should be accomplished in such a fashion that it does not interfere with giving service to clients.

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An important way in which the worker can help a client at termination is to ensure that the topic of termination is addressed early in the relationship, preferably at the beginning.

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Task-achievement scaling is especially useful for situations in which there is limited contact between worker and client.

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Whenever possible, workers should attempt to use multiple measures or indicators to help ensure that they are getting valid and reliable information.

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Ultimately, the goal at termination is to empower the client system.

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Ideally, a baseline should be based on several observations.

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