Exam 4: Conducting a Biopsychosocial Assessment

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If an older client is struggling to determine who they would like to serve as a surrogate decision maker in case of cognitive decline, how would you, as a social worker, help the person?

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Validate the difficulty in the decision and try and learn about the relationship between the client and the person or person's they are considering naming. Inquiry about the client's communication with that person and the willingness of the person to serve in the surrogate decision making role is also important.

Sexuality in older adults is sometimes considered a taboo subject. How would you introduce the topic to an older adult during an assessment?

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The social worker should let the person know that people continue to have needs for affection and intimacy over the lifetime and inquire if this has been a concern of the person being interviewed.

The biopsychosocial assessment includes a wide range of areas to assess. If you only have an hour to meet with an older adult client, how would you proceed with the assessment?

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The purpose of the assessment should be determined in order to focus on the aspects that are most relevant.

The assessment process is initiated by:

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Home safety assessment is most important to determine:

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Describe the difference between the terms decisional capacity and decisional competence. How is each determined?

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Describe the distinction between a functional assessment and decisional assessment. What is the role of a social worker in each?

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The intention of the biopsychosocial assessment is to:

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How do the life experiences of an older adult impact the assessment process?

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If at the conclusion of your assessment, you determine a person very few social supports available, what other resources might you engage to increase a person's social network? Why are social supports important?

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A biopsychosocial assessment should include all but the following:

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Sexual functioning should be explored:

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The ideal place for an assessment is:

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Suicide in older adults often associated with:

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Determination of decisional competence is:

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An assessment is incomplete it excludes:

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Tools to evaluate cognitive function commonly include:

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What is the value in beginning the assessment with inquiry of the older adult into a typical day?

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What are the limits of confidentiality of the assessment process that a social worker can offer an older adult?

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Discuss the limitations of screening tools in assessing mood and cognitive ability in an older adult.

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