Deck 12: Pediatric Healthcare Social Work Practice

Question 1

________________ is a genetic disease that involves mucus buildup that obstructs vital organs in the body and ultimately results in breathing problems when mucus clogs the lungs.

A) Asthma
B) Diabetes
C) Upper respiratory infection
D) Cystic fibrosis

Answer 1

Cystic fibrosis

Question 2

Nationally, increased attention is being directed at the mental healthcare needs of children. In part, this heightened awareness is due to _____________________.

A) An increase in the number of psychotropic medications that have been given FDA approval for use in children
B) Incidents of gun violence perpetrated by children
C) The growing use of computer games and their impact on children
D) Concern that vaccines might cause autism

Answer 2

Incidents of gun violence perpetrated by children

Question 3

Between 2006 and 2008, developmental disabilities were reported in approximately _________________ children in the United States.

A) One in 6
B) One in 10
C) One in 20
D) One in 100

Answer 3

One in 6

Question 4

The Developmental Disabilities Assistance and Bill of Rights Act of 2000 requires states to establish __________________.

A) Health exchanges
B) Protection and advocacy centers to ensure that the rights of the individuals are protected
C) Respite care programs for parents of profoundly disabled children
D) A website with a list of active clinical trials

Question 5

The _____________________________ model provides a framework for understanding the impacts of a child's condition on his or her family.

A) Family Adjustment and Adaptation Response (FAAR)
B) Childhood Illness Predictive Index (CIPI)
C) Child-Parent Attachment (CPA)
D) Parent Adjustment Scale (PAS)

Question 6

___________________ is a model of care in which the patient's preferences and instructions are primary in designing and implementing services and the treatment plan.

A) Medical home
B) Person-centered planning
C) Medical model
D) Integrated care

Question 7

You are a social worker in a hospital. You have been called down to the emergency room because a 10-year-old boy has been brought in by ambulance from his school. The boy has asthma and began to have significant difficulty breathing while at school. When staff call the boy's primary care pediatrician, they learn the boy has not attended the last four appointments that have been scheduled for him. This could be an example of ___________________, and you should complete a comprehensive psychosocial assessment to help determine the reason he has missed his medical appointments.

A) Medical neglect
B) Risk of harm
C) Medical child abuse
D) Physical abuse

Question 8

Katherine is a social worker in Indiana. As such, she is a _____________________ and has a legal duty to report any incidence of suspected child abuse.

A) Capias mittimus
B) Ex parte
C) Mandated reporter
D) Guardian ad litem

Question 9

Obesity is most often defined as excess body weight as measured by _________________, which is a reflection of weight adjusted for height.

A) BIPM
B) BWXBH
C) BPF
D) BMI

Question 10

Individuals can qualify for special education from early childhood up until the age ______________________.

A) 18
B) 21
C) 23
D) 26

Question 11

Each public school child who receives special education and related services must have a _____________________, which must be designed for each student and must be a truly individualized document. School social workers and special education teachers work together through the development of this plan.

A) Child first plan
B) Free appropriate plan of education
C) Individualized education plan (IEP)
D) Individual education evaluation (IEE)

Question 12

The number-one cause of death in children up to the age of 19 years in the United States is ______________________.

A) Suicide
B) Unintentional injuries
C) Cancer
D) Cystic fibrosis

Question 13

Fran covers the critical care unit. Her patient Robert has just had a craniotomy and is not awake when she enters his room to meet him. There are several family members in the room, including Robert's two daughters, who appear healthy. Both girls tell Fran that their dad just had an operation. They describe having been very worried about him, but seeing him now "sleeping peacefully," they are feeling better. Fran discovers that Robert and his girlfriend have shared custody with Robert's ex-wife and that Robert works in a factory. Fran tells the family she will come back when Robert has woken up. As she leaves the room, one of the family members follows her out and introduces herself as Robert's cousin, Rita. Rita tells Fran that Robert is unemployed and "running around." Rita states, "Robert is irresponsible, and he is a bad father." Fran documents the full content of the conversation with Rita, including the fact that Robert is "unemployed, irresponsible and a bad father," in Robert's medical record. Fran's supervisor meets with her later and tells her that this should not have been included in Robert's medical record because it is _________________________.

A) Hearsay
B) A lie
C) Lis pendens
D) Objective

Question 14

Nancy has been working in a children's hospital with a team of four social workers. The social workers would like to implement a new program to further assist the siblings of children who have chronic health conditions. Nancy reviews peer-reviewed journals for articles describing evidence-based programs that have been effective and describe the patient outcomes. Nancy computes the financial benefits as well as the financial outlays of providing the programs. Nancy takes this information to her administrator and asks for another social worker to be hired to staff the program. Nancy is performing _________________.

A) Informed self-advocacy
B) Best interest advocacy
C) Peer advocacy
D) Professional/specialist advocacy

Question 15

One of the most charged ethical issues in pediatric social work practice relates to ____________________________.

A) Participation of patients in clinical trials
B) End-of-life and quality-of-life decisions
C) Consent, assent, and disclosure issues
D) Disparities in access to quality medical care

Question 16

Angie is called to the emergency room. The police and an employee of the child welfare department have brought in a young child for an examination. The child was living in a home that was being used for the manufacture of methamphetamines. The police have arrested the child's parents, and child welfare has taken over the care of the child. This is an example of ______________________ child maltreatment.

A) Physical abuse
B) Emotional abuse
C) Medical child abuse
D) Risk of harm

Question 17

Bruce is called to the pediatric unit of the tertiary care hospital. A child has been brought in with multiple medical issues. As Bruce enters the room, he sees a child who is pale, small for his age, and lethargic. Despite a complete medical workup, the medical staff is unable to determine what is causing the child to be so sick. The next day, the pediatrician calls Bruce. The night nurse found the child's mother injecting the child with something that was cloudy and smelled sweet. The syringe was taken to the hospital lab, and the staff determined antifreeze was in the syringe. Bruce calls the child welfare department to make a report of suspected _______________________.

A) Physical abuse
B) Neglect
C) Risk of harm
D) Medical child abuse

Question 18

The staff of the labor and delivery department call Taylor and relay that a woman is being brought to the hospital by ambulance in active labor. The emergency medical technicians report they responded to a call about a woman who was screaming and in distress. When they arrived, they found the woman lying on a blow-up mattress in an apartment in active labor. As they looked around the apartment, they noticed that it was empty except for the plastic mattress. The woman will not tell anyone her name or provide any additional information about herself. After the woman has delivered the child, Taylor meets with her. The woman states she just wants to leave the hospital with her baby. Taylor asks what resources the woman has in place, but the woman continues to refuse to provide any additional information. Taylor calls the child welfare department to report her concerns regarding possible child _____________________ if the woman is permitted to leave the hospital with no resources in place.

A) Physical abuse
B) Emotional abuse
C) Neglect
D) Medical child abuse

Question 19

A 6-month-old baby is brought to the emergency room with a head laceration. There are bruises all around his mouth and on his arms, legs, and chest. The parents are both very young. The mother does not make eye contact and the father appears very scared. The father tells the social worker that the baby rolled off the couch and hit its head on the coffee table. The attending physician tells the social worker that he has found multiple old injuries as well. As the social worker talks with the grandparents, she learns that both the mother and father were in child protective services as children. The social worker calls the child welfare department to report her suspicion of _______________________.

A) Physical abuse
B) Risk harm
C) Neglect
D) Medical child abuse

Question 20

Suicide is the number-one cause of death in children up to the age of 19 years in the United States.

Question 21

The pediatric primary care medical home model of care was initially targeted toward children with special needs, but the philosophy has evolved as an ideal for all children.

Question 22

Studies have identified the importance of maternal mental health, noting that the mother's psychological well-being typically impacts the overall health of the entire family.

Question 23

The CDC released a report warning of the overreporting of mental illness in children between the ages of 3 and 17 years.

Question 24

There is a uniform national definition of what constitutes child maltreatment.

Question 25

Children in poor families are five times as likely to be in fair or poor health as children in families that are not poor.

Question 26

When reporting child maltreatment concerns to child welfare, it is best not to tell the parents, since it will ruin any therapeutic relationship you have developed with them.

Question 27

The main purpose of clinical documentation is to have a record of your actions in case you are ever sued.

Question 28

__________________ risk factors for child abuse include homelessness, limited or insufficient financial resources, recent or long-standing unemployment, inadequate or suboptimal child-care arrangements, lack of access to affordable health insurance, and linguistic, cultural, or religious barriers to accessing healthcare or supportive services.

Question 29

_______________ risk factors for child abuse include age (the younger the child, the more risk), difficult temperament (actual or perceived by the caregiver), physical or cognitive disability, and a chronic medical or mental condition.

Question 30

Name the six main categories of child maltreatment and give an example of each.

Question 31

Healthcare models are moving toward utilizing interdisciplinary and transdisciplinary teams. What are some challenges facing social workers who are members of these types of teams?

Question 32

What are some ways social workers can respond to the challenges of being a member of a interdisciplinary team?