Question 1

In what ways do spirituality and religion provide a buffer against life's challenges? How would you resolve a situation in which your client chose the means of spiritual belief and religious practice in lieu of interventions you were certain would be more effective? What are the ethical implications that might arise in this situation?

Accepted Answer

Spiritual beliefs may help older persons find greater meaning of life which tend to diminish the impact of challenges. Participation in regular religious activities has been associated with better physical and mental health. Participation with a faith community may mitigate social isolation. Forms of spiritual and religious expression, such as mediation and prayer are thought to buffer the impact of challenges such as illness, retirement and widowhood. Religions can provide a cognitive framework that accept painful event over the life course.
As a social worker encourage the person to incorporate the beliefs he/she has as a source of strength and inclusion with other interventions.
The ethical dilemma is one of preserving the person's self-determination vs. best interests. The social worker could work with the person to insure he/she understands the options and the consequences of one option over the other.

Question 2

Religion is characterized as:

Accepted Answer

A)   Indistinct from spirituality
B)   Basic set of principles about how people should behave toward others
C)   Proves there is an afterlife
D)   Punishes non-believers. B

Question 3

How are memoirs connected to spirituality?

Accepted Answer

Writing memoirs is can be a spiritual experience as it requires them to recall and reflect on the meaning of those events and how they will shape future lives. Memoirs reflect what person wants others to know about them and what is more important as a legacy.

Question 4

How can spirituality be expressed through art and music?

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Question 5

Describe the relationship between Black community and the church.

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Question 6

Which psychosocial tasks for older adults are similar to spiritual tasks:

Accepted Answer

A)   Transcendence of meaning beyond self
B)   Seeking a relationship to a higher power
C)   Finding meaningful work
D)   Resolving family conflicts

Question 7

Questions of spirituality as part of the life review process:

Accepted Answer

A)   Do not belong in the life review
B)   Coincides with the life review as a search for meaning and need for connection
C)   Should bring in a pastoral counselor to complete it
D)   Should only be asked if the person declares a religious preference

Question 8

The inclusion of spiritual assessment in a social work interview:

Accepted Answer

A)   The social worker should speak up about the benefits of his/her own beliefs
B)   Is advised if the client has mental illness
C)   Should be pursued even If the older adult does not find the topic unwelcome
D)   Should be prefaced by a question of interest in the topic

Question 9

JCAHO in revision of the accreditation standards:

Accepted Answer

A)   Requires a brief spiritual assessment as part of intake
B)   Rejects the use of a spiritual assessment at intake
C)   Give the social worker a choice as to include it or not
D)   None of the above

Question 10

The complementary therapies are consistent with spiritual expression:

Accepted Answer

A)   Art is a means to express spiritual themes
B)   Focus on spirituality in music and art distracts from other problems
C)   Are inconsistent with the values of the creative arts
D)   Requires that the person prefers liturgical music

Question 11

Is the inclusion of spiritual assessment of clients in health care settings (like those suggested by JCAHO) a good indication of how individuals will make use of health care services?

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Question 12

The relationship between social work and spirituality

Accepted Answer

A)   Social workers are now required to get training in pastoral counseling if they include spirituality in the assessment process.
B)   Social work and spirituality focus on promotion of self-respect and social healing
C)   Spiritual assessments are less important than the biopsychosocial aspects of the assessment
D)   Inclusion of spiritual assessment eliminates the need for the biopsychosocial assessment

Question 13

What is the common ground between social work and spirituality:

Accepted Answer

A)   They both rely on prayer
B)   Both promote self-respect
C)   There is no common ground between them
D)   Both focus on forgiveness of all transgressions

Question 14

Writing memoirs is a spiritual experience because:

Accepted Answer

A)   Memoirs focus on transcendence of self
B)   Memoirs help older adults identify what they want other to know about them
C)   The content of memoirs is a confession of thoughts
D)   Is primarily intended as a legacy for grandchildren

Question 15

What are the difference between men and women regarding religion?

Accepted Answer

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Question 16

Religious and spiritual diversity is related to gender, race and ethnicity

Accepted Answer

A)   Religion and spirituality play an equal role for women and men.
B)   Men tend to be less religiously affiliated than women
C)   Membership is a racial or ethnic group determines level of religiosity
D)   Hispanics only belong to Roman Catholic Churches

Question 17

As a social worker how could you incorporate a person's affiliations with a faith community in an attempt to create a support group for people with chronic illness?

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Question 18

What should social workers keep in mind when conducting spiritual assessments?

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Question 19

Distinguish between social work, pastoral counseling and spiritual direction.

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Exam 10: The Role of Spirituality in Social Work With Older Adults