Deck 8: Evaluation Termination and Follow up in Generalist Practice

Question 1

A number of tasks were discussed in the text that the generalist worker and client system must undertake during the termination phase of the planned change process. All of the following were included except :

A)Evaluating achievement of objectives
B)Maintaining and continuing progress
C)Concluding that there is no hope for the client
D)Making appropriate referrals

Answer 1

C

Question 2

Francesca is a social worker at Swan's Song Home and she has just terminated a treatment group. She finds that she is having trouble dealing with her own reactions to the ending of this group. What should she do?

A)She should find another line of work
B)Francesca should avoid letting her clients know of her trouble
C)She should seek assistance from her supervisor
D)Francesca should talk it over with her family and friends, but should not let her supervisor know she is having trouble

Answer 2

C

Question 3

_____ is the alternate explanation for program outcomes when some of the people in the sample begin to drop out.

A)Mortality
B)Reactance
C)Maturation
D)Creaming

Answer 3

A

Question 4

Susan appears distraught and anxious at the beginning of the next-to-last session. She states that she really does not feel that she has made much progress in her work with Mark, and wonders aloud whether this has all been a waste of time. Now Mark is confused. What might he say?

A)You seem pretty upset today. I wonder what's going on.
B)We have accomplished a great deal together, and I wonder how you can say we haven't made much progress.
C)Susan, something is troubling you today. I sense that you may be reacting to the ending of our sessions.   A common reaction to termination is to be fearful of the future. People often question whether they've accomplished anything. Perhaps you are a bit angry with me. Do any of these strike a chord with you?

Question 5

____ refers to the extent to which you are measuring what you think you are measuring

A)Validity
B)Reliability
C)Baseline
D)Generalizability

Question 6

An evaluation of the planned change process which occurs after the completion of the process is called a _____ evaluation.

A)Summative
B)Formative
C)Reliable
D)Valid

Question 7

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

A)Validity
B)Reliability
C)Baseline
D)Generalizability

Question 8

_____ is the alternate explanation for program outcomes when the results of an intervention can be attributed to other changes being experienced by the subject.

A)Mortality
B)Reactance
C)Maturation
D)Creaming

Question 9

An evaluation conducted by one's peers that assesses the actions taken by an individual is called:

A)Goal-attainment scaling
B)Task-achievement scaling
C)Observational review
D)Peer review

Question 10

Single-subject designs can be called by other names including:

A)Single N
B)Single case-study design
C)Time-series research
D)All of the above

Question 11

The needs-assessment mechanism that is designed simply to answer the question, "Can this program be evaluated?" is:

A)An evaluability assessment
B)A process analysis
C)A program outcome analysis
D)Program monitoring

Question 12

The extent to which an instrument can be used to predict future events is called:

A)Predictive validity
B)Face validity
C)Concurrent validity

Question 13

All of the following were listed in Chapter 8 as suggestions in which cultural competence can be applied to our evaluation efforts except :

A)It may be better to allow respondents to check all cultural/racial groups with which they identify to avoid forced choices
B)Ensure that all questions are gender neutral and not biased toward the life experiences of any particular group
C)Do not ask questions about respondents' sexual orientation as some respondents will be afraid to answer correctly
D)Avoid unnecessary emphasis on problems with oppressed populations

Question 14

The factor we think is responsible for causing behaviors, reactions, or events is called the:

A)Independent variable
B)Generalized variable
C)Dependent variable

Question 15

Which of the following is true about termination?

A)Gut level feelings or impressions on the part of the worker is a very good basis for judging whether it is time for termination
B)Termination should be done for reasons relating to client needs and not based upon worker needs
C)Termination should occur precipitously
D)The tasks for termination are totally different when working with an organization as opposed to working with an individual

Question 16

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

A)Mortality
B)Reactance
C)Maturation
D)Creaming

Question 17

_____ practice relies on opinion and testimonials to support specific interventions.

A)Best
B)Evidence-based
C)Authority-based
D)Research-informed

Question 18

_____ is the extent to which an instrument has a clear relationship to the thing we hope to measure by using it.

A)Predictive validity
B)Face validity
C)Concurrent validity

Question 19

_____ is a measure of the frequency, intensity, or duration of a behavior.

A)Validity
B) Reliability
C)Baseline
D)Generalizability

Question 20

You see an advertisement for a new program which claims a high rate of success in treating anorexia (an eating disorder). The only people admitted to the program are those who have been through a battery of tests and interviews. All candidates are evaluated on their motivation to change and only those with the highest motivation are admitted to the program. What might explain the very positive outcomes claimed by this program?

A)Maturation
B)History
C)Mortality
D)Creaming

Question 21

Increasing your own effectiveness as a social worker requires feedback from others.

Question 22

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

Question 23

Validity and reliability mean essentially the same thing.

Question 24

A worker can often help clients approaching termination of the worker/client relationship by:

A)Addressing feelings about termination
B)Summarizing progress
C)Planning ahead for termination
D)All of the above

Question 25

Ideally, a baseline should be based on several observations.

Question 26

Validity is the extent to which an instrument measures the same phenomenon the same way each time it is used.

Question 27

Single-subject designs work well when there is an obvious behavior that can somehow be measured.

Question 28

Goal attainment scaling is a method of evaluating the degree to which an identified task has been accomplished.

Question 29

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

A)Client suggestions and input following a few weeks or months of reflection may be more valuable than observations made in the termination process
B)Follow-up sessions are typically more formal than the ongoing sessions
C)A gency protocol may establish a specific period at which follow-up contacts with clients are made
D)a and c only

Question 30

There are major barriers to doing follow-up. Which of the following was (were) discussed in the text?

A)Follow-up should be viewed as part of your professional obligation to the client
B)If you cannot follow-up with all of your clients, you should not pick a few of them as that would be unethical
C)Follow-up should always be face-to-face, never by letter or telephone
D)a and c only

Question 31

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

Question 32

A disadvantage of using client satisfaction questionnaires is their potential for misuse.

Question 33

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?

A)I am so happy for you and delighted that you have found something that really interests you. You really look excited.
B)You are happy now but I worry about how you will get along after our sessions are over. This has been an important part of your life and I would think you might miss it. Many others have.
C)Let's talk about how you're feeling about the ending of our relationship. I feel a bit blue that we won't be seeing each other every week.

Question 34

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

Question 35

Single-subject designs generally cannot be used with multiple baselines.

Question 36

The text cited all of the following suggestions that workers can do to help clients maintain and generalize changes except :

A)Helping clients build confidence in their own abilities
B)Creating artificial consequences rather than using naturally occurring ones
C)Using multiple situations and settings when helping members learn new behaviors
D)Helping members confront future problems by teaching them a problem-solving process

Question 37

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

Question 38

Target-problem scaling is used to help measure whether specific problems have changed in severity or seriousness over some time period.

Question 39

Client satisfaction questionnaires are designed to be used as a baseline right before the intervention process begins.

Question 40

There is a clear relationship between validity and reliability.

Question 41

List ten ways in which cultural competence can be applied to our evaluation efforts.

Question 42

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

Question 43

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.

Question 44

If a social worker feels a sense of disappointment or loss at termination, it is inappropriate for the worker to self-disclose those feelings with the client.

Question 45

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

Question 46

Generally, a client system's sense of loss is directly related to the extent to which the relationship focused on personal problems as opposed to environmental issues.

Question 47

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

Question 48

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

Question 49

A major barrier to doing follow-up is the heavy workload carried by many workers.

Question 50

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

Question 51

Name and describe three types of program evaluation tools. Assess and discuss which type of assessment is best used in what situations.

Question 52

Process analysis can be used to help an agency improve service by looking at ways in which service is provided.

Question 53

List four purposes that are achieved by an evaluation of either agency or community programs.

Question 54

Not all terminations can be planned for and many are unexpected.

Question 55

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

Question 56

The tasks of termination are similar whether you work with an individual, a family or group, a community, or an organization.

Question 57

Using a client-satisfaction questionnaire is appropriate to assess whether a program achieved its goal of reducing delinquent behavior.

Question 58

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

Question 59

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

Question 60

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