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Clinical Assessment in Oncology Social Work

1. What is one of the key aspects of psychosocial distress as defined by the National Cancer Institute?

A. An isolated emotional experience without physical implications.

B. A multifactorial unpleasant experience of a psychological, social, spiritual, and/or physical nature.

C. A condition solely caused by physical symptoms of cancer.

D. An emotional state only affecting mental well-being.


2. Which tool is recommended for screening patients for alcohol use within the SBIRT model?

A. Opioid Risk Tool

B. Cannabis Use Disorders Identification Test - Revised (CUDIT-R)

C. Alcohol Use Disorders Identification Test-Concise Test (AUDIT-C)

D. Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS)


3. Which of these is NOT a risk factor for suicide in cancer patients?

A. Younger age

B. Single, divorced, or widowed status

C. Recent diagnosis of distant stage cancer

D. Uncontrolled physical symptoms


4. What does the term 'clinical capacity' refer to in a medical context?

A. A person's ability to adhere to medical advice without considering their own preferences

B. The capacity determined judicially for legal decision-making

C. A standardized competency score established for all medical patients

D. The clinician's functional assessment of an individual's ability to make a specific decision


5. Which of the following is a focus of an oncology social worker when evaluating patient decision-making capacity?

A. Determining the patient's IQ score

B. Understanding of their medical condition and ability to reason through choices

C. Whether a patient's decision aligns with the majority opinion of their family

D. Ensuring patient compliance with medical advice


6. What is the primary purpose of conducting a mental status exam during a decision-making capacity assessment?

A. To prescribe medication for mental disorders

B. To determine the familiarity of the patient with medical terminology

C. To assess components like appearance, mood, thought process, and more for understanding capacity

D. To evaluate the patient's ability to perform daily activities


7. In addressing ethical issues in cancer care, what must oncology social workers often balance between?

A. Patient autonomy and healthcare provider authority

B. Documenting all patient interactions and maintaining complete confidentiality

C. Advocating for patient rights and staying neutral

D. Providing every possible treatment and understanding patient preferences


8. What is a critical component to assess when planning communication strategies for a family dealing with a cancer diagnosis?

A. Ensuring all family members receive the same level of detailed information at all times

B. Focusing exclusively on the patient's understanding without involving family dynamics

C. Deciding which single family member will be the primary communicator

D. Understanding the existing family dynamics and communication styles


9. During brief interventions for substance use, what is the importance of discussing responsibility with patients?

A. To ensure the patient follows exact instructions without personal input

B. To emphasize that the professional holds all the responsibility for change

C. To help the patient understand their role and agency in behavior change

D. To absolve the patient from any responsibility regarding their condition


10. Which of the following is a suggested approach when talking to children about a family member's cancer diagnosis?

A. Delaying the conversation until treatments are completed

B. Providing all medical details to children regardless of their age

C. Avoid mentioning the term 'cancer' to prevent fear

D. Using simple and age-appropriate explanations about the diagnosis and impact


11. What role do oncology social workers have in relation to advance care planning?

A. Facilitating discussions and assisting in documenting patient preferences

B. Developing a treatment plan based exclusively on patient capacity evaluations

C. Deciding the best treatment plan without patient input

D. Enforcing hospital protocols for all decisions regardless of patient preference


12. What is considered a strong predictor of suicide according to the comprehensive clinical assessment model?

A. Eating disorders

B. Hopelessness

C. Frequent travel

D. Positive family relationships


13. What is the significance of using the teach-back method in assessing a patient's decision-making capacity?

A. To test the patient's memory recall abilities

B. To enforce compliance with medical recommendations

C. To confirm patient understanding of information communicated by the provider

D. To limit patient representation in their care planning


14. Which screening tool is utilized to identify intimate partner violence in patients?

A. Hurt, Insult, Threaten, Scream (HITS)

B. Patient Health Questionnaire-9 (PHQ-9)

C. Opioid Risk Tool

D. Columbia Suicide Severity Rating Scale (C-SSRS)


15. When are oncology professionals encouraged to screen for distress as part of the assessment process?

A. Only at the time of cancer diagnosis

B. Solely during end-of-treatment phases

C. Never, unless requested by the patient

D. Periodically during key moments such as diagnosis, treatment, and transitions


16. In the context of treating patients with a cancer diagnosis, what does promoting safety planning involve?

A. Outlining the effectiveness of medications for mental health conditions

B. Clarifying the limited role of family in crisis situations

C. Helping patients develop a concrete plan to manage crises using personalized strategies

D. Emphasizing intervention strategies that are medically oriented


17. When assessing ethical or moral dilemmas in patient care, which component is crucial for an oncology social worker to evaluate?

A. Strict adherence to clinical procedure manuals

B. Patient wishes in alignment with culturally competent standards

C. Whether family expectations can override patient decisions

D. The financial implications of medical decisions


18. What is a key goal in the promotion of family communication when managing a cancer diagnosis?

A. Observing communication to foster informed decision-making through enhanced understanding

B. Ensuring that all family members agree to the medical treatment plan

C. Reducing involvement of extended family in treatment discussions

D. Asserting control over familial interactions to streamline information


19. In documenting clinical encounters, what is essential for ensuring high-quality documentation?

A. Detailing initial assessments, interventions, and progress towards goals

B. Recording only the treatment outcomes

C. Maintaining vague progress entries for confidentiality

D. Including extensive personal opinions of the practitioner


20. Why is understanding a cancer patient's communication style important for an oncology social worker?

A. To manage and control health care discussions with the patient

B. To manipulate patient outcomes more effectively

C. To better align social support and information delivery for patient needs

D. To eliminate any form of personal expression during clinical encounters


21. Which mental health conditions are frequently co-occurring with a substance use disorder in cancer patients?

A. Obsessive-compulsive disorder and schizophrenia

B. Anxiety, depression, post-traumatic stress disorder

C. Eating disorders and dissociative identity disorder

D. Somatic symptom disorder and gender dysphoria


22. Which of the following best describes the goal of a brief intervention regarding substance use?

A. To penalize ongoing substance use behavior

B. To accelerate the medical treatment plan

C. To prescribe medication to counteract substance use

D. To initiate open dialogue about substance use risk and enhance motivation to change


23. For patients screened at low risk for suicide, what is one recommended intervention?

A. Immediate admission for inpatient psychiatric care

B. Referral to emergency services

C. Provision of resources and discussion of safety planning

D. Automatic hospital discharge with no follow-up


24. How does a patient's decision-making capacity differ from competency?

A. Competency refers to legal status determined by a court, whereas decision-making capacity is a functional assessment of a specific decision by a clinician.

B. Both are determined solely by psychological testing without clinical input

C. Decision-making capacity and competency are interchangeable terms

D. Only competency considers patient preferences


25. What is a factor contributing to moral distress in oncology social workers?

A. Facilitating family meetings about treatment options

B. Conducting initial screenings and assessments

C. Collaborating closely with interdisciplinary team members

D. Witnessing discrepancies between care goals and patient understanding


26. When assessing a patient's suicide risk, which factor should be critically evaluated?

A. Their travel history

B. Their thoughts, plans, and intent regarding harming themselves

C. Their dietary preferences

D. Their educational background


27. Which statement best represents how oncology social workers should navigate ethical dilemmas?

A. By strictly following hospital administration policies without deviation

B. By adhering to legal frameworks even if they oppose patient goals

C. By emphasizing self-determination and collaboration with patients and teams

D. By prioritizing speed, even when comprehensiveness may be compromised


28. Which of the following describes a role for oncology social workers in supporting young cancer patients’ families?

A. Providing guidance and resources to communicate about the diagnosis effectively

B. Focusing solely on the medical components of a child's treatment

C. Intervening in family relationships to change roles and dynamics

D. Directing all family decisions and involvement in care


29. Regarding patients in the survivorship phase, what commonly contributes to ongoing psychosocial distress?

A. Eventually decreasing functional and performance status

B. Experiencing continuous effective symptom management

C. Being isolated from their social support system

D. Social isolation, treatment aftereffects, and fear of recurrence


30. In the context of substance use assessment, why is using multiple information sources advantageous?

A. To discourage patients from voluntarily sharing personal history

B. To compare data sources to identify inconsistencies

C. To shame patients into acknowledgment of their problems

D. To contact uninvolved parties without patient consent


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