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1. Change planning does NOT involve:
a. *social worker intuition
b. goal facilitation
c. knowledge of human behavior theories
d. ethical decision making
Cognitive domain: Knowledge
Answer location: p. 129
Question Type: MC
2. Which of the following is NOT accurate for describing a client’s level of functioning?
a. It depends on the unique client context.
b. *It is the same as present and potential behavior.
c. It can be assessed using standardized instruments or scales.
d. It includes a target level of functioning.
Cognitive domain: Knowledge
Answer location: p. 129
Question Type: MC
3. Program-driven plans do NOT include the following:
a. They are sometimes developed over time based on resources and the type of agency setting.
b. They take a one-size-fits-all approach to client services.
c. *They are flexible and comprehensive.
d. They can ensure fidelity of services by following EBP or EI practice protocols.
Cognitive domain: Comprehension
Answer location: p. 130
Question Type: MC
4. Due to the complex nature of addictions and treatment, change plans for a client need to consider the following except:
a. motivation for change
b. previous mental health assessments
c. quality of interpersonal and intrapersonal relationships
d. *employment of a program-driven plan
Cognitive domain: Comprehension
Answer location: p. 130
Question Type: MC
5. The tailored plan for change does NOT include:
a. *limiting services
b. collaborative decision making between the social worker and client
c. comprehensive assessments
d. purposeful integration of all assessments
Cognitive domain: Comprehension
Answer location: p. 131
Question Type: MC
6. One purpose of developing and maintaining a collaborative relationship with a client is:
a. to promote disengagement
b. *to improve the client’s success level in meeting his/her planned goals
c. for the client to become dependent on the social worker
d. for the social worker’s sense of self-efficacy
Cognitive domain: Comprehension
Answer location: pp. 131-132
Question Type: MC
7. Special circumstances can impact assessment processes in developing change plans, except for:
a. suicide risk
b. crisis situations
c. *relocation due to overseas military deployment [which can continue with follow-up and followthrough]
d. legal issues
Cognitive domain: Application
Answer location: p. 132
Question Type: MC
8. Unique client values and needs can contribute to or detract from a collaborative change plan process. The following statement is NOT true.
a. The social worker should allow for flexibility due to the dynamic nature of the client’s biopsycho-social-spiritual dimensions.
b. Change planning overlaps with assessment due to the iterative nature of assessment.
c. Assessment can measure change over time and allows for modifying goals.
d. *The social worker’s values, knowledge, and skills are always correct.
Cognitive domain: Application
Answer location: pp. 132–133
Question Type: MC
9. Demonstrating cultural competency in a change plan may take the form of all the following except:
a. *The social worker discounts the role of the traditional healer for the client.
b. The client’s cultural value system is included in the plan.
c. The change plan integrates cultural dynamics in the diagnostic assessment.
d. The client’s belief system of the Spirit World is respectfully included.
Cognitive domain: Analysis
Answer location: p. 134
Question Type: MC
10. Change goals may be incremental. Achieving the ______ goal serves as a benchmark of success for a client.
a. temporary
b. *distal ultimate
c. intermediate
d. proximal transitional
Cognitive domain: Comprehension
Answer location: p. 134-135
Question Type: MC
11. The following statements are true about distal or proximal goals except:
a. Both should be achievable within the amount of time an agency can provide services.
b. Both have different causal chains depending on the client’s unique goals.
c. *Both have causal chains that require extensive structure or supervision.
d. Both should be practical, measurable and specific.
Cognitive domain: Application
Answer location: p. 135
Question Type: MC
12. A client has successfully met her proximal change goal of maintaining sobriety. During this threemonth period of a residential recovery program, she has been attending Alcoholics Anonymous (AA) and is addressing her mental health issues with psychotherapy and medications. Her _________is an outcome, and the ____________ of treatment is being monitored.
a. recovery; AA activity
b. relationships; AA activity
c. sobriety; psychotherapy
d. *sobriety; process
Cognitive domain: Analysis
Answer location: p. 136
Question Type: MC
13. Goal selection in the change planning should consider the following elements except:
a. *nongeneralizable
b. level(s) of social difficulty
c. client self-determination
d. the fact that the client is not in any danger
Cognitive domain: Application
Answer location: pp. 138–139
Question Type: MC
14. The least likely factor considered in goal planning barriers to the collaborative relationship can arise due to:
a. client self-determination
b. client cognitive impairment
c. unavailable resources
d. *the lack of social worker safety policies
Cognitive domain: Comprehension
Answer location: p. 138
Question Type: MC
15. The following statement is NOT true regarding change plan goals specificity and measurements:
a. Pharmacists seek to deliver quantifiable and accurate pharmacological services.
b. Clinical social workers seek to demonstrate positive changes that have occurred in decreasing client anxiety levels.
c. *The agency’s short-term assessments did not cover all client’s bio-psycho-social-spiritual dimensions.
d. Primary care physicians may be restricted in prescribing medically goal-driven services due to client insurance coverage.
Cognitive domain: Application
Answer location: p. 140
Question Type: MC
16. A relevant goal within a change plan for a married immigrant Asian-American female with an Alcohol-Related Disorder and third time in a residential treatment program could include the following except:
a. addressing face-saving behaviors
b. renewing familial relationships
c. introducing assertiveness training
d. *relinquishing self-determination to the oldest male member of the family
Cognitive domain: Application
Answer location: p. 141
Question Type: MC
17. Intervention planning in the change plan may NOT be a linear process for the following reason:
a. *Although goals have been identified, the goals may change along with identified interventions.
b. The client may experience a behavioral relapse.
c. Goals may be unclear and without a specific time frame.
d. Client participation is misaligned with social worker preferences.
Cognitive domain: Analysis
Answer location: p. 142
Question Type: MC
18. Highest level of goal generalizability in the change plan means:
a. the goal fosters dependence on other goals
b. *the client has participated in creating a meaningful goal that is appropriate to other related goals
c. the identified goal does not lead to other developmental skills
d. the goal promotes lower levels of functioning
Cognitive domain: Comprehension
Answer location: p. 139
Question Type: MC
19. Evidence-based interventions:
a. are systematically tested for effectiveness
b. should be applicable to the client’s needs and values
c. *do not apply to all populations in all practice settings
d. have demonstrated reliability and validity
Cognitive domain: Comprehension
Answer location: p. 144
Question Type: MC
20. Written change plans:
a. demonstrate accountability on behalf of the client and the social worker
b. effectively communicate goals, processes, and outcomes
c. offer a narrative with rationale for implementing particular interventions
d. *should not be summarized with acronyms, incomplete sentences , or technical jargon
Cognitive domain: Application
Answer location: p. 144
Question Type: MC
1. In some practice settings, treatment planning is change planning.
*True
False
Cognitive domain: Knowledge
Answer location: p. 127
Question Type: TF
2. Change planning principles can be applied across all practice settings given its systematic documentation process.
*True
False
Cognitive domain: Knowledge
Answer location: p. 129
Question Type: TF
3. Collaborative relationships highlight a social worker’s ability to prepare a change plan according to his/her assessment of the client’s needs and values.
True
*False
Cognitive domain: Knowledge
Answer location: p. 132
Question Type: TF
4. SMART criteria can assist the social worker or other helping professionals in specifying client goals in the change plan.
*True
False
Cognitive domain: Comprehension
Answer location: p. 140
Question Type: TF
5. The client has the sole responsibility of understanding administrative change plans for a given agency or organization.
True
*False
Cognitive domain: Comprehension
Answer location: p. 133
Question Type: TF
6. Program-driven change plan goals may be limited due to service restrictions compared to a tailordriven approach that deliberately creates goals that address the unique client needs.
*True
False
Cognitive domain: Application
Answer location: p. 137
Question Type: TF
7. Goals can be created as measurable outcomes for weight reduction, cholesterol levels, educational grades, and social interactions with scales.
*True
False
Cognitive domain: Application
Answer location: p. 141
Question Type: TF
8. Active client engagement in specific interventions of the change plan requires written homework activities to demonstrate change.
True
*False
Cognitive domain: Comprehension
Answer location: p. 145
Question Type: TF
1. Why is it important in the collaborative relationship that the client participate in the change planning?
*A collaborative relationship is established on a foundation of mutual respect and the willingness of all participants to learn from the process. Research has proven that if a client has trust or a bond in the professional relationship and is an engaged participant, he/she will more likely experience successful outcomes. In addition, the client who participates in planning the goals and objectives is more committed to achieving those goals, since she/he co-created them.
Cognitive domain: Application
Answer location: pp. 131
Question Type: SA
2. Explain how creating a graphic causal chain with the client can improve his/her behavioral health outcomes.
*The White American client is the “expert” on his own life and has had multiple negative and positive experiences in living his life with ADHD. After a second automobile car accident, his attorney recommended he seek professional help for his high-risk behaviors. With the social worker, the client must address his adolescent diagnosis of ADHD, noncompliance with medication prescriptions, mood swings, and legal difficulties. All of these related situations have led him to financial, legal, and behavioral consequences. The client is now confronted with making decisions to improve the quality of his life.
Cognitive domain: Application
Answer location: pp. 135-136
Question Type: SA
3. Describe the value of presenting a skill-focused intervention to a client who has elevated stress levels due to a recent PTSD diagnosis following a traumatic life event.
*A skill-focused intervention could benefit a client who was a violent-crime victim because the skills taught/learned could be applied to other social or relationship experiences in the future. Being mindful that safety is the priority for a client relationship, the client may need to be taught additional safety skills to ensure that he/she not be a victim of violence again. This intervention would include personal awareness and physical safety as well as a support group for Victims of Violence goals that ultimately would lead to the ability to trust other people with her/his emotions and physical well-being.
Cognitive domain: Application
Answer location: pp. 142
Question Type: SA A
Belsize House was a large Elizabethan mansion, modified in the time of Charles II. Pepys, who visited it in 1668 (17 August) when it was the residence of Lord Wotton, describes its gardens as “wonderful fine: too good for the house the gardens are, being, indeed, the most noble that ever I saw, and brave orange and lemon trees.”[202]
The house was a private residence until 1720, when it was converted into a place of public amusement, under the management of a Welshman named Howell. At this time it was a somewhat imposing structure, with wings, and a tower in the centre. The entrance was by a door placed between the wings, and also by an external staircase at one wing.
The inaugural entertainment took place about April, 1720, and consisted of an “uncommon solemnity of music and dancing.” The place was usually open from 6 a.m. till 8 p.m., without charge for admission. The Park, Wilderness and Garden, about a mile in circumference, were advertised (about 1721?), as being wonderfully improved and filled with a variety of birds, “which compose a most melodious and delightful harmony.” Those who wished for an early stroll in the park could “breakfast on tea or coffee as cheap as at their own chambers.” As the journey from London was not unattended with risks, twelve stout fellows (afterwards increased to thirty), completely armed, were announced as “always at hand to patrol timid females or other.”
Belsize became a fashionable rendezvous. In July 1721 the Prince and Princess of Wales, attended by several persons of rank, dined at the house, and were entertained with hunting and other diversions. In June, 1722, on the occasion of a wild deer hunt, three or four hundred coaches brought down the “Nobility and Gentry” from town. Athletic sports were introduced, and the proprietor gave a plate of several guineas to be run for by eleven footmen (1721). Gambling and intrigue were the less wholesome results of this influx of the nobility and gentry. In May 1722 the Justices took steps to prevent the unlawful gaming, while in the same year “A serious Person of Quality” published a satire called Belsize House, in which he undertook to expose “the Fops and Beaux who daily frequent that Academy,” and also the “characters of the women who make this an exchange for assignations.”
This house, which is a nuisance to the land Doth near a park and handsome garden stand
Fronting the road, betwixt a range of trees
Which is perfumed with a Hampstead breeze.
The Welsh Ambassador has many ways
Fool’s pence, while summer season holds, to raise
For ’tis not only chocolate and tea,
With ratafia, bring him company
Nor is it claret, Rhenish wine or sack
The fond and rampant Lords and Ladies lack
Or ven’son pasty for a certain dish
With several varieties of fish;
But hither they and other chubs resort
To see the Welsh Ambassador make sport,
Who in the art of hunting has the luck
To kill in fatal corner tired buck,
The which he roasts and stews and sometimes bakes,
Whereby His Excellency profit makes.
He also on another element
Does give his choused customers content
With net or angling rod, to catch a dish
Of trouts or carp or other sorts of fish
The Welsh Ambassador was the nickname of the proprietor, James Howell, an enterprising though not very reputable person, who had once been imprisoned for some offence in Newgate.
Races[203] and similar amusements continued for several years to be provided, and music was performed every day during the season. In the spring of 1733 (31 May) a race was advertised for ponies twelve hands six inches high. The length of the race was six times round the course; “Mr. Treacle’s black pony,” which distinguished itself by winning the plate at Hampstead Heath in the previous year, being excluded.
In 1736 a fat doe was advertised to be hunted to death by small beagles, beginning at nine in the morning, and sportsmen were invited to bring their own dogs, if “not too large.” In the same year (16 September) a boys’ race was run, beginning at three o’clock, six times round the course: a prize of one guinea was given to the winner, and half a guinea to the second runner. “Each person to pay sixpence coming in, and all persons sitting on the wall or getting over will be prosecuted.”
For an afternoon in August 1737, there was announced a running match six times round the park, between “the Cobler’s Boy and John Wise the Mile-End Drover,” for twenty guineas. In 1745 there were foot-races in the park, and this is the last notice we have of Belsize as a place of amusement.
The mansion falling into a ruinous state[204] was pulled down at the close of the eighteenth century (before 1798), and a large, plainly-built house was erected in its stead. From 1798–1807 this new Belsize House was tenanted by the Right Hon. Spencer Perceval and others. In the autumn of 1853 the house was pulled down (cp. The Illustrated London News for 9th September, 1854, p. 239), and the buildings of the Belsize Estate were subsequently erected on the site of the Park.
The present Belsize Avenue (on the west side of Haverstock Hill) is the representative of a beautiful avenue of elms, which originally led up to the old Belsize House, the site of which was near the present St. Peter’s Church.
[Palmer’s St. Pancras, 227, ff.; Baines’s Hampstead; Walford v. 494, ff.; Howitt’s Northern Heights; Lambert’s London, 1806, iv. 256; Thorne’s Environs of London, s.v. “Hampstead”; Park’s Hampstead; newspaper advertisements, W. Coll.]
1 Old Belsize House A view on a Belsize House advertisement, circ. 1721? and a view by Maurer, 1750; cp. Howitt’s Northern Heights and C. Knight’s Old England, ii. fig. 2404.
2. Belsize House in 1800 (Walford, v. 492).
The spring known as Kilburn Wells was situated in the Abbey Field near the site of the old Kilburn Priory, and in the rear of the Bell Tavern. It attracted public notice about the middle of the last century; [205] and some endeavours were made, probably by the proprietor of the Bell, to bring Kilburn Wells into vogue: at any rate, in 1752 it is referred to as a place in some respects akin to Sadler’s Wells:—
Shall you prolong the midnight ball
With costly supper at Vaux Hall, And yet prohibit earlier suppers
At Kilburn, Sadler’s Wells or Kupers?[206]
About 1773 Kilburn Wells began to be more widely known, and the proprietor’s advertisement of 17 July in that year announced that the water was then in the utmost perfection, the gardens enlarged and greatly improved, and the house and offices “repainted and beautified in the most elegant manner.” The Great Room was described as specially adapted for “the use and amusement of the politest companies” who might require it for music, dancing, or entertainments. “This happy spot is equally celebrated for its rural situation, extensive prospects, and the acknowledged efficacy of its waters; is most delightfully situated on the site of the once famous Abbey of Kilburn on the Edgware Road, at an easy distance, being but a morning’s walk from the metropolis, two miles from Oxford Street; the footway from Marybone across the fields still nearer. A plentiful larder is always provided, together with the best of wines and other liquors. Breakfasting and hot loaves.”
An account of the medicinal water drawn up by the usual “eminent physician” was given away to visitors, and in one of the rooms was a long list of the diseases said to have been cured. Tn 1792 Godfrey Schmeisser made a careful analysis of the water. It was a mild purgative, milky in appearance, and had a bitterish saline taste. The use of the water for curative purposes appears to have ceased in the early part of the present century (before 1814), but the Old Bell, or
Kilburn Wells as the place was generally denominated, enjoyed popularity as a tea-garden as late as 1829.[207]
About 1863 the Old Bell was pulled down, and the present Bell public-house erected on the spot. A brick reservoir long enclosed the spring, but some years ago it was demolished and built over. It stood immediately behind the Bank at the corner of Belsize Road.
[Thorne’s Environs of London; Lambert’s London, iv. 288; Howitt’s Northern Heights; Baines’s Hampstead; Park’s Hampstead; Walford, v. 245, ff.]
1 The Bell Inn, Kilburn, 1750 (Walford, v 246)
2. The Bell Inn, Kilburn, from a mezzotint, 1789, reproduced in Baines’s Hampstead.
3. View of the Old Bell Inn at Kilburn on the Edgware Road. Rathbone del. Prestal sculp. 1789. Crace, Cat. p. 670, No. 76.
4. An engraved handbill, describing the waters, at the top of which is a print of the Long Room, by F Vivares; mentioned in Park’s Hampstead, p xxxi*, additions