Question 1. Describe Your Experience With Care Plan Conferences?
- Review the actual care plan during the conference.
- Invite participation from resident/family/responsible party.
Question 2. Suppose You Have 5 Computer Assessments Due, 3 New Admissions, 2 Discharges And Care Plans Today. How Do You Prioritize Your Day?
- Organize day into related activities to increase efficiency.
- Do all related tasks at once, i.e. gather all charts to complete MDS assessments at one time.
- Determine what time the residents will be discharging and ensure all services are arranged to facilitate a safe d/c plan (all this should have already been arranged prior to the day of d/c but now it’s just making sure it all falls into place).
- Since care plans are at scheduled times, all other activities must take place around those.
- Save the new admissions for the end of the day unless intervention is needed sooner.
- Remain focused on the task at hand.
- Minimize interruptions.
Question 3. What Is Grievance Policy?
Grievance reports are written whenever an issue/complaint cannot be immediately resolved (and sometimes then as well).
Question 4. How Do You Know When To Write A Grievance Report?
Usually, the social worker is responsible for maintaining the grievance log and reporting issues/trends at the quality meeting.
Question 5. How Do You Describe Risk Management?
Risk management is anything related to reducing the possibility of loss or injury; it requires excellent communication and teamwork as well as ongoing training, especially in areas of customer service.
Question 6. Describe The Components Of A Care Plan For A Resident With Depression?
► The Problem Statement needs to be resident specific and describe How depression impacts his/her quality of life.
- The goal should
- Offer positive value to the resident
- Improve his/her life somehow
- Be measurable and realistic
- Address causal factors and not symptoms such as tearfulness or Combativeness.
Question 7. What Are The Components Of A Comprehensive Biopsychosocial Assessment?
- Focus on resident strengths throughout the entire interview and assessment process.
- Identifying information (ethnicity, spirituality, appearance, payer source, etc.).
- Reason for admission and presenting problems, prior living arrangements and level of assistance needed with ADLs and IADLs.
- Advance directives and need for advance care planning.
- History of physical and/or psychosocial problems.
- Mental health and psychological treatment.
- Personal and family history.
- Support system.
- Education and employment history.
- History of substance abuse.
- Cognitive functioning.
- Discharge plan, if appropriate.
- Impression and assessment.
Question 8. What Is Social Work?
Social work is a professional and academic discipline that seeks to improve the quality of life and subjective well-being of individuals, families, couples, groups, and communities through research, policy, community organizing, direct practice, crisis intervention, and teaching for the benefit of those affected by social disadvantages such as poverty, mental and physical illness or disability, and social injustice, including violations of their civil liberties and human rights. The profession is dedicated to the pursuit of social justice and the well-being of oppressed and marginalized individuals and communities.
Question 9. Where Do Social Workers Work?
- Family agencies.
- Children’s aid societies.
- Mental health settings.
- Addiction treatment facilities.
- Correctional facilities.
- Seniors’ services.
- Grassroots social action organizations.
- Government offices.
- Social planning councils.
- Employee assistance programs.
Question 10. Why Should I Consult A Social Worker?
Social workers provide a variety of services, including:
- Individual, family and couple assessment and counselling.
- Mediation/alternate dispute resolution.
- Custody/access assessments.
- Employee assistance programs (EAPs).
- Career/employment counselling and placement.
- Vocational assessments/rehabilitation.
- Stress management.
- Counselling for eating disorders.
- Grief, loss and trauma counselling.
- Addictions counselling.
- Mental capacity assessment.
Question 11. Who Consults A Social Worker?
People from all age groups and all walks of life consult social workers. Social workers provide services to individuals, couples, families, groups, communities and corporations.
Question 12. Do You Know Where Do Social Workers Practice?
Social workers are found in many settings, including private practice, mental health, health, schools, community agencies, public welfare, agency administration, legislative services and policy and planning.
Social work’s approach is unique among the helping professions because it focuses on people’s problems in the context of their social environment. Social workers believe that people are influenced by the strengths and weaknesses of those around them – in their families, communities, workplaces, and organizations.
Question 13. Do You Know What Is The Master Of Social Work (msw) Degree?
The Master of Social Work Program prepares students for advanced direct professional practice with individuals, families, households, groups, organizations, and communities.
Students learn the clinical, organizational, policy and administrative skills necessary for promoting social and economic justice and enhancing the quality of life for all people through agency-based, culturally sensitive advanced professional practice.
Question 14. Tell Me What Social Workers Do?
According to the National Association of Social Workers (NASW), social workers help people overcome social and health problems, such as poverty, mental illness, child abuse and neglect, emotional instability, illness, economic uncertainty, domestic violence, homelessness, and drug abuse.
They work directly with individuals, couples, families, and groups to identify and overcome these problems. Some social workers also work with communities, organizations, and/or systems to improve services and/or administrate social and health programs. Social workers apply their professional knowledge and skills to help people make the most effective use of their own abilities. When adequate services do not exist in a community, social workers promote the development of new services and programs.
Question 15. Do You Know What Is The Mission Of Social Work?
The Preamble to the Code of Ethics of the National Association of Social Workers states:
The primary mission of the social work profession is to enhance human well-being and help meet the basic human needs and empowerment of people who are vulnerable, oppressed, and living in poverty.
A historic and defining feature of social work is the profession’s focus on individual well-being in a social context and the well-being of society. Fundamental to social work is attention to the environmental forces that create, contribute to, and address problems in living.
Question 16. Why Do You Want To Work As Social Worker?
Assess for sincerity
Question 17. What Makes You Competent To Do This Job?
- Someone who exudes confidence but not arrogance
- Someone comfortable jumping into new environments but also
- willing to ask for help
- Skills – be specific
- Training – be specific
- Experience – be specific
- Personality, personal goals, passion – describe
Question 18. How Do You Give Report To A Health Plan Case Manager?
► Be prepared with updates from all disciplines (nursing, rehab, dietary) Focus on progress to justify skilled stay.
► Keep conversation short and focused on patient issues.
► Keep case manager updated on all discharge planning barriers/challenges.
Question 19. How Do You Prepare To Interview A New Resident/patient?
- Advance directives
- Responsible parties
- Diagnoses and impact on mood/behavior
- Discharge planning issues or placement issues if for long term care
- Issues from the hospital such as mood or behavior challenges
- Review of nursing assessments, especially fall, pain and elopement risks – ensure care plans are started
- Identify areas that the social worker can contribute to an interdisciplinary approach to care plans
- Therapy evaluations to get information on the prior level of functioning and goals
Question 20. How Do You Explain Code Status To A Resident And/or Family Member?
- First ask if they have questions regarding advance directives or code status
- Ask them to explain their understanding of the choice, either full code or do not resuscitate (DNR)
- Ensure accuracy of understanding
- If education is needed, explain full code in the same way that any other treatment or procedure is explained which includes discussion of risks (broken ribs, punctured lungs, probably decreased quality of life). Inform that Full Code includes many procedures, i.e. intubation, cardiac compression, artificial ventilation, etc.,
- Take the orange card to the meeting as a visual aid
- If education is needed for DNR, explain that comfort care is always provided, i.e. oxygen, pain management
- If code status is changed, must communicate with the charge nurse to get appropriate orders and follow facility procedures.
Question 21. Do You Facilitate The Meetings?
Facilitate conference calls if family/responsible party unable to attend, schedule conferences at bedside if resident is unable to get out of bed.
Question 22. How Do You Keep Them On Track?
Keep group focused – if conference turns into a “complaint session” schedule a separate meeting with necessary staff.
Question 23. What Information Do Social Worker Report On?
Social worker reports on: mood, behaviors, room changes, roommate changes, how resident is adapting to facility life or if admitted for a rehab stay, the discharge plan, advance directives, emergency contact and relationship.
Question 24. What Is Your Experience In Discharge Planning?
- Referrals to community resources – must demonstrate knowledge of most common resources, i.e. home health, medical equipment, Title 19, Meals-on-Wheels, mental health services.
- Discharge planning starts with the pre-admission process
- Comprehensive documentation of all activities related to discharge planning, including name and time of any phone calls, meetings or interactions.
- Communication with interdisciplinary team, resident and family
- Coordination of home health and equipment to coincide on day of discharge or earlier if training is necessary on a new piece of equipment, i.e. 4-wheeled walker, glucometer, etc.
Question 25. What Is The Role Of A Social Worker If A Patient Admitted For Rehabilitation Has Declined Therapy For Two Days?
- Assess reason(s) why resident is declining therapy, i.e. depression, confusion, pain
- Identify possible interventions to facilitate participation
- Explain insurance benefits and skilled stay requirements
- Involve family if appropriate
- Consider writing a care plan for “refusal of care”
- Communicate with staff at PPS or stand-up meeting
Question 26. What Is The Role Of The Social Worker With Pain Management?
- Be familiar with the Federal regulations for pain management in F309 Quality of Life.
- Assessment using tools like the “faces” scale, the “number scale 1-10” or scales for advanced dementia.
- Assessment by asking about: aggravating and alleviating factors, impact of pain, meaning of pain, and most importantly, the resident’s goals for pain management.
- Education regarding: misconceptions related to pain, challenges to achieve adequate pain management, the relation of pain to behaviors/mood, definitions of tolerance, addiction and dependence.
- Identification of non-drug interventions and techniques to relieve anxiety (guided imagery, visualization, muscle relaxation).
Question 27. What Do You Do If A Resident’s Daughter Comes Into Your Office In Tears. Her Mother Is Quite Ill And Probably Won’t Make It Through The Week?
► Invite her to sit down
► Shut the door to ensure privacy,
► Put phone on Do Not Disturb
► Start where the daughter is – if she needs to cry, let her cry; if she needs to talk, let her talk (about topics she feels necessary)
► Encourage her to share her feelings, concern, worries
► Do not offer false hope or meaningless comments like “I’m sure things will be just fine” or “At least she won’t be suffering.”
► If she is receptive, talk about ways staff focuses on her mom’s comfort
► Determine if any action is necessary
► Ask if there is anything else she would like staff to do
► In some circumstances, suicide assessment might be necessary
Question 28. How Do You Approach Her On This Topic If A Resident Is Admitted To Your Facility With Advanced Cancer?
► Start with very general discussion and ask her what she knows about her medical condition or why she is in the facility
► Determine if she needs more information or to have information repeated and then facilitate getting the information to her
► Involve other members of the IDT as necessary, i.e. physician, nurse
► Use active listening techniques
► Initiate or update the care plan with social work interventions such as 1:1 visits to allow resident to share feelings r/t diagnosis and prognosis
Question 29. How Do You Employ Them In The Interdisciplinary Team?
Ability to listen to other peoples’ points-of-view and use reflective statements, i.e. “What I hear you saying is” or “It’s important to you that”
Question 30. What Is The Mission Of Social Worker?
we should have a look at the most important principle every social worker should be aware of. It is your point of view on the job in this sphere. Social work is not only a job. It is your mission. Or at least, that is the way a good employee should feel it.
Good workers like their jobs and feel good about daily life, as they understand the value their work brings to the society.
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