1. Until the Middle Ages people believed that mental illness was caused by the presence of _____________ in the
body.
a. chemicals
b. evil spirits
c. heredity
d. natural causes
ANSWER: b
2. Hippocrates, a doctor in the third century B.C., was one of the few professionals who believed that problem
behavior was a function of
a. chemicals
b. evil spirits
c. heredity
d. natural causes
ANSWER: d
3. Relief for the poor was the responsibility of which provider during the Middle Ages?
a. the church
b. feudal lords
c. the government
d. institutions
ANSWER: a
4. New ways of assisting those in need during the Middle Ages was prompted by all EXCEPT
a. the private sector
b. the decline of feudalism
c. the growth of commerce
d. industrialization
ANSWER: a
5. All of the following are features of the Elizabethan Poor Law EXCEPT
a. a classification system for dependents according to their ability to work
b. compulsory taxation to raise funds to help
c. inhumane treatment for those in institutions
d. responsibilityfor“havenots”wasfirstwiththefamily
ANSWER: c
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Chapter 2: A History of Helping
6. The dramatic change in the care of the mentally ill that occurred by the end of the 18th century and resulted in
more humane treatment is known as
a. the first revolution in mental health
b. a time of change
c. the decade of victory
d. the mental health movement
ANSWER: a
7. The colonists used which of the following as a model for meeting the needs of indigents, idlers, criminals, orphans,
and others?
a. concept of less eligibility
b. Elizabethan Poor Laws
c. institutions
d. Law of Settlement
ANSWER: b
8. Proponents of laissez faire economics and Social Darwinism discouraged human service provisions by the
a. asylums
b. church
c. government
d. private sector
ANSWER: c
9. Theconceptof“lesseligibility”wasintroducedin1834to
a. limit assistance
b. determine who was eligible for human services
c. promote institutional reform in prisons, almshouses and asylums
d. emphasize the benefits of social engineering
ANSWER: a
10. By the 1850s, special institutions for the blind, the mentally ill, criminals, and other groups were established
because of the belief that
a. public agencies should assume more responsibility for these groups
b. reform, rehabilitation, and education were possible
c. the condition of these people would improve in pastoral settings
d. “lesseligibility”demandedbettertreatment
ANSWER: b
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11. Immigration from abroad and migration from rural to urban areas during the latter half of the 19th century led to a
period of
a. residency legislation
b. social reform
c. tenement housing growth
d. urban poverty
ANSWER: b
12. Large houses in slum areas that served as community centers housed workers known as
a. friendly visitors
b. human service professionals
c. social engineers
d. volunteers
ANSWER: a
13. The settlement house movement is best known for its belief that
a. the best way to achieve reform was through social engineering
b. the private sector had a critical role in the provision of human services
c. the social philosophies of the 19th century helped the deserving poor
d. friendly visiting was the most successful helping strategy of the time
ANSWER: a
14. Significant developments in the early 1900s, a period known as the sociological era, included all EXCEPT
a. new treatment modalities for the mentally ill
b. a re-examination of the causes of poverty
c. the development of the profession of social work
d. the professionalization of human services
ANSWER: a
15. Protection from economic instability and an expansion of welfare activities characterized
a. Aid to Families with Dependent Children
b. the Immigration and Naturalization Act
c. Patient Protection and Affordable Healthcare
d. the Social Security Act of 1935
ANSWER: d
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16. The beginnings of the human service movement can be found in the impact of all EXCEPT
a. clients’rights
b. mental health legislation
c. the presidential leadership during the 1960s
d. welfare reform
ANSWER: d
17. The Joint Commission on Mental Illness and Health made two recommendations that directly affected the human
service movement, which were
a. the creation of NIMH and funding for human service education programs
b. the professionalization of mental health workers and educational opportunities
c. new mental health workers and programs to train them
d. a national mental health program and non-medical workers
ANSWER: d
18. To help states develop programs for increased training, research, and practice, legislation to improve mental health
created the
a. National Institute of Mental Health
b. Joint Commission on Mental Health
c. Department of Health, Education, and Welfare
d. Action for Mental Health initiative
ANSWER: a
19. The idea behind the passage of the Community Mental Health Centers Act of 1963 was to
a. serve Vietnam veterans
b. create a setting for a new type of mental health worker
c. provide an array of services to the population
d. eradicate mental illness among those living in poverty
ANSWER: c
20. Human services flourished under all but which of the following presidents?
a. Johnson
b. Kennedy
c. Reagan
d. Roosevelt
ANSWER: c
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21. Promoting the rights of the poor, improving employment opportunities for minorities, and eradicating poverty were
the goals of the
a. Fair Deal
b. Great Society
c. New Deal
d. New Federalism
ANSWER: b
22. President Carter involved five departments in reorganizing the federal executive branch to include two new
departments, which were
a. Children’sServicesandEducation
b. Education and Social Services
c. Health and Human Services and Education
d. Health and Rehabilitative Services and Education
ANSWER: c
23. All but which of the following are questions asked during external review prior to the delivery of services?
a. What is the problem?
b. Why is this agency providing services?
c. What is the proposed treatment?
d. Why is the proposed treatment recommended?
ANSWER: b
24. Managed care has influenced human services by
a. requiring more case management
b. requiring external review for all cases and procedures
c. requiring clients to ask for approval from each human service professional involved
d. requiring human service professionals to see each client at least 5 times
ANSWER: a
25. Human service professionals can improve their relationship to managed care by
a. hiring managed care personnel to help them with their work
b. sending their clients directly to managed care to receive services
c. reviewing clients for managed care
d. contracting with managed care to provide services
ANSWER: d
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Chapter 2: A History of Helping
26. Confidentiality in the managed care setting is an issue because
a. information provided is sensitive in nature
b. errors are made entering data
c. individuals will tell others about the client
d. computers may crash or become obsolete
ANSWER: a
27. The establishment of professional human services organizations served many purposes including
a. the development of funding opportunities
b. influencing legislation
c. determining who received services
d. the regulation of a profession or its workers
ANSWER: d
28. A major component of the Welfare Reform Legislation in 1996 was to
a. provide childcare, food, and housing
b. turn welfare over to the states
c. mandate new procedures for collecting child support
d. subsidize child care AFDC, and energy assistance
ANSWER: b
29. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 was passed to
a. establishamethodforverifyingcustomers’enrollmentinMedicare
b. provide an easy way to obtain prescriptions
c. prevent prescription drug abuse
d. provide outpatient prescription drug benefits for individuals on Medicare
ANSWER: d
30. Terrorism, partisanship, and economic instability are challenges
a. for the 21st century
b. faced by all U. S. presidents since 1975
c. of Democratic administrations
d. that will be resolved by legislation
ANSWER: a
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