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LCSW > Assessment/Diagnosis/Treatment Planning > Flashcards

Assessment/Diagnosis/Treatment Planning Flashcards

1
Q
A
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2
Q

Achievement/Aptitude Tests

A

*How much client knows

or has ability to learn in certain subject

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3
Q

Ataxia

A

lack of muscle control during voluntary movements

EX - walking or picking up objects.

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4
Q

Beck Depression Inventory

A

Depression in Adolescence/Adults

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5
Q

Benzodiazepines

A

*Class of drugs used for treating Anxiety

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6
Q

Body Systems

  1. Muscular
  2. Skeletal
  3. Nervous
  4. Reproductive
  5. Respiratory
A

1.Muscular - Tissue that work w/ skeletal system to move body

2. Skeletal - Bones/Ligaments/Tendons - Protect organs

3.Nervous - Brain/Spinal chords/Nerves - Body’s control system

4.Reproductive - Produce children

5.Respiratory - brings air into body

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7
Q

Body Systems

  1. Circulatory
  2. Digestive
  3. Endocrine
  4. Immune & Lymphatic
A
  1. Circulatory - Organs that transport blood
  2. Digestive - Organs that breakdown food
  3. Endocrine - Hormones
  4. Immune & Lymphatic - Defense system against infections/diseases
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8
Q

Comorbid

A

*Having two different illnesses at the same time

EX - Tabitha - Addict and BiPolar

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9
Q

Contraindicated

A

*Not recommended or safe

EX - Doing surgery on a 90 year old with Dementia

would be considered a contraindicated procedure

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10
Q

Data Analysis

Descriptive Statistics

Inferential Statistics

A

Descriptive Statistics - Describe what data shows

Inferential Statistics - Answer research Questions

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11
Q

Analysis

Reliability

Validity

External Validity

Internal Validity

A

Reliability - can you get the same answer repeatedly?

Validity - Accuracy

External Validity - Can the results be Generalized?

Internal Validity - Is there confidence in cause/effect

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12
Q

ANXIETY

Diagnosis

Meds

A

Diagnosis

OCD

Social Anxiety

Phobias

Meds

Benzodiazapines

PAM

Zoloft

Xnax

Valium

Klonopin

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13
Q

SCHIZOPHRENIA/PSYCHOTIC DISORDERS

Diagnosis

Meds

A

Diagnosis

BPD

Histronic

Meds

Anti psychotic meds

ZINE

PINE

DONE

Seroquel

Thorazine

Clozaril

Haldol

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14
Q

DEPRESSION

Diagnosis

Meds

A

Diagnosis

Major Depressive Disorder

Meds

SSRI

MINE

PRAM

Nardil

Paxil

Lexapro

Prozac

Celaxa

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15
Q

BIPOLAR

Diagnosis

Meds

A

Diagnosis

Mood disorder

Meds

Mood stabilizers

Lithium

Lamictal

Topamax

Depakote

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16
Q

Differential Diagnosis

A

developing a list of possible conditions

that could be behind a client’s symptoms

EX - many infections cause fever, headaches, and fatigue.

Many mental health disorders cause sadness, anxiety, and sleep problems.

A differential diagnosis looks at the possible disorders that could be causing your symptoms

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17
Q

Disorientation

A

Confusion to person, time, or place

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18
Q

DSM - Trichotillomania

A

*Hair pulling

*OCD

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19
Q

DSM

Not Otherwise Specified

Other Specified

Unspecified

A

Not Otherwise Specified - do not fit under specific disorder categories are replaced.

Other Specified - reason why the condition does not qualify for a specific diagnosis

EX - short duration

Unspecified - no explanation is provided as to why the disorder does not meet the usual criteria.

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20
Q

Duty to Warn - Tarasoff decision

A

social worker has to believe that a client is a danger to an identifiable third party and that the client is able to act on this danger in order for it to be considered necessary to warn and/or protect the intended victim. For example, if a client states that he or she is going to kill “women,” a social worker may consider this client a danger to others and take appropriate action. However, there is not an obligation to notify intended victim(s) because the threat is too broad and does not require notification to women in general. In addition, if a client who is incarcerated and not going to be released makes a threat against someone outside the prison to whom he or she does not have access, there is no imminent threat. A history of violence is not required for a social worker’s duty to warn obligation.

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21
Q

Exogenous & Endogenous Depression

A

Exogenous - Depression caused by outside stressors

EX - Getting a divorce

Endogenous - Depression caused by a chemical imbalance

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22
Q

Expressive & Receptive Communication

A

Expressive - Using Words/Gestures to say what is meant

Receptive - Understanding what others say

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23
Q

Folie à deux

A

*Shared delusion

EX - 2 teenage girls murder their friend - sacrifice to Slender Man

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24
Q

Hallucinations

A

*Hearing/Seeing/Smelling/Feeling something that is not real

(auditory most common)

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25
Q

Histrionic Personality Disorder

A

Interacting with others using inappropriately seductive or provocative behavior

attention seeking

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26
Q

Hypomania

Mania

A

HYPOMANIA

*Elevated/irritable mood

*Less severe than full-blown manic symptoms

*No psychotic symptoms

*no hospitalization

MANIA

social dysfunction

*often need hospitalization

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27
Q

Medication for Social Anxiety

A

Zoloft

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28
Q

Method to Identify More about the Client - Miracle Question

A

What would be different if problem didn’t exist

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29
Q

Method to Identify More about the Client - Scaling the Problem

A

*Figure out how bad the problem is

*scale from 1 to 10

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30
Q

Method to Identify More about the Client - Seeking Exceptions

A

-Figuring out when the problem does NOT occur

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31
Q

Method to Identify More about the Client - Scaling Motivation

A

Estimating how hopeful client feels about resolution

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32
Q

Methods to Evaluate SW Practice

Formative Evaluations

Summative Evaluations

A

Formative Evaluations - Ongoing process - Allows for feedback to be implemented during service delivery

EX - Needs Assessment

Summative Evaluations - Occurs at end of service - description of effectiveness/whether objectives were met

EX - Cost-benefit analysis

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33
Q

Myers-Briggs Type Indicator

A

Can help find client find job he wants

attempts to describe personality features

Classify individuals into 4 dimensions

  1. Attitude towards the world - Extraverted/Introverted
  2. Perception - Sensation/Intuition
  3. Processing - Thinking/Feeling
  4. Judging - Judging/Percieving
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34
Q

Neuropsychological Tests

A

*Measures cognitive functioning

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35
Q

Organic Brain Syndrome

A

Physical disorders that impair mental function

EX - Dementia/Parkinson’s

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36
Q

Phases of Trauma Treatment

A
  1. Safety & Stabilization
  2. Mourning & Remembrance
  3. Reconnection & Reintegration
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37
Q

Premorbid & Postmorbid

A

Premorbid - Before the onset of an illness

EX - Depressive symptoms and low self-esteem are premorbid predictors of ]headaches in adolescent girls.”

Postmorbid - After the onset of an illness

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38
Q

Projective Tests

A

*Psychoanalytic approach

*Looking for unconscious desires

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39
Q

Medications for Anxiety Disorders

(Benzodiazepines)

A

*Zoloft

*Valium

*Xanax

*Klonopin

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40
Q

Medications for Depressive Disorders

A

*Nardil

*Paxil

*Lexapro

*Prozac

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41
Q

Medications for Bipolar I & II

(Mood Stabilizers)

A

*Lamictal

*Lithium

*Topamax

*Depakote

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42
Q

Medications for Personality Disorders

Anti-Psychotic Meds

A

*Seroquel

*Thorazine

*Clozaril

*Haldol

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43
Q

Medications for ADD/ADHD

A

*Adderall

*Ritalin

*Dexedrine

*Concerta

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44
Q

Psychotic

A

Delusions or Hallucinations

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45
Q

Q

A client has been prescribed Nardil to treat her depression. As a result of taking this medication, the client will likely be required to:

A. Get regular blood monitoring

B. Limit certain foods high in Tyramine

C. Watch her caloric intake

D. Have her blood pressure taken frequently

A

Limit certain foods high in Tyramine

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46
Q

Q

A client is being discharged from an inpatient hospitalization. Upon admission, he slept most of the time, reported extreme despair, and felt hopeless. Several days later, while hospitalized, he appeared jittery and agitated. His speech was rambling and he wandered around the unit talking to others for hours. He also had trouble sleeping. This client is MOST likely going to be prescribed which of the following medications upon discharge?

A. Lithium

B. Elavil

C. Activan

D. Haldol

A

Lithium

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47
Q

Q

A client reports that he was diagnosed with Hodgkin’s disease. This cancer is associated with which of the major body systems

A. Lymphatic

B. Circulatory

C. Digestive

D. Endocrine

A

Lymphatic

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48
Q

Q

A client reports that she is under the surveillance of the police and that they have been following her for days, as well as listening in on her phone calls. There is no other evidence to support this belief. The client’s report is MOST likely resulting from a:

A. Dissociaton

B. Delusion

C. Hallucination

D. Hypomanic State

A

Delusion

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49
Q

Q

A client shows up for the initial session with a coworker. the BEST response for a social worker is to:

A. Tell the client that confidentiality policies preclude the coworker from sitting in on sessions, so the coworker should sit in the waiting are until the session is over

B. Have the coworker also complete the intake paperwork and releases because the coworker is regarded as a client if he or she sits in on the initial session

C. complete an assessment in the waiting area to determine why the client brought the coworker to the session and the appropriateness of him being there.

D. Leave it up to the client to determine the extent to which the coworker attends or participates in sessions

A

Leave it up to the client to determine the extent to which the coworker attends or participates in sessions

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50
Q

Q

A client tells a Social Worker that he “cant stand it anymore”, but does not believe that he can make needed changes in his life. He engages with the social worker in discussions about what his life would be like without his problem behaviors. The client is MOST likely at which stage of change?

A. Contemplation

B. Precontemplation

C. Preparation

D. Maintenance

A

Contemplation

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51
Q

Q

A hospital SW is charged with completing a bio-psycho-social-spiritual-cultural assessment on a client upon admission. In the biological section of the assessment, the SW lists the client’s current medications, weight, height, blood pressure, & subjective assessment of well-being. The social worker then moves on to the psychological section of the assessment. When the social worker’s supervisor looks at the biological section, it will be viewed as:

A. Complete because it gives critical information about the client’s current physical well-being

B. accurate and useful in understanding the current functioning of the client

C. Incorrect because it should contain only objective data and not subjective information

D. Incomplete because it does not contain the client’s current medical problems and history, including developmental milestones

A

Incomplete because it does not contain the client’s current medical problems and history, including developmental milestones

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52
Q

Q

A social worker employed in a hospital is using a SOAP documentation format. Which of the following is NOT usually included in this record?

A. A plan of care

B. Insurance coverage limits

C. Assessment of Client’s current needs

D. Subjective reports of client well-being

A

Insurance coverage limits

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53
Q

Q

A social worker employed to work with juvenile offenders has developed an innovative program that has yielded very positive outcomes. She approaches the agency director about using the same approach with adult offenders. The director is skeptical about its ability to achieve the same outcomes. The director is expressing concern about:

A. Internal Validity

B. Multicollinearity

C. External Validity

D. Measurement Error

A

External Validity

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54
Q

Q

A social worker is charged with evaluating the effectiveness of a mental health outpatient treatment program. He constructs an evaluation strategy that consists of collecting data on the quality of services by holding focus groups with current clients so that they can relay their firsthand experiences. In addition, he uses existing agency data to compute the proportion of clients who have been re-hospitalized since admission. The social worker is conducting what type of evaluation?

A. Qualitative

B. Quantitate

C. Quasi-Experimental

D. Mixed Method

A

Mixed Method

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55
Q

Q

A social worker is reviewing intake paperwork received for a new 65 year old client. It states that she is currently taking Paxil after being switched from Zoloft. The client is MOST likely diagnosed with which of the following?

A. Insomnia Disorder

B. Schizoaffective Disorder

C. Major Depressive Disorder

D. Antisocial Personality Disorder

A

Major Depressive Disorder

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56
Q

Q

A social worker is worried that he does not have all the necessary information to make a practice decision, so he uses multiple sources to collect data. This approach is known as:

A. Cooptation

B. Triangulation

C. Social Exchange

D. Twinning

A

Triangulation

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57
Q

Q

A social worker needs to evaluate the behavior of a client who is living in a group home. The social worker asks two staff to each record the frequency of the behavior independently and to submit their tracking sheets to her without sharing them with one another. The social worker is using which of the following approaches to ensure reliability of the data collected?

A. Alternate or parallel forms

B. Test-retest

C. Interrater

D. Internal Consistency

A

Interrater

requires 2 or more independent staff to record data

58
Q

Q

According to the DSM-5, in order to be diagnosed with Borderline Personality Disorder, a client has to have:

A. Impairments in personality and interpersonal functioning

B. Impairments in interpersonal functioning, but not personality functioning

C. Impairments in personality functioning, but not interpersonal functioning

D. Neither impairments in personality nor interpersonal functioning

A

Impairments in personality and interpersonal functioning

59
Q

Q

After an assessment is completed, what follows according to the problem-solving process?

A. Intervention

B. Evaluation

C. Planning

D. Engagement

A

C. Planning

60
Q

Q

After completing an assessment, a client states that she would like to work on being more assertive at work. In order to best assist the client, the social worker should FIRST:

A. Provide the client with communication strategies aimed at self-expression

B Assist the client with identifying classes aimed at assertiveness training

C. Gather info on issues at her current and past jobs that have resulted from communication barriers

D. Identify the outcome that she hopes to attain from this behavioral change

A

Identify the outcome that she hopes to attain from this behavioral change

61
Q

Q

All of the following are associated with Borderline Personality Disorder EXCEPT:

A. Poor impulse control

B. Control of aggressive drives

C. Dichotomous thinking

D. Emotional dysregulation

A

B. Control of aggressive drives

62
Q

Q

An increased risk of agranulocytosis is associated with which of the following medications?

A. Clozaril

B. Lexapro

C. Lithium

D. Xanax

A

Clozaril

63
Q

Q

In the DSM 5, Dysthymia is now called:

A. Persistent Depressive disorder

B. major depressive disorder

C. disruptive mood dysregulation disorder

D. substance/medication induced depressive disorder

A

Persistent Depressive disorder

64
Q

Q

In the DSM-5, the global functioning of a client should be determined using the:

A. Global Assessment of Functioning Scale (GAF)

B. World Health Organization Disability Assessment Schedule 2.0

C. Myers-Briggs Type Indicators

D. Thematic Appreciation Test

A

World Health Organization Disability Assessment Schedule 2.0

65
Q

Q

Sexual Dysfunction is MOST commonly identified for further assessment through:

A. Client self reports

B. Medical Screenings

C. Relationship Problems

D. Bio-psycho-social assessments

A

Client self reports

66
Q

Q

Tardive Dyskinesia is a side effect of taking antipsychotic medications that affects which of the following?

A. Nervous system

B. Circulatory system

C. Respiratory system

D. Muscular system

A

Nervous system

67
Q

QUESTION

According to the Tarasoff decision, in order for a social worker to have a duty to warn, all of the following must be present EXCEPT:

  1. The threat of danger
  2. An identifiable third party
  3. A client history of violence against others
  4. Personal harm must be imminent
A

A client history of violence against others

68
Q

QUESTION

A client has just been fired from his job and he is focusing solely on the stress associated with the financial challenges that he is facing. Using a systems approach, the SW can expect his unemployment to:

A. result in a negative impact on his financial well-being

B. Affect other areas of his life including physical and mental health

C. cause him to be worried about finding another job

D. build resiliency that can be used to deal with other life crises

A

Affect other areas of his life including physical and mental health

69
Q

QUESTION

A client has made substantial progress in treatment and has achieved all established goals. When the social worker speaks to the client about discharge, the client states that he does not want to stop seeing the social worker because he is worried about his future needs. As there are no additional treatment goals, the social worker agrees to see the client pro bono for the next 6 months or until the client feels comfortable. The social workers actions are:

A. Ethical since there is no fee for the sessions

B. Not ethical since there are no treatment goals

C. Ethical since the client does not feel ready to end treatment

D. Not ethical because termination decisions are the responsibility of the social worker

A

B. Not ethical since there are no treatment goals

70
Q

QUESTION

A client is currently taking Clozaril for the treatment of Schizophrenia. The client is MOST likely going to be required to undergo what medical monitoring due to this medication use?

  1. Weight checks
  2. Blood work
  3. Dietary restrictions
  4. Exercise regimen
A

Blood work

71
Q

QUESTION

A client was referred to a mental health agency for treatment. Upon admission, he reported feeling lethargic and hopeless and had difficulty getting out of bed. Several weeks later, he states that he is sleepless, agitated, and unable to focus. Which of the following medications is the client MOST likely going to be prescribed?

  1. Ativan (lorazepam)
  2. Nardil (phenelzine)
  3. Lithium (lithium carbonate)
  4. Buspar (buspirone)
A

Lithium

Lithium is a mood stabilizer

72
Q

QUESTION

A client who has Schizophrenia has not been taking his medication. He is in crisis, but does not pose a danger to himself or others. The client was recently discharged from an inpatient hospitalization after an involuntary commitment. In the social worker’s opinion, the client would benefit from rehospitalization, but the client does not want to be readmitted. The social worker should:

  1. Identify community resources to meet his immediate needs
  2. Contact the hospital to see if he can be readmitted
  3. Recommend that the client be involuntarily committed again to get the medication needed
  4. Determine if he has a family member or someone who can persuade him to enter the hospital again
A

Identify community resources to meet his immediate needs

73
Q

QUESTION

A client with a Social Anxiety Disorder will MOST likely be prescribed which of the following medications to take on an ongoing basis?

  1. Zoloft (sertraline)
  2. Mellaril (thioridazine)
  3. Thorazine (chlorpromazine)
  4. Valium (diazepam)
A

Zoloft

The primary medications used to treat social anxiety disorder are selective serotonin reuptake inhibitors (SSRIs), which were first developed to treat depression. They have been found to be effective in the treatment of a wider range of disorders. Zoloft (sertraline) is an SSRI.

74
Q

QUESTION

A mother comes in to see a social worker because she is concerned about cognitive delays in her child. The child is far behind her peers in academic achievement. A social worker refers this child for diagnostic testing. Given the mother’s concerns, the child will MOST likely be given which of the following assessments?

  1. The Minnesota Multiphasic Personality Inventory
  2. The Myers–Briggs Type Indicator
  3. The Thematic Apperception Test
  4. The Wechsler Intelligence Scale
A

The Wechsler Intelligence Scale

75
Q

QUESTION

A new client enters the office walking slowly, using a cane, and has difficulty picking up objects, swallowing, and speaking as a result of a stroke. The BEST diagnosis for this client is:

  1. Agnosia
  2. Ataxia
  3. Prosopagnosia
  4. Acalculia
A

Ataxia

describes a lack of muscle control during voluntary movements,such as walking or picking up objects. A sign of an underlying condition, ataxia can affect movement, speech, eye movement, and swallowing.

76
Q

QUESTION

A social worker employed in a hospital is asked to use a SOAP format in a client’s record. In this format, the “A” stands for:

  1. Action plan
  2. Assessment
  3. Active treatment
  4. Adjustments to services needed
A

Assessment

77
Q

QUESTION

A social worker is appointed by the court to conduct a child custody evaluation for a couple that is divorcing. The mother reports that her husband is verbally abusive, controlling, and neglects the children when they are in his care. She reports that the children have missed a lot of school when staying with their father because he does not assist with getting them ready for school or doing their homework. The father states that his wife is lazy, irresponsible, and cannot meet the children’s basic needs. He reports that the school frequently has to provide lunch for the children because the mother does not supply it when they are in her care. In order to BEST evaluate the legitimacy of the information, the social worker should:

  1. Ask the husband and wife to put their allegations in writing and sign them, attesting to their accuracy
  2. Determine whether the husband or wife have had any past instances with being untruthful
  3. Always speak to the husband and wife together so that they are more likely to be honest
  4. Obtain information from school personnel and records after obtaining parental consent
A

Obtain information from school personnel and records after obtaining parental consent

78
Q

QUESTION

A young boy is stopped by a police officer and claims that he is a member of the armed forces, though it is obvious that he is not. This assertion by the boy is MOST likely a:

  1. Comorbid thought
  2. Dissociation
  3. Folie à deux
  4. Delusion
A

Delusion

is a false, fixed belief despite evidence to the contrary

79
Q

QUESTION

According to the Tarasoff Decision, social workers must:

A. notify both the authorities and intended victims of danger

B. seek inpatient hospitalization if dangerousness exists

C. Notify only the intended victims of imminent danger

D. Identify the risk factors that are linked to dangerousness of others

A

D. Identify the risk factors that are linked to dangerousness of others

80
Q

QUESTION

All of the following may be viewed as indicators of resistance EXCEPT:

A. A client engaging in small talk about irrelevant topics during a session

B. A client who limits the amount of info communicated to a social worker during treatment

C. A client who is silent during appointments

D. A client who was originally referred by another person

A

A client who was originally referred by another person

81
Q

QUESTION

All of the following occur during termination EXCEPT:

  1. Acknowledgement of loss on the part of the social worker and client
  2. Review and update of the client record to ensure completeness
  3. Identification of resources to meet future needs
  4. Review of client accomplishments
A

Review and update of the client record to ensure completeness

82
Q

QUESTION

Aphasia is BEST defined as difficulty with:

  1. Walking or running
  2. Common motor skills such as combing hair, despite normal strength
  3. Understanding language or using language to speak or write
  4. Recognizing familiar objects
A

Aphasia

change in cognition (mental ability) that is characterized by difficulty understanding language or using language to speak or write.

83
Q

QUESTION

Culture-bound syndromes in the DSM-5 are replaced by all of the following concepts EXCEPT:

  1. Cultural syndromes
  2. Cultural stratification
  3. Cultural idioms of distress
  4. Cultural explanations
A

Cultural stratification

84
Q

QUESTION

During an intake interview, a client reports that she is extremely depressed and has self-destructive thoughts. She has had prior suicide attempts, but tells the social worker not to worry as she won’t “do it again.” The social worker should FIRST:

  1. Tell the client that her decision not to harm herself is a good one
  2. Explore with the client what is causing her depression
  3. Conduct a safety assessment
  4. Refer the client to a psychiatrist for a medication evaluation
A

Conduct a safety assessment

85
Q

QUESTION

If a client has a Substance Use Disorder in addition to Schizophrenia, these two disorders are considered to be:

  1. Premorbid
  2. Comorbid
  3. Contraindicated
  4. Dissociated
A

Comorbid

Comorbid refers to two problems, conditions, or disorders that exist at the same time—such as the presence of a mental health and substance use issue, or a mental health and medical problem.

86
Q

QUESTION

In the DSM-5, when a social worker provides a reason why a condition does not qualify for a disorder, it should be noted as:

  1. Not otherwise specified
  2. Other specified
  3. Unspecified
  4. Not specified elsewhere
A

Other specified

87
Q

QUESTION

In the DSM-5, which of the following is NOT incorporated into Autism Spectrum Disorder?

  1. Asperger’s Disorder
  2. Pervasive Developmental Disorder Not Otherwise Specified
  3. Childhood Disintegrative Disorder
  4. Mental Retardation
A

Mental Retardation

88
Q

QUESTION

In the precontemplation stage of change, resistance is BEST addressed by a social worker:

  1. Looking at the pros and cons of behavior change
  2. Acknowledging a client’s fears and concerns
  3. Assessing whether new developments in a client’s life are causing barriers to the plan
  4. Reviewing the appropriateness of the intervention
A

Acknowledging a client’s fears and concerns

89
Q

QUESTION

Projective tests are based on which of the following theoretical approaches?

  1. Behavior management
  2. Psychoanalytic
  3. Cognitive behavioral
  4. Self psychology
A

Psychoanalytic

90
Q

QUESTION

Tardive dyskinesia is associated with the prescribing of:

  1. Antipsychotics
  2. Antidepressants
  3. Antianxiety medications
  4. Mood stabilizers
A

Antipsychotics

Tardive dyskinesia may result from taking high doses of antipsychotic medications over a long period of time. Symptoms may persist indefinitely after discontinuation of these medications. Thus, antipsychotic use should be closely monitored and prescribed at low doses, if possible.

91
Q

QUESTION

The social worker learns from a client who is HIV positive that he is having unprotected sexual contact with his girlfriend who is unaware of his HIV status. In order to address this situation ethically, the social worker should:

  1. Disclose to the client that the social worker must try to contact the girlfriend in this situation under the obligation of duty to warn and ask for her contact information
  2. Try to locate the girlfriend without informing the client because such notification is required under the Tarasoff decision
  3. Make no attempt to contact the girlfriend to disclose the client’s HIV status
  4. Tell the client that services will need to be terminated unless this behavior ceases
A

Make no attempt to contact the girlfriend to disclose the client’s HIV status

92
Q

QUESTION

Trichotillomania is classified under which of the following in the DSM-5?

  1. Disruptive, Impulse-Control, and Conduct Disorders
  2. Anxiety Disorders
  3. Trauma- and Stressor-Related Disorders
  4. Obsessive-Compulsive and Related Disorders
A

Obsessive-Compulsive and Related Disorders

93
Q

QUESTION

When clients are at high risk for relapse after discharge, all of the following should occur after termination EXCEPT:

  1. Regular assessments to determine whether services are needed
  2. Creation of client contracts that reinforce positive behaviors
  3. Utilization of natural supports and peer support services
  4. Follow-up to see whether discharge plans are being implemented
A

Creation of client contracts that reinforce positive behaviors

The creation of a contract is not done after termination because it indicates the presence of an intervention in a therapeutic relationship. It is incorrect given the order of the problem-solving process.

94
Q

QUESTION

Which of the following is a TRUE statement about the relationship between expressive and receptive communication?

  1. Receptive communication usually develops at an earlier age than does expressive communication.
  2. Receptive and expressive communication skills are usually equally developed in young children.
  3. Expressive communication usually develops at an earlier age than does receptive communication.
  4. Some young children develop receptive communication skills before developing expressive communication skills; for other children, it is the reverse.
A

Receptive communication usually develops at an earlier age than does expressive communication.

95
Q

QUESTION

Which of the following is an objective outcome that might be associated with a foster care program?

A. proportion of children served who are reunified with their biological families

B. Satisfaction with foster parents in the program

C. Perceived safety of children

D. Number of children served in the program

A

A. proportion of children served who are reunified with their biological families

96
Q

QUESTION

Which of the following is NOT a component of a client contract?

  1. The problem to be worked on and the goals to reduce the problem
  2. Authorization letter approving services by the client’s insurance company
  3. Means of monitoring progress
  4. Fees and frequency of meetings
A

Authorization letter approving services by the client’s insurance company

97
Q

QUESTION

Which of the following is NOT assessed as part of a routine mental status examination?

  1. Thought processes/reality testing
  2. Psychiatric pathology
  3. Orientation
  4. Judgment/insight
A

Psychiatric pathology

98
Q

QUESTION

Which of the following is NOT associated with Histrionic Personality Disorder?

  1. Interacting with others using inappropriately seductive or provocative behavior
  2. Using appearance to draw attention to oneself
  3. Being highly suggestible and easily influenced by others
  4. Having close romantic and social relationships with others
A

Having close romantic and social relationships with others

99
Q

QUESTION

Which of the following is NOT associated with low ego?

A. viewing challenges as something to avoid

B. Feeling overwhelmed by reality

C. Finding new ways to deal with struggles

D. Using wishful thinking or fantasies

A

C. Finding new ways to deal with struggles

100
Q

QUESTION

Which of the following is NOT included in the DSM-5?

  1. World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)
  2. Global Assessment of Functioning (GAF)
  3. Cultural Formulation Interview Guide (CFI)
  4. ICD-10 Codes
A

Global Assessment of Functioning (GAF)

101
Q

QUESTION

Which of the following is NOT one of the therapeutic advantages of injectable antipsychotic medications?

A. They reduce medication noncompliance because they are needed less frequently than oral medications

B. They are less likely to be used for suicide or result in overdose because the dosing is controlled

C. They are associated with decreased hospitalizations due to fewer symptom relapses

D. They are less expensive than oral medications

A

D. They are less expensive than oral medications

102
Q

QUESTION

Which of the following is NOT secondary prevention strategy?

A. Regular screenings of those wit risk factors for an illness or disease

B. Regular exercise and good nutrition

C. Modification of work assignments for those who are injured

D. Taking low dose of aspirin for those with heart conditions

A

Regular exercise and good nutrition

103
Q

QUESTION

Which of the following is NOT true about personality disorders?

A. They are characterized by distorted patterns and thinking

B. They involve over or under-regulated impulse control

C. They cause interpersonal difficulties

D. They are usually diagnosed in childhood

A

D. They are usually diagnosed in childhood

104
Q

QUESTION

Which of the following is the MOST significant change in the DSM-5 concerning Substance Related Disorders?

  1. Substance Abuse and Substance Dependence have been combined into a single Substance Use Disorder.
  2. Recurrent legal problems were added to the criteria for Substance Use Disorders.
  3. Craving or a strong desire to use a substance was deleted from Substance Dependence.
  4. Recurrent legal problems were deleted from the criteria for Substance Abuse.
A

Substance Abuse and Substance Dependence have been combined into a single Substance Use Disorder.

105
Q

QUESTION

Which of the following medications is NOT typically prescribed for the treatment of Attention-Deficit/Hyperactivity Disorder?

A. Adderall

B. Ritalin

C. Dexedrine

D. Tofranil

A

Tofranil

106
Q

QUESTION

Which of the following systems in the body is responsible for the production of hormones that control metabolism and growth?

  1. Digestive
  2. Nervous
  3. Lymphatic
  4. Endocrine
A

Endocrine

107
Q

QUESTION

A client is having difficulty finding a career that is fulfilling to her. She has repeatedly taken jobs that she has quit because “they just don’t fit.” In order to assist the client in resolving this problem, which of the following tests may be used?

  1. Minnesota Multiphasic Personality Inventory
  2. Myers–Briggs Type Indicator
  3. Thematic Apperception Test
  4. Wechsler Intelligence Scale
A

Myers–Briggs Type Indicator

108
Q

QUESTION

A client who has been experiencing severe depression and previously expressed thoughts aimed at hurting herself appears less hopeless and to have a more positive affect. In this situation, the social worker should FIRST:

  1. Acknowledge the recent improvement in depressive symptoms to the client
  2. Determine the coping skills that the client is using to bring about change
  3. Focus on other immediate goals that are a concern to the client
  4. Conduct a suicide risk assessment
A

Conduct a suicide risk assessment

A sign of a possible suicide attempt is a recent improvement in depressive symptoms. A client is also at greater risk after being discharged from the hospital or after being started on antidepressants because he or she may now have the energy to implement a suicide plan. The social worker should assess the client for suicide risk immediately.

109
Q

QUESTION

A client reports that he has experienced some “ringing” in his ears for the last week, which is causing him great distress. The social worker should FIRST:

  1. Refer the client for a neurological evaluation
  2. Provide the client with coping skills to address his distress
  3. Identify whether he is reporting an auditory hallucination
  4. Explore with the client what changes in his life may have coincided with this symptom
A

Refer the client for a neurological evaluation

“Ringing” or other sounds originating in the ears (tinnitus) can be a symptom of a neurologic or organic problem. The social worker needs to FIRST rule out a medical cause before determining other etiology.

110
Q

Q

Upon intake, a client states that she “feels like hurting herself, but will be fine”. She assures the social worker that she will not act on her feelings. In order to best assist the client, the social worker should FIRST:

A. conduct a safety assessment

B. acknowledge the client’s feelings and concerns

C. refer the client to a psychiatrist for a medication evaluation

D. determine the reasons that have caused the client to feel this way

A

conduct a safety assessment

111
Q

Q

When 2 or more people share the same delusion or delusional system, it is called:

A. Folie a deux

B. Trichotillomania

C. Conversion Disorder

D. Comorbid psychosis

A

Folie a deux

112
Q

Q

When collecting sensitive info in a social work interview, it is BEST to:

A. Inform clients that answering sensitive questions is optional

B. Reiterate limits to confidentiality which may require the release of sensitive information

C. Offer the opportunity to provide the sensitive info anonymously

D. Ask sensitive questions in the latter part of the interaction

A

Ask sensitive questions in the latter part of the interaction

113
Q

Q

Which of the following changes occurred from the DSM-IV to the DSM-5 with regard to the diagnosis of Conduct Disorder?

A. Symptoms must cause significant impairment in social, academic, or occupational functioning

B. This diagnosis usually occurs prior to adulthood

C. A descriptive features specifier is used for those who meet the full criteria, but also present with limited prosocial emotions

D. At least one symptom must be present in the last 6 months

A

A descriptive features specifier is used for those who meet the full criteria, but also present with limited prosocial emotions

114
Q

Q

Which of the following contains thoughts, feelings, desires, and memories of which a client has no awareness, even though they influence his or her daily life?

A. preconscious

B. conscious

C. superego

D. unconscious

A

D. unconscious

115
Q

Q

Which of the following diagnosis is MOST likely to be given as the result of mental status examinations?

A. Delirium

B. Schizophrenia

C. Oppositional Defiant Disorder

D. Avoidant Personality Disorder

A

Delirium

116
Q

Q

Which of the following is a condition for further study in the DSM5?

A. Sexual Masochism

B. caffeine use

C. Frotteuristic

D. Pica

A

caffeine use

117
Q

Q

Which of the following is a level of awareness as defined by Freud?

A. Id

B. Preconcious

C. Preconventional

D. Individualistic

A

B. Preconcious

118
Q

Q

Which of the following is a neurotransmitter in the brain that is responsible for maintaining mood balance and is related to depression?

A. Glutamate

B. Acetlycholine

C. Dopamine

D. Serotonin

A

Serotonin

119
Q

Q

Which of the following is a protective factor for dangerousness of others?

A. Violence at an early age

B. Drug/Alcohol use

C. Clinical services for physical and behavioral care

D. Exposure to violent acts

A

Clinical services for physical and behavioral care

120
Q

Q

Which of the following is NOT a change to the Neurodevelopmental Disorders listed in the DSM -5?

A. Mental retardation was renamed intellectual disability

B. disruptive mood dysregulation disorder was added as a new diagnosis for children up to age 18

C. stuttering was renamed childhood-onset fluency disorder

D. autism spectrum disorder now encompasses Autistic disorder, asperger’s, childhood disintegrative disorder, and pervasive developmental disorder not otherwise specified

A

disruptive mood dysregulation disorder was added as a new diagnosis for children up to age 18

121
Q

Q

Which of the following is NOT a clinical scale in the Minnesota Multiphasic Personality Inventory?

A. Paranoia

B. Hypochondriasis

C. Depression

D. Substance use

A

D. Substance use

122
Q

Q

Which of the following is NOT a diagnostic criterion in the DSM-5 for Gambling Disorder?

A. Lying to conceal gambling

B. Loss of relationship, job, or opportunity due to gambling

C. Legal problems associated with gambling

D. Preoccupation with Gambling

A

Legal problems associated with gambling

123
Q

Q

Which of the following is NOT a limitation of using existing case records as the basis for practice evaluations

A. Records may not contain consistent and/or complete info

B. There is no additional time or cost associated with their use

C. Evaluations have to be limited to only topics contained in the case records

D. The client’s opinions about service quality are not considered

A

There is no additional time or cost associated with their use

124
Q

Q

Which of the following is NOT an indictor of Ego Strength?

A. taking responsibility for actions

B. dealing with mood changes

C. accepting limitations and being accountable

D. blaming others

A

blaming others

125
Q

Q

Which of the following is NOT true about the substance-related and addictive disorders in the DSM-5?

A. substance use and substance abuse are combined into a single continuum measured from severe to mild

B. Drug craving has been added and legal problems have been eliminated from the diagnostic criteria

C. caffeine use disorder is included under a new disorder

D. gambling disorder is the sole dissuader under a new category of Non-Substance related disorders

A

caffeine use disorder is included under a new disorder

126
Q

Q

Which of the following is the FIRST goal of assisting clients who have suffered a life crisis?

A. helping them to develop coping skills to deal with similar crises in the future

B.Identifying the cause of the crisis in order to prevent it from reoccurring in the future

C. Assisting them to establish a sense of equilibrium and return to prior levels of functioning

D. Linking them with others who have experienced a similar crisis to build a network of support

A

C. Assisting them to establish a sense of equilibrium and return to prior levels of functioning

127
Q

Q

Which of the following is the MOST important factor in choosing an appropriate intervention or treatment strategy?

A. It is currently being used by a social worker to assist clients with similar problems

B. It results from the Bio-Psycho-Spiritual assessment of a client

C. It is approved as medically necessary by third party payers

D. It is not constrained by agency practices and/or time limits for treatment

A

It results from the Bio-Psycho-Spiritual assessment of a client

128
Q

Q

Which of the following is TRUE about risk factors for violence?

A. They are present only at the individual level

B. They predict with certainty who will engage in aggressive acts

C. They are positively associated with protective factors to predict violence

D. They increase the likelihood that a community will be affected by, or a client will be a perpetrator of, violence

A

They increase the likelihood that a community will be affected by, or a client will be a perpetrator of, violence

129
Q

Q

Which of the following is TRUE about transvestic Disorder in the DSM-5?

A. it is restricted to heterosexual males

B. Significant distress due to this disorder can only be related to a client’s job or occupation

C. significant distress due to this disorder can only be related to social relationships

D. sexual arousal must result from cross-dressing

A

sexual arousal must result from cross-dressing

130
Q

Q

Which statement BEST describes the difference between screening and assessment in social work practice?

A. screening focuses on determining potential problems that need more thorough assessment aimed at diagnosis and treatment

B. Screening is completed by nonprofessionals while assessment requires skill and expertise associated with education and training

C. screening examines potential problems while assessment includes both client’s strengths and weaknesses

D. screening consists of asking very structured questions while assessments are less formal

A

screening focuses on determining potential problems that need more thorough assessment aimed at diagnosis and treatment

131
Q

Rorschach Inkblot Test

A

*Projective test

*Client responds to inkblot

*Assesses psychological functioning

132
Q

Social Worker and Client Contract

A

*Written/oral/implied

*Problems/concerns to be addressed

*Goals/Objectives of intervention

*Activities that client will undertake

*Tasks preformed by SW

*Schedule time/place for meetings

133
Q

Specialized Clinical Tests

A

Focuses on specific diagnoses like

Anxiety, Depression, PTSD

134
Q

Stages of Behavior Change

  1. Pre-Contemplation
  2. Contemplation
  3. Preparation
  4. Action
A

Pre-Contemplation - Unaware/unwilling to make change

Contemplation - Thinking about change

Preparation - Preparing to make change

Action - Definitive change

135
Q

Stanford-Binet Intelligence Scale

A

Test cognitive abilities

*How to Remember

-Stanford = smart

tests how smart you are

136
Q

The Minnesota Multiphasic Personality Inventory

A

Personality test to assess psychopathology

137
Q

Thematic Appreciation Test

A

*Projective Test

*Clients asked to make up stories about pictures

*How to Remember

Lisa APPRECIATES a good story

client makes up STORIES about pictures

138
Q

Triangulation

A

Using multiple information sources

EX - Client is 15 year old student. SW talks to parents & teachers to get more information

139
Q

Wechsler Intelligence Scale

A

Child’s Intellectual/cognitive ability

*How to remember

we - CH (ILD) - sler

140
Q

What does SOAP stand for?

A

Subjective

Objective

Assessment

Plan

141
Q

Which of the following is NOT a key diagnostic criterion of Paraphilic Disorders according to the DSM-5?

  1. Atypical sexual interests
  2. Personal distress about sexual interests not strictly due to societal disapproval
  3. Sexual desire or behavior that involves another person’s psychological harm or from persons who are unwilling or unable to consent
  4. Legal involvement due to sexual interests or behaviors
A

Legal involvement due to sexual interests or behaviors

LCSW (4 decks)

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