Exam ?'s Flashcards
you are a behavioral health social worker stationed at a primary care clinic. A 74-year-old woman is referred to you by the primary care physician, who became concerned when the woman mentioned that she has been drinking more in anticipation of being alone for the holidays. What should you do FIRST?
Administer a CAGE screening to guide clinical assessment.
Which of the following PTSD symptom clusters have different diagnostic criteria for adults versus children age 6 years or younger?
Avoidance & Negative Psychological Sx
The major factor social workers should consider when choosing a trauma assessment method is
The type of trauma, depth, detail and specificity of the trauma they want to assess
Renee and Isabella are a lesbian couple having trouble with their foster child, Ben. When considering Renee and Isabella’s referrals, what would you consider to be foremost in making a successful referral?The resource is:
Open to the lesbian culture.
Jeremy talks about a sensitive topic to his social worker and is avoiding direct eye contact. Which of the following BEST describes the form(s) of communication is Jeremy using?
Verbal/non verbal commumnication
You suspect your client, James, may have Avoidant Personality Disorder. What information would BEST support this conclusion? If he:
Tells you that he gets nervous around people and fears criticism.
A social worker is asking her client about who the client turns to for help when they want to vent, who they would ask for help if they got a flat tire and other questions about the client’s friends and family. What is the social worker MOST likely trying to assess?
Social support system
The focus of Alanon is on:
Friends, family, and significant others impacted by an alcoholic.
NOT a method of involving a client in identifying the presenting problem?
A.
Solution-focused therapy avoids focus on the nature of the presenting problem, and instead focuses on solutions and skills that the client already has to develop solutions.
Jimmy, 29 years old, has been ordered by the court to see you for therapy. Which of the following factors is MOST important in assessing Jimmy’s motivation for treatment?
Understanding Jimmy’s current attitudes, values, and beliefs about therapy is helpful to assessing his motivation for treatment.
In evaluating a client’s ability to access support services, a social worker would consider all of the following
Socio-Economic factors.
Level of Cognitive Functioning.
Cultural value
: A social worker and her teenage client diagnosed with Conduct Disorder determine a treatment goal. Which of the following is the BEST example of a treatment goal?
Improving impulse control behaviors.
places an emphasis on the word “informed” in that the social worker approaches the trauma victim with an individual perspective, seeing the individual’s experience as unique
Trauma-informed care
broader approach than trauma-informed care
trauma care
How often should crisis plans be reviewed?
At least once a quarter.
a method to evaluate a client’s progress in which there are seven scales that determine pathology and functioning
Progress Evaluation Scales (PES).
BEST summarizes the indicators of psychosocial stress
Problems with finances, health, job, housing, legal system, and family.
You recently began treating Christine after her 7-year relationship ended. Christine reports that she feels lonely, has a hard time sleeping, and has difficulty getting up in the morning. Which assessment tool would be BEST to obtain more information on the severity of her symptoms?
The Beck Depression Inventory.
Any information that is difficult to discuss or at odds with societal expectations may be considered:
Sensitive info
In which instance would you MOST likely administer the Mental Status Exam?
Confused pt
high risk factors for teen suicides
Availability of alcohol and other drugs.
Family violence.
Increasingly complex societal demands.
In seeing the following clients in an initial session, which client is MOST likely to be motivated and ready for a change?
A self-referred client who is having adjustment issues, and she is concerned about the impact of her issues on her relationships.
Maladaptive coping addresses
Short term stressors
adaptive coping addresses
Long term stressors
It is important to look for indicators of mental and emotional illness because:
Mental and emotional illnesses are rarely sudden developments.
Before these conditions fully manifest, there are often indicators and warning signs that can be noticed in a person’s thoughts and feelings. If a client is showing any warning signs, it may be worth reaching out to him/her to provide resources and help.
Rx Lithium associated w/
Bipolar 1
useful for a social worker to have when maximizing organizational functioning?
advocacy.
Documentation skills.
Communication skills.
During the termination phase with George, he begins to become distressed and requests to continue therapy with you instead of terminating. You believe that therapy should be terminated. You should FIRST:
a whole new treatment plan should not be necessary for the later stage of therapy. A review of current termination goals and timing would be more appropriate, answer “B.”
Applied research is often called:
Policy or action research.
BEST indicator of a lack of ego strength?
Being easily swayed by emotions.
social worker is meeting with a client for the first time. Under these circumstances, the social worker should follow which communication strategy FIRST?
Consider possible diversity and learn the client’s communication preferences.
client is using coping mechanisms that attempt to reduce or eliminate stressors. Which of the four primary coping strategies is the client using?
Problem-focused.
A 4-year-old child struggles in preschool academically and socially. Identify the psychosocial stage that BEST describes the child’s behavior, according to Erik Erikson.
Initiative vs. Guilt
the child fits the age range of 3 to 5 years, and it also describes the psychosocial task/crisis for this stage.
PIE classification system for social work is designed to do?
Encourage social workers to view clients from a holistic perspective when defining social functioning problems
Child abuse and neglect impact brain development. Social workers may observe all of the following in children who have been abused and/or neglected
Dissociation.
Lack of attachment.
Ongoing fear and stress.
Of the four categories of globalization, which two are MOST likely to directly impact potential clients?
Migration and movement of people, and dissemination of knowledge
What is an example of services offered in the FINAL level of a substance use prevention program?
Harm reduction groups to manage the risks of substance use.
A client who was born female is expressing that they feel as though they are a man and prefer male pronouns. The client is expressing their:
Gender identity.
Circular causality is a family systems concept often applied to domestic violence. The primary reason that a social worker should use great care when explaining this concept to clients who are being abused is that:
The concept comes perilously close to making the battered partner feel responsible for the violence.
Conflict Theory is MOST commonly associated with
Karl Marx.
According to Fowler’s six stages of spiritual/faith development, when individuals understand metaphors, myths, and symbols as being literal, they are in which stage?
Mythic-Literal.
The sibling of a schizophrenic person is:
More likely to become schizophrenic than a person from the general population due to hereditary factors
Identify the stages of grief as described by Elisabeth Kubler-Ross:
Denial, Anger, Bargaining, Depression, Acceptance.
Which of the following would be the MOST appropriate reason for terminating treatment with a client?
The client is not benefiting from treatment.
Health Insurance Portability Accountability Act (HIPAA) of 1996 does NOT impact a social worker’s management of informed consent by requiring:
Mandated abuse reports be transmitted electronically.
When considering disclosing personal information to a client in treatment, what should a social worker consider FIRST?
If the sharing of personal information could harm the client in any way.
CPS has removed a child from the custody of the parents. Which of the following BEST describes the child’s right to refuse service?
The child cannot refuse service once CPS has taken custody.
You’re Christmas shopping with your children when you run into a client with her husband. She immediately begins introducing her husband to you. You should FIRST:
Politely excuse yourself and your family and talk to the client in the next session.
A social worker who begins to feel attracted to her client because the client strongly resembles the social worker’s first meaningful relationship would BEST handle this ethical issue by:
Discussing the issue in peer consultation, professional supervision, or the social worker’s own therapy to identify this as countertransference and gain perspective.
If a client with depression wants to refuse life-sustaining treatment, what is the ethical response the social worker should have?
The social worker should know that clients with depression cannot make decisions about life-ending treatments and notify appropriate personnel.
According to the NASW Code of Ethics, social workers should discharge clients when:
Professional services no longer meet client needs or are no longer required by the client.
core values of social work practice according to the 2018 NASW Social Work Code of Ethics
Social work practice is based on the core values of service, social justice, dignity and worth of the person, importance of human relationships, integrity, and competence.
In what ways can social workers support the self-determination of clients with decreased competencies in the informed consent process?
Check-in with the client periodically to evaluate his/her understanding of the information presented.
The idea that processes in the client-therapist relationship are similar to processes in the supervisee-supervisor relationship is known as:
Parallel process.
What are the two processes in a self-care plan for social workers?
Healing and Energizing.
Mari is participating in a weekly support group for victims of domestic violence. Which of the following BEST describes the support Mari is receiving?
social support
When used in a therapeutic setting, a social worker can also introduce written assignments as a type of role play. Such written assignments would MOST likely include:
A gengram or ecomap.
Stating clear expectations is an____ technique
assertiveness
The FIRST step of community organizing is to:
Integrating into the community is the first step of community organizing because social workers need to gain understanding of the community’s dynamics, strengths, and concerns, and begin building trusting relationships with community members.
treatment of existing diseases in patients. It tries to limit disability and improve functioning following disease or its complications, often through rehabilitation. It aims to soften the impact of an ongoing illness or injury that has lasting effects. This is done by helping people manage long-term, often complex health problems and injuries (e.g., chronic diseases, permanent impairments) in order to improve as much as possible their ability to function, their quality of life and their life expectancy.
Tertiary prevention.
early detection and swift treatment of disease. Its purpose is to cure disease, slow its progression, or reduce its impact on individuals or communities. This is done by detecting and treating disease or injury as soon as possible to halt or slow its progress, encouraging personal strategies to prevent re-injury or recurrence, and implementing programs to return people to their original health and function to prevent long-term problems.
secondary prevention
revention of diseases or injury in healthy individuals, or prevention before disease or injury occurs. Primary prevention strategies emphasize general health promotion, risk factor reduction, and other protective health measures. These strategies include health education and health promotion programs designed to foster healthier lifestyles and environmental health programs designed to improve environmental quality.
primary prevention
Emphasis on the dynamic nature of boundary setting that reflects changes within the professional social worker-client relationship over time, and acknowledgment of the dynamics of the social work practitioner’s reflective processes.
transparency approach in the social worker client relationship
formation of a needs assessment
formative evaluation
summarizes the results of the needs assessment.
summative evaluation
focuses on fulfilling quality requirements,
quality control
focuses on providing confidence that quality requirements are fulfilled
quality assurance
guardian that gains custody of a minor,
custodian
gains custody automatically through biological rights.
guardian
hen considering a diagnosis of Somatic Symptom Disorder for this client, which of the following would need to be TRUE?
The client is experiencing excessive thoughts, feelings, or behaviors related to her symptoms.
examine the relationship between variables with the primary goal being to analyze and represent that relationship mathematically through statistical analysis.
quantitative research
goal of the research problem is to examine, understand, and describe a phenomenon
qualitative research
the Medical Model, client problems are identified primarily based on:
Specific symptoms in psychiatric evaluation
extensive series of assessments for personality testingo determine the severity of her symptoms before referring her for a battery of tests.
MMPI
phenomenon that is experienced by the individual affected by the disease (subjective experience), noticed only by the patient him or herself and cannot be objectively quantified,
sx
an objective or measurable problem that can be detected by someone other than the individual affected by the disease.
sign
ascertain
assess
NORMALIZE and ACKNOWLEDGE the client’s past.
trauma informed care
the PTSD Scale for DSM-5 (CAPS-5) is a structured clinical interview comprised of
30 items to assess for PTSD
DSM-5 criteria for PTSD provides
general diagnostic criteria
challenge personal presumptions.
Appraisal-focused
gives people the ability to accept their emotions without dwelling on them, be adaptable, be persistent, push forward, grow, take responsibility for actions, be at peace with strengths and weaknesses, etc.
ego strength
assesses whether a client is “on track” (OT) for a good outcome or has deviated, “not on track” (NOT), from what would be expected for a beneficial outcome.
The Outcome Questionnaire-45
ndividual characteristics such as individual roles, wellness, responsibilities, interests, and goals.
microsystem
interaction between two different systems.
mesosystem
includes relationships with extended family, work, school, social services, and other relationships that do not impact the individual directly, but impacts a role the individual has in another system.
exosystem
culture, subculture, political climate, regulations, and community that impact access, organization, wellness, and relationships.
macrosystem
ocuses on the physical, mental and social aspects of aging;
gerontology
medical specialty that addresses the medical conditions, diseases and treatment of older adults.
geriatrics
the highest rate of divorce occurs in which stage
Family with young children.
partialization
prioritizing
strict, controling, exert control through power parenting style
Authoritarian
set & enforce rules w/consistency and in a healthy way parenting style
Authoritative
warm, accepting, lenient, avoid confrontation, and make few demands on their children- parenting style
permissive
demand nothing and give nothing in return. children have complete freedom and borders neglectful parenting style
uninvolved
pt presents main inability to make friends and talk about his feelings. what intervention is needed?
social skills group
results of a study can be. generalized to other settings
external validity
group where there is not a control group
external validity
data that works with numbers
quaNtatative data
this population needs to have direction, use active listening and reflective responses and allowance of periods of silence
Native Americans
engaging in activities with no consciousness/memory of activities is a form of
dissociation
pt experiences persistent feelings of unreality. detachment or being an outside observer of themselves
depersonalization
feels detached from outside world, feeling foggy, sights and sounds muted or un real. pt still has memory and what is going on around them
derealization
occurs in hospital settings d/t chronic illness and changes in metabolic balances. has a rapid onset
delirium
completely detached w/no memory
dissociation
dissonance is associated w/what type of model?
minority identity
pt moves from feeling shame about their identity to feelings of pride
dissonance
report incident to state law
always the answer
SW supervisor engages in ____ activities when they learn techniques, assessment, interventions and treatment planning
educational
ST thx aids pts to identify and replace self-defeating rigid thought patterns, beliefs and unhealthy bx that interefere with their life goals
rational emotive bx thx (REBT)
interventions of this thx includes: self help tools, cog reframing, HW assignments
REBT
drawing representatives together of a number of groups who have common interests/concerns re: particular issue
coalition
supervisor interacts w/supervisee that models through the supervisory relationship how the supervisee should interact with their pts
parallel process
when engaging in community work, the ____ model is key component
empowerment
what perspective involves social, cultural, physiological, economic and environmental factors
ecological
you need to ____ when in an multidisciplinary team if there is a disagreement
refocus
punishment is antabuse
true
when using the psychosocial model, what helps with casework process?
sustaining procedures
eye contact, reflective listening, validating and unconditional positive regard is an example of
sustaining procedures
Clozaril Rx is associated w/which dx
schizophrenia
client believes 1 event happens as the result of another, with no plausible link for cause
magical thinking
pt believes coincidences have personal significance (idea that everything happens directly to them_
ideas of reference
ideas, thoughts and patters are vague, fragmented and lack logical sequences
looseness of association
when working with mentally ill clients and their competency changes, review thing with them when
they’re mentally compentent
COE states a SW can terminate w/pt if they’re no longer able to pay
true
taking on new info and incorporating it into existing ideas
assimilation
taking on new info
accommodation
determining goal and objectives is example of project
evaluation
instrament used to determine intellectual capacity of a child
WISC-R
Wechesler Intelligence Scale for Children
BEERY VMI measures
Visual motor integration
TOWL-3 measures
Written language
WISC-R measures
Intellegience for ages 6-16 y/o
when planning an intervention, 1st assess the pt’s
view of the problem
measure of how well a particular test correlates with a previously validated measure
concurrent
this responds directly and immediately to instincts/impulses
Id
when a child begins to understands an object exists out of sight
object permanence
board of directors at non profit agency meet 1x/m when planning a meeting and should focus on
endorsements of financial matters
visual representation of various systems in a pt’s life
ecomap
when a client received treatment at another facility, the SW should s/w the pt and obtain a
written release from previous treatment center
when prioritizing needs of the community, SW needs to identify
local agencies serving those populations
participants assigned a control group to aid in differences in paricipants that could impact results of the experiments
quasi-experimental study
exploring hx of issues that led to the creation of particular legislation is the 1st step for
policy analysis
working with traditional Native Americans, the means of communication is most often misinterpreted
eye contact
common side effects of SSRI are dry mouth, nausea, diarrhea, nervousness, agitation and restlessness
true
normal life crisis between ages 18-40 is known as intimacy vs
isolation
model of practice that focuses only on enviornment as is currently affects the pt
systems
phallic stage occurs at what age range
3-6
pt has been in foster care, with several families before being adopted and severely neglected during infancy. this describes what d/o
reactive attachment d/o
SSRI’s are primarily used to treat
anxiety/dep
pt’s legal right to not have the communication they had with a SW be disclosed in court w/o the pt’s consent
privelege
this specialty assesses pt’s imaging, observation, pencil & paper test to measure impact of attention to
self regulation and self regulation on attention
pt’s with this type of strength are able to move forward after losses
Ego
depression + mania =
bipolar 1
depression + hypomania=
bipolar 2
Strattera Rx is prescribed for what d/o?
adhd
understanding what led to the creation of a legislation
policy analysis
MSE measures
affect
neuroleptics are used to treat….
psychosis
documentation in the hospital is to allow for appropriate communication to occur between team members re: care of pts
true
in a psych hospital setting, a pt threaten another person, you would document the threat and then
update/notify treatment team
when d/c a pt with no support system, the 1st thing to do is
refer to agencies in community
decongestants can induce a hypomanic episode
true
most children take their 1st steps between 9-13m
true
collecting data from a single point in time from participants of different ages
cross sectional design
as a school social worker, you should obtain info from parents when it comes to a recent life change (dx, move divorce) assess PLOF
true
in pre-contemplation phase, the pt is not yet ready to admit they have a problem.
true
anytime a pt discusses medical dx/sx like losing weight/no sleep, SW should refer pt to
MD
to be culturally competent, SW must understand how one’s own cultural values/beliefs influence the SW ability to deal with issues re: diversity
true
when participants know they’re going to be in a control vs experimental group, though only the researcher knows which group they’re in is what kind of design
quasi-experimental
in a school setting, SW should s/w referral source
true
what co-occuring d/o is most likely dx w/Schizophrenia
Substance Use d/o
reminisce thx aka memory care is good for
older adults
Paxil is prescribed for
depression
a ___ can help the thx understand the couple’s current prob w/ their family hx
genogram
ability to interpret a common proverb is part of this exam
mental status
mindfulness is an example of what type of thx
DBT
give directives, utilize restraining and positioning strategies, model and educate about communication skills are what type of thx
strategic family thx
MSE provided on a weekly basis is to track
changes in cognitive fxning over time
eval of SES variables, determination of any culturally related issues and determination of level of acculturation is a comprehensive assessment of a pt that is from a different culture from SW
true
regular exercise and good nutrition is an example of what prevention strategy?
primary
pt originally referred to another provider is NOT an example of
resistance
SW should provide pts w/reasonable access to their records, unless access an cause serious harm to the pt
True
Denial of records need to be documented in pt’s chart/file
True
role expectations are not being met and activities associated w/ expectations aren’t carried out in expected manner
role discomplementarity
this theory indicates that a change to one part of a pt’s life will impact on others
System’s theory
tofranil is used for what dx
dep/anx
personality disorders are not dx in childhood
true
this is primarily used when making level of care decisions in bx hx settings
medical necessity
numbers are considered subjective outcome
true
poor impulse control, dichotomous thinking and emotional dysregulation is what personality d/o?
BPD
1st goal w/pt who suffers with trauma is to
assist them in establishing equilibrium and return to PLOF
imaginary friends occur in what stage of cog development?
preoperational
MMPI measures paranoia, depression and hypochondriasis
true
level of awareness described by Freud
preconscious
determining potential problems
screening
aimed at dx & treatment
assessment
global fining determined by what scale
World Health Org Disability Assessment Schedule 2.0
MSE determines sx rather than dx
true
used to gather info to collect multiple sources/methods of info and/or check results
triangulation
style of parenting where children must follow strict rules
authoritarian
role of SW in crisis intervention is highly involved and focused on
meeting pt’s basic needs
similar outcomes may stem from different experiences that an lead to same probs/bx/ or d/o
equifinality
striving for perfection, goals and inferiority
Adler’s individual psychology
pts have better understanding with causes/frequencies of bx probs
self-monitoring
Nardil has limits of foods high in tyramine
true
sub phase of separation-individuation
rapprochement
responsible for maintaining mood balance
serotonin
Hodgkin’s disease is associated with
lymphatic system affected
risk of aranguluctosis is associated with what Rx
Clorazil
approach that quickly engages pts with PS to focus on here and now; termination begins upon onset of treatment
task-centered
reflex not under a pts control
respondent bx
Subpoena a SW MUST respond & claim
privelege
when receiving a court order, SW should
limit it’s scope/ask records to be sealed
hallucinations involve the senses
true
prevention that focuses on managing complicated, LT diseases, injuries, illnesses
tertiary
not otherwise specified in DSM is replaced with
Other specified/unspecified
what is the law concerning confidentiality if you know a pt is sexually active w/HIV?
Under current law, mental health professionals must maintain confidentiality regarding clients who are is HIV+ and engaging in consensual sexual activity. Only medical doctors can legally breach confidentiality to the partner of an HIV-infected individual.
