General Flashcards
Transference
Refers to the feelings that a client might “transfer” to a care provider, such as anger or affection.
Countertransference
The feelings that a care provider brings to the relationship.
Bowenian Family Therapy
Addresses intergenerational dynamics rather that immediate symptoms.
Family Projection Process
Examines the way in which issues and problems are transmitted across generations.
According to psychodynamic theory, what is responsible for the problems people face?
Psychodynamic conflict
Psychodynamic Theory
Suggest that many of the problems people face are due to unresolved psychodynamic conflicts arising from the interaction between varying levels of the consciousness and their contents.
Secondary Prevention
Mitigating the harm of a condition after it is already in place.
Primary Prevention
Deal with preventing people from acquiring a disease or experiencing a problem.
Tertiary prevention
Managing the long-term consequences of acquired conditions.
Passive prevention
is not considered a major prevention strategy.
Sandwich Generation
A generation of people who care for their aging parents while supporting their own children.
Formative Evaluation
A process studied while that process is underway so that improvemnets can be immediately made during service delivery.
Summative Evaluations
Do not occur during service delivery but are completed between episodes of service delivery.
Assent
Willingness to be treated
Gender Fluidity
Gender expression shifting between masculine and feminine.
Documentation MUST BE
Timely, objective, free of value, judgement and must contain a record of importance to the extent the setting deems necessary,
Allocation
Fiscal practice of the movement or gathering of resources in this case acquiring consultants or shifting resources from one area of the budget to another.
D-Needs
Highest level of Maslow’s Hierarchy of Needs. Considered self-actualization or “growth needs.”
Classical Conditioning
The process by Ivan Pavlov in which neutral stimulus is engaged with an unconditioned stimulus so that the neutral stimulus eventually activates behavior as well as the unconditioned stimulus.
Operant Conditioning
B.F. Skinner. Rewarding positive behavior, punishing negative behavior and the presentations of undesirable behavior. Punishments and rewards are used to shape behavior.
When is it thought individuals are to have the highest level of self-esteem?
60s
Ashley and Susan are the CEO and CFO of a community mental health organization. Suspecting that there is some waste and inefficiency in the system, they do various kinds of analysis and find that their agency has been very inefficient. They decide to come up with an action plan for improvement.
Which of the following is not characteristic of such an action plan?
Accountability for system failures. Action plans that come about as part of necessary and regular program evaluation could result in a number of realizations and outcomes. It could be decided, for instance, that some services that have been provided are not productive of results, or that more resources should be spent on supporting productive services. It may be decided that a different group is more appropriate to target for the kind of services provided by that program. Other ideas and action items are possible depending on the situation and type of analysis.
Accountability for failures is not usually considered part of a forward-looking plan for improvement. Issues of accountability may exist and may come to light during a program evaluation, but program improvements and plans of action or correction should not be phrased as failures of the program itself.
William is a social worker in a private practice setting in a small town. He has served multiple members of one family, including the father, the mother, and the two children. Each client’s records are stored separately. In doing assessment and obtaining collateral information, William has come across information about the nature of one of the children’s background and early life that he thinks would cause serious and irreparable harm to that child’s life. When that child reaches 21, that client requests a copy of all of their files from treatment.
What should William do about the sensitive material?
He should withhold the sensitive material.
Alison is a social worker in private practice. She is asked for records by the court. When she refuses without any kind of order, she is given a subpoena. What should Alison’s next step be?
Respond to the court by claiming privilege.
Which of the following is the ultimate goal of supervision?
Improving service delivery for clients.
The body’s control system
Nervous system
Which of the following is the least likely benefit of the technique of role-playing?
It enhances internal processing.
What is the best long-term solution to establishing a safe and positive work environment?
Standards, policies, and procedures.
Jane is experiencing distress in her sexual experiences. She comes to Audrey, a social worker who specializes in sexual dysfunction and treatment. Jane reports that she is the victim of long-term sexual abuse when younger, has a current substance abuse issue and is unsafe in her sexual contacts. Currently, she reports an inability to achieve orgasm. What is the first of the following that should be done to help Jane in terms of her long-term treatment?
Obtain a medical assessment.
Operant Conditioning
Pioneered by BF Skinner. There are four kinds of responses to behavior that will shape that behavior. All reinforcement increases behavior, and all punishment decreases behavior. A negative reinforcement would be taking away a negative stimulus, while a positive reinforcement would add a positive stimulus. A positive punishment would add a negative stimulus, and a negative punishment would take away a positive stimulus.
Herbert, a social worker, has been treating his client Tabatha for depression for many years. Herbert has had occasion to meet Tabatha’s sister Terrie on several occasions. There is a mutual attraction, and Herbert and Terrie have been in contact on social media and have decided to date.
What is the stance of the NASW on the relationship between Herbert and Terrie?
It is risky and Herbert bears the whole ethical burden. No such contact is expressly forbidden, not is there a process of informed consent that would relive the burden from Herbert.
Steve, a patient at a mental hospital, is taking part in a reward system. For every day that he attends groups, practices good hygiene, and does not engage in aggression, he gets an extra snack. With which of the following therapeutic orientations is this approach most aligned?
Behaviorist
Which of the following would accurately describe the positivist school of thought with regard to criminal justice?
Criminal behavior is determined by factors outside the offender’s control.
Clark, the CEO of a community mental health organization, is presenting results at a quarterly meeting. He says that, over the last year, his organization has served 8,000 people in need. For the next year, he says he would like to serve 8500 people.
Which of the following best characterizes Clark’s second statement?
Objective.
Goal
A broad desired outcome in general terms.
Outcome
Tangible result, i.e. 8000 people will be served.
Objective
Distinguished from goals by their level of specificity
Prolixin (fluphenazine)
Anti psychotic most likely to treat schizophrenia and mania
Lithium Carbonate
antimaic agent used to treat bipolar disorder
Prozac (fluoxetine)
antidepressant used to treat depressive disorders
Ativan (lorazepam)
a benzodiazepine used to treat anxiety disorders.
Content Validity
measure of to what degree the relevant content domains are covered.
Parallel Forms Reliability
Measures the consistency of two tests constructed in the same way from the same domain.
Test-retest reliability
Assess how well the instrument performs over time.
Antabuse is what type of technique
Aversion Therapy
Flooding
Exposing a client for a period of time to high intensity feared stimuli.
MEPA Multiethnic Placement Act of 1994
Prohibits race or ethnicity from being a factor in denying approval for a potential placement in adoptive or foster care. It also ensures that agencies recruit a diverse pool of potential placements that are accurately reflects the population in need of those supports.
Inferential statistics
Allow a researcher to draw conclusions based on the data that is available about a larger population.
Bill is meeting with his client Inez. Inez is suffering from a great deal of stress related to her unexpected job loss, family struggles, and trauma from the past. In coming up with a stress reduction program for Inez, what would be the first thing Bill should encourage Inez to do?
Monitor her stress levels.
Knowledge
Recognition of facts
Comprehension
Understanding facts
Application
Knowing how facts can be used
Analysis
Breaking down information into parts
Synthesis
Combination of facts into something new
Evaluation
Judging or having an opinion about data
What is considered the cornerstone of professional skill development?
Individual supervision with a mentor.
Henry is treating his client Marquez, who suffers from severe social anxiety. Henry is helping Marquez learn skills that will help him overcome his deep anxiety about talking to people. One of the techniques Henry uses is to show Marquez a video of someone practicing the skill of engaging in a brief, polite conversation with a stranger.
Which of the following techniques is Henry using?
Symbolic modeling
Evolutionary Theory
John Bowlby
ID
Where the basic drives constantly push for release
Superego
Representing the demands of civilized society and parental influence
Ego
Whose job it is to negotiate between the two and function in the world.
Miranda is a social worker in a community mental health center. She regularly notes her interactions with clients in the medical record. One week after her interaction with a client named Susana, she realizes that she had called the client Sophia in her documentation though she had called her by the right name in their interactions.
Given that the issue is a relatively minor one, what should Miranda do to correct the situation?
Add a note explaining the situation as soon as possible.
Conflict Theory
Karl Marx the structure of society is based on the conflict of various groups competing for economic resources.
How do Asian clients respond to psychotropic drugs
Asian clients typically require lower doses of psychotropic medications.
Humanistic Theory
believes that a person should be engaged with as a totality and not just as a diagnosis.
Preconventional
characterized by acting acceptably out of fear of punishment or self-interest
Conventional
characterized by acting acceptably out of obedience or the approval of others
Postconventional
characterized by acting acceptably out of principle or concern for the welfare of others.
Quasi Experimental
contain experimental and control conditions but do not involve random assignment
Experimental
most rigorous, involving random assignment of members to both control and expeirmental groups.
Pre experimental
those which only involve intentional groups and there is no random assignment or control condition.
Cooptation
a method of quieting dissent in a social body that is seeking accommodation. This method partially accommodates the demands of the social body while redirecting the energy of that social body into other avenues besides the primary one. If successful, this has the effect of quelling dissent and redirecting the movement into more complacent channels.
Does the DSM distinguish between mental disorders and non-disordered conditions?
Yes, it explicitly distinguishes disorders from non-disordered conditions.
Sensorimotor (0-2)
characterized by symbolic understanding and imitative play
Preoperational (2-7)
characterized by magical thinking, language learning, and night terrors
Concrete operations (7-11)
abstract thought and logic
Formal operations (11+)
future planning and a greater level of abstraction as well as taking adult responsibility
Randy is a person who has Borderline personality disorder. He has previously adored his therapist Juanita, but when she says that she must terminate therapy due to moving to another state, Randy becomes angry and says, “You were never that good a therapist anyway.”
Which of the following best describes the defense mechanism Randy is using?
Devaluation
Beth is a social worker practicing in a low-wealth, remote rural environment. One of her clients, Philip, is unable to pay her in regular currency as he is indigently poor. He offers her some fresh eggs from his chicken coop as partial payment for services.
Should Beth accept this offer?
Only if there is no other option, and if Beth is willing to assume responsibility.
