Interventions Flashcards

1
Q

A family therapy technique in which family members physically pose other family members as a demonstration of family dynamics

A

Sculpting

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2
Q

A physical representation of a family’s emotional and medical history

A

Genogram

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3
Q

When one family member expresses their feelings to another family member, represented by an empty chair, then responds to that other family member and carries on a dialogue

A

The empty chair technique

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4
Q

Meeting with one family member individually as a means of creating change within the entire family system

A

Strategic alliance

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5
Q

A couple seeks therapy to improve the communication. During an initial session, the couple reports that their arguments frequently get physical because the wife makes the husband so mad. The social worker should:
A. Explore the ways in which the wife makes the husband mad.
B. Discuss a safety plan.
C. Require the couple to sign a no violence contract.
D. Refer each of them to individual therapy.

A

D. Refer each of them to individual therapy.

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6
Q

While assessing a 71 year old man in his home, the social worker sees that his apartment is full of garbage. The man is thin and frail. He can’t remember the last time he went to the doctor, but he has a card from the office. What MUST the social worker do in this case?
A. Contact the man’s family
B. Refer him to meals on wheels
C. Take him immediately to his doctor
D. Call Adult Protective Services

A

D. Call Adult Protective Services

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7
Q

In an initial session, a 45-year-old male client who has been unemployed for six months reports that he doesn’t see his situation getting any better. He says that he can’t stand having his wife and children see him like this. The social worker should FIRST:
A. reassure the client that his family loves him.
B. Acknowledge that he has reasons
bad
C. Ask the client if he has thoughts of suicide
D. Explore the client’s career options

A

C. Ask the client if he has thoughts of suicide

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8
Q

During a group therapy session, one of the group members reports that her sister in law has been butting into her life, and if she keeps it up, the client is “going to let her have it.“ The social worker should:
A. Validate the clients anger
B. Explore what the client means by “going to let her have it “
C. Encourage group members to share their reactions.
D. Identify healthy ways for the client to express her frustration.

A

B. Explore what the client means by “going to let her have it “

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9
Q

A family is referred by their minister for family therapy. During the initial assessment, the social worker learns that the mother abuses alcohol. Which of the following interventions should the social worker take FIRST?
A. Involve the family in creating a family map of their problem.
B. Obtain a release to speak with their minister
C. Work with the mother regarding her need for an alcohol dependency assessment.
D. Conduct a comprehensive assessment of the family members.

A

C. Work with the mother regarding her need for an alcohol dependency assessment.

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10
Q

Parents of a six year old are referred to the social worker by the child’s teacher, who reports that the child is struggling to complete the coursework and frequently acts out in class. The parents are confused and report that the child is healthy and well behaved at home. The social worker should FIRST:
A. Provide psychoeducation about ADHD
B. refer the child to a psychiatrist for medical evaluation
C. Encourage the parents to get psychological testing
D. Recommend that the parents switch classes

A

C. Encourage the parents to get psychological testing

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11
Q

A 55-year-old man presents for treatment, three weeks after the death of his dog. Prior to this incident, he was social and enjoyed many hobbies. Since then, he has stayed at home because he’s ashamed he’s so upset about a dog. The social worker should FIRST:
A. Provide psychoeducation on the stages of grief
B. Encourage the client to attend a grief support group
C. Normalize his feelings of grief about his dog
D. Refer to a psychiatrist for a medication evaluation

A

C. Normalize his feelings of grief about his dog

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12
Q

A social worker is working with a male client who reports occasional impotence and anxiety when having sex with his new girlfriend. The client shares that he has had issues like this in the past but did not have an issue with his previous girlfriend. What therapy intervention should the social worker consider?
A. Desensitization
B. Sensate Focus
C. Exposure Therapy
D. Dialectical Behavioral Therapy

A

B. Sensate Focus

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13
Q

A 45-year-old lawyer seeks therapy initially complaining of depression, moodiness, and extreme fatigue. She also discloses that she has recently lost a lot of weight without any effort. The social worker should FIRST:
A. Explore how the depression is affecting her life
B. Assess for suicide risk
C. Rule out substance abuse
D. Encourage the client to see an MD

A

D. Encourage the client to see an MD

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14
Q

A couple reports increased marital conflicts. The husband notes that his wife has become irritable, isolative, and lethargic since she was laid off from her job three months ago. The wife states she is tired of her husband’s constant nagging for her to be more helpful around the house. Both report a lack of physical and emotional intimacy, but expressed a desire to resolve their problems. Which of the following areas should the therapist assess first to identify the degree to which current stressors are impacting the relationship?
A. The wife’s work history and her prognosis for reemployment.
B. The couples styles of coping and their degree of effectiveness.
C. The effect of socioeconomic factors on the couples problems.
D. The effect of dysfunctional patterns in the couple’s communication.

A

C. The effect of socioeconomic factors on the couples problems.

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15
Q

A four-year-old boy is brought in by his mother, who anxiously tells the social worker that she thinks her son has been molested. When the social worker asks what makes her think this, she starts crying and tells you that she has caught him masturbating in his bed, and in the bathtub the social worker should FIRST:
A. Ask the child if anyone has touched him in his private area
B. Validate the mothers concerns and utilize play therapy to further assess for sexual abuse.
C. Get a release to talk to his school and find out if they have seen a change in his behavior.
D. Provide mother with psychoeducation regarding his developmental stage.

A

D. Provide mother with psychoeducation regarding his developmental stage.

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16
Q

A social worker is working with a family with three children, ages 7, 9, and 15. The parents are concerned that the 15-year-old daughter does not want to participate in family activities and wants to spend time in her room or with her friends. They share that they are concerned she is depressed and they are worried she may disengage in school. What should the social worker do FIRST?
A. Obtain a release to speak with the school
B. Refer the 15-year-old for a medication evaluation
C. Provide psychoeducation about normal adolescent development
D. Encourage the parents to share their concerns directly with their daughter

A

C. Provide psychoeducation about normal adolescent development

17
Q

An older couple comes to therapy. The husband reports that since he retired one year ago, he spends much of his time completing his wife’s daily chores. He does not understand why she is upset all the time. “I feel so useless,” she says. What intervention would address their dilemma?
A. Help them set more adaptive boundaries so they can shape new roles for themselves
B. Reframe her uselessness as an attempt to distract her husband from his feelings of loss
C. Encourage the wide to involve herself in volunteer activities so she will feel more useful
D. Encourage the husband to obtain part-time employment to divert his attention from his wife

A

A. Help them set more adaptive boundaries so they can shape new roles for themselves

18
Q

A therapist is working with a family with three children, the youngest of whom, age 12, is in a wheelchair because of cerebral palsy. The parents describe the child’s withdrawal from outside activities and believe that he is depressed. The child remarks that his mother hovers over him and that his siblings dislike him because he has no chores at home. He expresses an interest in staying with a cousin over Christmas break and says he wants more responsibility at home. What should the therapist do FIRST?
A. Support the mother’s understandable need to be protective
B. Focus on the 12-year-old’s need for greater self-esteem
C. Help the family address the 12-year-old’s expressed needs
D. Suggest the family explore outside activities for the 12-year-old

A

C. Help the family address the 12-year-old’s expressed needs