LMSW

Question 1

As a new clinical social worker you find yourself being told by your supervisor you need to
be more confrontational. This seems at odds with the social work mission, until you
supervisor explains the primary purpose of confrontation is to:

Answer 1

make a client aware of inconsistencies

Question 2

You have been hired, by a private, non-profit agency, which works with the HIV/AIDS
population. The primary function of your unit is to educate sexually active individuals about
the disease and to help them understand the importance of testing, life-style changes and
treatment if necessary. What is the BEST way to describe your agency’s type of
prevention?

Answer 2

secondary prevention

Question 3

Terri showed up for his appointment very upset and anxious. She stated she is frightened
because she has begun hearing the voices again. The voices that tell her she should kill
herself. She has been hearing these voices for approximately 5 years and has two prior
suicide attempts over this time. She states that the voices have become stronger over the
past week. She says she had received a call from her mother that a friend from high school
had completed a suicide attempt. Your FIRST intervention should be…

Answer 3

Begin a complete suicide risk assessment.

Question 4

You have begun working with a family in which there is a verified history of incestuous
relationships. Of the following characteristics, which one is MOST often found in families in
which incestuous relationships have occurred?

Answer 4

Enmeshment of family members

Question 5

You are seeing a client who brings in a plastic bag full of prescription bottles. Most are
empty but you locate one which is half full. You realize, from this prescription the client
probably is being treated for a seizure disorder. The medication you discovered was…

Answer 5

Depakote

Question 6

You have been asked by a colleague to consult with a young couple who have two children,
ages 6 and 2. They have recently been told, their 6-year-old child has an Affective Disorder.
The diagnosis was made after a school referral to a clinical social worker. The FIRST thing
you should do for this couple is…

Answer 6

Empower the parents through education about the disorder

Question 7

You have been working with a client who has been describing a behavior which causes
them to feel uncomfortable, distressed, and burdened. According the tenets of Ego
psychology, this type of behavior would be BEST described as…

Answer 7

Ego Dystonic

Question 8

You are working with an adult female who is experiencing difficult relationships plagued by
feelings of abandonment, idealization and devaluation of others with high positive regard
and heavy disappointment or dislike. You believe this problem with relationships deals with
unstable childhood experiences. Of the following treatment models, which would provide the
BEST chance of success in therapy.

Answer 8

Dialectical Behavioral Therapy

Question 9

Of the following drugs prescribed by a psychiatrist, which would be most likely prescribed
for a diagnosis which included psychosis?

Answer 9

Risperdol (Risperidone)

Question 10

Marco is a clinical social worker who has just taken a position with a community mental
health agency which primarily serves Latino families in a 30 mile radius. When dealing with
families referred to the agency, Marco should be concerned FIRST with …

Answer 10

Determine the degree of assimilation into American culture.

Question 11

You have just begun an initial session with a battered woman who is just starting to tell you
about the story and history of abuse. The BEST thing you can do as a therapist is…

Answer 11

Simply listen to her story and do not offer advice or suggestions.

Question 12

According to LaFromboise, Teresa D., Joseph E. Trimble, Gerald V. Mohatt, effective
counseling strategies with Native American populations include all of the following EXCEPT:
A) Assess level of acculturation
B) Include families in interventions
C) Providing therapy in a “value-free” environment
D) Acknowledge the client’s tribal and familial affiliation

Answer 12

Providing therapy in a “value-free” environment

Question 13

You are school social worker called to a teacher’s room because they have a six-year-old child
who has scrapes on his knees and shins. At the classroom the teacher states this is not the first
time the child has come to school with scrapes on his legs. As a mandated reporter your next
BEST step is to:

Answer 13

Question the teacher about past incidents.

Question 14

You are finishing you work with a client. As you begin the process of termination, your
PRIMARY goal is …

Answer 14

Summarize the progress and goals you have achieved

Question 15

You are working for an agency that takes walking referrals. In the middle of your shift you have
a walking referral, concerning a female who is a battered woman. She presents as scared and
paranoid. Of the following actions, which intervention should you complete first ?

Answer 15

Obtain referrals for immediate safety

Question 16

You are writing a proposal to your agency to begin a group therapy project. As you are listing
the different aspects of the group, you realize the most important aspect you should consider for
establishing membership in the therapy group is?

Answer 16

Client diagnoses

Question 17

You are clinical social worker being trained in the use of cognitive behavioral therapy. Which of
the following BEST describes the progress achieved as a result of the CBT intervention?

Answer 17

Behavior the client exhibits

Question 18

Of the following medications, which one is MOST LIKELY to be used for the treatment of bipolar
disorder?

Answer 18

Abilify

Question 19

A common complication in alcohol dependence is elevated pulse and blood pressure, often
in the hypertension range. The BEST description for this is?

Answer 19

Direct toxicity to striated muscle

Question 20

Excessive drinking may interfere with the absorption, digestion, metabolism, and utilization
of nutrients, particularly vitamins. Alcoholics often use alcohol as a source of calories
instead of obtaining calories from a food source.
This behavior may lead to a nutrient deficiency and malnutrition. The BEST description of
the damage done is?

Answer 20

Direct toxic effects of alcohol on the small bowel; Malnutrition, malabsorption, and ethanol toxicity; Severe neurological damage.

Question 21

You have begun working with a number of clients who are classified as dual-diagnosed.
This means they have a mental health and a substance abuse diagnosis. The first thing you
realize is the great variety of client presentation during your sessions. When working with
this population, you should plan on focusing which diagnosis FIRST?

Answer 21

The disorder with the most severe symptoms

Question 22

While the use of marijuana only has little impairment on a driver, mixing even small
amounts of alcohol with marijuana has severe impact on driving skills. According to the
National Highway Traffic Safety Administration’s National Center for Statistics and Analysis,
which represents the MOST accurate percent of traffic fatalities which were alcohol related?

Answer 22

about one-third

Question 23

A social worker at a community counseling center meets with a 15-year-old girl
and her mother for an initial assessment. During the assessment, the mother
dominates the session telling the social worker that her daughter recently found out
she is pregnant and she would like her to have an abortion. The girl remains silent
throughout the session and when asked by the social worker what she wants she
states, “I don’t care.” The social worker should FIRST:

Answer 23

Meet with the daughter individually to explore her feelings about the pregnancy.

Question 24

A 30-year-old man who came out to his family as being gay has been meeting with
a social worker for the past 3-months. During sessions, the client states that when he
is with his friends who are straight he feels the need to criticize and make fun of
other gay men. Which of the following BEST describes the client’s behavior?

Answer 24

Reaction Formation

Question 25

A social worker has been struggling to maintain her client caseload after losing her
mother to cancer. During a recent session, a client stated that it feels like the the
social worker isn’t focused on what she’s saying. The social worker should FIRST:

Answer 25

Consult with a supervisor.

Question 26

A school social worker has developed an educational curriculum that addresses the risks
of substance abuse and drug use to middle school classrooms. This is an example of:

Answer 26

Primary Prevention

Question 27

A social worker is meeting with a 25-year-old woman who was laid off from her
job three months ago and since then has been struggling financially. The client
also reports that her boyfriend of four years recently broke up with her after
cheating on her with another woman. The client reports increased feelings of
hopelessness and states, “I don’t know what the point is anymore.” The social
worker should FIRST:

Answer 27

Assess the client for suicidal ideation.

Question 28

A social worker meets with the parents of a 25-year-old man who is struggling
with substance abuse. During the session the mother states that she is frustrated
with her husband because he is constantly allowing their son to live in their home
and gives him money since he has been unable to keep a job due to his drinking.
Which of the following BEST describes the father’s behavior?

Answer 28

Enabling

Question 29

A social worker facilitates a group for women who are survivors of childhood
sexual abuse. During a recent meeting it becomes clear that one of the women
violated group confidentiality by discussing the details of another member’s abuse
history with her husband. What should the social worker do NEXT?

Answer 29

Process the confidentiality violation during the group.

Question 30

A client seeks services at a community mental health center. He reports that his
chief complaint is that he can’t get a job so he is “stuck living in his parents’
basement.” He is dressed in pajamas with a neck tie. He reports that his only
friends are people he knows online in an alien tracking club. He asks if the social
worker believes in ghosts. What diagnosis should be considered for this client?

Answer 30

Schizotypal Personality Disorder

Question 31

A social worker is receiving repeated telephone calls from a previous client who has completed treatment and resolved the targeted problem. What should the social worker do?

Answer 31

Schedule a session to assess the client for further problems

Question 32

How can a social worker BEST establish rapport with a client in the first interview?

Answer 32

Understand the client’s view of the problem

Question 33

A social worker at a community mental health agency is doing a home visit
to a client as he has not gotten his medication refilled as prescribed. The
social worker learns that he has not been taking it for several weeks due to
a belief that it is not helping alleviate his thought to “just end things.” In
order to assist the client, the social worker should FIRST:

Answer 33

Conduct a suicide risk assessment

Question 34

Upon intake, a client who professes to be “health conscious” reports
that she smokes cigarettes. When asked by the social worker if she is
aware of the health risks associated with smoking, the client states that
“the reports are filled with misinformation and the hazards are not
that great.” The client’s assertion MOST likely results from:

Answer 34

Cognitive dissonance

Question 35

A social worker who retired more than a year ago from private
practice runs into a former client whom she has not seen in years.
The former client received grief counseling from the social worker for
several years after her mother died. The former client also recently
retired and suggests that the social worker join a local group for
retirees to which she belongs. The social worker, who has been
looking for ways to stay active, agrees to attend the next meeting. The
social worker’s actions are:

Answer 35

Problematic as she is knowingly creating a conflict of interest or
dual relationship

Question 36

A client reports that he was recently in a serious accident at work that
has resulted in limitations in his mobility. In this situation, a social
worker should FIRST:

Answer 36

Conduct a biopsychosocial assessment to determine the impact of
the client’s physical changes on his other life domains

Question 37

Universalism as a basis of social allocation is BEST defined as:

Answer 37

Benefits made available to an entire population as a basic right

Question 38

Absent client consent to release records or a recognized legal exception,
what ethical duty do social workers have with regard to releasing client
information?

Answer 38

Social workers must release information only if subpoenaed to
do so

Question 39

A school social worker is contacted by the parents of a 12-year-old boy as they would like to see his educational records based on the
belief that they contain inaccurate information about his academic achievements. Under federal law, these records are:

Answer 39

Open to inspection and review by the parents at any time

Question 40

An example of cultural blindness in social work practice is:

Answer 40

Viewing the needs of all clients, not just those in the dominant culture, as equally important

Question 41

A client is upset about the breakup of his marriage. He feels distraught
and does not think that he will ever have another intimate relationship.
In this situation, the social worker can BEST demonstrate empathy by:

Answer 41

Listening attentively while looking at the client as he describes his feelings

Question 42

George Brager

Answer 42

Social Work theorist associated with community organization practice

Question 43

Harry Specht

Answer 43

Social Work theorist associated with community organization practice

Question 44

Saul Alinsky

Answer 44

Practitioner of Social Action

Question 45

Stages of practice in community organization practice

Answer 45

1. Socialization Group
2. Primary Group
3. Organization Development Group
4. Institutional Relations Organization

Question 46

DSM V: Axis I

Answer 46

Clinical syndromes and other conditions that may be a focus of clinical attention

Question 47

DSM V: Axis II

Answer 47

Personality Disorders & Mental Retardation

Question 48

DSM V: Axis III

Answer 48

General medical conditions (No DSM diagnosis belongs here, it refers only to physical disorders)

Question 49

DSM V: Axis IV

Answer 49

Psychosocial & Environmental Problems

Question 50

DSM V: Axis V

Answer 50

Global Assessment of Functioning

Question 51

Severity of Disorder

Answer 51

Mild, Moderate, Severe, In partial remission, In full remission, Prior history

Question 52

Person-in-Environment

Answer 52

Views client problems within the environmental context in which they occur

Question 53

Systems Theory

Answer 53

Looks at the constituent parts of a client as well as how well he or she fits into their various systems of life. Suggests that interventions focus on the interaction between person and environment.

Question 54

Ecological Perspective

Answer 54

Focused on reciprocal interactions between an individual and his or her environment. Believes that an individual’s perception of his or her environment affects overall well-being.

Question 55

Biopsychosocial Perspective

Answer 55

Analysis of human behavior as a function of the interaction of personal, biological, psychological, and social components

Question 56

Strengths Perspective

Answer 56

Alternative to deficit-based, problem-focused, and pathology-oriented perspectives. Orients the clinican to the client’s talents, skills, and abilities

Question 57

Schizophrenia and psychotic symptoms medication

Answer 57

Old: Haldol (Haloperidol), Thorazine (Chlorpromazine), Mellaril (Thioridazine), Stelazine (Trifluoperazine), Prolixin (Fluphenazine), Navane (Thiothixene), Clorazil (Clozapine)

Newer or atypical: Clorazil, Risperdal, Seroquel, Olanzapine (Zyprexa), Abilify

Question 58

Bipolar disorder medication

Answer 58

Mood stabilizers: Lithium, Tegretol, Depakote, Lamictal

Question 59

Depression medication

Answer 59

SSRIs: Prozac, Zoloft, Paxil, Luvox, Celexa, Lexapro

Atypical antidepressants: Effexor, Wellbutrin, Cymbalta

Tricyclic antidepressants: Imipramine, Amitriptyline, Elavil

MAOIs: Nardil, Parnate, Marplan

Question 60

Anxiety medication

Answer 60

Benzodiazepines: Ativan (Lorazepam), Xanax, Klonopin, Valium

Question 61

Attention disorders medication

Answer 61

Amphetamine-like: Ritalin, Concerta, Adderall, Adderall XR

Non-amphetamine: Strattera

Question 62

Delirium

Answer 62

Disturbance in consciousness or cognition that develops over a short period of time. Caused by a medical condition or is substance induced.

Question 63

Dementia

Answer 63

Memory impairment, multiple cognitive deficits. Includes Alzheimer’s (gradual onset with progressive deterioration), vascular dementia, dementia due to HIV, Parkinson’s, or other medical conditions.

Question 64

Rachel is in therapy for anger management. She has set a goal with her therapist to find healthy outlets to release her anger. Rachel has recently begun kickboxing and reports to her therapist that it is helpful to have a release for her pint-up feelings. Rachel engaging in a healthy activity such as kickboxing to release her anger is an example of which defense mechanism?

Answer 64

Sublimination- This defense mechanism is defined as a person engaging in a healthy activity in order to release internal emotions that are unpleasant, discomforting, or stressful.

Question 65

In facilitating a hospital support group for bereaved parents, a social worker can discuss a personal experience of death of child to:

Answer 65

Create a sense of shared experience- The ideal purpose of self-disclosure on behalf of the facilitator is to create a shared experience amongst the group members, and increase cohesion between the facilitator and group members.

Question 66

Emergence of symbolic thinking, animistic thinking (the belief that inanimate objects are alive), and egocentric thinking ( viewing the world from one’s own perspective and not being capable of seeing things from another person’s perspective) are characteristics of which stage of Piaget’s Theory of Cognitive Development?

Answer 66

preoperational- ages 2-7

Question 67

A young couple present for counseling following police intervention for domestic violence. He admits to drinking “a few too many sometimes, usually only 8-10 beers”. The FIRST step for hte social worker to take is:

Answer 67

provide informed consent for treatment- Before information can be provided (such as resources), or gathered (such as a safety concerns), the social worker must inform the clients consent, and limitations to consent

Question 68

On a Mental State Examination, the least remarkable piece of information is:

Answer 68

the client’s social status in the community- The Mental Status exam focuses on client’s psychological, emotional, and cognitive abilities

Question 69

Christine has been described by her mother as a normal and healthy child since her birth. However, one and a half months ago she began regurgitating her food and re-chewing it after every meal. She has been checked by her primary medical physician who found no physiological symptoms, thus the referral to your practice. No other DSM-5 diagnostic symptoms are present except those described above. What is the most appropriate diagnosis?

Answer 69

rumination disorder- a condition in which a person keeps bringing up food from the stomach into the mouth and re-chewing the food. This disorder usually starts after 3 months, following a period of normal digestion. This disorder often gives the child control and can be seen as attention seeking.

Question 70

Prior to assigning a diagnosis to a client, a clinical social worker should first rule out:

Answer 70

general medical conditions and substance-related disorders- these should always be considered first, and then ruled out if appropriate. Many mental health disorders share symptoms that are often present with medical conditions or substance abuse-related disorders.

Question 71

A couple requests help in improving their 7 year marriage. When you ask them about their goals, they begin to argue almost immediately. The husband states his wife nags him too much about chores. The wife states her husband is lazy. How should you proceed with establishing treatment goals?

Answer 71

Assist them in establishing treatment goals to help them learn how to improve communication and resolve conflict.

Question 72

A social worker has started to treat a woman who has been diagnosed with dependent personality disorder. The woman reports a variety of failed relationships. She acknowledges that she often makes unhealthy choices in the kinds of partners that she picks. When establishing a therapeutic relationship with a client, what sort of information should the social worker keep in mind?

Answer 72

The client may be superficially compliant with treatment to try to gain approval but may struggle to make lasting changes.

Question 73

Bobby and Betty have 3 kids, Billy, Bambi, and Brooke. During therapy Bambi sits in between the parents and looks at mom before answering any question. Dad shakes his head every time she looks at her mom. Which of the following should a structural therapist probably do?

Answer 73

Direct child to sit next to brother and sister and mom and dad next to each other.

Question 74

If a client is suffering from panic attacks, which of the following interventions, along with deep breathing would probably be most beneficial?

Answer 74

Interoceptive training are a type of conditioning technique where the therapist helps the client become more capable of recognizing and coping with social cues, triggers, and early signs of panic attacks.

Question 75

Mack is in an automobile accident, which nearly claimed his life, leaving him in intensive care for two months followed by three months of physical rehabilitation. What is your FIRST intervention strategy?

Answer 75

The first intervention will be to facilitate him telling his story and personal truth.

Question 76

Sacral refers to

Answer 76

The sacrum is the portion of the vertebrae column between the lumbar vertebrae and the structures of the coccyx.

Question 77

__________ - antipsychotic used to treat schizophrenia, bipolar disorder, and agitation

Answer 77

Abilify

Question 78

__________ - stimulant used to treat ADHD

Answer 78

Adderall

Question 79

__________ - used as a sleep aid, cause drowsiness

Answer 79

Ambien

Question 80

__________ - tricyclic antidepressant

Answer 80

Anafranil

Question 81

__________ - benzodiazepine, used to relieve anxiety

Answer 81

Ativan

Question 82

AASPIRINS

Answer 82

Acknowledge the client
Assess
Start where the client is
Protect the client
Intoxicated
Refer
Informed consent
Non-judgmental stance
Self-determination

Question 83

A fifteen year old girl has been sent home from school on three occasions for drinking alcohol at school. Each time, the mother becomes angry and threatens to punish the girl but is convinced by the father to give her another chance. Which of the following BEST characterizes the father’s behavior in this situation?

a. triangulation
b. enabling
c. advocating
d. manipulating

Answer 83

b. enabling

Question 84

Parents continually refuse to communicate with their child who is in a residential treatment facility. The social worker should FIRST:

a. respect the parent’s need for separation by not contacting them
b. request that the child be discharged
c. contact the parents about the child’s placement
d. assess the child’s response to the parents’ actions

Answer 84

d. assess the child’s response to the parents’ actions

Question 85

Common indicators of sexual, physical and emotional abuse include all of the following EXCEPT:

a. violence against younger children
b. sexualized behavior
c. isolation
d. stuttering

Answer 85

d. stuttering

Question 86

The concept of gender roles is BEST defined as:

a. attitudes and behaviors attached to individuals because of their sex
b. an individual’s sex orientation and/or preference
c. biological characteristics that influence an individual’s behavior
d. interplay of biological and sociocultural influences

Answer 86

a. attitudes and behaviors attached to individuals because of their sex

Question 87

Which type of interviewing question is MOST likely to generate client defensiveness?

a. open ended
b. closed
c. leading
d. why

Answer 87

d. why

Question 88

When interviewing a client whose speech patterns are different from the social worker’s, the social worker’s PRIMARY consideration should be that:

a. communication patterns vary due to economic conditions
b. speech is influenced by culture and experience
c. psychosocial conditions will cause variations in speech
d. speech is influenced by group taboos and norms and may indicate false beliefs

Answer 88

b. speech is influenced by culture and experience

Question 89

The initial symptoms of schizophrenia MOST often occur between which of the following years of age?

a. 6 to 12
b. 13 to 16
c. 17 to 45
d. 16 to 60

Answer 89

c. 17 to 45

Question 90

Which of the following approaches would be MOST appropriate to use in evaluating client satisfaction with the social worker’s provision of services?

a. using a single system design, evaluate the quality of services
b. in the final interview, ask the client about their level of satisfaction
c. after submitting process recordings, ask supervisor for feedback
d. at termination, ask clients to complete a service evaluation and satisfaction form

Answer 90

d. at termination, ask clients to complete a service evaluation and satisfaction form

Question 91

When conducting an assessment of the risk factors of child abuse for a child of a different ethnic background, a social worker must FIRST:

a. be aware of how personal cultural biases affect the social worker’s ability to deal with issues of diversity
b. realize that assessment models are not a substitute for clinical judgment or experience
c. use a strengths’ perspective rather than a deficit model to form a partnership with the child’s family
d. understand the need for appropriate eye contact, tone of voice and question techniques during the assessment

Answer 91

a. be aware of how personal cultural biases affect the social worker’s ability to deal with issues of diversity

Question 92

A social worker is receiving a client with long-standing depression. It becomes known that the client has racist beliefs. The social worker should:

a. respectfully confront the client’s prejudiced beliefs
b. educate the client about the negative effects of racism
c. refer the client to another therapist who might have similar belief
d. respect the client’s beliefs and focus on the presenting problem

Answer 92

d. respect the client’s beliefs and focus on the presenting problem

Question 93

Piaget created ________

Answer 93

theory of cognitive development

Question 94

Erikson worked in _______

Answer 94

Human psychosocial development theory

Question 95

Jesse Taft and Virginia Robinson started _______

Answer 95

Functional theory

Question 96

Ackerman was the _____

Answer 96

Father of Family Therapy. Psychoanalytic approach

Question 97

Bandura focused on ______

Answer 97

Motivational needs, drives, impulses, cognition toward action or change

Question 98

Skinner worked with _______

Answer 98

Learning and reinforcement, emphasis on consequences

Question 99

ID

Answer 99

Instinct and primitive behaviors

Question 100

Ego

Answer 100

Dealing with reality

Question 101

Superego

Answer 101

Our sense of right and wrong

Question 102

Psychosocial Development: Oral Stage

Answer 102

Birth - 1 year

Question 103

Psychosocial Development: Anal Stage

Answer 103

1 - 3 years old

Question 104

Psychosocial Development: Phallic Stage

Answer 104

3 - 6 years old

Question 105

Psychosocial Development: Latent Period

Answer 105

6 - 12 years old

Question 106

Psychosocial Development: Genital

Answer 106

12 years old and older

Question 107

Sinemet (medication)

Answer 107

primary medication used for Parkinson’s disease

Question 108

Primary Prevention

Answer 108

Keeps conditions known to result in a problem from occurring

Question 109

Secondary Prevention

Answer 109

Limit severity of problem. Early identification.

Question 110

Tertiary Prevention

Answer 110

Rehabilitory efforts to assist client who has already experienced a problem

Question 111

ECAR

Answer 111

Explore Clarify Assess Refer

Question 112

A patient who is described as “oriented times four” (or “oriented x4”) is able to
demonstrate awareness of which of the following four features:
A. Name, date, city, season.
B. Age, current year, location, and situation.
C. Name, gender, ethnicity, marital status.
D. Person, place, time, situation.

Answer 112

D. Person, place, time, situation

Question 113

Define the terms reliability and validity in evaluative testing:
A. A test is reliable if it is easy to use and valid if it is commonly used
B. A test is reliable if it produces consistent results and valid if it measures what it claims to measure
C. A test is reliable if it includes Likert scale response options and valid if it has been endorsed by major research institutions
D. A test is reliable if it measures what it reports to measure and valid if it produces consistent results

Answer 113

B. A test is reliable if it produces consistent results and valid if it measures what it claims to measure

Question 114

Executive functioning broadly refers to:
A. The skill and capacity of a leader to lead
B. Higher order cognitive functions and capacity
C. Administrative policy and guidelines
D. A bureaucratic leadership style

Answer 114

B. Higher order cognitive functions and capacity

Question 115

As a supervisor in a counseling clinic, you are approached by clerical staff asking how long they should retain patient counseling records. The best answer you could give is:
A. Until the client is no longer being seen
B. Until the patient dies
C. Until the statute of limitations expires
D. As long as possible, preferably indefinitely

Answer 115

D. As long as possible, preferably indefinitely

Question 116

You have been seeing a significantly depressed client for some months and have been carefully keeping records following each session. Recently the client became upset with you, as he felt you have been critical of his life and past decisions. During your last session, the client seemed overly suspicious and even a bit paranoid, despite your efforts
to reassure him and regain rapport. The next day, the client shows up without an
appointment and demands to see your clinical notes. Your BEST response would be to:
A. Tell the client to make an appointment to review his records
B. Tell the client he is not permitted to see your private notes
C. Immediately give the client a photocopy of his records
D. Give the client the original record, after you have made a copy

Answer 116

A. Tell the client to make an appointment to review his records

Question 117

Identify the difference between psychotherapy and counseling:
A. Psychotherapy is generally considered to be long-term in nature and counseling to be more short-term
B. Psychotherapy uses a specific systems approach while counseling is less bound by theory
C. There is no difference between the two terms
D. The term psychotherapy may only be used properly when referring to psychoanalysis

Answer 117

A. Psychotherapy is generally considered to be long-term in nature and counseling to be more short-term

Question 118

You have just had your first session with a 24-year-old college student. She is seeing you following the break-up of a two-year relationship, which occurred without warning about six weeks prior to this visit. As she explained it, “He met someone else and just
moved on.” She has been having trouble sleeping and concentrating on her studies since that time. Today she presents as dysphoric and tearful, but is affectively expressive and responsive to humor and other interactive stimuli. The university she attends is a considerable distance from her family and friends, leaving her with limited support during this difficult time. The most appropriate diagnosis would be:
A. Primary Insomnia
B. Major Depression
C. Adjustment disorder with depressed mood
D. Acute stress disorder

Answer 118

C. Adjustment disorder with depressed mood

Question 119

You work for a major corporation as a counselor. The available services are broad, and include family therapy and couples counseling. You were sought out by a husband,
experiencing significant marital discord. He is employed by the corporation, and he took the first steps to enter couples counseling. After a few sessions, it becomes clear that the
wife has traits of a serious Axis II disorder, and over time you begin seeing her
exclusively. It has been two months since your last contact with the husband. Please identify your primary client.
A. The husband
B. The wife
C. The corporation
D. The couple

Answer 119

B. The wife

Question 120

What primary condition is treated by monoamine oxidase inhibitors (MAOIs),
serotonin-norepinephrine reuptake inhibitors (SNRIs), and selective serotonin reuptake inhibitors (SSRIs)?
A. Attention Deficit Disorders
B. Eating Disorders
C. Sleep Disorders
D. Depressive Disorders

Answer 120

D. Depressive Disorders

Question 121

You are called to evaluate the 4-year-old child of a Southeast Asian family. The child has been ill for some days, and was brought to the emergency room with a temperature of
102° and symptoms of a pulmonary viral infection. During the medical examination, the
physician noted numerous long, reddened welts on the child’s skin, with superficial
ecchymosis (bruising) and petechiae (minute hemorrhages) across the child’s chest,
suggestive of some form of abuse. Through an interpreter, he learned that a healing “shaman” had repeatedly performed a “coin rubbing” procedure in an attempt to draw out “bad wind” or “bad blood.” You view the child’s back, and also see these marks. A nurse notes that “coin rubbing” to induce healing is common among traditional Vietnamese, Chinese, Hmong, Cambodians, and Laotians. She suggests that there is no need to report
it as abuse. You don’t want to alienate the family or cause them to avoid seeking health
care. As a social worker your best response would be to:
A. Concur with the nurse and close the case
B. Call a local Southeast Asian cultural center to learn more
C. Call CPS and let them decide
D. Call the police and request an investigation

Answer 121

C. Call CPS and let them decide

Question 122

You have been called to see the family caregiver of a 32-year-old developmentally
delayed dependent adult with a hand print bruise on his arm. The caregiver reports having to restrain the patient forcibly when the patient tried to leave the facility and run into busy traffic. The physician reports that the patient has no other old bruises, and you see no evidence of fear on the part of the patient when interacting with the caregiver. You realize, however, that a report must be filed, due to the nature and circumstances
surrounding the injury. After interviewing the caregiver and consulting with the
physician, he tells you that his nurse will be calling Adult Protective Services, so you
need not bother. The proper response is:
A. To thank the physician and nurse for saving you this burden
B. To call APS later and make sure they received the nurse’s report
C. To call the care facility’s licensing board and make a report there
D. To call APS yourself

Answer 122

D. To call APS yourself

Question 123

You are working with a 42-year-old executive who is coping with the after-effects of a business failure and subsequent personal bankruptcy. He is generally coping well, but
he reveals a past history of alcoholism and indicates that he is struggling with a desire to resume drinking. You encourage him to follow with an Alcoholics Anonymous group, but he responds that he thinks he can manage without such help. You have a personal drinking history yourself, and you recognize the warning signs. You then consider revealing your personal story and bolster your recommendation that he seek help, to demonstrate the level of your personal understanding and empathy, and to motivate him to take further action. The BEST course of action would be:
A. To withhold this information, because it involves personal disclosure by a therapist in a professional counseling relationship
B. To share your story, because it is entirely relevant to the client’s specific situation
C. To share your story, because the consequences if the client returns to drinking are potentially severe
D. To disclose limited information, being careful not to reveal too much about your own history, in order to motivate the client

Answer 123

A. To withhold this information, because it involves personal disclosure by a therapist in a professional counseling relationship

Question 124

You are hired by a private practice therapist who operates a court-supervised violent offender treatment program. One of your responsibilities is to screen new client referrals,
to ensure that only low-risk, first-time offenders are accepted into the program. In this process, you are to have each client sign a treatment consent form, which also includes a detailed consent for release of information. You note that instead of the usual time and target limits, the form allows information to be released at any time to “any law enforcement agency,” “any spouse, ex-spouse, or significant other,” “any welfare or abuse protection agency,” etc. You ask about the ethics of having clients sign this form, and you are told, “It’s a hassle to try and get specific information releases, and the safety
of the public is at stake. Use the form.” Your BEST response is to:
A. Use the form as directed
B. Refuse to use the form
C. Call your licensing board and discuss the form
D. Call law enforcement and discuss the form

Answer 124

B. Refuse to use the form

Question 125

A study attempts to measure the efficacy of a new antidepressant medication. A “control” group of depression sufferers will receive only a placebo, while an “intervention” group will receive the new medication. In this study, the “null hypothesis” would state the following:
A. The intervention group will report fewer symptoms of depression than the control group
B. The control group will report fewer symptoms of depression than the intervention group
C. Both the control group and the intervention group will report fewer numbers of depressive symptoms
D. There shall be no measurable difference in depression symptom reporting between the control group and the intervention group

Answer 125

D. There shall be no measurable difference in depression symptom reporting between the control group and the intervention group

Question 126

In statistical research, a “Type I Error” (also called an “alpha error,” or a “false
positive”) refers to:
A. Failing to reject the null hypothesis when the null hypothesis is false
B. A failure to randomize research participants, thereby potentially introducing bias
C. Rejecting the null hypothesis when the null hypothesis is true
D. Assuming a normal statistical distribution when it is skewed

Answer 126

C. Rejecting the null hypothesis when the null hypothesis is true

Question 127

In statistical research, a “Type II Error” (also called a “beta error” or “false negative”) refers to:
A. A failure to reject the null hypothesis when the null hypothesis is false
B. Erroneously selecting a statistical analysis model based upon invalid assumptions
C. Rejecting the null hypothesis when the null hypothesis is true
D. Making an error in mathematical calculations, upon which a finding is based

Answer 127

A. A failure to reject the null hypothesis when the null hypothesis is false

Question 128

According to Bush et al (2003), what percentage of people who successfully commit suicide have made a prior attempt?
A. 76%
B. 23%
C. 49%
D. Less than 10%

Answer 128

C. 49%

Question 129

In terms of quality assurance in social work practice, what does the acronym “CQI” represent?
A. Certification of Quality Institute
B. Communication Quality Index
C. Command of Quality Indicators
D. Continuous Quality Improvement

Answer 129

D. Continuous Quality Improvement

Question 130

Identify the missing step in Albert R. Roberts seven-stage crisis intervention model: 1) assess lethality; 2) establish rapport; 3) \_\_\_\_\_\_\_\_\_\_; 4) deal with feelings; 5) explore alternatives; 6) develop an action plan; 7) follow-up. The third step is:
A. Evaluate resources
B. Identify problems
C. Environmental control
D. Collateral contacts

Answer 130

B. Identify problems

Question 131

Critical Incident Stress Debriefing (CISD) refers to:
A. A quality improvement plan for crisis counselors
B. A method for reducing stress in “first-responders”
C. A communication-based stress evaluation technique
D. A way to rank the stress inherent in various encounters

Answer 131

B. A method for reducing stress in “first-responders”

Question 132

According to J.W. Drisko (2009), the five key factors required for a quality
therapeutic relationship between client and clinician are: 1) affective attunement; 2) mutual affirmation; 3) joint efforts to resolve missteps; 4) __________; and 5) using
varying types of empathy. The fourth key factor is:
A. Use of humor
B. Accepting criticism
C. Capacity to trust
D. Goal congruence

Answer 132

D. Goal congruence

Question 133

A woman describes herself as happily married, yet she occasionally engages in episodic sexual contacts with other men. When asked what motivates her episodes of infidelity, she provides a rather vague initial response and finally states, “I guess I just don’t know.” According to Freud, what area of cognition is involved in her behavior?
A. The subconscious mind
B. The preconscious mind
C. The conscious mind
D. The unconscious mind

Answer 133

D. The unconscious mind

Question 134

Freud described the concept of pain (whether physical or emotional) as arising through the psychic process of:
A. Repression
B. Introjection
C. Cathexis
D. Fixation

Answer 134

C. Cathexis

Question 135

You meet with a client who has been struggling financially. It becomes apparent that he must reduce his standard of living in order to maintain financial solvency. He therefore sells his large luxury automobile and purchases a small but reliable economy vehicle, realizing considerable savings. According to Heinz Hartmann’s “Ego
Psychology” this kind of accommodation is an example of:
A. Defensive functioning
B. Alloplastic behavior
C. Integrative functioning
D. Autoplastic behavior

Answer 135

B. Alloplastic behavior

Question 136

According to “Object Relations Theory,” an infant’s separation and individuation
from its mother should largely be complete by the time the infant is aged:
A. 24 months
B. 5 months
C. 14 months
D. 9 months

Answer 136

A. 24 months

Question 137

Self-Psychology, as postulated by Heinz Kohut, acknowledges that personality is partly formed by social structure. A cohesive self is achieved by incorporating the perceptions and functions of healthy significant others and objects into an internalized
self structure through a process called:
A. Empathic mirroring
B. Rapprochement
C. Differentiation
D. Transmuting internalization

Answer 137

D. Transmuting internalization

Question 138

The primary focus of Gestalt Psychology, as founded by Frederick Perls, is on:
A. The developmental issues and the past, as they influence the present
B. The “here and now”
C. Adaptation and the future
D. Moral development

Answer 138

B. The “here and now”

Question 139

According to Erik Erikson’s model of the Psychosocial Stages of Development, individuals over the age of 50 are moving into the following stage:
A. Ego integrity versus despair
B. Intimacy versus isolation
C. Identity versus role confusion
D. Generativity versus stagnation

Answer 139

A. Ego integrity versus despair

Question 140

The capacity to understand death is a developmental process. From ages 2-5, death is not understood as permanent and may be viewed as sleep. From ages 5-9, death’s
permanence may be recognized, but some children may not understand it will happen to them (external symbols such as angels and skeletons predominate). By age ten (but more often around age seven, especially if loss of a pet or loved one has occurred), death is understood as permanent, irreversible, and inevitable. The two developmental stages that encompass these increasingly elaborate understandings (in ascending order), as identified by Piaget, are:
A. Formal operational, concrete operational
B. Pre-operational, formal operational
C. Pre-operational, concrete operational
D. Sensorimotor, pre-operational

Answer 140

C. Pre-operational, concrete operational

Question 141

An early cognitive theorist, who worked directly with Freud, established a theoretical orientation that differed from Freud’s in three key features: 1) an individual’s personality is best perceived as a whole, rather than as having hierarchical segments or parts; 2) social relationships drive behavior more than sexual motivations; and 3) current beliefs
and thoughts play a far greater role in human behavior than is suggested via psychoanalytic theory, which is based largely in the unconscious and in past experiences and beliefs. The name of this theorist is:
A. Lawrence Kohlberg
B. Anna Freud
C. Albert Ellis
D. Alfred Adler

Answer 141

D. Alfred Adler

Question 142

Which cognitive-behavior approach incorporates a theory of emotion known as the “ABC Theory of Emotion”?
A. Mindfulness-based cognitive therapy
B. Rational emotive therapy
C. Functional analytic psychotherapy
D. Cognitive analytic therapy

Answer 142

B. Rational emotive therapy

Question 143

In working with a client, you become aware that she persistently behaves in ways to please or gain the approval of others. While this is not always problematic, you discover that she is obsessed with wearing the “right” clothes, living in the “right” neighborhood, and marrying the “right” person. At present, her finances are in a shambles as she tries desperately to “keep up with the Joneses,” and her romantic life is suffering, as she only pursues relations that she believes others think are optimum, rather than judging relationships on more personally relevant values, such as her feelings for them, baseline compatibility, etc. Utilizing Kohlberg’s Theory of Moral Development, specify the Level and Stage of moral development that applies to this individual:
A. Conventional Level, Stage 3
B. Pre-conventional Level, Stage 1
C. Post-conventional Level, Stage 6
D. Conventional Level, Stage 4

Answer 143

A. Conventional Level, Stage 3

Question 144

Name the four kinds of reinforcement used in Operant Conditioning Theory, as established by B.F. Skinner:
A. Positive reinforcement, conditioned stimulus, consequence responses, and negative reinforcement
B. Negative reinforcement, punishment, conditioned responses, and antecedent events
C. Consequence response, deprivation responses, rewards, time-out responses
D. Positive reinforcement, negative reinforcement, punishment, and extinction

Answer 144

D. Positive reinforcement, negative reinforcement, punishment, and extinction

Question 145

Identify the four steps (in the proper order) that Albert Bandura formulated to operationalize Social Learning Theory:
A. Attention, retention, reproduction, motivation
B. Attention, motivation, retention, reproduction
C. Motivation, retention, reproduction, attention
D. Reproduction, motivation, attention, retention

Answer 145

A. Attention, retention, reproduction, motivation

Question 146

You have a client experiencing significant cognitive dissonance. She considers herself as a very principled person, and holds herself to very high standards of conduct. She very openly condemns drinking, gambling, and other “vices,” yet she reveals that she
has long struggled with a desire to gamble. Her very vigorous denunciations of gambling, even while harboring a desire herself, constitute the application of what defense mechanism?
A. Projection
B. Rationalization
C. Reaction formation
D. Substitution

Answer 146

C. Reaction formation

Question 147

You have been contacted by a couple to assist them with issues of marital discord.
They have been married about six months. The wife presents as vulnerable, tearful, and anxious, and the husband presents as angry and overwhelmed. The wife openly claims that “he has never loved me,” and expresses anger that he married her without “the proper feelings.” The husband responds that he has “done everything possible” to “prove” his love (to the point of near bankruptcy and jeopardizing his employment with frequent
absences), but nothing is sufficient. During the interview, you discover that she has had many short-term relationships in the past, that she has a history of suicide gestures and “fits of rage.” Further, she frequently demands a divorce and then begs him to stay, is routinely physically assaultive, etc. The most likely diagnosis is:
A. Intermittent explosive disorder
B. Histrionic personality disorder
C. Paranoid personality disorder
D. Borderline personality disorder

Answer 147

D. Borderline personality disorder

Question 148

Developmentally, a child that can walk independently both sideways and backwards,
climb stairs, throw objects, jump with two feet, and that knows several words and short phrases would be approximately:
A. 9-12 months old
B. 15-17 months old
C. 18-19 months old
D. 2 years old

Answer 148

C. 18-19 months old

Question 149

Identify the gender and typical age when the “Electra Complex” occurs:
A. Females, 3-7 years of age
B. Males, 3-6 years of age
C. Females, 8-12 years of age
D. Males, 6-12 years of age

Answer 149

A. Females, 3-7 years of age

Question 150

A group of individuals with one or more characteristics (social, physical, religious, or
cultural) identified as being subordinately distinct in a larger societal context is referred to as a:
A. Heterogeneous group
B. Minority group
C. Target group
D. Homogeneous group

Answer 150

B. Minority group

Question 151

T/F: Social Workers should work with diverse clients only if they have had specific training in that client’s unique cultural background.

Answer 151

False

Question 152

Cultural competence in individual social work practice is best defined as:
A. The ability to work well with diverse groups
B. Receiving excellent training in diversity
C. The possession of a wide-ranging knowledge of many diverse groups
D. The ability to recognize stereotypes, prejudiced views, and biases

Answer 152

A. The ability to work well with diverse groups

Question 153

Basing one’s feelings, attitudes, and beliefs regarding a specific group of people upon preconceived ideas, rumors, and inferences is BEST defined as:
A. Bias
B. Prejudice
C. Stereotyping
D. Singling out

Answer 153

B. Prejudice

Question 154

Basing the opportunities, options, and benefits available to a specific group of people based upon preconceptions and assumptions is BEST defined as:
A. Bigotry
B. Discrimination
C. Prejudice
D. Misogyny

Answer 154

B. Discrimination

Question 155

Identify the four most common minority classifications:
A. Ethnicity, gender, sexual orientation, culture
B. Religion, race, gender, sexual orientation
C. Age, appearance, social standing, gender
D. Age, gender, race, sexual orientation

Answer 155

D. Age, gender, race, sexual orientation

Question 156

The belief that your personal background (i.e., race, culture, religion, etc) is superior to that of others is known as:
A. Stereotyping
B. Racism
C. Ethnocentrism
D. Elitism

Answer 156

C. Ethnocentrism

Question 157

Identify the five classifications of race most commonly used:
A. Asian, Black, Hispanic, Native American, White
B. Asian, Black, Native American, Spanish, White
C. African, Asian, Indian, Spanish, White
D. Asian, Black, Mexican, Native American, White

Answer 157

A. Asian, Black, Hispanic, Native American, White

Question 158

Presenting symptoms that may appear to reflect from mental illness, but which actually arise from specific cultural practices, beliefs, or values, are referred to as:
A. Belief-based symptoms
B. Iatrogenic symptoms
C. Factitious syndromes
D. Culture-bound syndromes

Answer 158

D. Culture-bound syndromes

Question 159

In obtaining an interpreter for a non–English-speaking client, your best option would be to select:
A. Another staff person at the facility or agency
B. A professional interpreter
C. A friend of the client
D. A relative of the client

Answer 159

B. A professional interpreter

Question 160

Upon first meeting a client, a therapist should begin by taking the following steps (in the order listed):
A. Summarize legal and ethical obligations, complete a counseling contract, explore the client’s presenting problem, and assess the client
B. Complete a service contract, summarize legal and ethical obligations
C. Establish rapport, summarize legal and ethical obligations, complete a service contract, and assess the client
D. Assess the client, summarize legal and ethical obligations, complete a service contract, and establish a rapport

Answer 160

C. Establish rapport, summarize legal and ethical obligations, complete a service contract, and assess the client

Question 161

A form of client assessment that focuses on a client’s social and relational functioning is known as:
A. A genogram
B. A social status examination
C. A social resource review
D. A social assessment report

Answer 161

D. A social assessment report

Question 162

A diagram that helps individual and families to visually depict the quality of
individual and/or family relationships with others, within a community, and with
important resources in their lives (e.g., food, shelter, work, school, health care, etc) is
called:
A. An eco-map
B. A family diagram
C. A genomap
D. A relational diagram

Answer 162

A. An eco-map

Question 163

Assessing a client by means of a checklist or questionnaire is particularly useful when:
A. The client doesn’t want to see the therapist
B. The client is unsure how to describe the situation, or if it is complex or risk laden and the therapist needs to be thorough
C. The therapist is too busy to see the client personally
D. The therapist wishes to avoid a client interview

Answer 163

B. The client is unsure how to describe the situation, or if it is complex or risk laden and the therapist needs to be thorough

Question 164

Identify the most commonly used intelligence measurement scale:
A. Wechsler-Bellevue Intelligence Scale
B. Stanford-Binet Intelligence Scale
C. Binet-Simon Intelligence Scale
D. Wechsler Adult Intelligence Scale

Answer 164

D. Wechsler Adult Intelligence Scale

Question 165

The Diagnostic and Statistical Manual of Mental Disorders (DSM), in its current
version (the DSM-IV-TR), is used to diagnosis mental disorders. It also allows for the entry of related factors through a multi-axial coding approach. Name the proper axis (in the corresponding order) for entry of each of the following: a) the Global Assessment of Functioning; b) relevant physical disorders; c) personality disorders and mental retardation; d) relevant psychosocial factors; and e) clinical disorders:
A. Axis I; Axis III; Axis II; Axis IV; and Axis V
B. Axis V; Axis III; Axis II; Axis IV; and Axis I
C. Axis II; Axis IV; Axis III; Axis V; and Axis I
D. Axis IV; Axis III; Axis II; Axis V; and Axis 1

Answer 165

B. Axis V; Axis III; Axis II; Axis IV; and Axis I

Question 166

Indicate the kind of codes used to identify conditions that are a focus of clinical
attention, but for which insufficient information exists to determine if the issues can be attributed to a mental disorder (or which may, in fact, not be due to a mental disorder but still require clinical attention):
A. DSM codes
B. GAF codes
C. V codes
D. ICD codes

Answer 166

C. V codes

Question 167

The process by which a client and therapist review past goals, summarize progress made, and finalize plans to maintain and continue past progress is called:
A. Closure
B. Wrap-up
C. Finalization
D. Termination

Answer 167

D. Termination

Question 168

A client with an intelligence quotient (IQ) of 76 should be given a diagnosis of:
A. Mild mental retardation
B. Borderline intellectual functioning
C. Moderate mental retardation
D. Severe mental retardation

Answer 168

B. Borderline intellectual functioning

Question 169

You are seeing a 16-year-old youth who has, for the past year, been losing his temper frequently, is regularly argumentative with adults, often refuses to follow direct requests, is easily annoyed, and routinely uses blaming to escape responsibility. Approximately four months ago he was caught in a single episode of shoplifting. The most appropriate diagnosis for this youth is:
A. Oppositional defiant disorder
B. Conduct disorder
C. Impulse-control disorder
D. Disruptive behavior disorder, not otherwise specified

Answer 169

A. Oppositional defiant disorder

Question 170

Encopresis is defined as:
A. The voluntary or involuntary passage of stool in an inappropriate place by a child over the age of four
B. The voluntary or involuntary passage of stool in an inappropriate place by a competent adult
C. Deliberate fecal incontinence only in a child over age four
D. Involuntary fecal incontinence only in a developmentally delayed adult

Answer 170

A. The voluntary or involuntary passage of stool in an inappropriate place by a child over the age of four

Question 171

The following criteria are all used to distinguish delirium from dementia, except one. Select the pair that is not used to distinguish delirium from dementia:
A. Acute onset vs slow onset
B. Diagnosis in patients under age 65 vs patients over age 65
C. Consciousness fluctuates broadly vs relatively stable symptoms
D. Global cognitive impairments vs idiosyncratic cognitive impairments

Answer 171

B. Diagnosis in patients under age 65 vs patients over age 65

Question 172

The following criteria are all used to distinguish substance abuse from substance dependence except:
A. Symptoms of substance abuse are usually less severe than those of dependence
B. The problematic effects of abuse are usually limited to family, finances, employment, and legal issues, while dependence also involves significant physiological problems
C. Substance abuse typically involves narcotics, while dependence typically involves non-narcotic drugs
D. Abuse is typically limited to recreational use, while dependence involves the need for increasing doses for the desired effect and withdrawal symptoms if not used regularly

Answer 172

C. Substance abuse typically involves narcotics, while dependence typically involves non-narcotic drugs

Question 173

Name the four classic diagnostic “A’s” of schizophrenia:
A. Awareness, ambivalence, autism, associations
B. Agitation, awareness, associations, autism
C. Affect, anxiety, ambivalence, awareness
D. Affect, associations, ambivalence, autism

Answer 173

D. Affect, associations, ambivalence, autism

Question 174

A 52-year-old man has been referred to see you for “family and work problems.” Two months ago he lost his job as an executive in a major corporation, and has not found new work. On intake you discover his drinking has increased, and he reports feeling
depressed most days. He can’t seem to enjoy doing anything, not even golf, which he used to love. Rather, all he can seem to do is sleep and “sit around the house.” He feels useless, empty, and helpless to change his situation. He has tried reading the want-ads, but he just can’t seem to focus. He’s gained over 18 lbs. He then adds, “Sometimes I seem to hear voices, telling me I’m just ‘no good,’ and that things will never get better. When that happens, I try to plug my ears, but it doesn’t help. Only booze seems to get the voices to stop. Do you think I’m going crazy?” What is the client’s probable primary
diagnosis?
A. Major depression
B. Major depression with psychotic features
C. Alcohol-induced mood disorder
D. Alcohol-induced psychotic disorder, with hallucinations

Answer 174

B. Major depression with psychotic features

Question 175

You are called to a hospital emergency room to see a 26-year-old university student. He came in claiming he was having a heart attack, but the medical work-up was entirely negative. You learn that he has been spending his nights sleeping in his car outside the emergency room, worried that he’s going to have a heart attack. He notes that at night his chest begins to tighten, his heart starts racing, his mouth goes dry, and his breathing becomes difficult. Next, his palms become sweaty and his hands start to tremble and
tingle. Then he feels dizzy, nauseous, and worries that he’s about to die. This is been
going on for about six weeks. His studies have suffered, and he’s becoming depressed and overwhelmed. He has no substance abuse history. Finally, he notes that his dad died of a heart attack at about his same age. His most likely diagnosis is:
A. Panic disorder with agoraphobia
B. Generalized anxiety disorder
C. Acute stress disorder
D. Obsessive-compulsive disorder

Answer 175

A. Panic disorder with agoraphobia

Question 176

You have been asked to see a 15-year-old girl for problems with body image and eating. After speaking with her, you discover that she suffers with an intense desire to lose weight, feeling that this will help her be more attractive to the opposite sex and more popular in her social circle. She is by no means obese or even “chubby” although she is
not overly slender. Her parents recently noted an increase in grocery costs, and that food seemed to be disappearing around the house inordinately quickly—often “junk” food and
other quick snacks. Finally, late one night, her mother passed the bathroom and heard the daughter “purge” her food. She confronted her and discovered that the daughter had been “binge” eating and inducing vomiting for some weeks. Some modest weight loss had occurred. The most appropriate diagnosis would be:
A. Anorexia nervosa, purging type
B. Anorexia nervosa, restricting type
C. Bulimia nervosa, purging type
D. Eating disorder, not otherwise specified

Answer 176

D. Eating disorder, not otherwise specified

Question 177

You are called to see a young black man in his mid-twenties. Two adult sisters
brought him for an urgent appointment. The young man is clean, neatly dressed in slacks, dress shoes, and a tweed sport coat. He is also calm, relaxed, and without any signs of agitation. The two sisters, however, appear disheveled, frazzled, and almost histrionic. They blurt out the he “has problems” and urge you to talk with him. Privately, he tells you that he is fine. Later, however, the ladies tell you he left home abruptly and traveled cross-country with no destination. He didn’t sleep for three days (with them pursuing him), was spending money excessively and writing checks he couldn’t cover. He ended up in a nationally famous amusement park at 3:00 a.m. (having scaled a fence), sitting on an empty rollercoaster “waiting for the ride to start.” When confronted, he admits all of
this, but says he’s now rested, and doing better. The most likely diagnosis would be:
A. Brief psychotic disorder
B. Bipolar I, single manic episode, in full remission
C. Bipolar I, single hypomanic episode, in full remission
D. Cyclothymic disorder

Answer 177

B. Bipolar I, single manic episode, in full remission

Question 178

Personality disorders are pervasive and enduring patterns of dysfunction. The DSM provides for the diagnosis of ten specific personality disorders, and one category for indeterminate behaviors that appear to characteristic of a personality disorder. All are
coded on Axis II of the multiaxial DSM diagnostic schema. These disorders are grouped into three clusters. Identify the cluster that does not properly describe a personality disorder group:
A. Cluster A: Paranoid, Schizoid, and Schizotypical Disorders (also referred to as “odd or eccentric behavior disorders”)
B. Cluster B: Impulsivity and/or Affective Dysregulation Disorders (also referred to as “dramatic, emotional, or erratic disorders”)
C. Cluster B: Violent and/or Explosive Disorders (also referred to as “aggressive and intrusive conduct disorders”)
D. Cluster C: Anxiety and Compulsive Disorders (also referred to as “anxious or fearful disorders”)

Answer 178

C. Cluster B: Violent and/or Explosive Disorders (also referred to as “aggressive and intrusive conduct disorders”)

Question 179

As a school counselor, you are scheduled to see a 9-year-old boy regarding disruptive behavior in the classroom. Rather than begin with an office visit, you directly observe his behavior in the classroom. There you noted the following: he seemed to constantly fidget
and squirm in his seat; he talked nonstop; he was frequently out of his seat, running, touching, and playing with anything and everything he could reach. The teacher’s efforts
to quiet him appeared to be forgotten almost instantly. When an art period was begun, which engaged most children, he still had difficulty as he was easily distracted and seemed to switch constantly from one activity to another. He appeared unable to slow down long enough to receive even simple and clear instructions. The few moments he was quiet, he seemed lost in daydreaming, staring out the classroom windows. The most likely diagnosis for this youngster is:
A. Attention deficit hyperactivity disorder (ADHD)
B. Conduct disorder
C. Obsessive compulsive disorder
D. Oppositional defiant disorder

Answer 179

A. Attention deficit hyperactivity disorder (ADHD)

Question 180

The perspective from which a social worker approaches client interactions should be based upon a blend of: 1) time and resources available; 2) the treatment modality required
(individual, family, group); 3) the issues to be addressed; 4) the outcomes (goals) sought; and 5) an appropriate theoretical framework. Taken together, this defines the social worker’s:
A. Theoretical orientation
B. Practice framework
C. Clinical approach
D. Model of interaction

Answer 180

B. Practice framework

Question 181

A practice framework that acknowledges and accounts for a client’s overall context
in: 1) social setting (family, peers, neighborhood, etc); 2) social relations quality (e.g.,
with other family members, friends, coworkers, etc); 3) external pressures (work,
organizations, etc); 4) culture; and 5) life-course events (marriage, births, retirement, etc) is called a(n):
A. Ecosystems framework
B. Cultural framework
C. Strengths framework
D. Generalist framework

Answer 181

A. Ecosystems framework

Question 182

A practice framework that approaches a client’s issue or presenting problem from the perspective of gender, sex roles, and related stereotyping and discrimination, along with the influence that these elements may bring to bear on the issue or presenting problem, is called a:
A. Gender framework
B. Roles framework
C. Strengths framework
D. Feminist framework

Answer 182

D. Feminist framework

Question 183

This type of experimental design is nonrandomized but has an intervention and comparison group.
A. Experimental
B. Quasi-Experimental
C. Pre-Experimental
D. Single-subject

Answer 183

B. Quasi-Experimental

Question 184

This addresses how generalizable those inferences are to the general public.
A. Internal validity
B. External validity

Answer 184

B. External validity

Question 185

This addresses the extent to which causal inferences can be made about the intervention and the targeted behavior.
A. Internal validity
B. External validity

Answer 185

A. Internal validity

Question 186

DIRDIR (Determine, Identify, Rank, Develop, Implement, Reflect) is used for _____ Problem Solving.

Answer 186

Ethical

Question 187

A process in which the people of the community become involved in the institutions and decisions that will have an impact on their lives is called _____________.

Answer 187

Community Advocacy

Question 188

Which criterion does not need to be met for social workers to be able to terminate clients for nonpayment of fees?
A. the clinical and other consequences of the nonpayment have discussed with clients
B. the financial contractual arrangements have been made clear to clients, preferably in writing
C. social workers have used sliding scales to make fees affordable for clients
D. clients do not pose imminent danger to self or others

Answer 188

C. social workers have used sliding scales to make fees affordable for clients

Question 189

A social worker organizes and joins a group of community members for a "sit in" at a government building. This demonstration, which is against the law, aims to put political pressure on officials to act on pending legislation. The strategy employed is known as:
A. community advocacy
B. indirect casework
C. civil disobedience
D. social planning

Answer 189

C. Civil Disobedience

Question 190

A client who was hospitalized for hallucinations is being discharged with medication to address these symptoms. The client is MOST likely being prescribed:
A. Paxil (paroxetine)
B. Tegretol (carbamazepine)
C. Risperdal (risperidone)
D. Klonopin (clonazepam)

Answer 190

C. Risperdal (risperidone)

Question 191

A child who is receiving services from a child protection agency due to phsycal abuse is referred to a school social worker because of bullying behavior. In the last month, the child has hit several of his peers while in school. The child is MOST likely using which defense mechanism.
A. compensation
B. incorporation
C. rationalization
D. displacement

Answer 191

D. Displacement

Question 192

During acculturation, which of the following statements describes the responsibilities of those in the dominant and non-dominant cultures?
A. individuals in both the majority and minority have an equal responsibility to change in order to work together cooperatively
B. individuals in majority groups must teach those in the minority about their customs and traditions
C. individuals in the minority must advocate for inclusion to ensure equal access to societal rewards by those in the majority
D. individuals in the majority must decide which majority practices they will follow for integration to occur

Answer 192

A. individuals in both the majority and minority have an equal responsibility to change in order to work together cooperatively

Question 193

What is the MOST important factor in the development of an effective helping relationship?
A. social worker’s training and experience in working with similar client problems
B. client’s willingness to view a social worker as a resource
C. nonverbal and verbal communication between a social worker and client
D. agency policies that clearly articulate the roles of both a social worker and client

Answer 193

C. nonverbal and verbal communication between a social worker and client

Question 194

Echolalia is associated with which of the following DSM-5 diagnoses?
A. catatonia
B. autism spectrum disorder
C. bipolar disorder
D. major depression

Answer 194

B. Autism Spectrum Disorder