Safety & Abuse

Question 1

What is the most common form of child abuse?

A) Physical abuse
B) Sexual abuse
C) Neglect
D) Emotional abuse

Answer 1

C) Neglect

Question 2

Which of the following is NOT a sign of child neglect?

A) Poor hygiene and lack of supervision
B) Unexplained bruises and injuries
C) Failure to attend school regularly
D) Inadequate clothing for the weather

Answer 2

B) Unexplained bruises and injuries

Question 3

Mandated reporters are legally required to report suspected child abuse to:

A) The child’s family
B) Law enforcement only
C) Child Protective Services (CPS)
D) The child’s school

Answer 3

C) Child Protective Services (CPS)

Question 4

Which of the following is a common sign of elder abuse?

A) Frequent arguments with caregivers
B) Increased participation in social activities
C) Unexplained weight gain
D) Unexpected improvement in physical condition

Answer 4

A) Frequent arguments with caregivers

Question 5

Elder abuse most commonly occurs in which setting?

A) Nursing homes
B) Hospitals
C) The elderly person’s home
D) Assisted living facilities

Answer 5

C) The elderly person’s home

Question 6

Financial abuse of the elderly is characterized by:

A) Withholding of prescribed medications
B) Unexplained withdrawals from bank accounts
C) Physical restraint
D) Verbal threats and intimidation

Answer 6

B) Unexplained withdrawals from bank accounts

Question 7

The cycle of violence in domestic abuse includes which three phases?

A) Honeymoon, Tension-Building, Explosion
B) Tension-Building, Honeymoon, Apology
C) Isolation, Control, Apology
D) Control, Explosion, Resolution

Answer 7

A) Honeymoon, Tension-Building, Explosion

Question 8

Which of the following is a key component of power and control in domestic violence situations?

A) Economic abuse
B) Substance abuse
C) Mental health issues
D) Employment instability

Answer 8

A) Economic abuse

Question 9

Which population is at the highest risk for intimate partner violence (IPV)?

A) Elderly couples
B) Pregnant women
C) Married men
D) Single adults

Answer 9

B) Pregnant women

Question 10

What is the primary goal of crisis intervention?

A) To solve the underlying problem causing the crisis
B) To restore the individual to their baseline level of functioning
C) To diagnose the individual’s mental health condition
D) To provide long-term therapy

Answer 10

B) To restore the individual to their baseline level of functioning

Question 11

Which of the following is the first step in crisis intervention?

A) Developing a safety plan
B) Establishing rapport with the client
C) Assessing the client’s immediate needs and risk
D) Exploring the client’s childhood trauma

Answer 11

C) Assessing the client’s immediate needs and risk

Question 12

In the context of crisis intervention, what does “defusing” involve?

A) Stopping the crisis immediately
B) Providing immediate, short-term emotional support
C) Investigating the cause of the crisis
D) Offering long-term therapy

Answer 12

B) Providing immediate, short-term emotional support

Question 13

Which of the following is the primary purpose of a safety plan in domestic violence cases?

A) To reduce the risk of harm to the victim
B) To encourage reconciliation between the victim and abuser
C) To secure financial stability for the victim
D) To ensure the abuser attends counseling sessions

Answer 13

A) To reduce the risk of harm to the victim

Question 14

What is the most important factor to consider when creating a safety plan?

A) The victim’s ability to escape
B) The abuser’s willingness to change
C) The victim’s emotional attachment to the abuser
D) The victim’s financial resources

Answer 14

A) The victim’s ability to escape

Question 15

Which of the following should be included in a domestic violence safety plan?

A) Access to emergency funds and a place to stay
B) The abuser’s schedule and daily routine
C) Reconciliation steps with the abuser
D) Long-term therapy for both partners

Answer 15

A) Access to emergency funds and a place to stay

Question 16

Which of the following is an emotional indicator of child abuse?

A) Persistent hunger
B) Sudden speech disorders
C) Unexplained broken bones
D) Dirty or ill-fitting clothes

Answer 16

B) Sudden speech disorders

Question 17

A child with frequent unexplained injuries and a history of absenteeism from school may be a victim of:

A) Emotional neglect
B) Physical abuse
C) Sexual abuse
D) Substance abuse

Answer 17

B) Physical abuse

Question 18

What is a critical aspect of treatment planning for children who have been abused?

A) Immediate removal from the home
B) Legal action against the abuser
C) Establishing a support system and counseling
D) Group therapy only

Answer 18

C) Establishing a support system and counseling

Question 19

What is a common risk factor for elder abuse?

A) Elders living in wealthy neighborhoods
B) Elders receiving consistent and attentive care
C) Social isolation of the elder
D) Frequent contact with family members

Answer 19

C) Social isolation of the elder

Question 20

In cases of elder abuse, which professional is typically responsible for conducting investigations?

A) Elder Protective Services (EPS) worker
B) Social worker in private practice
C) Hospital nurse
D) Family member

Answer 20

A) Elder Protective Services (EPS) worker

Question 21

Which type of domestic abuse involves manipulating a partner’s perception of reality to make them question their sanity?

A) Physical abuse
B) Sexual abuse
C) Economic abuse
D) Gaslighting

Answer 21

D) Gaslighting

Question 22

What is the key difference between situational couple violence and intimate terrorism?

A) Situational couple violence is less frequent than intimate terrorism
B) Situational couple violence usually lacks a pattern of control
C) Intimate terrorism does not involve physical harm
D) Situational couple violence is based on a desire for control

Answer 22

B) Situational couple violence usually lacks a pattern of control

Question 23

In a crisis situation, what is the primary focus when working with a client at immediate risk of harm?

A) Long-term emotional recovery
B) Immediate safety and stabilization
C) Exploring the client’s history of trauma
D) Diagnosis of underlying conditions

Answer 23

B) Immediate safety and stabilization

Question 24

Which of the following interventions is most appropriate for a client in the early stages of crisis?

A) Cognitive-behavioral therapy
B) Psychoanalysis
C) Problem-solving and decision-making support
D) Long-term group therapy

Answer 24

C) Problem-solving and decision-making support

Question 25

What is the first step in creating a safety plan for a victim of domestic violence?

A) Developing a strategy for securing financial independence
B) Identifying safe locations the victim can go to in case of immediate danger
C) Scheduling therapy sessions for the victim
D) Reporting the abuse to authorities

Answer 25

B) Identifying safe locations the victim can go to in case of immediate danger

Question 26

When working with a client on a safety plan, why is it important to include a trusted friend or family member?

A) To reduce the client’s feelings of isolation
B) To ensure the abuser is reported to authorities
C) To involve them in family counseling sessions
D) To have someone confront the abuser directly

Answer 26

A) To reduce the client’s feelings of isolation

Question 27

A school nurse notices that a child consistently comes to school with bruises in various stages of healing and appears withdrawn. When asked about the bruises, the child gives vague and inconsistent explanations. What should the nurse do next?

A) Ask the child’s parents directly about the injuries
B) Wait to see if the child provides more details later
C) Report the suspected abuse to Child Protective Services (CPS)
D) Refer the child for counseling

Answer 27

C) Report the suspected abuse to Child Protective Services (CPS)

Question 28

A teacher reports that a child is frequently hungry, wears dirty clothes, and often falls asleep during class. Upon visiting the home, a social worker observes unsafe living conditions and neglectful caregivers. What is the most appropriate immediate action?

A) Provide resources to the caregivers on how to care for the child
B) Remove the child from the home immediately
C) Refer the family for parenting classes
D) Report the situation to Child Protective Services (CPS)

Answer 28

D) Report the situation to Child Protective Services (CPS)

Question 29

A social worker notices that an elderly client has unexplained bruises and is hesitant to speak when their caregiver is present. The client also seems unusually anxious when discussing finances. What should the social worker suspect?

A) The client has fallen and is embarrassed
B) The caregiver is overprotective
C) The client may be a victim of physical and financial abuse
D) The client is experiencing a cognitive decline

Answer 29

C) The client may be a victim of physical and financial abuse

Question 30

An elderly client with dementia is found wandering outside her home in freezing temperatures. Upon further investigation, it is revealed that her family caregivers often leave her unattended for long periods. What is the most appropriate action for the social worker?

A) Provide the family with information on dementia care
B) Report the situation as elder neglect to Adult Protective Services (APS)
C) Recommend the client be placed in a nursing home
D) Suggest the family hire a caregiver

Answer 30

B) Report the situation as elder neglect to Adult Protective Services (APS)

Question 31

A client discloses to a social worker that they are being physically and emotionally abused by their partner but are afraid to leave because they have no financial resources. What should the social worker do first?

A) Recommend the client attend couples counseling
B) Help the client develop a safety plan and connect them with community resources
C) Advise the client to leave the partner immediately
D) Provide financial assistance to the client

Answer 31

B) Help the client develop a safety plan and connect them with community resource

Question 32

A woman comes to a social worker after being assaulted by her partner. She is hesitant to press charges but expresses concern for her safety. What is the most appropriate intervention?

A) Convince her to press charges
B) Help her create a safety plan and connect her to a domestic violence shelter
C) Contact her partner to mediate the situation
D) Refer her to couples therapy

Answer 32

B) Help her create a safety plan and connect her to a domestic violence shelter

Question 33

A client who has recently lost their job and is feeling hopeless tells their social worker that they have thought about “ending it all.” What is the social worker’s most immediate responsibility?

A) Refer the client to job counseling
B) Explore the client’s feelings about their job loss
C) Assess the client’s risk for suicide and ensure their immediate safety
D) Encourage the client to talk to a friend or family member

Answer 33

C) Assess the client’s risk for suicide and ensure their immediate safety

Question 34

A woman who was involved in a recent car accident appears detached and emotionally numb when discussing the event with a social worker. She states she hasn’t been able to return to work or drive since the accident. What is the social worker’s immediate focus?

A) Explore the woman’s trauma and provide long-term therapy
B) Refer her to a psychiatrist for medication
C) Provide crisis intervention and help her process the event
D) Encourage her to return to work to overcome her fear

Answer 34

C) Provide crisis intervention and help her process the event

Question 35

A client in an abusive relationship tells a social worker that they want to leave their partner but fear for their safety. What should the social worker prioritize when helping the client?

A) Convince the client to leave immediately
B) Help the client develop a safety plan with concrete steps for safely leaving
C) Report the abuser to the police without the client’s consent
D) Encourage the client to confront their partner

Answer 35

B) Help the client develop a safety plan with concrete steps for safely leaving

Question 36

A social worker is working with a client who fears their abusive partner may harm them if they try to leave. The client also has children in the home. What should the safety plan include as a priority?

A) Instructions on how to leave with minimal belongings
B) A strategy to safely remove the children and ensure their well-being
C) Referral to individual therapy for the client
D) Encouraging the client to wait for the right time to leave

Answer 36

B) A strategy to safely remove the children and ensure their well-being

Question 37

A client living in an abusive relationship has identified a safe place to go if they need to escape quickly. However, they are unsure about how to communicate their plans with their children. What should the social worker recommend in terms of safety planning for the children?

A) Instruct the children to stay quiet and obey the abuser’s instructions
B) Help the client prepare a simple, age-appropriate safety plan for the children, including how and when to leave
C) Encourage the client to leave the children with the abuser while they escape
D) Tell the children nothing to avoid raising suspicion

Answer 37

B) Help the client prepare a simple, age-appropriate safety plan for the children, including how and when to leave

Question 38

A teacher has noticed some dramatic behavioral changes in a 7-year-old boy over the recent weeks and has referred him to the school social worker. The child appears distracted in class, no longer finishes his daily assignments, has become aggressive toward peers, has soiled his pants on two occasions, and appears apprehensive around adults. Which of the following might likely be the cause of this child’s behaviors?

A) Possible neglect at home
B) Possible sexual abuse
C) Onset of Conduct Disorder
D) Recent death of a loved one

Answer 38

B) Possible sexual abuse

Question 39

You are called to evaluate a 64-year-old male with chronic obstructive pulmonary disease. He lives in an assisted living facility, and was brought to the emergency room by his daughter. She had taken him to lunch, and became distressed when he refused to return to the facility. He states he wants to live in his motor home, as he resents the loss of privacy at the facility. His daughter confirms he owns a working, fully self-contained motor home (i.e., stove, shower, refrigerator, etc). He has adequate funds. He plans to park the motor home in a nearby Kampgrounds of America (KOA) campground, where all utilities can be hooked up. He can have food and other supplies delivered. However, it is November and it is unseasonably cold. The doctor confirms that the patient is prone to pneumonia, and the daughter states “he will die if he doesn’t return to the facility.” The patient refuses to consider any other living situation. In this situation, the social worker should:
a. Call the police and have them take the patient back to the facility.
b. Call adult protective services for further intervention.
c. Allow the patient to move into his motor home.
d. Place the patient on an involuntary hold for suicidal behavior.

Answer 39

c. Allow the patient to move into his motor home.

Question 40

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 40

d. stuttering

Question 41

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 41

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

Question 42

In adult survivors of childhood sexual abuse, the most frequently encountered defense mechanism is:

a. denial
b. intellectualism
c. suppression
d. projection
a. denial

Answer 42

a. denial