Sample Test Flashcards

1
Q

A social worker is working with clients who have recently been discharged from a long-term psychiatric facility. She is running 2 psychoeducational groups and finds that one group is much more knowledgeable about their psychiatric diagnoses. She believes that this group has been living with their illnesses for a longer period and has collected data on the length of time since clients’ first diagnoses for both groups in order to test her belief. The statistical procedure which would determine whether the averages of these two groups is statistically different is:

(A) Pearson’s r

(B) Chi-square

(C) T-test

(D) Analysis of variance (ANOVA)
A

(C) T-test

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2
Q

A social worker has been seeing a teenage girl for several months. One day, she receives a phone call from the mother who states that the girl will not be returning to therapy and demanding that her records be released to the mother immediately or she will take legal action. The social worker believes that releasing the record could cause the girl serious harm. According to professional ethics, the social worker should FIRST:

(A) investigate malpractice insurance carriers who may be able to assist with any future legal claims

(B) document in the record both the request and the rationale for non-release

(C) send the record to the mother as requested

(D) try to contact the girl to determine her thoughts about her mother’s request
A

(B) document in the record both the request and the rationale for non-release

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3
Q

Which of the following is an example of classical conditioning?

(A) A domestic violence victim feels pain in her face and back when she returns to a location where she was repeatedly beaten.

(B) A young mother spanks her child after he climbs up on the counters in the kitchen to get something out of a cabinet.

(C) A teacher puts stars on a chart each time students wash their hands after doing a messy classroom activity.

(D) A teenager is reminded by her mother each time she goes out to call if she is going to be home late.
A

(A) A domestic violence victim feels pain in her face and back when she returns to a location where she was repeatedly beaten.

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4
Q

A mother brings her 5 year-old son to a social worker as the boy frequently wets the bed at night. She reports that the boy’s older brother has been toilet trained since age 3 and had no problem with enuresis. She is worried about this child as he has frequent accidents during the day and at night. What should the social worker do FIRST to assist the child?

(A) refer him to a doctor to rule out any physical abnormalities

(B) conduct a biopsychosocial assessment to determine any potential causes for the bedwetting

(C) begin treatment with the child focusing on the bedwetting behavior

(D) work with the mother to help her understand that each child is different
A

(A) refer him to a doctor to rule out any physical abnormalities

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5
Q

A social worker has been seeing a young man for several months following a marital separation. She is has been questioned continued interest in treatment as he is often late for appointments. In a recent visit, the client confesses that he is losing his job and will not be able to continue to come for therapy unless other arrangements can be made. The client comments that the landscaping around the office building needs attention and suggests doing some work in exchange for treatment. The social worker should:

(A) accept the offer as it clearly demonstrates the client’s commitment to therapy

(B) decline the offer, but offer to help by recommending the client’s services to friends and family

(C) work with the client to develop a signed agreement which would outline the exact service arrangement

(D) decline the offer and provide appropriate referrals
A

(D) decline the offer and provide appropriate referrals

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6
Q

A client’s managed care company has called a social worker requesting detailed information about the current status of a client. The request is not covered under the current release of information. The insurance representative states that this information must be obtained immediately or services will not be paid. The social worker knows that the client is unemployed and not able to pay for these sessions privately. The social worker should:

(A) release all the requested information immediately so that treatment can continue

(B) speak with the client as soon as possible about the nature of the release request

(C) give the insurance representative some information in an effort to satisfy the request

(D) consult with an experienced colleague to get another opinion about the proper course of action
A

(B) speak with the client as soon as possible about the nature of the release request

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7
Q

Which of the following is NOT an antidepressant?

(A) Prozac

(B) Elavil

(C) Paxil

(D) Xanax
A

(D) Xanax

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8
Q

A social worker has been seeing a young woman whose parents were recently killed in a car accident. Their death caused significant financial strain on the family and the client has had to move from her childhood home and file for bankruptcy. She reports difficulty sleeping, poor appetite, and feelings of hopelessness. Prior to the accident, she never had these symptoms. The BEST diagnosis for her is:

(A) Exogenous depression

(B) Avoidant personality disorder

(C) Endogenous depression

(D) Dependent personality disorder
A

(A) Exogenous depression

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9
Q

A study is designed to test whether there are differences in lengths of stay for women versus men in a short-term crisis group home. Which of the following is the independent variable in this research?

(A) Lengths of stay

(B) The short-term crisis group home

(C) Gender

(D) The survey instrument to be used
A

(C) Gender

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10
Q

A social worker is using a foreign language interpreter to complete an assessment interview with a client who speaks Spanish. The client appears reluctant to continue with the interview. The BEST course of action for the social worker is to:

(A) ask the interpreter if he/she also senses the resistance

(B) explore the reason for the hesitation with the client

(C) stop the assessment and try to see if a Spanish-speaking worker can be located

(D) proceed with the assessment, but at a slower pace
A

(B) explore the reason for the hesitation with the client

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11
Q

Which of the following is a technique used by a social worker to gain a new understanding of an issue or problem?

(A) Interpretation

(B) Confrontation

(C) Normalization

(D) Partialization
A

(A) Interpretation

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12
Q

A client tells a social worker that he is very upset as he has these thoughts in his head that he cannot ignore. He is very anxious and feels that his family has turned against him and is planning on throwing him out of the house for no reason. He reports past psychiatric hospitalizations, but says that he is not currently undergoing mental health treatment. He stopped taking Thorazine several months ago. The BEST diagnosis for this client is:

(A) Narcissistic personality disorder

(B) Anxiety disorder

(C) Schizophrenia

(D) Borderline personality disorder
A

(C) Schizophrenia

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13
Q

A school social worker calls the parents of a 12-year-old Asian boy in for a conference as the child has been verbally aggressive and ignoring school policies. The grandparents arrive at the meeting with the boy’s parents. The BEST response for the social worker is to:

(A) ask the grandparents to wait outside in order to protect client confidentiality

(B) allow the grandparents to observe the meeting with the understanding that they will not actively participate in the process

(C) acknowledge that the grandparents are an important part of the family unit and need to be included in any intervention

(D) refer to the school policy and procedures manual to determine whether the grandparents are allowed to stay
A

(C) acknowledge that the grandparents are an important part of the family unit and need to be included in any intervention

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14
Q

A client with a longstanding alcohol abuse history is recently admitted to the hospital due to drowsiness, confusion and memory gaps. The client is diagnosed as suffering from Wernicke’s Encephalopathy. The best treatment for this disorder is:

(A) Antianxiety medications

(B) Vitamin B injections

(C) Antipsychotic medications

(D) Biofeedback techniques
A

(B) Vitamin B injections

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15
Q

Parents of a 7-year-old boy bring him to a social worker as he has been observed repeatedly masturbating and wanting to touch his younger brother’s genitals during bath time. They are very concerned about these behaviors and are uncertain about their cause. Based upon these actions, the social worker should judge this behavior to be:

(A) possible signs of sexual abuse

(B) acting out resulting from sibling issues

(C) symptoms of mother-child problems

(D) normal developmental behavior
A

(D) normal developmental behavior

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16
Q

A social worker is working with a client who was recently diagnosed with breast cancer to make arrangements for her to enroll in a radiation and chemotherapy regime as quickly as possible. This assistance is known as:

(A) Secondary prevention

(B) Cooptation

(C) Primary prevention

(D) Class advocacy
A

(A) Secondary prevention

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17
Q

A social worker is running a new group for individuals with dual diagnoses (i.e., psychiatric and substance abuse problems). In the third session, one of the groups members yells at another for always “taking control” of the sessions and not letting anyone else talk. He says, “You think that you know more than the rest of us, but you don’t.” These actions are indicative of which stage of group development:

(A) Differentiation

(B) Power and control

(C) Separation

(D) Intimacy
A

(B) Power and control

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18
Q

Which of the following is egodystonic?

(A) A woman who decides not to take a job which would require her to work a lot of extra hours

(B) A man who is attracted to, but distressed by his attraction to other men

(C) A 7-year-old boy who expects his mother to have his meals prepared at set times

(D) A woman who is having an extramarital affair who gives no thought to the possibility of pregnancy
A

(B) A man who is attracted to, but distressed by his attraction to other men

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19
Q

Upon reviewing the file of a client, a social worker finds that a client has been diagnosed with Major Depression and has a Global Assessment of Functioning score of 20. The social worker can expect the client to:

(A) functioning at a superior level of functioning

(B) be in danger of hurting self

(C) have serious symptoms associated with the diagnosis

(D) exhibit minor impairment
A

(B) be in danger of hurting self

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20
Q

A social worker who has extensive community organizing experience is called to help a deteriorating neighborhood. It has a high crime rate, poor housing conditions, high unemployment and problems with drug dealing. Citizens are distraught about the many problems in their current living environment and overwhelmed at what can be done. At an initial meeting with a citizen action group, the social worker should FIRST:

(A) Tell the residents about the social worker’s change efforts in other neighborhoods in order to instill hope

(B) Determine a schedule for future meetings to keep people engaged

(C) Distribute a listing of stakeholders who need to be contacted

(D) Work with the citizens to prioritize their concerns
A

(D) Work with the citizens to prioritize their concerns

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21
Q

A social worker notices that the motivation for treatment of her clients is related to their daily stress levels. She observes that her clients’ motivation increases as their stress levels decrease. This type of relationship is known as:

(A)   Negative

(B)   Positive

(C)  Curvilinear

(D)  Hypothetical
A

(A) Negative

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22
Q

After working in a child welfare agency for many years, a social worker formulates the following hypothesis, “Client outcomes are related to the education and training of their caseworkers.” This hypothesis is:

(A)   One-tailed

(B)   Valid

(C)  Two-tailed

(D)  Directional
A

(C) Two-tailed

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23
Q

Which of the following is NOT an example of probability sampling in social science research?

(A)   Simple random sampling

(B)   Systematic sampling

(C)  Proportionate stratified random sampling

(D)  Deviant case sampling
A

(D) Deviant case sampling

24
Q

Which of the following research designs control for the MOST threats to internal validity?

(A)   Experimental

(B)   Pre-experimental

(C)  Quasi-experimental

(D)  Single subject designs
A

(A) Experimental

25
Q

Which of the following is NOT necessary for the development of cultural competence?

(A)   The social worker recognizing his/her own biases.

(B)   The social worker having factual knowledge about other cultural groups.

(C)  The social worker possessing skills resulting from integration of knowledge and awareness.

(D)  The social worker being from the same cultural background as the client.
A

(D) The social worker being from the same cultural background as the client.

26
Q

A social worker is meeting with an adolescent client who has recently immigrated from Senegal. He complains of feeling fatigued, having poor concentration and memory, and difficulty focusing. He has recently been under tremendous stress as he is trying to get good grades since he will soon be applying to college. His doctor has examined him and ruled out any medical problems. The BEST diagnosis for this client is:

(A)   Generalized anxiety disorder

(B)   A culture bound syndrome

(C)  Major depression

(D)  Asperger’s disorder
A

(B) A culture bound syndrome

27
Q

During an intake with a client, she states that she wishes to undergo sexual reassignment surgery. She has already met with a surgeon and has been regularly attending a support group for others who want or have had similar operations. The client’s decision is MOST likely based on which of the following?

(A)   She has engaged in lesbian relationships in the past.

(B)   Her gender identity is male.

(C)  She was abused by a male as a child and is identifying with her aggressor.

(D)  She wants to have a sexual relationship with other women.
A

(B) Her gender identity is male.

28
Q

A social worker is treating a 45-year-old woman whose daughter was recently killed in an automobile accident. The mother is very distraught over the death of her child and questions how such an unthinkable thing could have happened. She is a devout Catholic and questions her faith as a result of this trauma. The woman tells the social worker that she is thinking about meeting with her priest “to

(A)   Exogenous depression

(B)   Avoidant personality disorder

(C)  Endogenous depression

(D)  Dependent personality disorder
A

(A) Exogenous depression

29
Q

A study is designed to test whether there are differences in lengths of stay for women versus men in a short-term crisis group home. Which of the following is the independent variable in this research?

(A)   Lengths of stay

(B)   The short-term crisis group home

(C)  Gender

(D)  The survey instrument to be used
A

(C) Gender

30
Q

A social worker is using a foreign language interpreter to complete an assessment interview with a client who speaks Spanish. The client appears reluctant to continue with the interview. The BEST course of action for the social worker is to:

(A)   ask the interpreter if he/she also senses the resistance

(B)   explore the reason for the hesitation with the client

(C)  stop the assessment and try to see if a Spanish-speaking worker can be located

(D)  proceed with the assessment, but at a slower pace
A

(B) explore the reason for the hesitation with the client

31
Q

A social work administrator recently implemented a new agency incentive program which provides cash bonuses to staff to motivate them to provide clients in a timely manner. This type of management approach is based on:

(A)   Scientific Management Theory

(B)   Human Relations Theory

(C)  Management by Objectives

(D)  Task Theory
A

(A) Scientific Management Theory

32
Q

A consultant hired by an agency to assist with designing a program for a new client population makes a recommendation that a social work administrator does not think is appropriate. The social work administrator should:

(A)   Follow the recommendation because the consultant is the expert

(B)   Not implement the recommendation and work with the consultant to develop other alternatives

(C)  Implement the recommendation because the agency paid a lot of money for the consultant’s advice

(D)  Ignore the recommendation and not renew the consultant’s contract
A

(B) Not implement the recommendation and work with the consultant to develop other alternatives

33
Q

Which of the following is NOT a waiving of client-social worker privilege?

(A)   Client pleads not guilty by reason of insanity in a criminal case

(B)   Client sues social worker for malpractice

(C)  Client signs a release for information to be disclosed to the courts

(D)  Client is deceased
A

(D) Client is deceased

34
Q

A school social worker receives a referral for a 10-year-old boy who reports getting spanked frequently by his father. The boy reports “being mad” at his dad and wanting to hit him back sometimes. The boy has recently been punching some of the younger children on the playground. This behavior is MOST likely caused by which of the following defense mechanisms?

(A)   Displacement

(B)   Projection

(C)  Rationalization

(D)  Reaction Formation
A

(A) Displacement

35
Q

A school social worker receives a referral for a 14-year-old girl who is a freshman in high school. During the assessment, the social worker learns that the girl assists her mother with watching her younger siblings several evenings a week. When asked how she would handle several hypothetical safety issues when caring for her brothers and sisters, the girl provides detailed accounts of how to appropriately deal with these situations. This girl is MOST likely operating in which of Piaget’s stages of cognitive development?

(A)   Pre-operational Thought

(B)   Concrete Operational

(C)  Formal Operational

(D)  Sensory Motor
A

(C) Formal Operational

36
Q

A social worker receives a referral for a 20-year-old man from a concerned relative. The young man reports having few friends and has not found a job after leaving high school as there does not seem to be anything which is ‘the right fit” for him. He just wants a job where he can be “left alone” and currently rents a room in a boarding home as he left his house several months ago after feeling that his parents were repeatedly critical of his behavior. The BEST diagnosis for this client is:

(A)   Major depression

(B)   Bipolar disorder

(C)  Avoidant personality disorder

(D)  Intermittent explosive disorder
A

(C) Avoidant personality disorder

37
Q

During an intake, a social worker learns that the 20-year-old client has been training for the last two years to become a professional boxer. Prior to his training, he had been in a juvenile detention facility briefly due to assault and had been repeatedly suspended from school for fighting. The client’s career choice is an example of which of the following defense mechanisms?

(A)   Displacement

(B)   Sublimation

(C)  Reaction formation

(D)  Regression
A

(B) Sublimation

38
Q

A six-year old boy is admitted to the hospital for surgery. The nurse reports that he has been betwetting since his admission and is crying uncontrollably for his baby blanket which his parents report that he has not slept with “in years.” This child is using the defense mechanism of:

(A)   Repression

(B)   Regression

(C)  Introjection

(D)  Reaction formation
A

(B) Regression

39
Q

After months of treatment, a client reports that she is finally ready to leave her abusive husband as she realizes that her life alone will be better. The client reports looking forward to being able to make new friends, reestablishing severed relationships with family members and working outside the house. This client’s decision is based on which of the following:

(A)   Ego psychology

(B)   Social role theory

(C)  Biofeedback

(D)  Social exchange theory
A

(D) Social exchange theory

40
Q

A social worker in an agency setting is getting supervision from a social worker in private practice as part of the requirements for a clinical license. The agency supervisor is aware of this arrangement and has approved it since there is no one in the agency who has the required credentials. In order to provide ethical treatment, the social worker should:

(A)   Inform her clients that she is being supervised by an off-site social worker

(B)   Prepare written summaries of her off-site supervision sessions and provide them to her agency supervisor

(C)  Ensure that she is paying the off-site supervisor a fee which is equal to or greater than her hourly therapy rate

(D)  Make sure that this arrangement is documented in the social worker’s personnel file
A

(A) Inform her clients that she is being supervised by an off-site social worker

41
Q

A social worker is reading a client chart and sees that a client has been takng Prolixin for the last several years. The client MOST likely has which of the following diagnoses:

(A)   Anxiety disorder

(B)   Bipolar disorder

(C)  Schizophrenia

(D)  Major depression
A

(C) Schizophrenia

42
Q

A social worker receives a referral for a client who is taking Clozaril. For proper medication management, it will be necessary for this client to:

(A)   Avoid certain foods as they impact on the absorption of this medication

(B)   Get periodic blood testing to monitor his white blood cell count

(C)  Avoid taking this medication for more than 3 consecutive  months

(D)  Monitor his physical activity to avoid overexertion
A

(B) Get periodic blood testing to monitor his white blood cell count

43
Q

A social worker receives a subpoena for the records of a client who has recently been arrested for attempted murder of her husband. In order to BEST serve the client, the social worker should:

(A)   Send the records immediately as they clearly document years of physical and emotional abuse by the husband

(B)   Claim privilege on behalf of the client until a judicial order is received

(C)  Ignore the subpoena as the social worker is not required to respond

(D)  Prepare a summary of the treatment provided to be sent to the court instead of the actual records
A

(B) Claim privilege on behalf of the client until a judicial order is received

44
Q

A social worker is working with a teenage boy who is repeatedly skipping school. The parents and school have tried numerous interventions aimed at extinguishing the behavior, but they have had no impact. During the next visit, the social worker tells the boy that he “is old enough to make decisions about whether he goes to school or not and should be able to skip school whenever he wishes.” The social worker is using which of following techniques?

(A)   Paradoxical directive

(B)   Normalizing

(C)  Reframing

(D)  Confrontation
A

(A) Paradoxical directive

45
Q

An adolescent is brought to a social worker by her parent. The girl comes in to the office stating in a loud voice that there is noting wrong with her and it is her parents that should be in therapy instead. She slams down her backpack on the ground and continues to complain about her parents’ behavior as they leave the room. The social worker should FIRST:

(A)   Instruct the parents that the girl clearly does not want to be there and they should bring her home

(B)   Suggest to the girl that her attitude is making the situation worse

(C)  Listen attentively as a way of building rapport

(D)  Set limits so that the girl can express her emotions more appropriately
A

(C) Listen attentively as a way of building rapport

46
Q

A social worker has recently been hired as the Executive Director of an agency. She can expect the board of directors to do all of following EXCEPT:

(A)   Perform an annual review on her performance

(B)   Assist with fundraising to ensure continual operation of the agency services

(C)  Recruit other community members to serve as board members

(D)  Maintain the personnel files for all agency employees
A

(D) Maintain the personnel files for all agency employees

47
Q

Which of the following is an example of a lack of congruent communication?

(A)   A teenage girl who is clearly angry at her mother who states that “there is nothing wrong.”

(B)   A two-year old child who has temper tantrums when he does not get his way

(C)  A couple who are always fighting over parenting issues

(D)  An elderly woman who is depressed as many of her relatives and friends are deceased
A

(A) A teenage girl who is clearly angry at her mother who states that “there is nothing wrong.”

48
Q

A teenage girl is referred to a school social worker as she appears unhappy, sullen, moody, fearful and withdrawn. She reports wanting to joining the track team, but not being able to as her parents are very “strict.” The parenting pattern MOST likely used in her household is which of the following?

(A)   Authoritative

(B)   Permissive

(C)  Authoritarian

(D)  Purposive
A

(C) Authoritarian

49
Q

In working with someone who is diagnosed with narcissistic personality disorder, the social worker can expect the client to exhibit:

(A)   Inappropriate intense anger

(B)   Poor impulse control

(C)  A lack of empathy

(D)  Chronic feelings of emptiness
A

(C) A lack of empathy

50
Q

A social worker is told by a 14-year-old girl that her father sexually touched her about four years ago, but it was only once and it has not happened again. The parents report that the father realized that his actions were wrong and has vowed not to do it again. The family has been actively engaged in therapy with the social worker for the last year and is making substantial progress toward their goals. The social worker decides not to report the abuse as the family says that they will have to move and end treatment if this incident “gets out.” The social worker’s behavior is:

(A)   Ethical since it was an isolated event and a long time has passed since the incident

(B)   Unethical as the social worker did not report it to her supervisor

(C)  Ethical since, in her professional judgment, the family has made substantial progress toward their treatment goals

(D)  Unethical since she did not report the incident immediately to the abuse hotline
A

(D) Unethical since she did not report the incident immediately to the abuse hotline

51
Q

Which of the following documentation approaches is intended to provide a detailed evaluation of social work interactions?

A. Computerized progress recording
B. Problem-oriented recording
C. Diagnostic summary
D. Process recording

A

D. Process recording

52
Q

The termination process is MOST often associated with:

A. Evaluating goals and accomplishments
B. Implementing a plan of action
C. Setting limits
D. Developing a contract

A

A. Evaluating goals and accomplishments

53
Q

A 13 year old boy is a member of a treatment group for first offenders. During the first session, the member brags to the others about the vandalizing he did in the neighborhood. What should the group social worker do?

A. Discuss the clients’a behavior with his parents
B. Confront the client about his behavior
C. Encourage the client to talk about possible motivation for his behavior
D. Report the client to the juvenile authorities

A

C. Encourage the Client to talk about possible motivation for his behavior

54
Q

A family is referred to a community social services agency by a school because their child has been disruptive in the classroom. At the intake interview, it becomes clear to the social worker that the parents are preoccupied with unemployment and threatens eviction. What should the social worker do FIRST?

A. Assist the parents in understanding the importance of the child’s school behavior
B. Arrange an assessment interview with the child
C. Work with the parents on the issues they have identified
D. Help the child talk to the parents about the child’s own concerns

A

C. Work with the parents on the issues they have identified

55
Q

A 40 year old patient diagnosed as having schizophrenia with a history of assaultive behavior and substance use is being considered for discharge from a long term psychiatric facility. The patients elderly parents have expressed willingness to have the patient return home. In formulating discharge plans, the social worker should FIRST evaluate which of the following factors?

A. Medication compliance
B. Potential danger to the family
C. Exposure to illegal substances
D. Rehabilitative opportunities

A

B. Potential danger to the family

56
Q

A patient has been in a psychiatric hospital for three weeks. His diagnoses are schizophrenia and alcohol abuse. He is on psychotropic medication and an anticonvulsant for her seizure disorder. For several days he has been drowsy, stumbling and slurring his speech. What should the social worker do FIRST?

A. Consult with a behavior therapist for a behavioral management plan
B. Review the patient’s discharge plan
C. Evaluate the patient for surreptitious alcohol use
D. Consist with the psychiatrist for a medication evaluation

A

D. Consult with the psychiatrist for a medical evaluation