The Deck Yo Flashcards
1
Q
1.Which of the following is not a secondary prevention strategy ?
A.regular screenings of those with the risk factors for an illness or disease b.regular exercise and good nutrition c.modification of work assignments for those who are injured
D. taking low-dose is of aspirin for those with heart conditions
A
Answer B
2
Q
5. 5. A client is extremely upset because their 14-year-old son is not helping around the house, independently doing his homework, or arriving to school on time. The son states that his mother watches over him too closely and does not give him needed privacy. This problem is best understood as. A. communication problem b. role complementarity c. progressive discipline d.developmental processes
A
Answer B
3
Q
16.Which of the following is an objective outcome that might be associated with the foster care program?
A. a proportion of children served to our reunified with their biological families
B. satisfaction of foster parents with the program
C.perceive safety of children
D. number of children served in the program
A
Answer A
4
Q
- A social worker suspects that a child receiving services from her agency is being physically abused and neglected. She discusses the reasons for belief in her serious concern about the child’s home environment with her social work supervisor. After a lengthy conversation the social worker supervisor does not agree with the social worker and tells the social worker to Monitor of the situation for a while before deciding whether to make a report to the child protection agency. The social worker should . A.Make an anonymous report to the child protection agency
b.contact a child protection agency immediately while informing the supervisor of the need to do so
C. Make another appointment to speak to the supervisor and try to collect additional information that supports the social workers concerns.
D. continue to collect information and follow up regularly with the supervisor to seek direction
A
Answer B
5
Q
21.Imaginary friends most often emerge in which state of cognitive development A.formal operations B.preoperational C.sensorimotor D.concrete operations
A
Answer B
6
Q
25.A client shows a social worker or a large tattoo on his arm dedicated to his mother who recently died. He begins to cry and states that if it always makes some very emotional when he sees it because it reminds him of her bravery and fighting her illness. The tattoo is a form of A. symbolization B.substitution C.sublimation D.splitting
A
Answer A
7
Q
29.Which of the following is not a deficiency need according to Maslow a. self actualization
B. safety
C. esteem
D. physiological
A
Answer A
8
Q
30.Which of the following is the most important factor in choosing an appropriate intervention or treatment strategy?
A. it is currently being used by a social worker to assist client with similar problems
B. it results from bio psychosocial spiritual cultural assessment of a client
C. it is approved as a medical necessity by third-party payers
D. it is not constrained by agency practices and or time limits for treatment
A
Answer B
9
Q
31.Which of the following is not a core value in the social work profession and stated in the preamble of the code of ethics
A. minimizing risk to self and others b. social justice
C. important of human relationships
D. Service
A
Answer A
10
Q
32.Which of the following is not true about co-occurring disorders and conditions?
A., co-occurring usually refers to the presence of a mental health and substance use disorder
B. the cooccurrence of mental health and substance use disorders that do not meet the diagnostic threshold should not be treated the same matters those that do
C.both disorders may be mild or severe and maybe more severe than the other
D. Co-occurring Disorders may vary across clients in the same client overtime
A
Answer B
11
Q
- Which of the following is true about risk factors for violence ?
A. they are present only at the individual level
B.they predict with certainty who will engage in aggressive bags
c.they are positively associated with protective factors to predict violence.
D. they will increase the likelihood that a community will be affected by or client will be a perpetrator of violence.
A
Answer D
12
Q
38.When clients to social workers for malpractice social workers for fill their ethical obligations by A. not releasing any information about treatment including with her clients were even served
B. provided all information obtained during treatments at the court can get a complete picture of clients concerns and issues and problems
C. not responding to the court because the information is privileged
D. releasing all the information related to the nature of the lawsuits
A
Answer D
13
Q
40.In the DSM the global functioning of a client should be determined using the
A.global assessment of functional scale
B.world health organization disability assessment schedule
C.Myers Briggs type indicator
D. Thematic apperception test
A
Answer B
14
Q
41.Which of the following is not a diagnostic criteria in the DSM for gambling disorder?
A. lying to conceal gambling
B.loss of a relationship job or opportunity to gambling
C.legal problems associated with gambling
D.preoccupation with gambling
A
Answer C
15
Q
43.The social worker is worried that he does not have all the necessary information to make a practice decision so he uses multiple resources to collect data this approach is known as A. Cooptation B. triangulation C. social exchange D.twinning
A
Answer B
16
Q
- All of the following are key concepts in individual psychology except. A. compensation
B.inferiority.
C.Psychosexual urges
D . perfection.
- All of the following are key concepts in individual psychology except. A. compensation
A
Answer C
17
Q
49.A social worker is seeing a client at 69-year-old client who is a former cigarette smoker and has chronic obstructive pulmonary disease which makes it hard to breathe she takes several medications including one to regulate her blood pressure her primary prevention needs include
a.participation in a support group for others with COPD
B.monitoring her blood pressure to modify her medications as needed
c.reducing strenuous activity that causes heavy breathing.
D. receiving an annual influenza menu station
A
Answer D
18
Q
61.Rapprochment is a sub phase of which of the following phases of child development? A.normal autistic B.object constancy C. separation -individuation D. normal symbiotic
A
Answer C
19
Q
63.When working with involuntary client which of the following actions is likely to be the most effective during engagement?
A. reviewing the court order so the client understands why services are mandated
B.discussing mandates of confidentiality as per the code of ethics
C.explaining the professional standards to be upheld by the social worker
D.listening to the client understand his or her feelings and current situation
A
Answer D
20
Q
- A social worker is seeing a client in private practice the client has not paid the social worker for many weeks accumulating a substantial balance is by receiving acknowledging the social workers payment policy. The social worker has told the clarity repeatedly that he will be terminated if he does not pay his bill and decide to do so at the next session. The client comes in to the session visibly upset and crying because he doesn’t think he can go on without the social worker. The social worker tells the client that he can come back to see her once the balance is paid. The actions of the social worker are.
A
Answer D
21
Q
- A.ethical because the social worker has given a client notice of the nonpayment consequences as well as the payment policy
b.ethical because the social worker is allowing the client to return when the balance is paid C. unethical because the code of ethics is not allowed termination based upon non-payment of services.
D.unethical because the client may be a danger to himself
A
Answer D
22
Q
66.During what ages does Latency see usually occur within the psychosexual stages of development
A.the first year of life
b. adolescence to adulthood
c. between three and five years old.
d. from ages five until puberty
A
Answer D
23
Q
- A couple comes to see a social worker because they feel that they have suffered discrimination. They are blind I would like to adopt a child but I’ve been told by an adoption agency that is not possible because of their visual impairments. They are distraught but do not think that they will be able to fight the agency by us. In order to best assist this couple the social worker should.
A. assistant to identify other methods to become parents
b.help them cope with their disappointment from being denied C.support them and finding the agency bias D.connect them with others who have experienced similar discrimination
A
Answer C
24
Q
77.A client reports to social worker that she was often criticized by her parents when she was in elementary and middle school now has poor self-esteem and doubts her abilities. According to Ericksons stages of social psychosocial development the client experiences a crisis in which the in which of the following stages A. identity versus role confusion b.general activity versus stagnation C.Industry vs. inferiority D. integrity versus despair
A
Answer C
25
84.After several months of training a client a social worker learns that the client goes to the same church as a social worker. The social worker continues to go to church seeing the client occasionally across the room. The social worker has no contact with the client at church. The situation is I appreciate you guys thank you over and over
Answer B
26
```
85.A client is having trouble achieving a treatment girl so the social worker breaks it down into small successive steps every wards the classrooms achieve in each one. This behavioral technique is known as
A.shaping
B. biofeedback
C.modeling
D. flooding
```
Answer A
27
88.A man is court ordered to receive an evaluation by a social worker. Although initially agreeable to participate in the client states at the conclusion of his meetings that the social worker that he changed his mind and wish I never agreed to be interviewed. He asked the social worker not to release any information to the court. The social worker should a.respective clients wishes and not provide any information to the court b.inform the court that the client rescinded his concern and ask the court to advise the social workerOf next steps. C. complete the evaluation base and all the information gathered
D.release all the notes from the meetings and not complete a formal valuation based on the wishes of the client.
Answer C
28
92. Acculturation is best defined as which of the following A. one culture seeking ways to establish its own identity from others that exist. B. one culture incorporated elements such as attitudes beliefs or behaviors or another culture into its always.
C.one culture want to dominate another as a way of obtaining social awards D. one culture trying to work with another despite differences
Answer B
29
94.A social worker is completing an intake with a family who recently immigrated from another country. They are need a basic resources such as rental in nutrition assistance. The children appeared neat and clean. The social worker observed the mother makes it a small amount of alcohol into her infants bottle is told of the sues the child as she is teething. During the intake the family disclose that they do not believe in Western medicine and think sickness is caused by the presence of evil demons. They report that they spend much of the day engaged in prayer and meditation because one of the children is gravely ill. In order to best assist the family the social worker should
A. prioritize them for services provided by the agency
B. respect the cultural traditions and work with the family to prioritize their needs
C. inform them that is necessary to get the child protection agency involved in contact the agency immediately
D. Seek consultation to learn more about the cultural practices of this family.
Answer C
30
96. A social worker and mental health agency is very upset by the passage of legislation there in his opinion will be detrimental to some of his clients. he was asked by an advocacy organization to join a protest that he does on his own time and without identifying his employer. His agency director is very upset by his participation because the Board of Directors of the mental health agency supported this legislation. The social workers actions are
A. ethical because of the social worker is considered a representative of his employer B.ethical because he acted as a private individual.
C.unethical because he should’ve gotten permission from his agency director first. D. ethical because he’s allowed to take any and all actions in instances where policies are considered detrimental to his clients
Answer B
31
99. The social worker is working with a family who has become homeless after fire destroyed their home. The 10-year-old daughter begins to use baby talk and suck her thumb behaviors that were not present before the fire. The mother reports that the daughter now always wants to sit on her lap and clings to her side when they go out in public. The daughter is most likely use in the defense mechanism of A.undoing.
B.reaction formation
C.regression
D.splitting
Answer C
32
Which of the following personality disorders is clustered with antisocial personality disorder in a grouping characterized by dramatic emotional and erratic behavior
A. schizoid personality disorder
B. narcissistic personality disorder
C. obsessive compulsive personality disorder
D.paranoid personality disorder
?
33
105.The person that environment classification system uses all of the following factors to evaluate a client except
A. social role functioning
B. mental and physical health
C. environmental problems d.psychiatric pathology
Answer D
34
```
107. 107. A client reports that she is very upset by her 17-year-old daughter’s behavior. She has not been completing her homework and is showing up late for classes. The client reports that she recently took away her daughter’s cell phone and tell her behavior changes. Which of the following behavioral techniques as the mother using
A. positive reinforcement
B.negative reinforcement
C. positive punishment
D.negative punishment
```
Answer D
35
114.Clienteles a social worker that he can’t stand it anymore but does not believe in one he can make me to changes in his life. He engages with the social worker and discussions about what his life would like be like without his problem behaviors. The client is most likely at which stage of change A. contemplation
B. precontemplation
C. preparation
D.maintenance
Answer A
36
116.Which of the following perspectives on human behaviors based on the believe that client has the capacity to change them selves and actions are driven by the desire for growth personal meeting and competence A.humanistic
B.developmental
C. psycho dynamic
D.rational choice
Answer D
37
124.Which of the following is true about transference and social work practice A. it is a conscientious process
B. it does not have a therapeutic value C. it is always sexual nature
D. it is more likely with clients with certain personality features
Answer D
38
125.A client who reports that she repeatedly feels the urge to physically strike her child when angry tells the social worker that she is having trouble moving her arm. The client is most likely exhibiting the defense mechanism of A. introjection
B. reaction formation
C. conversion
D.projective identification
Answer C
39
126. In agency is concerned with the recidivism rate of its clients and hires a consultant to reply recommendations about service modifications that may have to occur the consultant has a doctorate and extensive experience in the field. After several weeks of consulting generates a report advising of service changes that in the social workers professional opinion would be detrimental to clients the social worker should a.implement them as a consultant as an expert in the field.
B. not implement them say the reasons for the concerns
c. speak to the agency director and let him or her decide whether not to implement them
d. have another consult examine the airport to see if he or she concurs with the recommendations.
Answer b
40
128. The following do not violate state laws were performed outside the social work context but are unethical when engaged in by a social worker except
a.writing a recommendation for Current adult client
B. dating a current adult client
c.borrowing money from a client
d.having a business relationship with the current adult client
Answer A
41
A client comes in to see a social worker because she is having multiple issues on her job during the initial session she tells a social worker that she can’t wait for advice on how to fix the problems. In this situation the social worker should
A. ignore the clients comment
B. remember to speak to the client about her role later in the treatment process once report is been established
C. ask the client why she feels that the social workers advice would be so valuable
D.clarify what will happen during treatment and the responsibilities of both the client and the social worker with regard to change
?
42
130.Which of the following is not a not true about the substance related and addictive disorders in the DSM
A. substance use and substance abuse are combined into a single continuum measured from severe to mild
B.drug craving has been added and legal problems have been eliminated from the diagnostic criteria
C.caffeine use disorder is included as a new disorder
D.gambling disorder is the sole disorder and a new category of non-substance related disorders
Answer C
43
136.Entropy is best defined as a.randomness or disorder in the system lead into a deep clean
B. forward motion leaving to go achievement
C. specialization in system function and purpose
D.open ness in a system with good information exchange
Answer A
44
140.Upon intake the client states that she feels like hurting her self but will be fine. She sure is a social worker that she will not act on our feelings. In order to best assist the client with social worker should first
A.conduct safety assessment
B. acknowledged clients feelings and concerns
C, refer the client to a psychiatrist for medical evaluation
D.determine the reasons that I’ve caused the client to feel this way
answer A
45
```
141.When two or more people share the same delusion or delusional system it is called
A.folie a deux
B.stereotypic disorder
C.conversion disorder
D. Comorbid disorder
```
Answer A
46
145.According to Ericksons psychosocial development follows which sequence of relationship formation?
A. attachment anatomy intimacy
b. intimacy attachment autonomy.
C. autonomy attachment intimacy
d.intimacy autonomy attachment
Answer A
47
149.Which of the following is not a change to the Nuro developmental disorders listed in the DSM
A.mental retardation is named intellectual disability
B.disruptive mood dysregulation disorder was that it has a new diagnosis for children up to age 18 c.shattering was renamed childhood on set fluency disorder
D. autism spectrum disorder now en compasses autistic disorder as burgers disorder childhood disintegrative disorder and pervasive developmental disorder not otherwise specified
Answer B
48
153.A social worker is struggling with treating a client with pica . This disorder is not common among those served by her agency. The social worker believes that it is in the best interest of the client for her to obtain consultation. A colleague in the agency has shown interest in this situation agrees to advise because she is now on the social worker for many years and they both became employed at the agency immediately after graduation. In order to best assist the client the social worker should
A.declined the offer in order to find a consultant with more experience and treating this disorder
B. except the offer because the colleague is immediately available to assist
C. except the offer because a colleague is knowledgeable about the social worker skills which may be valuable and making treatment recommendations
D. declined the offer because itConflict of interest to you as a colleague who is employed by the same agency
Answer B
49
```
156.According to object relations theory the normal symbiotic phase of development last until about what age
A.five months
B. two years
C.five years
D.two weeks
```
```
156.According to object relations theory the normal symbiotic phase of development last until about what age
A.five months
B. two years
C.five years
D.two weeks
```
50
157. A couple comes in to see a social worker because of their destructive pattern of fighting. The husband complains that his wife is always nagging him to do things around the house and suggest that he will get them done if she just stops complaining. The husband stating that his behavior while approve it which of the following behavioral techniques used
a.positive reinforcement
B.positive punishment
C. negative reinforcement
d. negative punishment
Answer C
51
```
159.The client reports that she is under the surveillance or the police and that they have been following her for days as well as listen in on her phone conversations there is no other evidence to support this please. The clients report is most likely result in from a
A.disassociation
B.delusion
C.hallucination
D. hypo manic state
```
Answer B
52
160.After completing an assessment a client states that she would like to work on being more assertive at work. In order to best assist the client the social worker should first
A. provide the client with communication strategies aimed at self-expression
B.assist the client with identifying class is aimed at assertiveness training
C.gather information on issues that her current and past jobs out of it resulted from communication barriers
d.identify the outcome that she hopes to attain from this behavioral change
Answer D
53
163.In the DSM dysthymia is now called
A. persistent depressive disorder b. major depressive disorder
C.disruptive mood dysregulation disorder
D.substance medication induced depression disorder
Answer A
54
165. 165. A client has been diagnosed with stage four cancer and is referred to a pain management group to minimize the discomfort associated with her illness. The provision of the service is best represented as which of the following
A. tertiary prevention
B. primary prevention
C.secondary prevention
D. hospice
Answer A
55
170.A mother is very upset because she feels that her four-year-old daughter is selfish and does not understand how her behavior impacts others in the family. She reports that the child has no problems in preschool and gets along with peers outside the family according to their parents. The social worker and best assist the mother by
A.assessing the daughter for behavioral disorder
B. explaining the development of young children.
C. gathering more information about the daughters development
D. working with a daughter behave more appropriately in the family unit
Answer B
56
A social worker plans to meet with professionals from several agencies to coordinate services for a client What is the MOST important for the social worker to do before the meeting?
A establish ground rules for team members participation
b. Encourage team members to advocate for the client
c. suggest the client to meet with each team member
d. Invite the client to participate in the team meeting
Rationale :(D)
57
A social worker meets with a client who acknowledges that she has been cutting herself for the past year. When talking to the social worker about it, she becomes defensive and says, ‘my family says to just stop it, but I can’t. She ends by saying that she lacks the willpower to stop. What should the social worker do FIRST?
A remind the client that addictive behaviors are cyclical
b. explore the clients feelings about the behavior
c. identify the psycuholosocial triggers that lead tot he behavior
d. Assess the clients motivation to change the addictive behavior
rationale: (B)
A social worker conducts a group for adolescents with substance abuse problems. The social worker feels angry during several sessions when the adolescents boast about their pervious criminal behavior while using drugs. What should the social worker do NEXT?
a. Confront the group about the boasting
b. Discuss the consequences of the criminal behavior
c. Disclose the feelings of anger to the group
d. seek supervision to address the angry feelings
rationale: (D)
58
Parents bring their 14 year old son to a social worker because he questions authority, is late for curfew, and longer desires to attend church with the family. The son says that his parents treat him like a baby and wants to go to a more ‘upbeat’ church . The social worker should explain to the parents that their son is MOST likely :
a. seeking to identify with peer
b. trying to find a personal identify
c. engaging in a power struggle
d. exploring unresolved religious issues
rationale: (B)
59
A social worker is conducting the first session of a cognitive behavioral therapy group for clients with anger management problems. The social worker should tell the group members that :
a. anger automatically leads to aggression
b. Venting anger is always desirable
c. they must learn the triggers for their anger
d. people are born with set ways of expressing anger
rationale :(C)
60
A social worker supervision wants to ensure that a social worker is practicing at or above standards. What is the BEST method to assess this?
a. Ask the social worker to rate his or her own performance
b. Ask clients for feedback regarding satisfaction with services
c. Directly observe the social workers service delivery
d. Interview peers who work directly with the social worker
rationale: C
61
A social worker meets with parents who are concerned about the rivalry between their two children. They say that the older child has been difficult since birth and always starts fights with the younger child. The parents admit that they are more affectionate with the younger child. What should the social worker do?
a. Explain the rivalry is a normal part of sibling relationships
b. Discuss the impact of parent favoritism
c. Ask about the strengths of the older child
d. Explore conflict the strengths of the older client
rationale: (B)
62
What is the PRIMARY goal for a social worker when meeting with a new client for the first session?
A. To develop a preliminary treatment plan
b. To obtain a complete psychosocial history of the client
c. To determine the client’s motivation for change
d. To form a therapeutic relationship with the client
rationale :(
D)
63
At the end of the second session, a new client diagnosed as having a borderline personality disorder hugs the social worker before leaving the office. What should the social worker do?
A. Tell the client that due to ethical concerns, such demonstrative displays are inappropriate
B. Recognize the need for this type of positive affirmation to establish trust with this type of client
C. Set appropriate boundaries for the therapeutic relationship at the next season
D. Intrepret the hug as an indication of the client’s commitment to the therapeutic alliance.
rationale: C
64
A mother brings her 10 year old son to see a social worker. She complains that he frequently touches his private parts in public, Children at his school have teased him about his behavior. His mother, teacher, and school counselor have talked to the boy about the inappropriate behavior, but it persists. There is no indications of sexual abuse. The child MOST likely
a. was sexually abused as an infant
b. Is attempting to gain attention from his classmates
c. Is at a high risk of becoming a sexual predator
d. Is exhibiting anxiety-induced repetitive behavior
rationale: (D)
65
As a toddler, a child was placed in foster care because of abuse. It was later determined that reunification was not possible. During adolescence, the child had increasing emotional difficulties and was placed in a treatment facility. Get long term foster parents visit her regularly. The foster parents contact the social worker to ask if they can be involved in family therapy. What is the BEST actions for the social worker to take?
a. Explain to the foster parents that individual therapy is indicated
b. Plan to do family therapy when the child returns to the foster home
c. Refer the foster parents for group support
d. Initiate family treatment with the foster parents as requested
rationale:(D)
66
A 14 year old girl comes to a family services agency for help. She is four weeks pregnant, unmarried, and depressed. She lives with her parents, who are unaware of her pregnancy. Local law requires parental consent for treatment of minors who live with their parents or legal guardian. What should the social worker do FIRST?
a. obtain the clients informed consent to provide therapy
b. Discuss the need for parental involvement with the client
c. Acknowledge the clients emancipated right for self determination
d. Meet with the clients parents to discuss the case
rationale: (B)
67
A social worker is the director of a large community senior center. The center serves many elderly individuals with cognitive difficulties. Other community service providers ask the social worker for permission to give a presentation to center clients so they can learn about other services available to them. What should the social worker do?
a. Set up a bulletin board with information regarding the provider services
b. Deny the providers requests to give a presentation
c. Have the providers meet only with those clients who are competent
d. Host a provider fair and invite clients family and guardian to attend
rationale :(D)
68
What stage of life is MOST closely associated with feeling invincible?
a. Early childhood
b. Adolescence
c. Middle adulthood
d. Later Life
rationale: (B)
69
An employee refers an employee to a social worker because of anger management issues. In the first session, the employee is clearly reluctant to participate and expresses doubts that therapy can help. After acknowledging the employee’s feelings, what should the social worker do NEXT?
a. Intepret the employee’s comments as resistance
b. negotiate appropriate goals
c. explore the employees transference
d. Initiate training in anger management techniques
rationale - (B)
70
A social worker is working with an adolescent who is very shy. The adolescent sat quietly through the first two sessions. The social worker suggests that they begin work together on a collage of people, places, and things important in the adolescent’s life. What is the PRIMARY purpose for such a project?
a. To gather more information about the adolescents life
b. To build the relationship between the social worker and adolescent
c. To use a concrete method for providing structure
d. TO involve the adolescent in a project that is nonverbal.
r
ationale (B)
71
A social worker is treating an adult child who is worried about how to help parent. The parent lives alone and refuses to live with the client. The parent has conflict with the neighbors and is increasingly forgetful. The client ask the social worker what to do. What should the social worker do FIRST.
a. suggest obtaining legal advice about guardianship
b. Recommend an in home evaluation of the parent
c. Suggest a complete psychological examination for the parent
d. Refer the client to a support group for adult children
rationale: (B)
72
A social worker is interviewing a new client in a mental health clinic. During the interview, what is the BEST way for the social worker to evaluate the client for a psychotic disorder?
a. Use mostly closed ended questions
b. Ask the client about psychiatric hospitalizations
c. Interview other household members with the clients
d. Allow the client to speak freely for a few minutes
rationale: (D)
73
After suffering a heart attack , an 89 year old client who lives alone is schedule to discharged from the hospital. The client is still week and experiencing difficult with daily living skills. The client wants to return home. The hospital social worker is concerned about the client’s well being. What should the social worker do?
a. Discuss the possibility of assisted living with the clients
b. develop a safety plan with the client to support independence
c. Arrange for the clients placement in an extended care facility
d. Contact the appopriate authorities to request placement for the client.
rationale :(B)
74
A client is being treated for sever depression. She tells her social worker about her boyfriends decision to end their relationship. The client expresses shock and grief about his leaving and says she was sure that his relationship would be the lasting one. After acknowledging the clients feelings, what should the social worker do NEXT?
a. assess the clients risk for suicide
b. Explore the clients understanding of why the relationship ended
c. Identify family and friends who can provide emotional support
d. Encourage the clients use of self care strategies
rationale (A)
75
A social worker meets with a 75-year-old client who wife died six months ago. In the intake interview, the client reports losing weight, having very little energy, and having difficulty getting motivated to do things. What should the social worker do FIRST?
a. Complete a suicide risk assessment of the client
b. Explore available family and community resources
C. Suggest that the client schedule an appointment with a doctor
D. Refer the client to a local bereavement group
Rationale: The clients self report describes depression and suicide risk that warrant further assessment (key A). Options (b), (c)C and (d) are all plausible but not the FIRST action the social worker should take.
76
During the assessment process, a social worker learns that a client’s self-reporting is incomplete. What approach would MOST likely improve self-reporting?
a. guided Imagery
b. Role play
c. Journaling
d. Family input
rationale: Journaling helps the client document and remember pertinent information between sessions (key C). Guided imagery (a) and role play (b) are both interventions that are potentially not relevant to the self reporting problem. Family input (d) is incorrect because it is collateral reporting and the goal is to improve client self-reporting
77
A social worker is working with a young child who is a victim of sexual abuse. The social worker has been using play therapy techniques or several sessions, but the child is becoming more aggressive and continues to exhibit disturbing behaviors such as bed-wetting and masturbation. The child’s foster parents feel that the child is not making progress in therapy and have asked the foster care worker to assign a new social worker. What should the social worker do FIRST?
a. Tell the foster care worker that the child is making progress as quick as can be expected
b. Transfer the child to someone who specializes in child cognitive-behavioral therapy
c. Encourage the child to talk freely about feelings and the details of the sexual abuse
d. Educate the foster parents about the effects of child sexual abuse
?
78
A social worker who leads a therapy group plans to begin an extended leave. What should the social worker discuss with the group FIRST?
a. Arrangements for the continuity of the group
b. The group’s progress to date
c. Options for transferring to other groups
d. Detailed reasons for the leave
Rationale. The absence of the regular group leader, even if temporary, can be highly disruptive event for a therapy group, making it imperative that the leader focus on ensuring continuity by discussing how the group will continue during the absence (key A). It would be inappropriate to discuss detailed reasons for the absence (d). Options (b) and (c) may be possible topics of discussion, but not what the social worker should discuss FIRST.
79
Upon beginning treatment with a new client, a social worker encourages the client to spend an extended period of time talking about past personal history and problems. During this time, the social worker asks some questions but is focused mainly on listening to the client. What is the social worker’s MOST likely purpose for doing this?
a. Gathering diagnostic information
b. Assessing for communication style
c. Developing a treatment plan
d. Determining appropriateness for treatment
rationale: by listening as the client talks about personal history and problems, the social worker can gather considerable diagnostic information (key A). Option (B) is incorrect because the client is not engaged in conversation or interaction. Option (c) occurs after the assessment and in collaboration with the client. Determining appropriateness for treatment (d) should also not occur until after the assessment is completed.
80
A 45 year old man is gay meets with a social worker because of a long history of depression. The clients says, ‘in most areas of my life things are fine, but I have never had an emotional relationship that felt intimate.’ He also reports being distanced from the gay community because he is not political and ‘after all, it is no different from being straight, except that I have sex with guys.’ What should the social worker do FIRST?
a. Conduct a comprehensive assessment
b. Explore the client’s disconnection from the gay community
c. Refer for a medical evaluation
d. Suggest that the client consider joining a group for men who are gay
rationale: Assessment (key A) is the FIRST step in the situation to understand the full context of the client’s life. Options (b) and (d) undermine the client’s desire to deal with his depression. Option (c) may be appropriate depending on the results of the assessment.
81
A social worker is seeing a client who describes growing discomfort with a man she is dating. The client is concerned about the man’s excessive jealousy. He insists on spending all their time together, and he needs to make all the decisions. What should the social worker do NEXT
a. Invite the client to bring the man into the sessions
b. Explain that this behavior is charactisitic of abuser
c. Help the client decide how she wants to respond to this man
d. Explore why the client has trouble being assertive
Rationale: This time is about self- determination. Helping the client decide how she wants to respond (key C) supports the client in her decision making process. Option (A) assumes that the client wants to stay in the relationship. Option (b) is incorrect because the social worker is trying to influence the client’s decision. Option (D) might be done later but is not the NEXT step
82
A social worker wants to summarize the findings of a complicated client case for the psychiatrist at her clinic. What method would be MOST effective for the social worker to use?
a. Provide a through written assessment of the client’s presentation
b. Use language that is descriptive and free from technical jargon
c. Provide all the collateral information about the client’s problem
d. Describe the client’s problem, coping skills, and treatment plan
Rationale: Providing a description of the client’s problem, coping skills, and treatment plan (key D) is a simple and straightforward way to summarize the case to the psychiatrist. Providing a through written assessment (A) is laborious and unnecessary.Using descriptive language that is free from jargon (B) does not address the content of the case that needs to be shared. Providing collateral information (C) would be overwhelming and extraneous.
83
A social worker meets with a 34-year-old client who is in recovery from cocaine addiction. The client has made progress and has shown improved social functioning. Recently, the client has been expressing self-pity and sorrow for what he has lost over the years of his substance abuse. There social worker notices that the client is increasingly depressed. What should the social worker do NEXT?
a. Refer the client to a 12-step program
b. Complete a suicide risk assessment
c. Explore recent changes in life situations
d. Refer the client for a medical evaluation
rationale: Due to the severity of the client’s symptoms, the social worker should NEXT assess for suicide risk (key B). After ensuring the client is safe, the social worker may decide to refer the client to a -12 step program (A) of for a medication evaluation (d) , of discuss life changes (c).
84
A 14 year old student is referred to the school social worker. The student was involved in an accident that left him paralyzed from the waist down. He recently returned to school for a long hospitalization. The student does not want to be at school and is struggling academically and socially. What should the social worker do FIRST?
a. Refer the student to a community grief support group
b. Recommend home schooling for the student
c. Evaluate the student for depression
d. Arrange a meeting with the student and his teachers,
Rationale: The student’s sever injury and his current functioning put him at risk for depression (key C). Referring the student to a grief support group (A) may be helpful after gaining an understanding of all the students needs. IT is not clear yet whether home schooling (B) would be a helpful recommendation. Goals should be established before arranging a meeting with teachers (D).
85
A 23 year old latino client who is a recent immigrant is referred to a social worker by his brother. The client says his brother believes he has a chemical dependency problem. What should the social worker do FIRST?
a. Refer the client to a latino social worker in another agency
b. Ask the client to agree to a urine screen
c. Explore the circumstances that led to the immigration
d. Engage the client in a discussion of his substance use history
rationale: the social worker FIRST needs to gather more information about the client’s substance use (key D). Asking what led to the client’s immigration (C) could be explored at a later time. Nothing warrants referring the client to a Lation social worker (A). Asking for a urin screen (B) could occur later, depending upon the results of the assessment, but there is not enough information to justify one now.
86
A social worker is completing an assessment on a 36 year old client who reports multiple emotional problems. The client is married with three adolescent children. She reports that over the past few months she has been irritable with her children and husband, has no energy, feels anxious, has difficulty concentrating, and is constantly sad. She tells the social worker, ‘I just don’t know what’s wrong with me’. What should the social worker do FIRST?
a. Assess the client’s current level of cognitive functioning
b. Ask when the client had her last medical examination
c. Focus on the use of drugs or alcohol as likely contributing factors
d. Identify and engage the client’s interpersonal support systems
Rationale: The social worker must FIRST rule out any medical reason for the client’s recent symptoms (key b). There is not enough information to lead to assessing the client’s cognitive functioning FIRST(A). Option (C) is incorrect because it makes an summation about the client’s substance use. Option (D) may occur later after medical causes have been ruled out.
87
A social worker asks a client for written permission to disclose information to the social worker’s clinical supervisor, who is not in the same agency. What is the MOST important thing that the social worker should tell the client?
a. The risks involved in releasing the information
b. The reasons for providing the information to the supervisor
c. The rights of the client to refuse to release the information
d. The impact on treatment if the information is not released. ‘
Rationale: The MOST important element of consent is that it is completely the client’s decision. Telling the client of the client’s right to refuse a release if information supports client self-determination (key C). Options AB and D only provide information to help the client make a decision to refuse or grant the request.
88
A child protective services agency social worker meets with a single mother who recently left her abusive boyfriend. The mother has found a job cleaning houses but has to take her three year old son to work with her. She admits to spanking her son and leaving marks. She tells the social worker that she is depressed. What should the social worker do FIRST?
a. Refer the mother for a medication evaluation
b. Arrange day care for the child
c. Enroll the mother in a single parent support group
d. Require the mother to begin weekly therapy
Rationale: The social worker should FIRST put day care services in place for the child to allow the mother to work and to reduce stress on the family (key B). After the arrangements are made, the social worker could refer the mother for a medication evaluation (a), a support group (c), or therapy (d).
89
A social worker meets with a client who is seriously distressed by a chronic physical illness. The client reports feeling overwhelmed by the effects of the illness and by the stress that it has placed on the immediate family. The client reports feeling sad and hopeless all the time. The client is unable to perform everyday yeasts and is not sleeping or eating well. What should the social worker do FIRST?
a. educate the client’s family about the effects of chronic illness
b. Refer the client for a medication review
c. Complete a suicide risk assessment on the client
d. Assure the client that depression is normal for people with illness
Rationale: Social workers must have an understanding of indicators of suicide risk and the relationship to chronic illness. Completing a suicide risk assessment should be the social worker’s FIRST step (C)
90
A social worker meets with a family. The parents have requested help in dealing with their young child’s behavior. During a session, the child frequently interrupts to ask the parents if the family can leave yet. The parents ignore the interruptions. What is the BEST action for the social work to take?
A. Ask the child to say why the family needs to leave
b. Tell the child to wait for permission to speak
c. Suggest that the parents respond to the child
d. Ask the parents how the interruptions make them feel
Rationale: By asking the parents to respond to the child (key C), the social worker empowers the parents and also can assess their response. (A) and (B) are not correct actions because they involve the social worker inserting him, or herself into the family dynamics. (D) enables and ignores the child’s behavior and asks the parents to share feelings that might not be appropriate to share the child present.
91
A social worker treats a client who reports a desire to kill a former lover who recent ended their relationship. Upon further questioning, the client says that although this is a desire, its is not a strong one and client has no definite plan. The client says, ‘I probably won’t do anything’. The client contracts with the social worker not to kill the former lover. What should the social worker do NEXT?
a. Notify local law enforcement of the situation
b. Contact the clients former lover to report the danger
c. Monitor the clients feelings at future sessions
d. Consult with colleagues about the case
Rationale: Given the fact that a threat may exist but has not risen to the level of mandatory reporting, ongoing attuning to the clients emotions must be maintained (key C)
92
A social worker is consulting with a psychiatrist regarding a referral for a medication evaluation. Why should the social worker discuss the client’s desire and expectations with the psychiatrist?
a. To help determine the clients current mental status
b. To assist the psychiatrist in selecting possible medications
c. To ensure the client’s self determination
d. To ensure that the treatment goals are consistent
Rationale: This item focuses on client self determination (Key C)
93
A social worker has been providing treatment to a family having difficulty adjusting to an elderly grandparent who moved in with them. The grandparent has been diagnosed with probable Alzheimer’s disease. In a family session, the family reports to the social worker that the grandparent still drives and recently knocked over the mailbox while entering the driveway. What should the social worker do FIRST?
a. Inform the family of their liability if a more serious accident occurs
b. Involve the family and grandparent in a discussion of driving concerns
c. Educate the family about legal procedures for determining competency
d. Help the family plan to get the car keys away from the grandparent
Rationale: The social worker’s FIRST step should be facilitating a discussion between the family and the grandparent about the driving concerns (key B).
94
During a family therapy sessions, the social worker describes the adolescents sons as ‘two speeding locomotives on the same track, heading directly towards one another at breached speeds.” this form of communication is BEST characterized as
a. Symbolism
b. Imagery
c. Paradox
d. metaphor
rationale: Comparing the sons to something abstract such as a speeding locomotives is a use of metaphor.
95
A social worker is assessing a hospital patient for discharge and community care. When should treatment planning begin?
a. when the patient is ready to be discharged
b. On the first day of hospitalization
c. After consulting with the patients physician
d. When the patient requests the service of care planning
Rationale: Discharge planning should occur on the first day of hospitalization (B)
96
A social workers in private practice is temporarily moving to another city. Following consideration of the risks and benefits that may be experience by each client, the social worker offers to continue the therapeutic relationship with several clients through email. This suggestion is MOST appropriate for clients who
a. Completed their treatment
b. Wold be harmed by early termination
c. are able to cope with day to day issues
d. are dealing with ongoing crises
rationale: the reduced access to in person treatment is MOST appropriate for higher functioning clients (C)
97
A second grade teacher consults the school social worker about a student who has had chemotherapy and lost all hair. The student seems sad, is doing poorly in schoolwork, and is not participating in activities. What should the social worker do FIRST?
a. Contact the parents to gain more information
b. Hep the teacher understand the effects of chemotherapy on mood and energy
c. Refer the child at a children’s cancer support group
d. Explore the students feelings about what it means to have cancer
Rationale :(A)
98
A school social worker meets with students after school to help with social anxiety. The student has always done well in school but now is failing a class because of unexcused absences. The student avoids the class because it is large and crowded. The student asks the social worker to provide an excuse for the absences. What should the social worker do?
a. help the student to accept the failing grade
b. Write a note to the teacher to discuss the situation
d. Schedule a meeting with student and family.
rationale : (C)
99
What is the PRIMARY reason for a social worker to document treatment sessions?
a. To evaluate the effectiveness of each treatment modality
b. As a way to provide documentation for reimbursement
c. As a measurement of progress towards goals
d. To establish a plan for termination
rationale: C
100
Compared to women diagnosed with borderline personality disorder, men diagnosed with the same disorder generally:
a. experience less emotional distress
b. Receive the diagnosis later in life
c. Exhibit different patterns of impulse related disorders
d. Have a much greater level of overall impairment
rationale: (C)
101
A social worker is working with a lesbian couple. One partner is applying for public assistance and encountering difficulty in securing coverage. The social worker has reason to believe that discrimination based on sexual orientation may be slowing down the application process. What should the social worker do?
a. Explore the partners reasons for seeking public assistance
b/ Recommend that the couple file a lawsuit based on discrimination
c.Discuss other sources of financial assistance with the couple
d. Advocate for the partner with the appropriate agency personnel
rationale: (D)
102
A couple meet with a social worker for the first time because they are worried that their relationship is no fun. They say that when they have time alone, they are so caught up to day to day worries that they do not enjoy being together. To use a problem solving, short term approach, what should the social worker suggest?
a. Listing activities each would enjoy as a couple
b. Having no fun together until the next session
c. Planning an evening out together
d. Exploring the couples family of origin issues
rationale: (a)
103
A social worker interviews a couple who want to engage in marital therapy. The wife discusses their lack of communication and intimacy. After discussing the presenting problem, what part of the history should the social worker review NEXT?
a. Psychiatric
b. Relationship
c. Medical
d. Sexual
rationale:B
104
A client meets with a social worker and discloses that she has sexual feelings for her same sex coworker. The client identify herself as heterosexual and is uncomfortable with these feelings. What should the social worker do?
A. Assist the client in exploring her feelings
b. Invite the co worker to a session
c. Interview the client regarding her sexual history
d. Assess the clients understanding of sexual orientation
rationale: (A)
105
What should the social worker do when using evidence based practice methods in developing a treatment plan with a client?
a. Base the clients treatment plan on a theorectical approach
b. Use treatments that have been successful for others with the clients diagnosis
c. Consider client preferences and values when arriving at the treatment plan
D. Consult practice textbook to find an applicable therapy model
rationale: B
106
A social worker meets with a parent of a 13 year old boy who has moderate intellectual disability. The parents report that their son has been smoking marijuana given to him by an adult neighbor. What should the social worker do FIRST?
a. Suggest that the parents provide closer supervision of their son.
b. Explain to the parents that a report must be made to the proper authorities
c. Encourage the parents to confront the neighbor
d. Recommend that the parents consider a residential placement for their son.
??
107
A 75 year old man is referred to a social worker by a neighbor after the deaths of the mans spouse of 45 years and two long term friends. In the initial interview, the client said he was experiencing recent difficulties with memory loss and confusion, increasing physical problems, sadness, feelings of loneliness, and a sense of uselessness. The client also noted the pain of losing a spouse. What should the social worker do FIRST?
a. refer the client for a medical evaluation
b. Explore the nature of marriage and family before the loss
c. Assess the client for depression and suicide risk
d. Encourage the client to become involved in a local senior center
Rationale: C
108
A social worker is evaluating a 46 year old married women who is distressed by her husbands recent inability to sustain an erection. She reports that her husband has insulin-dependent diabetes. She says that the physician has explained that diabetes causes this problem, but she believes that her husband doesn’t love her anymore. What is the social workers MOST appropriate action?
a. Offer individual therapy to the women
b. Give the women literature on the effects of diabetes
c . Suggest that the husband seek a second medical opinion
d. Offer conjoint sessions to the woman and her husband
Rationale: The feelings of both the husband and wife need to be explored in light of the changes of marital relationship (D)
109
A hospital social worker is helping a patient who has a terminal illness develop an end of life plan. What must the plan include?
a. The patients wishes regarding burial
b. A recommendation for palliative care only
c. The patients wishes regarding lifesaving measures
d. A recommendation for transfer of the patient to hospice care
rationale: (C)
