ACSW Test

37. At the recommendation of the school counselor, a mother request that a social worker treat her ten-year-old son for persistent fighting in school. The mother says that her son is well disciplined in the home and neighborhood. After obtaining a social history from the mother, what should the social worker do NEXT?

A Obtain a release to talk with the school counselor. Rationale: Obtaining collateral information from these school setting is necessary in this situation, particularly given the age of the son.

A social worker who leads a therapy group plans to being an extended leave. What should the social worker discuss with the group FIRST?

A. Arrangements for continuity of the group. Rationale: The absence of the regular group leader, even if temporary, can be a highly disruptive event for a therapy group, making it imperative that the lead focus on ensuring continuity by discussing how the group will continue during the absence. It would be inappropriate to discuss detailed reasons for the absence (D). Optins B and C may be possible topics of discussion, but not what the social work

54. A six-year-old child lies with a foster family. His father is in prison and his mother is in residential treatment fro alcohol dependence. The child is a small for his age, often has temper outburst, and had difficulty completing schoolwork. The social worker notes that his speech is immature. What should the social worker do FIRST?

A. Refer the child for assessment for fetal alcohol syndrome.

48. A social worker has bee providing treatment to a family having difficulty adjusting to an elderly grandparent who moved in with them. The grandparent has been diagnosed with probable Alzheimers 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?

B. Involve the family and grandparents in a discussion of driving concerns.

81. Compare to woman diagnosed with borderline personality disorder, men diagnosed with the same disorder generally:

C. exhibit different patterns of impulse-related disorders.

80. A social worker is working with a lesbian couple. One partner is applying for public assistance and encountering difficult in securing coverage. The social worker has reason to believe that discrimination based sexual orientation may be slowing down the application process. What should the social worker do?

D. Advocate for the partner with the appropriate agency personnel.

53. During the family therapy session, the social worker describes the adolescent sons as "two speeding locomotives on the same track, heading directly toward one another at breakneck speeds." This form of communication is BEST characterized as:

metaphor

58. A group of social work colleagues meets on a regular basis to discuss cases with each other.

B. Peer consultation

43. A social worker meets with a mother who complains of constant arguments at home between her adolescent child and her new husband. The arguments focus on the child's poor school performance and have increased intensity since the stepparents was laid off from work. What should the social worker do FIRST?

B. Schedule a session with the entire family (start where the client is, the other answers are external).

84. What is the PRIMARY reason for a social worker to document treatment sessions?

C. As a measurement of progress toward goals.

57. A hospital social worker is helping a patient who has terminal illness develop an end of life plan. What Must the plan include?

C. The patient's wishes regarding lifesaving measures.

47. A social worker is consulting with a psychiatrist regarding a referral for medication evaluation. Why should the social worker discuss the client's desires and expectation with the psychiatrist?

C. To ensure the client's self-determination. Rationale: This item focuses on client self-determination. The purpose fo the social workers discussion is to advocate for the client's desires and expectations to be important considerations in the work with the psychiatrist.

82. A social worker meets with a couple who have difficulty expressing feelings. During one session, the couple begin to argue about finances. The husband yells and the wife cries. The husband responds by saying, "crying won't work, you need to spend less money." What should the social worker focus on FIRST?

D. the couples poor communication skills.

11. A social worker is working with a family whose adolescent son who is acting out. During the assessment, the mother confides that she was sexually abused as a child b her father. She has never addressed her past abuse and is interested in treatment. What type of group would be most helpful to the mother at this time?

A. A structure therapy group focusing on trauma issues. Rationale: A group focused on trauma issues is most appropriate because it targeted the presenting problem that the mother disclosed.

1. A social worker meets with a 75-year-old client whose wife died six months ago. In the intake interview, the client reports losing weight, having very little energy, and having a difficulty getting motivated to do things. We should the social worker do FIRST?

A. Complete a suicide risk assessment of the client. Rationale: The client's self-report describes depression and suicide risk that warrant further assessment. Option (B), (C), and (D) are all plausible but not the FIRST action the social worker should take.

20. A 45-year-old man who is gay meets with a social worker because of a long history of depression. The client says, "In most areas of my life are fine, but Have never had an emotional relationship that felt intimate." He also reports being distance 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 Rationale: A is the FIRST step in this situation to understand the full context of the client's life.

3. A Social Worker meets with a 35-year-old Japanese American man who is anxious because his wife is pressuring him to move his mother into a nursing home. He prefers that she lives with them. The social worker asked the man if he has any siblings and what his birth order is. The information is important to the social worker's understanding of the man's:

A. Cultural perspective Rationale: It is always important for a social worker to understand the cultural context of client situations. Information about sibling and birth order can reveal much about the impact of culture on a client from a broadest perspective. This information is less likely to provide an understanding of a client support systems (B), financial options (c) or family dynamics (D).

49. A social worker is an agency routinely meets with eight or more clients each day. Th social worker is having difficulty completing the required documentation. What should the social worker do?

A. Discuss the problem with the agency's supervisor. Rationale: This item describes a very common issue that must be explored with the Supervisor. Such a conversation may reveal alternatives not considered by the social worker or may result in a change in agency policy that allows more time for documentation to be completed.

18. A social worker meets with a new client who has left her husband after a number of incidents of domestic violence. The client says that her husband has been dealing with his anger issues and she believes that he is changing. She thinks that they will be reconciling soon and is excited about it. She asks what the social worker thinks about reconciling. The social worker has reservations about the client's plan. What should the social worker do FIRST.

A. Discuss what changes the client is observing in her husband. Rationale: Starting a dialogue helps the client to understand the risks and benefits of reconciliation, which must occur before other decisions about treatment are made.

27. A 49-year-old women seeks therapy, citing problems with her 74-year-old mother. The client reported that her mother moved to a retirement community seven years ago after the death of the client's father. The mother has adjusted well and made many new friends. Six month ago, the clients mother began dating man and they have decided to live together. Since the decision, the client and her mother argue each time they see each other. The client says that her mother is not thinking clearly and is betraying her father. The client is very upset to think of her mother being sexually active. What should the social worker do FIRST?

A. Focus on the client's feelings about her mother's changes in behavior. Rationale: The client is having trouble adjusting to what appear to be normal life events for the mother, and she needs to explore her feelings around her mother behaviors. A discussion of the deceased father (D) ignores the current issue and the presenting problems.

19. 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 workers MOST likely purpose for doing this?

A. Gathering diagnostic information Rationale: By listening as the client talks about personal history and problems, the social worker can gather considerable diagnostic information.

31. A child protective services agency social worker is working with a family who was referred because of child neglect. The parents have substance abuse and gambling problems. They frequently leave their children alone at night and fail to obtain routine medical care for them. The parents also keep the ten-year-old child home from school to watch the younger children. After completing a psychosocial assessment, what should the social worker do NEXT?

A. Help the family identify services needs. Rationale: Due to the severity of the family's problems, the social worker must immediately identify needs to help connect the family with services.

23. A man diagnosed with aids is confined to a wheelchair and is a resident in a nursing care facility. as his illness progresses, he becomes increasingly depressed and angry. One day he abruptly cuts himself and attempts to bleed on several staff members. The social worker is consulted about how to handle the situation. What should the social worker do NEXT?

A. Refer the resident to a psychiatric evaluation. Rationale: Due to safety concerns and a change in mental status, the resident must be evaluated immediate (A). Encouraging the staff to press changes (B) does not health with the situation at hand. Providing education to staff is not relevant to the presenting problem (D).

83. A mother tells her social worker that her 17-year-old son has been diagnosed with attention-deficit/hyperactivity disorder and has been prescribed Adderall by a psychiatrist. The psychiatrist has prescribed several other medication in the past. The mother says she as lost faith in the doctor because the medication have not worked. What should the social worker do?

A. Suggest that the mother consult with the psychiatrist. Rationale: the social worker should refer the mother to discuss her concerns directly with the psychiatrist for continuity of care.

77. After a lifetime in one house, a senior moves into an assisted living facility. Before the move, the resident was outgoing but now is reclusive and refuses to attend meals or other activities. What should the social worker consultant suggest the staff do FIRST?

A. allow the resident time for grieving Rationale: adjusting to the major move that is describe would very likely involve a grieving process, and the resident should be permitted to move through that process.

70. A client meets with a social worker and discloses that she has sexual feelings for her same-sex coworkers. The client identifies herself as heterosexual and and is uncomfortable with these feelings. What should the social worker do?

A. assist the client in exploring her feelings. Rationale: This item allows the opportunity for the social worker to help the client understand that the feelings can be normal. Asking the client to elaborate on her feelings allows her to better understand them.

72. An inpatient social worker meets with a suicidal client who was referred by her outpatient therapist. The client tells the social worker about a rape that she had not disclosed to her outpatient therapist. What should the social worker do FIRST?

A. complete the admission for inpatient services. Rationale: the primary issue here is the safety needs of a suicidal client, making it imperative that the social worker complete the admission for services.

75. A 19-year-old college student meets with the student health center social worker. The student says that she is experiencing anxiety over making a career choice and deciding whether to stay with her boyfriend. What should the social worker do to BEST support this client?

A. focus on the students innate problem solving abilities. Rationale: this item addresses the strengths perspective by focusing on the students abilities to solve her own problems.

50. A couple is referred to a social worker. The wife says that she is constantly tired from going to work, cooking, cleaning, running the household, and caring for the couple's first child. Her spouse is angry with her for not spending time with him and for not keeping the baby quiet. The couple MOST likely is:

A. having difficulty with a new life cycle stage. Rationale: This item requires the social worker to understand how life cycle changes can create stresses that, while vey real, are not unusual.

76. 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 in 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 Rationale: helping the couple list activities they would enjoy is the most efficient way to help them solve their presenting problem.

36. 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 so 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?

B. Arrange day care for the child (the answer option did not have report to DCFS).

33. 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?

B. Ask when the client had her last medical evaluation.

28. A social worker meets with a 34-year-old client who is in recovery fro cocaine addiction. The client has made progress and has show improved social functioning. Recently, the client has been expressing self-pity and sorrow for what he had lost over the years of his substance abuse. The social worker notices that the client is increasingly depressed. What should the social worker do NEXT?

B. Complete a suicide risk assessment.

64. An adult client with an intellectual disability has been living with an elderly parent. The parent requires hospitalization. Using a resilience framework, what should the social worker do to BEST prepare the cellist for transition to respite care?

B. Discuss respite care options with the client. Rationale: Discussing respite care options allows the client to be part of the decision-making process.

63. A parent brings a four-year-old child to family services agency because the child is having fantasies of being chased by a giant and a tiger, and has nightmares of running in terror. What should the social worker do FIRST?

B. Do a comprehensive bio psychosocial assessment.

65. A social worker meets with the parents of a 13-year-old boy who has moderated 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?

B. Explain to the parents that a report must be made to the proper authorities.

44. During an initial session. a couple request assistance with long-standing marital problems that have lead to several separations in the past. The social worker also learns that the husband will begin an overseas assignment in six weeks. What is the social workers BEST approach to the treatment request.

B. Focus on issues that can be resolved in the short-term. Rationale: Because the couple will be separated in the near future, the social worker should focus on resolving issues that can be accomplished before the husband leaves.

21. 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?

B. Help the client decided how she wants to respond to this man. Rationale: This time is about self-determination. Helping the client decided how she wants to respond supports the client in her decision-making process.

24. A social worker meets with a couple who come from different backgrounds. They disagreed about how to discipline their child. One favors strict discipline, while the other favors negotiating solutions. Each feels criticized by the other. What should be social worker do FIRST?

B. Help the couple understand their differing responses.

45. A social worker meets with a family after the mother has been diagnosed with terminal cancer. The family members are in crisis over this prognosis. What should the social worker do NEXT?

B. Help the family process the grief and loss issues. Rationale: Because the family is in shock over the diagnosis, helping them process the grief and loss issues is the correct as the NEXT step.

25. A social worker is working with two young boys and their mother. The mother reports that the boys behavior problems began soon after the boys returned from a visit with their father, who lives with his girlfriend and an infant daughter. The boys parents are involved in a bitter custody battle. During the interview, both boys tell the social worker the their father girlfriend has beaten them with flyswatter, burned the older boy with a cigarette, and threatened to kill the younger boy. What should the social worker do?

B. Immediately report the allegations of abuse to the appropriate authorities.

55. A social worker is assessing a hospital patient for discharge and community care. When should treatment planning begins?

B. On the first day of hospitalization.

74. 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?

B. Relationship Rationale: discussing relationship history is consistent with the presenting problem of lack of communication and intimacy.

13. An 18-year-old client is referred to a social worker because of relationship problems. At the first appointment, the social worker learns that the client is deaf. The client is accompanied by his mother, who knows American Sign Language and offers to interpret the session. What should the social worker do NEXT?

B. Reschedule the appointment with a certified interpreter. Rationale: Involving a certified interpreter is the most appropriate way to ensure an objective assessment process. Allowing the mother to interpret enable subjective information to be filtered through her. There is no need to refer the client to another social worker. Communicating in writing is overly burdensome to gather the necessary information.

26. A social worker experience feelings of grief working with a client who is terminally ill. The social worker is reminded of a favorite grandparents who died two years ago. The social worker recognizes the experience of countertransference but feels helpless to cope with it. What should the social worker do FIRST?

B. Seek supervision or consultation

35. A social worker asks a client for writer permission to disclose confidential information to the social workers clinical supervisor, who is not in the same agency. What is the MOST important thing that the social worker should tell the client?

B. The rights of the client to refuse to release the information Rationale: The MOST important element of consent is that it is completely the client's decision. Telling the client of the clients right to refuse of release of information supports the clients self-determination (C).

14. A social worker meets with a new client who is going throughout a difficult divorce. The client is tearful, expressed feeling that life will never be the same, and describes changes in eating and sleeping habits. The social worker plans to administer a depression inventory before, during and after treatment. What is the social workers PRIMARY reason for repeatedly administering the inventory.

B. To document the effectiveness of treatment.

73. In an initial interview, a client reveals that she recently stopped treatment with two other therapist in the community. What should the social worker do FIRST?

B. explore the client's reasons for termination from the other therapist. Rationale: the social worker needs to gain a thorough understanding of why previous treatment failed.

68. What should the social worker do when using evidence-based practice methods in developing a treatment plan with a client?

B. use treatments that have been successful for others with the clients diagnosis.

15. A doctor is required to obtained written permission to perform an autopsy on a deceased patient. The doctor asks the social worker to obtain the family's consent. The family refuses and is upset about the request What should the social worker do NEXT?

C. Affirm the family's right to make the decision. Rationale: Affirming the family's right to make the decision validates the family's self-determination.

71. An adult client meets with a social worker for an intake at a clinic. The client request medication to help manage anxiety and chronic pain. The social worker learns that the client is already taking narcotics and anti anxiety drugs prescribed by several physicians. What should the social worker do NEXT?

C. Ask the cellist to provide written permission to contact the prescribing physicians. Rationale: Coordinating care with physicians is critical to treatment planning and to proceed safely with a psychiatric evaluation.

62. 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?

C. Assess the client for depression and suicide risk.

8. A 14-year-old Asian American student is referred to a family agency because of the student's recent poor academic performance and behavioral changes, including lack of paying attention and social withdrawal. During the second family therapy session, the student angrily says that she is tired of the painful physical punishments from her father for trying to fit in with her friends at school. The father notes that the punishment in necessary to prevent his daughter from imitating the behavior of her American friends and thus bringing shame to the family. What should the social worker do FIRST?

C. Attempt to determine the severity of the physical punishment Rationale: The social worker must FIRST gather more information about the details of the punishment (C). Alternative modes of discipline (A) night be appropriate after the social worker has a better understanding of the situation. informing the parents that a report must be made (B) is premature at this time. (D) ignores the possibility that the behavior could be abuse.

39. 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 tasks and is not sleeping or eating well. What should the social worker do FIRST?

C. Complete a suicide risk assessment on the client.

67. A social worker from the dominant culture wants to increase her understanding of the minority cultures represent in her agency. To gain this understanding, what should the social worker do FIRST?

C. Develop a strong awareness of her own culture.

41. A social worker is contacted by a client who initially expressed a desire to become more assertive. However once therapy begins, the client is unable to carry out treatment tasks. The client indicated that she is fearful of initiating change because her culture does not approve of assertive women. What should the social worker do FIRST?

C. Discuss the client's perception of the cultural conflict. Rationale: Engaging the client in a discussion of her perception of the cultural conflict (C) should be the social workers FIRST response because it addressed the client's expressed reasons for the fearfulness and starts where the client is.

29. 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 after 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?

C. Evaluate the student depression. Rationale: The students severe injury and his current functioning put him at risk for depression (C).

61. A social worker asks a client to sign a consent for treatment form. The client signs the form but seem uncomfortable with the decision. What should the social worker do FIRST?

C. Explain the the client has the right to withdraw consent after it is given.

66. A woman meeting with a social worker describes numerous problems, including an unhappy marriage, frequent verbal abuse, severe physical illnesses, mounting financial pressures, and a chaotic family situation. She tearfully says that shears she is losing all control over her two teenage daughters. What should the social worker do FIRST?

C. Help the client prioritized her concerns. Rationale: the woman is presenting with multiple psychosocial stressors. The social worker must help the client FIRST sort out and prioritized the issues.

6. During the assessment process, a social worker learn that a client's self-reporting is incomplete. What approach would MOST likely improve self-reporting

C. Journaling Rationale: Journaling helps the client document and remember pertinent information between session.

16. A social worker visits an elderly client who is homebound. The client was referred by the community health nurse because of depression. The social worker finds the client minimally meeting basic needs, somewhat confused, and not able to provide much necessary information. As the social worker is leaving the apartment, the apartment manager approaches. What SHOULD the social worker do?

C. Leave without discussing the client with the manager. Rationale: In order to preserve client confidentiality, the social worker must not discuss anything with the apartment manager.

46. A social worker treats a client who reports a desire to kill a former lover who recently ended their relationship. Upon further questioning, the client says that although this is a desire, it is not a strong one and the client has no define 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?

C. Monitor the client's feelings at future session. Rationale: Given the fact that a threat may exist but has not risen to the level of mandatory reporting, ongoing attention to the client's emotions must be maintain.

38. A social worker is leading a task group whose goal is revising the admission criteria for a day treatment program. The group consist of staff from the day treatment program and case managers and nurses from agency programs serving the same client population. The social worker observes that when case managers or nurses offer suggestions, the group either ignores the suggestions or ridicules them. What should the social worker do NEXT?

C. Share the observation of the behavior patterns exhibited. Rationale: At this point, the social worker should immediately highlight behavior patterns (C) to help the group members respect one another and to make the process smoother.

40. 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 worker to take?

C. Suggest that the parents respond to the child Rationale: By asking the parents to respond the child (C), the social worker empower the parents and also can assess their response.

56. A social worker in private practice is temporarily moving to another city. Following consideration on the risk 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 client who:

C. are able to cope with day-to-day issues.

85. A social worker has an initial session with a 39-year-old client who, after entering the office, starts weeping uncontrollably. The BEST response by the social worker would be to say.

C. could you share with me what you're experiencing at this moment? Rationale: asking the client to share feelings is the social workers BEST response because it starts where the client is.

7. A social worker is facilitating a new group for teenage fathers. The goal of the group is to support and encourage the young fathers to become more engaged with their children. After reviewing the rules of the group and eliciting introductions, what should the social worker do NEXT?

D. Ask each member to express his personal expectations of the group experience. Rationale: The item requires knowledge of the stages of group formation. Engaging group members in a discussion of expectation early on helps to establish group norms and will help to guide subsequent stages of group development. Option A, B, C focus more on individual member concerns and experiences which should occur only after group norms have been established.

51. A client meets with the social worker for help with depression. Recently, the client admitted to problems with drinking. The client is resistant to talking about abstinence from alcohol. What should the social worker do NEXT?

D. Assess the client's stage of change Rationale: the social worker should begin by carefully assessing which stage of change the client is in, in order to determine how to best understand the clients resistance.

34. A client request that the social worker accompany her to weekly church services. What should the social worker do FIRST?

D. Clarify professional boundaries. Rational: A clarification of boundaries (D) reflect social work ethics.

22. 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?

D. Describe the clients problem, coping skills, and treatment plan. Rationale: Proving a description of the client's problem, coping skills and treatment plan (D) is a simple and straightforward way to summarize the case to the psychiatrist.

69. In a treatment session, a client diagnosed with social anxiety disorder discusses having joined a new community group whose members are picketing to protest the local library's current policy for book purchases. The social worker personally agrees with the library current policy. What should the social worker do?

D. Discuss the pros and cons of joining the group. Rationale: The social workers focus should be on exploring the clients decision in terms of treatment and treatment goals.

2. 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 for several sessions, but the child is becoming more aggressive and continues to exhibit disturbing behaviors such a 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 work to assign a new social worker. What should the social worker do FIRST?

D. Educate the foster parents about the effects of child sexual abuse Rationale The social work should first help the foster parents understand the long-term impacts of childhood sexual abuse and the unpredictable treatment progress. Option (A) does not provide enough meaning information to the foster care worker. There is no need to transfer the child (B) because play therapy is indicated for this age group. Encouraging a young child to talk about the abuse (C) is often counterproductive and contraindicated.

30. 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?

D. Engage the client in a discussion of his substance use history.

17. A client is housed temporarily in a domestic violence shelter with her children. She is planning to return home where the perpetrator still lives. What should the social worker do FIRST?

D. Explain the effects of domestic violence on children. Rationale: Explaining the impacts of domestic violence on children is the FIRST thing a social worker should do to help the client understand the potential consequences of her decision. Accepting the clients decision (A) should not occur without discussing the risks to the family. By encouraging the cent to end the relationship (B), the social worker is imposing personal values on the client. There is not enough information to file a report (D).

10. A social worker is working with a client who has been told that she must lose weight because her health is being affected by her obesity. She reports that all the diets she has tried have not worked because she lacks the willpower to control her eating. She ends by saying how lonely she feels even with family and friends. She says that she feels like a "big fat failure." What should th social worker do FIRST?

D. Help the client explore the dynamics of the eating problem. Rationale: The FIRST thing the social worker should do is to help the client gain an understanding of the connection between her self-esteem and her eating problem. After exploring the dynamics, an exercise program, nutritional consultation or self help group could be suggest. Discussed earlier, these suggestion may be a set-up for further failure.

42. A client tells his social worker that he has difficulty understanding why he gets so angry when his supervisor criticizes his performance in any way. After exploring the issues further, the social worker relates the clients reaction in this situation to the relentless criticism by his mother during his childhood. What type of intervention is described by this example?

D. Interpretation

A woman is bedridden in a nursing care facility because of complications from morbid obesity. The social worker is contacted after the woman deliberately twist an aides' finger while receiving a bed bath. The woman reports that she was hurt during the bath and that her request for the aide to stop were ignore. She also frequently hears unking comments about her weight by staff members. What should the social worker do FIRST?

D. Meet with staff members and the woman to resolve differences. Rationale: Initially, the social worker should attempt to mediate between the staff and the woman as the most straightforward approach (D).

60. A social worker is evaluating a 46-year-old married woman who is distressed by her husband recent inability to sustain an erection. She reports that her husband has insulin dependent diabetes. She says that the physical has explained that diabetes causes this problem, but she believes that her husband doesn't love her anyone. What is the social worker MOST appropriate action.?

D. Offer conjoint session to the woman and her husband. Rationale: The feelings of both the husband and the wife need to be explored in the light of the changes to the martial relationships, so conjoint therapy is the MOST appropriate option.

32. A social worker meets with a client who complaints about reliving a motorcycle accident that he witnessed six weeks earlier. Two people were killed in the accident. The client is having trouble sleeping and is experiencing recurring nightmares. What is the MOST likely diagnosis for the client?

D. Post traumatic stress disorder.

9. A social worker director is revising the process of orienting new staff to the agency. The revised process includes a day of training. The training will include tie to your the agency and review agency policies and procedures. To be MOST effective in helping new staff to succeed, what should the training program include?

D. Presentation of the agency' philosophy and values Rationale: Presenting the agency philosophy and values establish what is expected of all staff in accordance with the agency's mission.

78. In a group therapy session, one client is verbally abusive toward another group member. When the social worker reminds the client about the rule against verbal or physical abuse in the group, the cellist continues shouting. What should the social worker do?

D. Remove the client from the session.

79. A social worker meets with a couple and their four-year-old child. The child speaks slowly and uses few words. What should the social worker suggest to the parents?

D. The child needs to be screened for delays.

59. An adult client diagnosed with schizophrenia has never lived independently and is currently living in a group home. The client is compliant with treatment and takes part in a supported employment program. The client feels ready to live independently. What should the social worker do FIRST?

D. Work with the client to identify needed resources. Rationale: D is the first step in helping the client live independently and supporting the client's self-determination.

52. A social worker supports a client's readiness for change by:

D. developing the change plan with the client.

12. All of the following elements are components of a mental status examination EXCEPT: Level of reality testing behavior during the interview knowledge of general information D. Ego strengths

D.Ego strengths