aswb/LMSW study examples
A social worker meets with a staff person who has difficulty setting limits with clients. What is the most effective strategy that the supervisor could suggest to correct this pattern? a) avoid contact with manipulative clients B) increase assertiveness through educational activities c) use work time for self- appraisal d) ask colleagues to provide feedback during client sessions.
B) increase assertiveness through educational activities ( focuses on improving staff persons skills.)
An adolescent is admitted to the hospital for the second time in three week for non compliance with diabetes management. The physician believes that the client is intentionally manipulating his diabetes care. The physician consults a SW, what should the SW do first? a) contract with the adolescent to prevent readmission b)review the medical management plan with the adolescent c)Obtain and social and family history.
C) obtain a social and family history. ( the first step to starting with any clients is always to conduct an assessment. C is the only answer that allows exploration of this. )
A social worker in a high school is asked to facilitate a treatment group. What consideration would be most important for planning for the group? a) Conflict for authority is a characteristic for adolescence b) adolescents can form cliques c) The media can be influential on behavior at this age d) drug and alcohol use should be addressed
a) Conflict for authority is a characteristic for adolescence
A social worker facilitates therapy with a married couple. Because of limited experience working with the couples issues, the social worker approaches a colleague in the community for structured advice. What term best describes this actions? a) Consultation b) supervision c) cultural competency d) interdisciplinary collaboration
a) Consultation
What is a pattern of alcohol and substance use that is most likely to be observed in women than men. a) abuse of prescription drugs b) consumption of substances with friends c) consumption of alcohol and drugs together d) resistance to treatment referrals.
a) abuse of prescription drugs.
A former client contacts a social worker to get access to former records. The client and the clients spouse have been seen individually and jointly. What is the social workers most appropriate response? a) allow the client to access information pertaining to only them b) advise the client hat agency policy prohibits record access c) allow total access to records d) request a ruling form the agency's director
a) allow the client access to information pertaining to only them.
A social worker was asked to evaluate a 10 year old child who was reported to be talking to peers about explicit sexual activity and singing a song about incest. After ruling out direct sexual abuse to the child, what should the social worker do next? a) assess other exposures to sexually explicit material b) assess the child's level of impulse control c) consider a diagnosis of conduct disorder d) educate the child about appropriate talk with peers
a) assess other exposures to sexually explicit material
Termination of a 12 week therapy group needs to be initially discussed in the group. a) at the first session b) at the 6th session c) at the end d) at the 8th session
a) at the first session ( expectations and time lines need to be discussed at the beginning.)
A social worker meets with a client to complete a biopsychosocial assessment. The social worker also speak with the clients parents and probation officer to gather additional information. What term best describes the social workers actions. a) data triangulation b) client debriefing c) historical checking d) audit trail
a) data triangulation ( used to compare and verify information from multiple sources.)
A social worker meets with a client who is chronically mentally ill. The client often refuses to take psychotropic medications, but does not yet exhibit symptoms of active psychosis. What approach is most likely to help the client achieve long term optimal function? a) developing behavioral program to enhance medication compliance b) referring the client to a day treatment center c) referring the client for long term hospitalization d) arranging the medication to be administered by a nurse.
a) developing behavioral program to enhance medication compliance ( honors the clients self determination and encourage compliance. )
An agency social worker becomes aware that a coworker frequently consumes alcohol on their lunch breaks. When this occurs the coworker does not appear intoxicated. This individual is in charge of driving foster care children to and from specialized services. What should the social worker do first? a) discuss the drinking directly with the coworker b) inform the coworkers supervisor of the behavior c) continue to observe and document the coworkers actions d) consult with the jurisdictions coworker regulatory board.
a) discuss the drinking directly with the coworker
A social worker leads a parenting skills group. During the session a 3 year old child roars and gestures like a lion. The parent appears embarrassed and scolds the child for this behavior. What should the social worker do? a) discuss the importance of pretend play b) suggest the parent take the child to the zoo c) demonstrate approval of the clients behavior d) Use an animal song to normalize the behavior.
a) discuss the importance of pretend play
What instrument is likely to be used by social workers in the initial assessment of families a) ecopmap b) life history grid c) family sculpting d) Global assessment of functioning scale. .
a) ecomap
A social worker in a public service agency is assessing how to provide services in response to an influx of multiple immigrant groups. What should be the administrators primary task? a) ensuring coordinated services for all immigrant groups b) establishing separate service centers for each ethnic group c) Hiring agency staff from immigrant groups d) encourage immigrants to assimilate to larger society
a) ensuring coordinated services for all immigrant groups
A medical social worker in a home health setting believes that a client is abusing alcohol. The nurse reports that the client is not progressing medically. During a home visit the social worker notices multiple empty liquor bottles in the trash. What should the social worker do first? a) explore the observation with the client b) refer the client to substance abuse treatment c) assess the client for acute alcohol poisoning d) request that the nurse makes an additional visit.
a) explore the observation with the client
'A woman is referred to a domestic violence shelter after enduring abuse from her partner. The woman reveals to the social worker that she will return to her abusive spouse because it is gods will. What concept best explains her reasoning? a) fatalism b) nihilism c) fatalism d) paternalism.
a) fatalism ( a belief that all events are predetermined and therefore inevitable.)
A social worker meets with a new client that is diagnosed with depression. The social worker observes that the client is ambivalent, passive, and non trusting. What should the social worker do next? a) focus on directly engaging the client b)suggest a task to improve the clients mood c) encourage the client to recall better times d)provide information about depression.
a) focus on directly engaging the client. ( this is the only option that will help build rapport and support self determination.)
A social worker is providing marital therapy to a couple. What goal statement is most likely to enhance a couples motivation? a) increase by 1/4 the frequency of positive statements b)reduce by 1/3 angry exchanges c) eliminate all physical altercations. d) reduce by 1/2 the amount of shouting
a) increase by 1/4 the frequency of positive statements. ( the use of positive reinforcement is most likely to increase motivation levels. )
A social worker creates a readiness program for young people transitioning into adult hood. The program is based on the developmental theory, what is the primary goal of the program? a) learning the basics of how to find employment b) Keeping track of the number of participants trying to secure employment c) determining a particular career path at program onset d) ensuring connections to community resources and systems.
a) learning the basics of how to find employment.
What client factor most likely determines the scope and focus of an assessment? a) needs of the client b) motivation of the client c) family systems d) social network
a) needs of the client.
A client who is using marijuana regularly is trying to become pregnant. She has questions on the effects of smoking on the fetus. The social worker tells the client that marijuana use could effect the fetus. What should the social worker do next? a) offer substance abuse treatment options to the client b) refer the client to possible criminal prosecution. c) tell the client that drug use will be reported to CPS d)Ask the client health care provider to drug test at appointments.
a) offer substance abuse treatment options to the client. ( this support self-determination and choice.)
A social worker facilitating change in a human services organization notices that clients are not assigned to the most appropriate personnel. case assignments are only to match case load and not necessarily the clients needs. On what aspect is the agency social worker focused. a) organizational structure b) agency mission c) communication system d) staff communication
a) organizational structure
A social worker is subpoena to testify in a court hearing. However the client asks the social worker not to disclose information from their sessions. The social worker might support adhering to the clients request on the basis of? a) privileged communication b) self determination c) liability reduction d) best practices
a) privileged communication
A couple identify strongly with deaf culture. A social worker is helping them find educational services for their child who is experiencing hearing loss. What communication strategy should the social worker use during this? a) total immersion in the use of sign language b)cochler implant surgery to improve hearing c) mainstreaming with children who do not have hearing loss d) the use of lipspreading as a primary technique
a) total immersion in the use of sign language.
A social worker meets with a client who is having marital difficulties. The client reports unmet needs and difficulty communicating needs to the spouse. After assessing the nature of the relationships, what should the social worker do to best support skill development? a) use role play as an intervention c) encourage the client to be self-sufficiency c) refer the couple for marital counseling d) provide reading materials on assertiveness.
a) use role play as an intervention
At what age does normal separation anxiety typically begin? a) 24 months b) 12 months c) 8 months d) 3 months
b) 12 months
A school social worker uses a functional behavioral assessment of a child who is exhibiting challenging classroom behaviors. What is the social worker trying to identify by completing this assessment? a) an overview of the clients family system b) an understanding of why the disruptions occur c) the strengths of the client d) Times when learning can best occur
b) an understanding of why the disruptions occur
A social worker supervises volunteers in a day care facility with children from multiple ethnic backgrounds. Parents are complaining about one volunteers lack of sensitivity. What should the social worker do first? a) assist the volunteer in working with the families b) assess the volunteers cultural competency c) reassign the volunteers responsibilities d) recommend education workshops.
b) assess the volunteers cultural competency
A social worker facilitates a group for domestic violence perpetrators. A group member is now able to recognize triggers for his anger and is committed to changing resulting reactions. According to the transtherotical model of change, what stage is the group member most likely experiencing. a) precontemplation b) contemplation c) maintenance d) termination
b) contemplation
What task is the first step in setting up a program evaluation? a) selecting the criteria for measuring success b) determining the goals an objective. c) designing the methodology d) assessing the available resources.
b) determining goals an objectives.
A social worker meets with an eight year old client to work on issues of impulsivity and anger management. the client tells the social worker of his intent to push his infant siblings down the stairs. The client asks the social worker not to tell a anymore. After discussing the clients concerns what should the social worker do next? a) report to the appropriate jurisdictional authorities b) discuss the clients statements with the parents c) assess the clients current coping strategies d) teach anger management techniques.
b) discuss the clients statements with the parents ( social worker has the duty to warn the parents of potential harm.)
A social worker at an adoption agency receives a subpoena for the records of an adult client in regards to the clients adoption that happened many years ago. What should the social worker do first? a) submit the clients record as requested b) discuss the request with the agencies legal counsel c) discuss the request with a professional colleague. d) ask for approval from the client to respond to the subpoena.
b) discuss the request with the agencies legal counsel.
A social worker makes a home visit to a family with alleged neglect of one of the children. The social worker spends the first part of the interview discussing the families new roof, garden, and the rising costs of school supplies. In this, the social worker is purposefully doing what? a) demonstrating good conversation skills b) employing an important warm up period to establish rapport. c) disarming the family so they will be straight forward d) avoiding discussion on the sensitive topic.
b) employing an important warm up period to establish rapport.
A school social worker meets with a child who recently completed treatment for cancer. The child's physician is recommending that the child returns to school as soon as possible, but the parents believe more time at home would be beneficial. What should the social worker do next? a) advocate for the parents to keep the child home b)explore the reasons for the parents beliefs. c) obtain the child's perspective on the situation. d) refer them to family therapy.
b) explore the parents reasons for their beliefs. Always acknowledge and validate any concerns.
What means of communication is most often interpreted by non american/ indian people working with social workers? a) body posture b) eye contact c hand gestures
b) eye contact
A social worker is employed by a primary care clinic that offers services to local native Americans tribe. Some tribe members have reported reluctance to use health care services. What is the social worker best response? a) provide education on western medicine b) include tribal healers in the clinical setting. c) use tribal folklore while providing clinical services d) self disclose personal family health history.
b) include tribal healers in the clinical setting.
What term describe that belief that ones thoughts alone can accomplish certain wishes a) denationalization b) magical thinking c) thought broadcasting d) looseness of associations
b) magical thinking
What practice has the most positive effect on service delivery? a) using employment practices that support diverse skills b) making the needs of clients the focus of an agency c)providing paraprofessional to ensure client attendance d) providing professional development time for in service training.
b) making the needs of the clients the focus of the agency.
A hospital social worker is working with a patient who is refusing to use a breathing machine to prolong life. What action is the patient presenting? a) active euthanasia b) natural death c) physician assisted death d) Palliative care.
b) natural death.
A preschoolers parents report that the child masturbates at night and has tried to touch a siblings genitals while bathing. What do these behaviors most likely indicate? a) child sexual abuse b) normal sexual development c) diffuse personal boundaries d) delayed superego development
b) normal sexual development
What is a social worker required to do before beginning work with a client that includes electronic transfer of records? a) mail a copy of the requirements to the clients b) provide the client with the agency privacy policy c) give the client information regarding fee policies d) obtain signed insurance releases to protect client privacy
b) provide the client with the agency privacy policy
A social worker is asked to analyze social welfare policies that will effect the community. What should the social worker do FIRST? a) examine the likely impact of the policies on the community b)research the historical problems that led to these policies c) organize a grassroot coalition to discuss reactions to the policies. d) look into the legal precedents that could effect the policies.
b) research the historical problems that led to the policies.
What personality disorder is characterized by restricted range of emotional experience and expression? a) antisocial b) schizoid c) histrionic d) dependent
b) schizoid
A social worker provides treatment to clients on the sex offender list. Some clients are discouraged when they are fired from a job after their sex offender status becomes known. What should the social worker do the best support its clients? a) refer the clients to a human rights agency b) teach clients how to disclose their background proactively when offered a job. c) require clients to emphasis with the employers views d) discourage clients from achieving employment until they receive treatment.
b) teach clients how to disclose their background proactively when offered a job.
During a therapy session a client discloses that she has difficulty managing her 3 year old child. The client reports that her child ran into traffic and was almost hit by a car. What should the social worker do first? a) report the possible neglect to CPS? b) work with the client to develop a safety plan c)consult with the social worker supervisor d) Refer the client to a parenting class
b) work with the client to develop a safety plan.
At what stage does a gay or lesbian adolescent need the greatest treatment? a) becoming involved in an intimate same sex relationships b)coming out an acknowledging gay feelings c) exploring gay identity d) experiencing a sense of being different.
b)coming out an acknowledging gay feelin
The most important action that can be taken by a social work supervisor to reduce liability form acts of omissions by supervisions is? a) Advise the supervisee to communicate potential risks? b) request that supervisees sign waivers of liability c document topics discussed in supervision d) purchase insurance that provides malpractice coverage
c ) topics discussed in supervision
What components are included during the contracting phase of intervention? a) informative events and critical incidents b) an ecomap and periods of observations c) Goals and Objectives d) assessment and evaluation
c) Goals and Objectives
The personality disorder where people are hypersensitive to rejection, has low self esteem, and is socially with drawn and unwilling to engage in relationships is. a) avoidant b) schizoid c) antisocial d)historic
c) antisocial.
Lithium would most likely be prescribed for what disorder a) sleep-awake b) anxiety c) bipolar 1 d) dissasociative
c) bipolar 1
A social worker is a member of a disaster response team in a community where there was a recent tornado. An elementary school as destroyed and three children were killed. A month later, parents and school officials ask the social worker to evaluate a child whose behavior has become unmanageable in class. the child is having difficulty concentrating and has not complete any assignments in several weeks. What should the social worker do first? a) refer the child for an evaluation for adhd b)encourage the parents to spend more time with the kid each day c) complete an individual assessment with the child d) provide crisis intervention for the child.
c) complete an individual assessment with the child
A social worker completes an initial assessment of a client suffering from anorexia nervosa with significant weight loss. to best meet the clients immediate needs, what should the social worker do first? a) network with a nutritionist that can recommend nutritional supplementation. b) refer the client to an occupational therapists c) consult with a physician about possible hospitalization d) contact a registered dietitian who can consult with the client about healthy eating habits.
c) consult with a physician about possible hospitalization
A client is discharge form inpatient treatment fof alcohol and prescription drug abuse. A mental health social worker meets for a follow up session with family members and observes that they avoid discussing the problem. What should the social worker do first? a) confront the family members about the long term nature of the problem? b) assist the family in understanding the harm of alcohol and drug abuse c) determine the extent of denial within the family system d) advise the family members that relapse is a realistic possibility.
c) determine the extent of denial within the family system
A client request mental health services to assist with chronic and escalating anger. In the initial assessment the client tells the social worker of incidents where she was verbally abusive to an individual in her care that uses a wheel chair. The client is remorseful and states that the incidents have only occurred on 2-3 occasions. What should the social worker do next? a) collect collateral information from the care recipient b) explain the needs to report the incidents c) discuss the incidents further to determine the appropriate actions. d) develop a personalized anger management program for the client.
c) discuss the incidents further to determine the appropriate actions.
A social worker is attempting to secure public income support for an immigrant family. What does the social worker in this situation need to know? a) immigrants are barred from receiving public assistance b) only refugee immigrant population qualify for public assistance c) eligibility waivers for public assistance that is provided to immigrants d) immigrants must become citizens to qualify for public assistance.
c) eligibility waivers for public assistance that is provided to immigrants
During an assessment a social worker is trying to understand the perspective of a client. At the same time the social worker is maintaining the perspective of an outside observer. what concept is best reflected? a) sympathy b) supportive treatment c)empathy d) differential validation
c) empathy ( understanding the clients perspective while maintaining objectivity.)
A medical social worker discusses discharge planning with a patients spouse. The patients spouse is adamant that no follow up care is needed. The patient has the capacity to make medical decisions. What should the social worker do next? a) respect the spouses wish b) inform the physician of the spouses wishes c) explain the patients rights to the spouse d) meet with the hospital board of ethics.
c) explain the patients rights to the spouse
A hospital social worker has a client who is non compliant for the management of diabetes. The client believes that the illness is gods will, and that god will provide a cure. What should the social worker do first? a) assure the client that god would want him to be compliant b) educate the client on the health consequences of being non compliant c) explore the role that religion plays in the clients overall self-care d) inform the client that managing diabetes is not a spiritual issues.
c) explore the role that religion plays in the clients overall self-care
A child protective social worker meets with a parent who has allegedly been neglectful. The parents talks about being overwhelmed about the needs of her child. She describes having trouble sleeping because she needs to stay alert for messages from a favorite talk show host. The parent also shares beliefs that the child's teacher is against her. What should the social worker do next? a) refer the parent to a physician b) encourage the parent to discuss her anxiety c) initiate a mental status examination d) plan a collaborative meeting.
c) initiate a mental status examination ( given the parents auditory hallucination and paranoid thinking.)
A social worker who recently graduated begins working in a drug treatment program. The social worker notices that the clients have many needs such as medical problems and mental health, housing, financial, etc. The social worker feels over whelmed, what should she do next? a) establish priorities b) beware of countertransferance c) obtain supervision d) plan to write a grant to get an additional worker
c) obtain supervision
a social worker works in the community where gangs and drugs are a major problem. The major has requested that the social worker developed a new plan involving the community to reduce gang violence and decrease drug use. What should the social worker do first. a) create a forum for the gangs to meet b) hire community leaders to lead the initiative. c) organize a task force to address the problems d) conduct an educational workshop at the community center.
c) organize a task force to address the problems
A social workers research shows that when inmates have been released from prison are given transportation resources, they are less likely to re offend. The social worker submits the research to officials, advocating for a transportation program. What social worker value best describes the social workers efforts? a) integrity in the social work practice. b) inherent dignity and worth of an individual c) promotion of social justice d) competence in professional practice.
c) promotion of social justice.
A meeting is held at a family service agency to determine if criteria is met for referred families to obtain services. Staff members are irritated because the meetings have been characterized by unrelated discussions. What should the social worker do as chair of this meeting. a) limit the number of cases presented b) re direct the meeting c) schedule individual meetings with problem staff members. d) set time limits for the meeting
c) re direct the meeting back to its topic.
A couple meet with a social worker about concerns in their relationship. Both partners reports that the other person does not offer emotional support and affections. what should the social worker explore first? a) gender roles b) safety feelings c) relationship expectations d) relationships development
c) relationship expectations
A social worker begins a job at a psychiatric hospital an dis given a large case load. One of the clients is a formal intimate partner. The client and social worker have not had any contact in several years, what should the social worker do? a) process the issue with the client b) deny the relationship occurred c) transfer the client to a colleague d) request a transfer to a different department
c) transfer the client to a colleague. ( to avoid any ethical dilemmas or dual relationships.)
A social worker is providing services to a family. The husband and wife have been arguing constantly for several months and are considering a separation. Recently the oldest child began acting out in school. With attention focused on the child problems, the parents arguing has subsided. What concept best describes the families situation from a systems perspective. a) reaction formation b) adaptation c) triangulation d) entropy
c) triangulation
A social worker disagrees with the way that agency policy restricts client services and believes that it is an ethical issue. What should the social worker do next? A ) inform clients of the ethical disagreement b) Identify possible actions to resolve the issue c) Organize colleagues to lobby for change d) Determine whether ethical values are in conflict
d) Determine whether ethical values are in conflict
A social worker employed by a retirement home is approached by a client to help establish a recycling facility in the program. The social worker decides to cohost a meeting with the client to present this with the other residents. What is most likely the reason for this approach.? a.) Antagonizing administration could be dangerous. b)Legitimizing the residents concerns might be helpful c)helping residents start new relationships is important. d)Sharing leadership is very effective with groups.
d) Sharing leaderships is effective with groups -supports skill development and positive group dynamics.
A client is in treatment with a social worker in a fee for service setting. after paying on time for the first 10 sessions, the client is now starting to make partial payments, or no payments at time of appointment. The assessment of risk shows that the client is at no risk of harm to self or others. According to the ethical standards of practice, what is the socials workers best response. a) continue services after neglecting a non monetary system. b) suspend services until the client has caught up on financial charges c) Terminate services after the third incident of not paying d) Terminate services after debt persists after a conversation about financial obligations.
d) Terminate services after debt persists after a conversation about financial obligations.
A social worker at a community mental health program includes a spiritual assessment. The program serves members of the local tribal community. What is important for the social worker to remember when working with clients who are native american? a) closed ended questions with structured protocol should be used b) must be kept brief with minimal story telling c) clinical language should be used to create a safe environment d) Trust should be established before asking sensitive information.
d) Trust should be established before asking sensitive information.
A social worker assess a victim of psychological abuse by long term partner. What is most important for the social worker to remember about the dynamics of abuse within a relationships. a) abuse is frequently arises from uncontrolled aner b) abuse is often a response to the fear of abandonment c) abuse frequent comes from feelings of inadequacy caused by jealousy d) abuse is often an effort to retain control.
d) abuse is often an effort to retain control.
A 16 year old client who is depressed mentions suicidal plans to the social worker. Privacy and confidentiality had been discussed earlier in the treatment process. The social worker believes that the threat is serious, what should the social worker do next? a) respect the clients right to confidentiality b)Consult with an agency supervisor about the dilemma c)Discuss a safety contract with the client. d)Arrange for the client to receive a crisis assessment.
d) arrange for the client to receive a crises assessment. ( because you have determined a serious threat.) must evaluate it.
A social worker is contacted by a client whose initial complaint is depression. The client reports symptoms of insomnia, headaches, inability to eat, vomiting and neck aches. What should the social worker do first? a) obtain a detailed social history b) probe for a substance abuse problem c)Engage the client is establishing goals d) ask the client to maintain medical consultation
d) ask the client to maintain medical consultations because there is a presenting medical concern.
A social worker is working with a client who is severely depressed. The social worker learned that earlier in the year the client boasted to others s sense of perceived importance, went without sleep for several days, spent large amounts of money, and talked rapidly. What disorder is best described? a) scitzoaffective b) cyclomatic c) persistend depressive d) bipolar 1
d) bipolar 1
An adolescent who was recently discharged from a psychiatric hospital is meeting with the schools social worker to assist with school adjustment. The social worker would like to meet with the psychiatrist about the treatment plan. What should the social worker do first? a) advise the staff that specialized services will be required b) review the students records to determine if a discharge plan was met c) schedule a case conference to discuss the treatment plan d) call the students guardian to obtain a release of information.
d) call the students guardian to obtain a release of information.
And adolescent who has been living with her 23 year old boyfriend for 6 months called a crisis hotline at 2 am requesting assistance. She claims that her boyfriend evicted her because she may be pregnant. She will be 18 in two days and she claims she has no place to go. what should the social worker do first? a) obtain a court order for emergency foster care placement b) notify the police of the boyfriends actions c) call the adolescents parents and ask for help. d) contact a youth shelter facilty.
d) contact a youth shelter facility. ( a social worker must provide immediate and tangible aid.)
The social workers relationship with a client reminds the social worker of the relationships they have with their sibling, this is an example of? a) transference b) therapeutic block c) dual relationship d) countertransference.
d) countertransference.
A women who is 5 months pregnant speaks with a social worker at an adoption agency to request information. The women reports she lives with her sister and that her sisters boyfriends is threatening to force her out of the home. She says that she does not feel safe. What should the social worker do first? a) call the police for the woman b) develop a safety plan c)Try to locate housing for the woman. d) determine the nature of the danger
d) determine the nature of the danger ( always assess the situation first.)
A social worker disagrees with the way that agency policy restricts clients services and believes it is an ethical issue. What should the social worker do next? a) inform the clients of the ethical disagreement b) identify possible reactions to resolve the issue c) organize colleagues to lobby for change. d) determine whether ethical values are in conflict.
d) determine whether ethical values are in conflict.
A social worker is aware of a client having difficulty paying for prescription medications. What should the social worker do? a) loan the client money to pay for the medications b) offer alternatives to the medications c) inform the client of low cost medications online d) encourage the client to talk to the pharmacist about payment options
d) encourage the client to talk to the pharmacist about payment options
During an initial interview with a social worker a client reports lack of desire for a sexual relationship with the spouse since getting married. The client engages in sex only when pressured, then disassociates during intercourse. The client has been having reoccurring violent nightmares and suicidal thoughts. What is the social workers best response? a) refer the client and spouse for sex therapy b) refer the client to an inpatient psychiatric unit c) request neurological evaluation for the client d) evaluate a history of sexual abuse as a child.
d) evaluate a history of sexual abuse as a child.
After several meetings with a client, a social worker notices the client making multiple complimentary statements about the social worker. What should the social worker do first? a) restate the purpose of the therapeutic relationships b) ask the client to stop the compliments c) confront the client about the inappropriateness of the behavior] d) help the client explore the reasons for the behavior.
d) help the client explore the reasons for the behavior.
In a small community hospital the newly hired social worker learns that some nurses document that they conduct a psycho social assessment. The social worker purposes making this a social worker function. What is the best approach to advocate for this proposal? a) document how much time it will save the other staff b) compare length of stay date for each approach c) ask the nurses what they are doing in the assessment d) identity the unique skills and abilities of social workers.
d) identity the unique skills and abilities of social workers.
What characteristic of one of diagnostic criteria for hoarding disorder? a) inappropriate behavior b) unmanaged stress c) avoidant personality d) impaired quality of life.
d) impaired quality of life.
A new social worker receives a court order to disclose client records. The social worker notices that there is grammatical errors and wrong dates in regards to the events. What should the social worker do first. a) Make corrections as needed b) Claim record confidentiality. c) send the records d) meet with a supervisor.
d) meet with a supervisor. ( supervision should always be obtained when a court order is received. )
A nine month old child is neglected and lacks a secure attachment to her caregiver. What long term effect should the social worker be most concerned about as the child gets older? a) PTSD b) Social anxiety in middle age c) Risk for incarceration d) Negative social interactions with peers
d) negative social interactions with peers.
What condition is not a cause or mild or major neurocognitive disorder? a) Alzheimer diseases b) substance use c) cerebral vascular event d) osteoporosis.
d) osteoporosis.
A social worker meets with a client who reports shortness of breath and a rapid heart beat. The client has a fear of losing control. What is the most likely explanation of the clients condition. a) impulse control disorder b) delusion disorder c) neurocognitive disorder d) panic disorder
d) panic disorder
A social worker meets with an adolescent client who wants to run away from home. The client gives several reasons for this desire. What is the best technique for the social worker to use? a) confrontation b) rationalization c) expectation exploration d) partialization.
d) partialization. ( issues are broken into manageable components that facilitate further discussion and problem solving.).
The parents of a 24 month old child reports that their only concern is there child plays alongside of, but not with other children. What should the social worker do? a) assess for symptoms of developmental delays. b)observed the childs play in a group setting. c) suggest that the parents report their concern in a doctor visit. d) reassure parents that parallel play is typical at that age.
d) reassure parents that parallel play is typical at that age. ( role of social worker is to educate parents on typical developmental behaviors.)
A client meets with a social worker to discuss parenting a rebellious adolescent. After several sessions the client shares religious beliefs that support physical punishment,. What should the social worker do first? a) inform the client that physical punishment psychologically effects children b) validate the client for openly sharing the physical punishment viewpoint c) explore the clients own history of physical punishment. d) request the client describe the physical punishment practices.
d) request the client describe the physical punishment practices.
To take into account the information process deficits of clients with schizophrenia, what should the social worker do to best structure group treatment? a) encourage the free flow of ideas b) use expressive therapy tools c) enforce a rigid agenda for the group d) schedule a variety of brief activities
d) schedule a variety of brief activitie
Take into account the information procession deficits of schizophrenia. What should the social worker do to best structure group treatment? a) encourage the free flow of ideas b) use expressive therapy tools c) enforce a rigid agenda for the group d) schedule a variety of brief ideas.
d) schedule a variety of brief ideas.
A social worker at a correctional facility is providing a treatment group for substance abusers. a prisoner classification committee has selected 12 group participants of various racial and ethnic backgrounds. During the first few weeks of the group the social worker notices that very few participants are willing to speak. what statement most likely describes the participants reluctance to speak? a) inmates tend to exhibit much denial about substance abuse problems b) racial tensions in prison populations inhibit treatment participation. c) inmates often have a non adversarial view to non inmates. d) self disclosure in group treatment often contradicts expectations in prison culture.
d) self disclosure in group treatment often contradicts expectations in prison culture.
A social worker in the early stages of intervention with a client who is acutely depressed. What approach style would most be effective for the social worker to use in the point of the treatment process. a) emotive b) directive c) motivational d) supportive
d) supportive
What is the most likely reason that a client in an outpatient alcohol treatment program would be prescribed the drug naltrexone in conjunction with counseling? a) to treat clinical depression b) to ease alcohol withdrawal c)to induce necessary sleep d) to reduce alcohol cravings.
d) to reduce alcohol cravings.
A social worker assess a client with an eating disorder. The client expressed ambivalence about changing eating habits. What should the social worker do next? a) advocate for the client b) confront resistance c) explore the clients values d) validate the cilents concerns.
d) validate the clients concerns.
a social worker provides opportunities to community residents to increase political participation. the goal is to effect policy and change socio economic positions. what approach is the social worker likely using? a)networking b) program development c) coalition building d)empowerment
d)empowerment
A social worker working in a homeless shelter is reviewing policies and procedures. The social worker wants to focus on what can be done to promote client trust and mitigate power imbalances. what should the social worker do first? a) implement a staff training program on confidentiality. b) create a client managed review board that investigates clinical incidents. c) interview clients to discuss ways of implementing policy that fits their needs. d) recruit former shelter clients in engage in policy advocacy.
interview clients to discuss ways of implementing policy that fits their needs.
