LMSW Interventions with Clients, Client Systems Quiz

A client has completed her treatment goals and is ready to terminate treatment. During her final session with the social worker, the client abruptly says that she has other problems she wants to work on. What should the social worker do FIRST? Select one: A. Acknowledge the anxiety that normally accompanies termination. B. Refer the client to another therapist to work on the problems. C. Recontract for additional sessions. D. Review the new skills the client learned in therapy.

A. Acknowledge the anxiety that normally accompanies termination.

A social worker has been working in play therapy with a 6-year-old girl. The girl begins to cry during a session and says wants to leave because she's scared. What is the social worker's BEST course of action? Select one: A. Acknowledge the girls fear and ask the mother to join them in the playroom for a little while. B. Reassure the girl that she will be able to leave when the session has ended. C. Redirect the girl by offering her a selection of appealing toys. D. Terminate the session and allow the girl to go to her mother.

A. Acknowledge the girls fear and ask the mother to join them in the playroom for a little while

A client who is a single mother of three young children has sought assistance because she's having difficulty finding work to support her family. She has few job skills and is running out of money. The client is recently divorced, and her ex-husband has left the state. He has not been sending child support payments. The client would like help applying for TANF, and wonders if she's eligible for this assistance. The social worker explains that the program uses a means test to determine eligibility. Means eligibility depends primarily on which of the following? Select one: A. Financial well-being. B. Number of dependents. C. Payroll contributions. D. Health status.

A. Financial well-being.

Which of the following would be the BEST way to introduce a new policy at a social agency? Select one: A. Distribute information about the new policy in writing and discuss it a staff meeting. B. Incorporate the new policy into the policy manual and make sure that all staff receive a copy. C. Have an agency-wide meeting to introduce the new policy. D. Meet individually with staff to address their concerns about the new policy.

A. Distribute information about the new policy in writing and discuss it a staff meeting.

The management philosophy of an agency reflects a "Theory Y" approach. Consequently, one would expect to find which of the following in the agency? Select one: A. Highly formalized communication channels. B. A high degree of self-direction on the part of staff. C. The use of pay and bonuses as the primary mechanisms of reward. D. Promotion and selection based on technical competence.

B. A high degree of self-direction on the part of staff.

A social worker begins working with a client diagnosed with a personality disorder. To maintain best practices which of the following is the best source of information on evidence-based practices? Select one: A. The social workers supervisor and/or colleagues B. Academic books and journals C. The National Association of Social Workers (NASW) D. Continuing education relevant to personality disorders

B. Academic books and journals

A social worker has been working for several months with a 25-year-old woman who has mild intellectual disability and lives in a group home in the community. The social worker learns that the woman's physician has committed her to a psychiatric facility over the weekend. The next day, the social worker attends a team meeting at the psychiatric facility concerning the woman's admission. What should be the social worker's priority at this meeting? Select one: A. Share what he knows about the client. B. Advocate on behalf of his client. C. Listen to the other team members opinions. D. Assist with treatment planning.

B. Advocate on behalf of his client.

A social worker has been providing case management services to a 40-year-old client who was injured at work many years ago and has suffered on and off from major depression. Lately, the client has been feeling somewhat depressed. In the current session, he tells the social worker that he just found out that his disability benefits, which he's been receiving for many years, are stopping. He doesn't understand why. What should the social worker do? Select one: A. Help the client develop more adaptive behaviors so that he can use resources more effectively. B. Advocate on behalf of the client. C. Advise the client to contact the Social Security office. D. Assess the client's mental status before proceeding with any other intervention.

B. Advocate on behalf of the client.

A social worker is leading a therapy group. During a session, one member verbally attacks another member and then reaches over and shoves him. How should the social worker handle this? Select one: A. Remind the group of the behavioral norm prohibiting aggressive behavior. B. Be directive and process with the group what just happened. C. Invite the second member to describe how this event made him feel. D. See the first member individually to clarify why he was angry.

B. Be directive and process with the group what just happened.

A social worker meets with a 35-year-old client who has a history of heavy alcohol use and is experiencing symptoms of moderate depression. The client is currently using alcohol on a daily basis to the extent that he is intoxicated on most days. What is the BEST way for the social worker to approach treatment in this case? Select one: A. Deal with the depression before addressing the alcohol use. B. Deal with the alcohol use before addressing the depression. C. Treat both disorders now. D. Deal with the emotional issues underlying the disorders.

B. Deal with the alcohol use before addressing the depression.

While living at a transitional shelter, a 22-year-old man attempts suicide two times. A week before his discharge date, the man tells his social worker that he doesn't want to move back into his parents' house after he is released. What should the social worker do to respond to the client's need? Select one: A. Arrange other housing for him. B. Help him find needed resources in the community. C. Establish a contract in which he agrees to call her if he has suicidal thoughts after returning home. D. Call his parents to find out whether they are supportive of him.

B. Help him find needed resources in the community.

The client is a 29-year-old woman who was raped two days ago by a stranger. What is MOST important for the social worker to do in the first meeting with this client? Select one: A. Have the client talk about what happened to her. B. Urge the client to call the police to report the rape. C. Establish a specific plan covering the next few days. D. Tell the client that he (the social worker) is required to contact the police to report the rape.

C. Establish a specific plan covering the next few days.

A social worker is conducting a first interview with a client who was recently mugged in a parking garage late at night. The client says that she should not have gone into the parking garage by herself at night. To reflect this statement, the social worker could say which of the following? Select one: A. It was not a good idea to go into the parking garage all alone. B. You went into the parking garage by yourself even though you knew better. C. A part of you feels responsible for what happened. D. People who are mugged are not at fault.

C. A part of you feels responsible for what happened.

Which of the following is MOST associated with demonstrating a new behavior? Select one: A. Free association. B. Functional analysis. C. Behavioral rehearsal. D. Psychodrama.

C. Behavioral rehearsal.

In the context of managed health care, the "gatekeeper" may be which of the following? Select one: A. A peer review board. B. An HMO. C. A preferred provider organization (PPO). D. A primary care physician.

D. A primary care physician.

Which of the following is a tertiary prevention program? Select one: A. A suicide hotline. B. A walk-in psychiatric emergency room. C. A program to educate high school students about the risks of unsafe sex. D. A program that provides counseling to former convicts after they have been released from jail.

D. A program that provides counseling to former convicts after they have been released from jail.

Which of the following would provide an organization with the most power? Select one: A. A good location and reputation. B. Legislative connections. C. Sufficient and qualified support staff. D. Ample resources.

D. Ample resources.

A social worker is working in individual therapy with a 10-year-old child who has been placed in foster care due to neglect at home. This disruption has been difficult for the child and she's worried about her parents' well-being. The child asks the social worker what will happen in the future and whether she will ever go back to her parents' home. How should the social worker respond to this child's questions? Select one: A. Give optimistic answers and withhold information that might upset her. B. Explore what underlies her questions before answering. C. Reassure her that her parents are safe and are being helped too. D. Answer her as honestly as he can, with the facts as he knows them.

D. Answer her as honestly as he can, with the facts as he knows them.

In what therapeutic approach does the therapist deliberately stay neutral? Select one: A. Psychoanalytic. B. Client-centered. C. Cognitive. D. Reality.

A. Psychoanalytic.

The client is a divorced woman with one young child. Her husband deserted her over a year ago. The client was employed as an assistant buyer for a small manufacturing company, but lost her job two months ago when the company went bankrupt. Since that time, she has stayed home with her son. She reports being a little depressed and very anxious about her failure to find a new job because she is the sole source of support for her son. She has come in to get advice on how to handle her stress because she's concerned that she might become a bad mother. What would be the BEST way for the social worker to help this client manage her stress? Select one: A. Empathize and clarify her feelings of anger toward her ex-husband. B. Arrange for her to join a support group for single mothers so that she can share her fears, reduce her isolation, and do some practical networking. C. Help her modify negative automatic thoughts about herself and her future so that she feels able to take action to change her life. D. Provide referrals to assist her in resuming a more active social life as a strategy to reduce her isolation.

B. Arrange for her to join a support group for single mothers so that she can share her fears, reduce her isolation, and do some practical networking.

A social worker has created an after-school tutoring program for children in a local community primarily populated by immigrant families. However, no children are attending the program. As a culturally sensitive practitioner, what is the BEST course of action? Select one: A. Move the program to a different school in a neighboring community where attendance has been better in the past B. Ask community members if there is a preferable time or location for the program C. Close the program and redirect the funds to another more popular program D. Ask the childrens teachers why they are not attending the tutoring program

B. Ask community members if there is a preferable time or location for the program

A client who has been in individual therapy for three months has recently started to make progress toward meeting her goals. The client then terminates treatment without any warning. What is the social worker's BEST response to this? Select one: A. Respect the client's right to terminate treatment when she wants to. B. Attempt to make a final contact with the client by phone or letter. C. Document in the client's case record the reasons and circumstances surrounding the termination. D. Wait for the client to contact you and then warmly encourage her to return to therapy.

B. Attempt to make a final contact with the client by phone or letter.

A married couple reports that they constantly argue with each other. If a social worker were using strategic family therapy to treat this case, which of the following interventions would he or she use? Select one: A. Ask questions designed to defuse emotion and help the couple think more clearly about their problems. B. Get a detailed social history from each spouse. C. Ask the couple to argue for at least one hour each day. D. Adopt the role of an active expert to help each spouse achieve greater autonomous functioning.

C. Ask the couple to argue for at least one hour each day.

A social worker engaged in macro practice helps bring together several groups in his community to discuss relevant issues and work toward achieving a goal. What strategy has he used? Select one: A. Networking. B. Legislative advocacy. C. Coalition building. D. Informal co-optation.

C. Coalition building.

In the policy process, which of the following activities would occur before the others? Select one: A. Identifying key decision makers. B. Determining resources needed to implement a new policy. C. Conducting a needs assessment. D. Making specific policy recommendations.

C. Conducting a needs assessment.

A social worker is leading a therapy group made up of female patients who have been ordered into treatment by the court. The patients all have alcohol use disorder. During a group meeting, one of the patients asks the social worker if she's currently dating anyone. How should the social worker respond to this? Select one: A. Redirect the focus by inviting the patients to talk about their relationships. B. Recognize this as an opportunity to build trust and answer the question. C. Decline to answer the question and reinforce the purpose of the group. D. Answer the question to reinforce the norm of self-disclosure.

C. Decline to answer the question and reinforce the purpose of the group.

A social worker meets with a depressed adult who needs medical care for what may be a stomach ulcer. What would be required for this client to be eligible for Medicare? Select one: A. He is unable to pay for medical care and has either a physical or mental disability or both. B. He is unable to pay for medical care and is age 65 or older. C. He is unable to pay for medical care. D. He is age 65 or older.

D. He is age 65 or older.

Which of the following describes the social service delivery policy known as selective eligibility? Select one: A. Eligibility is based on something other than need. B. Benefits and services are provided in the same amount to all individuals in the nation. C. Benefits and services are provided only to individuals who are members of a special group, such as veterans. D. Benefits and services are provided only to individuals who meet specific, predefined criteria.

D. Benefits and services are provided only to individuals who meet specific, predefined criteria.

The client is a 27-year-old man who has been referred by the court. The client has a long history of criminal behavior. The social worker conducts an assessment of the client, including referring him for psychological testing, and determines that he has antisocial personality disorder. Knowing the client's diagnosis, which of the following is NOT likely to be a focus of treatment? Select one: A. Reinforcing appropriate behaviors. B. Emphasizing the discovery and labeling of appropriate emotional states. C. Helping the client make a connection between his feelings and behaviors. D. Closely monitoring the clients medication compliance.

D. Closely monitoring the clients medication compliance.

A physicians office employs social workers as part of its Medical Home Model. The social workers primarily practice complementary and alternative medicine (CAM) in conjunction with more traditional approaches. Which of the following statements is MOST true? Select one: A. Integrative methods of mental health treatment use non-traditional methods to eliminate symptoms of mental illness. B. Alternative methods of mental health treatment include traditional methods as well as non-traditional models. C. Body-based mental health treatment is within the scope of social work practice, whereas energy medicine is not. D. Complementary methods of mental health practice are given in addition to standard procedures while alternative methods are used instead of standard treatment.

D. Complementary methods of mental health practice are given in addition to standard procedures while alternative methods are used instead of standard treatment.

The client is a college student who reports that she suffers from test-taking anxiety. She says she finds school difficult because she has always had trouble concentrating for long periods of time. She says, however, that an IQ test she took during high school indicated that her intelligence is above average and that this may be why she's been able to maintain fairly good grades. The client then changes the subject and begins focusing on her body; she says she spends a lot of time exercising because she doesn't want to get fat. She admits that she's preoccupied with her weight (which appears normal) and that she's "experimented" with self-induced vomiting after eating too much. What should the social worker do FIRST? Select one: A. Begin cognitive-behavioral therapy for the eating disorder. B. Target underlying depression using cognitive therapy. C. Provide training in relaxation techniques. D. Get permission to speak with the client's physician.

D. Get permission to speak with the client's physician.

A client whose husband died from cancer several days ago has accumulated large quantities of her antidepressant medication. She states during a therapy session that she plans to take an overdose that night. What should the social worker do? Select one: A. Arrange to have the client hospitalized. B. Assess the client's coping strategies and support system and write up a no-suicide contract. C. Acknowledge this as a normal grief reaction, closely monitor the client, and contact her psychiatrist. D. Conduct a direct assessment of suicide and provide supportive counseling.

A. Arrange to have the client hospitalized.

While conducting the first interview, the social worker sees that his client is overwhelmed. The client is having difficulty sharing any information about her situation. What technique should the social worker use to bring focus and direction to this interview? Select one: A. Ask closed-ended questions. B. Ask open-ended questions. C. Self-disclosure. D. Narrowing the focus.

A. Ask closed-ended questions.

The client is a slightly overweight 30-year-old man who was referred by his doctor. The client's presenting complaint is his recent weight gain. In the first interview, he appears despondent about his appearance and expresses guilt about "destroying" himself by becoming too fat. He says he's been "a loser" for years and blames himself. The doctor has told both the client and the social worker that there is nothing medically wrong with the client. What should the social worker do FIRST? Select one: A. Identify and reframe the client's negative self-statements. B. Assist the client in meal planning to manage his poor eating habits. C. Help the client modify his negative beliefs about himself. D. Convey acceptance of the client's perceptions by referring him to a different physician for a second opinion.

A. Identify and reframe the client's negative self-statements.

A client reports that he is being discriminated against at his job because of a physical disability. From what the client describes, the social worker believes that this allegation is true. As this client's advocate, what should the social worker do NEXT? Select one: A. Identify what steps the client wishes to take. B. Schedule a meeting with the clients employer, after getting the clients permission. C. Arrange to meet with the client and his attorney. D. Help the client fight the apparent discrimination.

A. Identify what steps the client wishes to take.

A social worker helps a client acknowledge the target problem, develop and select problem-solving actions, and resolve anticipated obstacles to accomplishing these actions. The social worker also uses guided practice to prepare the client to carry out actions between sessions. What model is the social worker using? Select one: A. Task-centered. B. Client-centered. C. Gestalt. D. Behavioral.

A. Task-centered.

A social worker is preparing to use a single-subject design to evaluate changes in her client's behavior. In this situation, the dependent variable is which of the following? Select one: A. The clients behavior. B. The intervention. C. The therapeutic setting. D. The final outcome of the intervention.

A. The clients behavior.

If a social program is found to have achieved the best possible results using the least amount of resources possible, this would be evidence of its: Select one: A. efficiency. B. effectiveness. C. impact. D. quality.

A. efficiency.

A hospital social worker discovers that the wife of a hospital patient has been taking and eating leftover food from off of other patients' meal trays. What should the social worker do FIRST? Select one: A. Give the woman a list of local soup kitchens. B. Explore this situation with the woman and her husband. C. Help the woman apply for Food Stamps. D. Tell the woman that taking the food is inappropriate and possibly dangerous.

B. Explore this situation with the woman and her husband.

The concept of the "privileged storyteller" is associated with which of the following? Select one: A. Solution-focused therapy. B. Narrative therapy. C. Neurolinguistic programming. D. Brief psychotherapy.

B. Narrative therapy.

The personnel policies of a social agency usually address all of the following EXCEPT: Select one: A. performance reviews. B. assignment of day-to-day work activities. C. working hours and conditions. D. staff development.

B. assignment of day-to-day work activities.

The geographic region that is served by a social agency is known as the agency's: Select one: A. mission statement. B. catchment area. C. functional community. D. claimed domain.

B. catchment area.

A social worker determines that a main cause of his client's ongoing struggle with depression is unresolved grief about the death of her mother many years ago. In treatment, the social worker focuses on helping the client go through the grieving process and resolve interpersonal deficits so that she can overcome her loss and restore her relationships with others. Apparently, the social worker is using: Select one: A. rational-emotive behavior therapy. B. interpersonal therapy. C. object-relations therapy. D. reality therapy.

B. interpersonal therapy.

In a private social agency, the board of directors: Select one: A. takes the place of administrative staff. B. is responsible for programmatic and financial operations. C. has, at most, an advisory role. D. is the main bridge between direct service workers and administrators.

B. is responsible for programmatic and financial operations.

The client is a 30-year-old man who was diagnosed with schizophrenia five years ago. The client has experienced several acute psychotic episodes, including full-blown delusions. He is currently in a stable phase of his illness. When developing an outpatient treatment plan for this client, the social worker is MOST likely to emphasize which of the following? Select one: A. Management of medication side-effects. B. Interpreting the delusions to minimize their effects on his functioning. C. Social problem-solving. D. Referral for vocational training.

C. Social problem-solving.

A social worker is MOST likely to recommend muscle relaxation exercises for which of the following conditions? Select one: A. Tardive dyskinesia. B. Impotence. C. Tourettes disorder. D. Spinal cord injury.

C. Tourettes disorder.

To receive Title IV-B funding for foster care, states are required to provide certain protections to all children in foster care. These protections include all of the following EXCEPT: Select one: A. placement consistent with the childs special needs. B. a plan for attaining permanence for the child. C. regular visitation between the child and his biological parents. D. placement in close proximity to the childs biological parents

C. regular visitation between the child and his biological parents.

A social worker practices mindfulness therapy, and is seeing several clients who seem to be benefiting from it. Mindfulness based therapy involves which two basic components? Select one: A. teaching people to respond to stressors reflectively rather than reflexively; self-regulation. B. openness; acceptance. C. self-regulation of attention; an accepting orientation toward the present moment characterized by curiosity and acceptance. D. experiencing the present moment in a non-judgmental way; effectively counteracting the effects of external stressors.

C. self-regulation of attention; an accepting orientation toward the present moment characterized by curiosity and acceptance.

A 22-year-old man was recently released from jail and referred to the social worker by a physician. The client has had symptoms of conduct disorder since adolescence and abuses alcohol. He resists the social worker's efforts to draw him out and repeatedly challenges her right to ask him questions about his personal life. The client was in jail because he vandalized a local church. He tells the social worker that he worships the devil and thinks that people who worship God are fools. It would be acceptable for the social worker to refer this client to a different service provider for any of the following reasons EXCEPT: Select one: A. she believes that her own religious beliefs will be a barrier to developing a therapeutic relationship with him. B. she lacks experience working with clients who have antisocial personality disorder. C. she finds him difficult to work with because he's refusing to cooperate with her. D. she determines that he uses alcohol daily and he won't agree to come to sessions sober.

C. she finds him difficult to work with because he's refusing to cooperate with her.

The clients are a family of Asian descent, including the parents, a 17-year-old daughter, and 10-year-old son. The parents came to the U.S. from India shortly after they were married 20 years ago. The daughter wishes to move into her own apartment when she turns 18 and starts college, and her parents disapprove. The girl reports that her parents restrict her behavior and don't allow her to make her own decisions. She says they do the same thing to her brother. How should the social worker approach this problem? Select one: A. Conceptualize it as an acculturation conflict and expose the parents to alternative parenting styles. B. Identify whether the daughter has somatic complaints and discuss their influence on her relationship with her parents. C. Recognize the hierarchical and patriarchal structure of the family and address herself to the father rather than the mother or children. D. Conceptualize it as an acculturation conflict and have the clients discuss cultural standards and expectations from the larger society.

D. Conceptualize it as an acculturation conflict and have the clients discuss cultural standards and expectations from the larger society.

A client who immigrated to the U.S. from Saudi Arabia wears a veil that covers most of her face, and, as a result, the social worker can't see her facial expressions. In this situation, the social worker's BEST course of action is to: Select one: A. let the client know that he or she needs to refer her to a therapist who shares her background. B. ask the client whether she would be willing to remove her veil during therapy sessions. C. have one of the client's male relatives come in to facilitate communication. D. discuss facial expressions and other nonverbal messages with the client in an effort to understand her nonverbal communications.

D. discuss facial expressions and other nonverbal messages with the client in an effort to understand her nonverbal communications.

Lawrence Shulman coined the phrase ____________ communication to describe any disclosure by a client of important or difficult information just as a session is about to end. Select one: A. closed-ended B. metaphoric C. hallway D. doorknob

D. doorknob

A school social worker employed at a middle school discovers that a student has been bullying two of his classmates. The BEST way for the social worker to intervene is to: Select one: A. take a wait-and-see attitude because bullying is common at this age. B. perform a comprehensive assessment of the student who bullies and have a conference with his parents. C. arrange to meet with all three students and use conflict resolution strategies such as mediation. D. meet with the student who bullies and tell him that bullying is unacceptable and will end.

D. meet with the student who bullies and tell him that bullying is unacceptable and will end.

A social worker asks both members of a married couple in conflict to argue for their partner's position. This is an example of: Select one: A. role-playing. B. prescribing the symptom. C. the empty chair technique. D. role-reversal.

D. role-reversal.

SOAP charting arranges client records according to four components, including: Select one: A. subjective information, objective information, assessments, and prognosis. B. systems evaluation, objectives of treatment, actions, and prognosis. C. subjective information, objective information, actions, and progress. D. subjective information, objective information, assessments, and plan.

D. subjective information, objective information, assessments, and plan.

Organizations and those who work within organizations can come into conflict. Conflicts within host agencies are MOST likely to arise due to: Select one: A. differences in pay. B. personality clashes. C. unclear professional roles. D. differing theoretical approaches.

C. unclear professional roles.

The client is an adult female who was molested repeatedly by her father during childhood. The client is very emotional and reports deep shame concerning the abuse. The client has been diagnosed with borderline personality disorder. What should the social worker focus on FIRST in this case? Select one: A. Establishing safety, stability, and connection. B. Exploring the clients past, including the abuse. C. Arranging to have the client hospitalized. D. Using client-centered techniques to make the client feel safe.

A. Establishing safety, stability, and connection.

A social worker is meeting with a family that includes a father, mother, and 15-year-old daughter. The daughter has developmental disabilities, and her parents report that she has recently started to approach strangers in public places and touch them. What is the BEST intervention in this case? Select one: A. Arrange to work in conjunction with the social worker at the girls school to develop her social skills. B. Connect the parents to services available for children with developmental disabilities. C. Provide education about the needs of developmentally disabled teenagers and refer the parents to a support group. D. Provide education about the needs of developmentally disabled teenagers and discuss the need for the parents to monitor their daughter more closely and escort her when she is in public places.

A. Arrange to work in conjunction with the social worker at the girls school to develop her social skills.

A social worker wants to develop a new play therapy program at her practice for children who have experienced trauma. What should be her FIRST step in developing this program? Select one: A. Define the desired results for the children who participate in the play therapy program B. Begin writing a play therapy curriculum based on the clinicians prior experience with this type of therapy C. Recruit children to participate in the program by gaining the consent of their legal guardians D. Review existing literature detailing evidence-based practices for effective play therapy programs

A. Define the desired results for the children who participate in the play therapy program

During a therapy session, a client becomes angry and agitated. He begins pacing around and shouting. If the social worker wanted to help the client regain control of his feelings, which of the following interventions would be LEAST appropriate? Select one: A. Defusing things quickly by assertively telling the client to take a seat and relax. B. Providing supportive feedback by letting the client know that she is interested in what has upset him. C. Providing structure by asking the client to take a seat and tell her what has happened to upset him. D. Explaining to the client that she's going to leave him alone for a brief time to allow him to regain control.

A. Defusing things quickly by assertively telling the client to take a seat and relax.

A client reports that she has been a victim of discrimination because she was denied low-cost housing. As the client's advocate in this situation, what should the social worker do FIRST? Select one: A. Determine whether the client is eligible for low-cost housing. B. Help the client file a lawsuit. C. Help the client find alternative housing. D. Determine what the client wants him to do.

A. Determine whether the client is eligible for low-cost housing

A 20-year-old Latina female comes into the social workers office and shares about her current relationship struggles. She is 2 months pregnant and her boyfriend was recently taken to jail for pushing her down their apartment stairwell. The baby was unharmed, but she is shaken up and feeling hopeless about what to do now. She is not currently employed and relies on her boyfriends job to pay rent for their place. She worries that if she does not take her boyfriend back once he is released in a few days that she will not be able to find work to support the baby. How should the social worker respond FIRST in this situation? Select one: A. Discuss a safety plan with the client for when the boyfriend is released from jail B. Urge her to consider other options regarding her pregnancy and her relationship C. Reflect the feelings she may be experiencing such as fear, sadness, and guilt and normalize those emotions D. Offer resources available for young mothers and encourage her to consider her options

A. Discuss a safety plan with the client for when the boyfriend is released from jail

A social worker is meeting with a 50-year-old man whose wife died 10 weeks ago. The client reports feeling depressed and lonely. After conducting an assessment, the social worker concludes that the man would benefit from attending a bereavement support group. What should be the social worker's FIRST step in providing this referral? Select one: A. Discuss with the client how joining the group can help address his concerns, needs, and objectives. B. Explain to the client that joining the group will make him feel less depressed and lonely. C. Explain to the client how support groups differ from individual therapy. D. Provide the client with all of the information he needs in order to contact the group leader so that he feels comfortable with the referral process.

A. Discuss with the client how joining the group can help address his concerns, needs, and objectives.

A social worker's client was just released from a chemical dependency treatment facility. The client successfully completed the program and is now off of all drugs. He tells the social worker that he wants to move back to his old apartment which he shares with a friend who still uses drugs. What should the social worker do? Select one: A. Discuss with the client the importance of contacting community agencies to help the client find temporary alternative housing. B. Offer intensive relapse prevention training to help the client stay drug-free. C. Refer the client to NA as a strategy for sustaining his recovery. D. Allow the client to move back to his apartment because that is his preference and closely monitor his ongoing recovery.

A. Discuss with the client the importance of contacting community agencies to help the client find temporary alternative housing.

After exploring a client's concerns with him, the social worker determines that she should refer the client to a local agency for a service he needs. When she suggests the referral, the client agrees that it would be useful for addressing his needs. Which of the following would NOT be appropriate to do when making this referral? Select one: A. Ensuring the client that he is eligible for the service if he asks her about this. B. Letting the client know about the limitations of the service. C. Accompanying the client to the agency if he is too afraid to go on his own. D. Helping the client gather the information and documents he will need in order to show his eligibility for the service.

A. Ensuring the client that he is eligible for the service if he asks her about this.

A social worker is providing group-based social skills training to a group of adolescents. In his effort to maximize the effectiveness of this training, the social worker should be MOST concerned about which of the following? Select one: A. Forming a small group. B. Providing filmed demonstrations. C. Providing clear explanations of the skills. D. The group members' active involvement.

D. The group members' active involvement.

An 85-year-old man has become incoherent, incontinent, and unable to care for himself. His daughters have been caring for him, but his problems have become so great that they are now overwhelmed and unable to meet his needs on their own. A doctor recommends that the man be moved to a nursing home. A day later, in a meeting with a social worker, the daughters agree to visit several nursing homes that week to determine where they want their father to live. A week later, the social worker finds out that the daughters haven't called or visited any nursing homes. What should the social worker do? Select one: A. Explore the daughters' feelings. B. Begin the application procedure himself in order to protect the father's welfare. C. Remind the daughters that their father may suffer if he doesn't move to a nursing home. D. Urge the daughters to begin visiting the nursing homes.

A. Explore the daughters' feelings.

A social worker is beginning individual therapy with a client who has been a heavy cocaine user for a year and continues to use despite losing his job two weeks ago. He was referred to the social worker by his physician. Which of the following would be the MOST effective way of addressing the client's denial, minimization, or other defenses? Select one: A. Exploring the specific consequences of drug use for the client. B. Exploring why the client uses drugs. C. Describing the typical effects of chronic drug use. D. Providing graphic literature on the negative effects of drug use.

A. Exploring the specific consequences of drug use for the client.

A man brings his wife to a busy community medical clinic because she is not feeling well. The woman dies while waiting to be seen by a physician. The social worker employed by the clinic is called in by medical staff to meet with the man. What should the social worker do FIRST? Select one: A. Find a private location at the clinic where the man can express his feelings and collect himself. B. Offer the man a list of qualified grief counselors. C. Advocate on behalf of the man by finding out why his wife was not seen sooner. D. Talk to the man about grief and loss and explain the stages of grief.

A. Find a private location at the clinic where the man can express his feelings and collect himself.

A 5-year-old boy who has been neglected by his parents is placed in foster care. The boy often stutters and is extremely shy. After several weeks, it comes to light that the boy's foster parents ridicule or punish him whenever he has difficulty expressing himself or interacting with people he doesn't know. In this situation, what should the boy's social worker do? Select one: A. Find alternative foster care placement for him. B. Provide additional education and training to his foster parents. C. Refer him for behavioral therapy. D. Refer him to a speech therapist.

A. Find alternative foster care placement for him.

The client is a 22-year-old man who has sought help because he is distressed over a decision he needs to make. The client, who is Catholic and whose faith is important to him, believes that premarital sex is wrong, but his fiance has been pressuring him to have sex with her. He has explained his beliefs to her, but she disagrees with him and has been trying hard to change his mind. The client says he is now completely confused and afraid that he might be wrong. In addressing the presenting problem in this case, what should the social worker do FIRST? Select one: A. Find out whether the client has talked with his priest about this, and if not, encourage him to do so. B. Normalize the client's confusion by pointing out that his views are less modern than those of many of his peers. C. Explore and discuss with the client the source of his confusion. D. Find out whether the client has other problems in his relationship with his girlfriend.

A. Find out whether the client has talked with his priest about this, and if not, encourage him to do so.

A gay client tells a social worker that he has sought therapy because he is afraid to disclose his sexual orientation to his family and doesn't know what to do. In addressing the presenting problem in this case, what should the social worker do FIRST? Select one: A. Help the client compare the potential consequences of coming out to those of continuing to hide his homosexuality. B. Help the client identify the potential benefits of telling his family. C. Support secrecy and the client's reluctance for now in order to build trust. D. Invite the client to tell her about his family and then offer an opinion as to whether or not he should come out to them.

A. Help the client compare the potential consequences of coming out to those of continuing to hide his homosexuality.

A client has taken a second job to support his family because his wife was severely injured in a car accident and can't work. The client reports feeling frustrated by this situation and exhausted every day. Right after saying this, the client expresses remorse for complaining about how he feels, given all that his wife has suffered. What should be the social worker's FIRST response? Select one: A. Let the client know that his feelings are normal. B. Ask the client if he is feeling depressed. C. Ask about the familys financial situation to determine if the client is able to make ends meet. D. Briefly explain to the client how family systems work and how each family member and the whole system are affected by change.

A. Let the client know that his feelings are normal.

A hospital social worker is meeting with an 82-year-old widow who has been diagnosed with cancer. Her prognosis is poor. The client says that she wants to stop receiving medical treatment so that she can die peacefully and with dignity, but her children disagree with her decision and want her to continue receiving medical treatment. What should the social worker do? Select one: A. Meet with the woman and her children to help them understand each others preferences and feelings. B. Verify that the woman has fully considered the consequences of her decision. C. Contact the womans physician for an opinion. D. Convey respect for the womans right to make this choice and advise her children to do the same.

A. Meet with the woman and her children to help them understand each others preferences and feelings.

A client resists the social worker's efforts to draw him out during the initial phase of therapy, and she hypothesizes that this is because he is angry that he had to wait a long time to get an appointment with her. The client never says he is angry, but he talks at length about his efforts to schedule an appointment and tells the social worker many times how frustrated he felt about having to wait. Which of the following strategies should the social worker use to address this client's resistance? Select one: A. Mirror his feelings. B. Redirect him to a more productive topic. C. Allow him to continue venting his feelings. D. Explore whether his defensive behavior is part of a long-term pattern.

A. Mirror his feelings.

A gay man presents for individual therapy shortly after coming out to his pastor. The client has attended this church for five years and had a good connection with his pastor, but now the pastor avoids him. The client adds that he feels alienated at his church now and that this experience is making him question his faith. In addressing the presenting problem in this case, what should the social worker do FIRST? Select one: A. Offer the client referral to a local church where he will find acceptance and be more comfortable. B. Discuss with the client the pros and cons of disclosing his sexual orientation. C. Further assess the client's religious needs and explore his beliefs with him. D. Encourage the client to break away from his church and find support elsewhere.

A. Offer the client referral to a local church where he will find acceptance and be more comfortable.

A social worker is meeting with a 21-year-old Korean-American woman who immigrated to the U.S. four years ago with her family. In the interview, the client reports that she suffers from aches and pains and occasional insomnia. She doesn't describe any other symptoms or disclose information about her personal life or family. She says she has come in only because her doctor told her to. What should the social worker do? Select one: A. Offer the client referral to a pastor at the local Korean church. B. Refer the client to a neuropsychologist for testing. C. Focus on the problem brought in by the client and help her develop her own goals for therapy. D. Ask the client if she has been feeling depressed.

A. Offer the client referral to a pastor at the local Korean church.

A 16-year-old male is discharged from the hospital and referred to a social worker for cutting his wrists with a kitchen knife. When talking to the boy about the incident he explains that, cutting felt good. He also says that he does not know if he can stop since it is the only thing that really makes him feel good anymore. What is the BEST response by the social worker? Select one: A. Prompt the boy to answer more exploratory questions related to the function of his self-harming behavior B. Discuss with him the dangers of cutting and tell him hell likely die if he continues C. Have him placed on psychiatric hold D. Provide him with resources about cutting

A. Prompt the boy to answer more exploratory questions related to the function of his self-harming behavior

The client is the mother of a 4-year-old boy who reports that her son is very active and that she worries he might be hyperactive. She sometimes has difficulty "calming him down." After a comprehensive assessment, the social worker determines that, while the boy is energetic, his behavior is age appropriate. What is the social worker's BEST course of action? Select one: A. Provide education to increase the mother's understanding of child development and assist her in setting age-appropriate limits using strategies of positive discipline. B. Refer the mother to a parenting class to learn how to set limits and boundaries and use appropriate rewards and consequences. C. Provide parent training to the mother to reduce stress and increase competence and connect her to resources in the community, including a support group. D. Review basic information about child development and help the mother define limited options for her son to encourage him to make appropriate decisions about his behavior.

A. Provide education to increase the mother's understanding of child development and assist her in setting age-appropriate limits using strategies of positive discipline.

A social worker works at a community center for older adults. He sees a 71-year-old woman who visits the center on a weekly basis; the woman is usually disheveled and unclean, but otherwise, she appears healthy, both physically and mentally. The woman lives by herself; her husband died 10 years ago and her children live in another state. What is the social worker's BEST course of action? Select one: A. Recognize that the center may not meet all of the woman's needs and refer her to other services in the community. B. Help the woman understand that she needs to clean herself up before leaving her house. C. Refer the woman to a social support group. D. Find out if the woman needs more money to better maintain her appearance and hygiene.

A. Recognize that the center may not meet all of the woman's needs and refer her to other services in the community.

Once pharmacological treatment has been initiated, intervention for a client in the acute phase of schizophrenia should usually emphasize which of the following goals? Select one: A. Reducing stressful relationships, events, and environments and promoting relaxation. B. Improving the clients adaptation and minimizing the likelihood of relapse. C. Sustained symptom control, establishing medication compliance, and preventing relapse. D. Addressing functional impairments in activities of daily living.

A. Reducing stressful relationships, events, and environments and promoting relaxation.

A social worker has been working in individual therapy with a client for several months. The client sought therapy after suffering from depression for many years. The social worker begins to notice that the client seems even more depressed than she was at the beginning of therapy. What is the social worker BEST course of action? Select one: A. Refer the client to a psychiatrist for a medication evaluation. B. Refer the client to a medical doctor for physical evaluations. C. Refer the client to a psychologist for testing. D. Point out and discuss the clients resistance.

A. Refer the client to a psychiatrist for a medication evaluation.

Which of the following skills is MOST associated with active listening? Select one: A. Reflecting. B. Interpreting. C. Questioning. D. Confronting.

A. Reflecting.

A social worker conducting a longitudinal study collects data about her subjects' past status on the variables of interest. What type of study is this? Select one: A. Retrospective. B. Case study. C. One-group pre-test/post-test. D. Reversal.

A. Retrospective.

After a single mother is charged with child neglect, her two young children are placed in temporary foster care. The woman eventually meets the goals of her treatment plan, and the court determines that her children can be returned to her care. A few days before the children are scheduled to come home, the woman reveals to her caseworker that she is two months pregnant. What is the caseworker's BEST course of action? Select one: A. Return the children to their mothers care but monitor the case closely. B. Return the children as planned because the woman has met the goals of her treatment plan. C. Make sure that the children remain in foster care. D. Make arrangements to recontact the family after the baby is born.

A. Return the children to their mothers care but monitor the case closely.

An adult client would be MOST likely to give which of the following reasons for leaving group therapy prematurely? Select one: A. Scheduling conflicts. B. Feeling fearful of intimacy. C. Feeling that he "doesn't belong" with the other group members. D. Feeling unsure about the group leader's competence.

A. Scheduling conflicts.

To clarify the emotional distance or closeness between family members, a social worker could use which of the following techniques? Select one: A. Sculpting. B. Mimesis. C. Psychodrama. D. Reframing.

A. Sculpting.

A social worker is meeting with a family of three, including the father, mother, and a 13-year-old son. The parents report that the son has been acting out ever since he became a teenager - failing to do chores, talking back to them - and that all of their efforts to discipline him have failed. He used to "shape up" when they took away his Internet privileges or allowance, but now he continues to disobey them. The boy says he wants more freedom to manage his own time and doesn't want his parents to regiment his life so much. The social worker observes that the parents are highly involved in the details of the boy's life, bicker a lot, and seem reluctant to change the way they've been managing their son. What approach to family therapy would be MOST useful in this case? Select one: A. Structural. B. Behavioral. C. Humanistic. D. Psychodynamic.

A. Structural.

A common way of assessing human service needs in a community is through needs assessment. Which of the following assessment techniques is considered MOST useful for needs assessment? Select one: A. Survey research. B. Observational studies. C. Focus groups. D. Collecting service statistics.

A. Survey research.

Both formal and informal structures within an organization influence its effectiveness. A key characteristic of the relationships among an agency's staff in the "informal organization" is which of the following? Select one: A. The relationships are voluntary. B. The relationships are created by management to achieve goals. C. The relationships result in goal displacement. D. The relationships have little influence on how staff perform their job tasks.

A. The relationships are voluntary.

Social agency administrators are responsible for monitoring the implementation of an agency's policies and for making sure that all agency staff are notified of policy changes. Which of the following word sets BEST captures the key principles associated with effective communication of policy changes to staff? Select one: A. Timely, clear, repetition. B. Timely, verbal communication, memo. C. Immediate, clear, democratic. D. Immediate, descriptive, specific.

A. Timely, clear, repetition.

In structural family therapy, what is the purpose of "unbalancing"? Select one: A. To provoke resistance from family members. B. To reframe the problem. C. To disrupt the familys homeostasis. D. To engender insight.

A. To provoke resistance from family members.

In strategic family therapy and other family therapies derived from the communication model, the primary goal of the technique known as "prescribing the symptom" can be said to be which of the following? Select one: A. Undermining the familys resistance to change. B. Changing the way a problem is perceived by changing its name. C. Changing the meaning of a symptom by relabeling it. D. Increasing differentiation among members of the family.

A. Undermining the familys resistance to change.

The client is a 36-year-old single woman who reports feeling bored at her job and at a "dead-end" socially. She completed two years of college and sometimes thinks about re-enrolling to complete her degree but "never gets around to it." She says she's in a rut she can't get out of. The social worker decides to use a brief therapy model with this client. The assumptions of this model include all of the following EXCEPT: Select one: A. a client lacks resources for change and a social worker's key role is to provide skills and knowledge to facilitate change. B. problems are a normal part of life rather than signs of dysfunction or pathology. C. the purpose of therapy is to find solutions rather than meaning or insight. D. a social worker should believe that change is possible and convey this expectation to the client.

A. a client lacks resources for change and a social worker's key role is to provide skills and knowledge to facilitate change.

The first intervention when using solution-focused therapy with a family is usually: Select one: A. discussing how things would be if the problem were already resolved. B. exploring each clients role in maintaining the problem. C. exploring the clients reluctance to try new solutions to the problem. D. identifying causes underlying the problem.

A. discussing how things would be if the problem were already resolved.

When leading a crisis counseling group, a social worker is likely to focus on all of the following EXCEPT: Select one: A. helping members express all feelings including those not associated with the crisis. B. exploring solutions to each member's crisis. C. helping each member understand his or her crisis situation. D. exploring social change strategies that can reduce crisis risk in the future.

A. helping members express all feelings including those not associated with the crisis.

The client is a 12-year-old girl who was injured in an accident one year ago. The girl was paralyzed from the waist down and now uses a wheelchair. Many of the students at her school have been teasing and isolating her in the classroom and on the playground. The focus of the social worker's intervention plan should be on: Select one: A. helping the client adapt to and cope with her disability. B. educating the clients parents on how to help her. C. training the clients teachers about issues related to her disability. D. helping the clients teachers educate her classmates about disabilities.

A. helping the client adapt to and cope with her disability.

A client seeks therapy because he wants help improving his relationships with others. If the social worker uses the problem-solving practice model with this client, she will focus on: Select one: A. his motivation, capacity, and opportunity to improve his relationships. B. helping him realize his full potential in his relationships. C. modifying his social environment. D. modifying the exchanges between the client and his social environment.

A. his motivation, capacity, and opportunity to improve his relationships.

A new community program is MOST likely to be funded when: Select one: A. it has support from key leaders in the community. B. a similar program has been implemented somewhere else. C. it has money for start-up costs. D. it has sufficient grass-roots support.

A. it has support from key leaders in the community.

Nonverbal barriers to effective communication with a client include all of the following EXCEPT: Select one: A. leaning forward in your chair. B. sitting at your desk during a session. C. staring at the client to encourage eye contact. D. keeping an even tone as you speak so that your voice does not reveal your reactions to the client.

A. leaning forward in your chair.

Client: "When my wife died, my whole life changed. I've had to work and care for my kids by myself. I miss my wife's support and love and worry that I'll fall apart without her." Social worker: "Since your wife's death, you have had to do many things on your own that you previously shared with your wife." The social worker's response illustrates: Select one: A. paraphrasing. B. reflecting. C. support. D. information-giving.

A. paraphrasing.

The client is a 50-year-old man who has been battling cancer for several years. He is very ill and weak and unlikely to recover. He and his family ask the social worker about the possibility of hospice care for the man and wonder if he is eligible. The social worker, who is familiar with hospice care, tells them that most hospices accept: Select one: A. patients who have a life expectancy of six months or less and who are referred by their personal physician. B. only patients with private insurance who have a life expectancy of six months or less. C. only patients with private insurance who are referred by their personal physician. D. patients who have a life expectancy of six months or less and who are referred by a mental health care professional.

A. patients who have a life expectancy of six months or less and who are referred by their personal physician.

Federal programs such as Food Stamps, Supplemental Security Income (SSI), and payments for adoption assistance and foster care are examples of ________________ programs. Select one: A. selective eligibility B. universal eligibility C. exceptional eligibility D. entitlement

A. selective eligibility

Formal (as opposed to informal) linkages between organizations in a community are beneficial because they tend to improve service delivery and to provide greater: Select one: A. stability. B. autonomy. C. competition for resources. D. flexibility.

A. stability.

A social worker is meeting for the first time with an involuntary client who has been mandated by the court to attend therapy. What should the social worker do FIRST in this meeting? Select one: A. Inform the client of the consequences of not cooperating with the court order. B. Share what she knows about why the client has come in and invite the client to share his side of the story. C. Address the clients negativism. D. Identify a treatment goal that the client is motivated to pursue.

B. Share what she knows about why the client has come in and invite the client to share his side of the story.

An adult client is unable to come to the social worker's office to meet with her. She schedules an in-home interview at the client's residence. When she enters his apartment, she sees that the living room is cluttered and dirty and she detects an odor of spoiled food. She also sees pornographic magazines on the coffee table. What should the social worker do? Select one: A. Share her reaction to this in a genuine way. B. Carefully avoid any sign of disapproval or shock. C. Confront the clients apparent effort to shock her. D. Focus during the interview on the condition of the clients apartment.

B. Carefully avoid any sign of disapproval or shock.

A study's dependent variable is measured on a nominal scale. Therefore, the researcher can, at most, do which of the following with the data? Select one: A. Identify the mean score. B. Compare frequencies. C. Calculate the difference between scores. D. Determine that one subject has more of the characteristic being measured than another subject.

B. Compare frequencies.

The political parties in the United States have differing philosophies on social welfare and the role of the government. Which of the following statements is the MOST accurate? Select one: A. Democrats favor expanding social welfare programs, support the existing Social Security system structure, and support government guaranteed universal medical care rights, while Republicans seek to restrict social welfare spending and leave decisions regarding social welfare to private and state entities. B. Democrats favor expansive social welfare programs, support the existing Social Security system structure, and have a long-term goal of government guaranteed universal medical care rights, while Republicans seek to restrict and limit social welfare spending, seek to modify the current Social Security system structure and prefers to leave access to medical care to the private sector (except for Medicare and Medicaid programs. C. Democrats seek to restrict and limit social welfare spending and prefers leaving access to medical care to the private sector (except for Medicare and Medicaid programs), while Republicans favor affirmative action laws, raising the minimum wage and supports government roles in housing. D. Democrats favor expansive social welfare programs, support the existing Social Security system structure, and oppose affirmative action, while Republicans seek to restrict and limit social welfare spending, seek to modify the current Social Security system structure and prefers to leave access to medical care to the private sector (except for Medicare and Medicaid programs.

B. Democrats favor expansive social welfare programs, support the existing Social Security system structure, and have a long-term goal of government guaranteed universal medical care rights, while Republicans seek to restrict and limit social welfare spending, seek to modify the current Social Security system structure and prefers to leave access to medical care to the private sector (except for Medicare and Medicaid programs.

A client reports that he's been having what he thinks may be seizures on and off for about a month. He says his vision changes and then he feels dizzy and his body becomes tense. Despite these episodes, the client has continued to drive his car on a regular basis. He says that not driving would disrupt his life. What is the social worker's BEST course of action? Select one: A. Encourage the client to stop driving and provide him information about local public transportation. B. Discourage the client from driving and find out whether he has gotten medical attention. C. Ask the client for more information about his symptoms and then explain the likely dangers involved in driving at this time. D. Discourage the client from driving and discuss if friends or family members can drive him places he needs to go.

B. Discourage the client from driving and find out whether he has gotten medical attention.

A social worker is meeting for the first time with a client, age 29, who tells her that he recently tested HIV positive. He's seen his doctor and has started taking anti-HIV medication. The client is gay and says he's afraid to tell his parents about his diagnosis; they are very conservative, and he hasn't even told them that he's gay. He also says he's feeling lonely and doesn't feel like seeing his healthy friends right now. The social worker spends some time with the client helping him express his feelings about this situation. What should the social worker do NEXT? Select one: A. Encourage the client to contact his family. B. Discuss ways of building the client's social support system. C. Verify that the client is receiving proper medical attention. D. Help the client sort out the pros and cons of coming out to his parents.

B. Discuss ways of building the client's social support system.

A social worker has been conducting research on the effectiveness of a new treatment program for veterans suffering from post-traumatic stress disorder (PTSD). Which of the following questions would best guide the research study? Select one: A. Do veterans enjoy participating in the program? B. Do veterans experience improvement in their PTSD symptoms as a result of participating in the program? C. How many American veterans suffer from PTSD? D. Are veterans suffering from PTSD more likely to experience housing insecurity?

B. Do veterans experience improvement in their PTSD symptoms as a result of participating in the program?

A social worker is working in individual therapy with an American Indian client who has suffered from symptoms of depression since the death of her grandfather. How should the social worker address the role of religious and spiritual values in this case? Select one: A. Incorporate a traditional healer in the treatment process. B. Explore and reinforce the therapeutic significance of religious and spiritual events for the client. C. Avoid addressing or incorporating these factors until after the client has had complete medical and medication evaluations. D. Avoid stereotyping and allow the client to take the lead in discussing the role of these values, if they are significant for her.

B. Explore and reinforce the therapeutic significance of religious and spiritual events for the client.

A social worker refers a client with intense social anxiety to a psychiatrist for a medication evaluation and explains to him why she is doing so, including how he might benefit from beginning to take medication. The client becomes defensive when the social worker makes this referral and says, "You think I'm crazy, don't you?" What is the social worker's BEST response? Select one: A. Describe to the client her scope of practice. B. Explore the client's fears or other concerns about the referral. C. Make the initial contact herself by calling the psychiatrist while the client is with her. D. Explain to the client that, ethically, she cannot continue treating him unless he follows through with this referral.

B. Explore the client's fears or other concerns about the referral.

A social worker works in a community mental health clinic and her clients are two parents and their elementary school-age son. The parents have difficulty making ends meet and the family lives in a one-bedroom house near a chemical laboratory. The parents report that their son often has flu-like symptoms and, although they're concerned about this, they can't afford to take him to a doctor. What should the social worker do FIRST? Select one: A. Discuss with the parents their boys medical history and explore whether they also have had flu-like symptoms. B. Help arrange free or low-cost physical evaluations for the child and the parents. C. Identify the familys immediate financial, social, emotional, and medical needs and assist the parents to develop a plan for getting the assistance and services they need. D. Help parents articulate their concerns and identify their goals for treatment by using a goal checklist.

B. Help arrange free or low-cost physical evaluations for the child and the parents.

A social worker is working in individual therapy with an Asian American man who is gay. The client has been feeling increasingly anxious because his parents have been pressuring him to get married. He hasn't told his parents that he's gay and he isn't sure what to do. The social worker spends some time with the client helping him express and sort out his feelings about this situation. What should the social worker do NEXT? Select one: A. Use role-playing exercises with the client so that he can practice coming out to his parents and anticipate their possible reactions and how to handle them. B. Help the client consider whether to come out to his parents by exploring relevant cultural variables and the potential consequences and benefits of coming out. C. Encourage the client to come out to his parents because secrecy is not working for him, and offer to work with him and his parents on their reactions, including potential guilt or grief. D. Focus on how the clients culture feels about homosexuality vs. how the client feels about it.

B. Help the client consider whether to come out to his parents by exploring relevant cultural variables and the potential consequences and benefits of coming out.

A social worker is working in individual therapy with an Asian American man who is gay. The client has been feeling increasingly anxious because his parents have been pressuring him to get married. He hasn't told his parents that he's gay and he isn't sure what to do. The social worker spends some time with the client helping him express and sort out his feelings about this situation. What should the social worker do NEXT? Select one: A. Use role-playing exercises with the client so that he can practice coming out to his parents and anticipate their possible reactions and how to handle them. B. Help the client consider whether to come out to his parents by exploring relevant cultural variables and the potential consequences and benefits of coming out. C. Encourage the client to come out to his parents because secrecy is not working for him, and offer to work with him and his parents on their reactions, including potential guilt or grief. D. Focus on how the clients culture feels about homosexuality vs. how the client feels about it.

B. Help the client consider whether to come out to his parents by exploring relevant cultural variables and the potential consequences and benefits of coming out.

A new administrator at a community agency finds that there is high conflict and low morale among the staff. Which of the following approaches is MOST likely to be effective for resolving these problems? Select one: A. Establish more effective procedures and share them with staff members. B. Hold a staff meeting as soon as possible. C. Meet individually with each staff member involved in the conflict. D. Focus on building morale because high morale will reduce conflict.

B. Hold a staff meeting as soon as possible.

A child abuse report has been filed by a private citizen concerning a 6-year-old boy who is often left home alone by his parents. Which of the following will the CPS worker assigned to this case do FIRST? Select one: A. Arrange to have the child removed from his home and placed in foster care. B. Interview the family to learn more about the situation that led to the report. C. Identify how the parents can correct the conditions that have led to neglect of the child. D. Provide services to counteract the isolation that has led to the neglect.

B. Interview the family to learn more about the situation that led to the report.

A social worker has been working in individual therapy with a teenager who has been living in foster homes for 12 years. During a session, the client suddenly says that he wants to find out about his biological family's culture. What should the social worker do FIRST? Select one: A. Assist the client in finding information about his biological familys culture. B. Invite the client to tell her why he's interested in this information. C. Refer the client to someone qualified to provide this information. D. Explore how the client is feeling about his current foster care placement.

B. Invite the client to tell her why he's interested in this information.

A client arrives 20 minutes late for her first appointment, and the social worker is upset by this. What should the social worker do? Select one: A. Tell the client that he is upset. B. Keep his feelings to himself. C. Ask the client, So, are you late most places you go? D. Wait for the next session, and if the client is late again, then tell her he is upset.

B. Keep his feelings to himself.

An existential therapist emphasizes which of the following? Select one: A. Confronting the client's "failure identity." B. Listening to the client's own account of her experiences. C. Providing therapeutic conditions to facilitate the client's self-actualization. D. Closing the gap between the client's conscious and personal unconscious.

B. Listening to the client's own account of her experiences.

A social worker working in individual therapy with a depressed client decides to use Aaron Beck's cognitive therapy. Using Beck's cognitive therapy means that the social worker will rely heavily on which of the following techniques to bring about desired change? Select one: A. Interpretation. B. Socratic questioning. C. Reflection. D. Confrontation.

B. Socratic questioning.

A school social worker is in the front office one day checking the attendance log when a mom of a student she doesnt know comes in and insists on speaking to the social worker. She introduces herself as one of the school social workers and offers her assistance. The mother explains that she read in her daughters journal that she wants to kill herself. The mother requests help from the social worker, but insists that she cannot let the girl know that her mother read her journal. What would be the BEST way to respond to the mothers request? Select one: A. Ensure the mom that you will keep her secret because it would be unethical to deny the wishes of the legal guardian B. Meet with the daughter and provide a suicide assessment while assisting the mother in strategizing ways to handle the daughters potential anger or upset feelings afterwards C. Tell her that as a mandated reporter, you must complete a suicide assessment in which you are honest and transparent with your client D. Discuss with the mom the consequences to reading her daughters journal and breaking her trust

B. Meet with the daughter and provide a suicide assessment while assisting the mother in strategizing ways to handle the daughters potential anger or upset feelings afterwards

A social worker has been working in individual therapy with a client for three weeks. During the current session, the client says that he has been feeling depressed, hopeless, and stuck, and as though nothing will ever improve. He expresses suicidal ideation. To manage the risk for suicide in this case, what should the social worker do FIRST? Select one: A. Explore what precipitated these feelings. B. Mobilize the clients support system. C. Recruit the clients family members to monitor him. D. Find out whether the clients home environment is safe.

B. Mobilize the clients support system.

A social worker treating a client with obsessive-compulsive disorder is using exposure in vivo and response prevention. Which of the following is MOST likely to occur early during this treatment? Select one: A. Less anxiety. B. More anxiety. C. No reported change in anxiety level. D. Elimination of anxiety.

B. More anxiety.

Two sisters, ages 76 and 78, live together in a small apartment. One sister never married and the other has been a widow for nearly 20 years. Neither woman ever had children. The sisters have no friends or other support nearby and mostly keep to themselves. They have adequate access to medical care and recently had check-ups. The sisters have recently begun having some difficultly managing certain day-to-day living tasks, such as grocery shopping and keeping track of their finances. What is the BEST action for the social worker to take? Select one: A. Refer for medication evaluations. B. Offer homemaking services. C. Refer to a support group. D. Recommend a nursing home.

B. Offer homemaking services.

A client says, "I don't want to get so wrapped up in my relationship with my boyfriend that I lose my ability to make my own decisions." The social worker responds by saying, "Your independence is important to you." What skill has the social worker used? Select one: A. Interpretation. B. Paraphrase. C. Accent response. D. Seeking concreteness.

B. Paraphrase.

A social worker begins individual therapy with a 52-year-old woman who has been divorced for 10 years and has one child, a 21-year-old son. The client is initially reluctant to disclose why she sought treatment. After some prompting, she reveals that she is concerned about her son. She describes his problems with drugs and his unwillingness to work or go to school. She says she's convinced that he's addicted to drugs. After a few moments of silence, she suddenly adds that her son becomes very angry when she won't give him money and often hits her when he's high. She begins to cry a little and says she blames herself for her son's problems. After he acknowledges the client's feelings about her situation, what should the social worker do NEXT? Select one: A. Recommend addiction treatment for the son. B. Provide information about resources. C. Discuss, explore, and address enabling behavior. D. Offer training in parenting skills.

B. Provide information about resources.

A client reports feeling anxious since starting a new job three months ago. He feels inadequate and irritable on most days because it's been hard to juggle working more hours with his other obligations. His girlfriend has been accusing him of ignoring her. He wants to please her but he also wants to succeed at work, and this is making him feel tired all the time. He says he wants to feel like himself again - like someone who "has it together." How should the social worker approach treatment in this case? Select one: A. Refer the client to couples therapy. B. Provide stress management training. C. Help the client express his anger using I-language. D. Teach progressive muscle relaxation.

B. Provide stress management training.

Which of the following approaches would BEST enable an administrator to effectively manage the work of a task group at an agency? Select one: A. Assuming responsibility for the groups activities and processes. B. Requesting agenda items from the groups members before a meeting. C. Writing a comprehensive and detailed agenda before a meeting. D. Making decisions on behalf of the group after soliciting input from group members.

B. Requesting agenda items from the groups members before a meeting.

A social worker meets with a client who is disabled and unemployed. The client has never had a job and has almost no money. Based on this information, the social worker should recommend that the client apply for which of the following? Select one: A. SSDI. B. SSI. C. TANF. D. Unemployment insurance.

B. SSI.

A client works as a telephone sales-person in a busy office. She occasionally works from home as well, since her commute can be extremely difficult. Social psychology would predict that: Select one: A. The clients productivity would be the same in both contexts B. The client would be prone to feel social influence if she imagined that her boss visited her home office C. There would be no difference in the clients thoughts or perceptions regarding her work D. The clients work behavior would be no different at home than at the office.

B. The client would be prone to feel social influence if she imagined that her boss visited her home office

A social worker worked for three weeks in individual therapy with a client suffering from major depressive disorder with peripartum onset. The client was beginning to show improvement but then stopped coming to treatment. What is the BEST way for the social worker to interpret this situation? Select one: A. The client is resistant to treatment. B. The depression has gotten worse and the client may need a medical evaluation. C. He failed to establish rapport with the client. D. The client continued to improve and is no longer depressed.

B. The depression has gotten worse and the client may need a medical evaluation.

A social worker is using dialectical behavior therapy (DBT) with a client who has borderline personality disorder. During treatment, the client is taught distress tolerance skills. What is the purpose of teaching distress tolerance skills? Select one: A. To reduce the clients self-injurious behavior by evaluating its precipitants. B. To help the client cope with crises and feelings of misery by increasing acceptance. C. To help the client maintain her self-esteem in her interactions with other people. D. To help the client change her distressing emotional states.

B. To help the client cope with crises and feelings of misery by increasing acceptance.

A social worker begins working with a family on behavioral problems involving the children. Instead of exploring the family's problems in detail, the social worker asks, "When is this problem not a problem?" What is the purpose of this intervention? Select one: A. To reframe the situation in a more positive way. B. To identify exceptions as a resource for positive change. C. To re-author the familys dominant story. D. To restructure the familys cognitions.

B. To identify exceptions as a resource for positive change.

A social worker is providing case management services to a single mother with three young children who has been unable to find a steady job. She's having trouble supporting her family. The client suffers from frequent migraine headaches but can't afford adequate medical treatment because she has no health insurance. The only doctor she's seen recently didn't take her seriously, she reports: He said her headaches would stop if she "learned to relax." The client knows where her ex-husband is, but he's not interested in the children and won't pay child support. What is the social worker's primary purpose in providing case management services to this client? Select one: A. To improve the clients functioning so that she can use services more effectively. B. To link and coordinate the services that the client needs. C. To provide the client with support so that she can meet her own needs. D. To improve the clients access to services she is entitled to but has been denied.

B. To link and coordinate the services that the client needs.

Which of the following BEST describes the goal of permanency planning? Select one: A. To reunite families. B. To provide continuity in the care of dependent children. C. To identify children in temporary foster care who need alternative placement. D. To improve the quality of foster care for dependent children.

B. To provide continuity in the care of dependent children.

A social worker begins working with a family who has presented with parenting difficulties and acting out by the adolescent children. If the social worker were using structural family therapy with these clients, which of the following techniques would he use first? Select one: A. Reframing. B. Tracking and mimesis. C. Constructing a family map. D. Enactment.

B. Tracking and mimesis.

A couple comes to see a social worker for grief counseling. They discuss an incident that occurred over a year ago where they lost both of their children and suffered their own physical injuries. They explain that they are religious and have been supported by their church in this time of loss, however have been feeling guilty recently for questioning Gods reason for taking their sons. How BEST would the social worker respond empathically to this family? Select one: A. Employ a future focused therapy strategy to help the couple move forward from the loss B. Utilize a double-sided reflection to express how hard it must be to struggle with not only losing their sons, but also questioning their faith C. Reassure the couple that God has a plan for everything and although they may be confused about what it is now it will become clearer with time D. Suggest they consider switching to a different church

B. Utilize a double-sided reflection to express how hard it must be to struggle with not only losing their sons, but also questioning their faith

A 23-year-old male client comes in to your office with a mandated court order to receive therapy for his anger control issues. The minute he sits down, he directs profanity and name-calling at you. He states that he doesnt need to be there and its a waste of his time. What would be the best approach to take in engaging this client? Select one: A. Explain to him that it is inappropriate for him to direct his anger at you since you are only there to help B. Utilize motivational interviewing skills including affirming his frustrations, reflective listening, summarization and open-ended questions to explore with nonjudgmental curiosity C. Encourage him to give the process a try and connect his goal of getting out of services to your goal of helping him meet his mandated court order to increase buy-in D. Self-disclose how your dad also had anger control issues when you were younger and when he went to therapy things really improved

B. Utilize motivational interviewing skills including affirming his frustrations, reflective listening, summarization and open-ended questions to explore with nonjudgmental curiosity

The client has had numerous episodes of major depression. She has been hospitalized twice, and has tried to commit suicide once. She was raised by an alcoholic mother and a periodically absent, abusive father. Mindfulness-based Cognitive Therapy (MBCT) would consider the clients depression as consisting of: Select one: A. a lack of self-acceptance B. a downward mood spiral that can be caused by high standards C. an inability to be present in the moment D. internalized anger

B. a downward mood spiral that can be caused by high standards

Diana is a 34 year-old client who has been diagnosed as having borderline personality disorder. She has a great deal of trouble regulating her emotions, and is constantly in turmoil in her personal relationships. The social worker is recommending that she enroll in a clinic that specializes in Dialectical Behavior Therapy for help in learning to manage her out-of-control emotions and interpersonal difficulties. In Dialectical Behavior Therapy (DBT), the core skills of mindfulness are to be able to: Select one: A. observe and become aware of thoughts, feelings, behaviors and behavioral urges. B. observe without judgement, describe by separating the experience from reality and to participate by being fully present in the moment non-judgmentally. C. being able to inform the wise mind from the logical and emotional minds D. interpersonal effectiveness, emotional regulation and distress tolerance.

B. observe without judgement, describe by separating the experience from reality and to participate by being fully present in the moment non-judgmentally.

Which statement most accurately reflects Peter Lewinsohns theory of depression? Select one: A. Thoughts and feelings are relatively irrelevant to behavior. B. Principles of learning theory satisfactorily explain depression. C. Depressed people receive a low rate of positive reinforcement due to environmental stressors and lack of personal skills. D. People will tend to repeat behaviors that are positively reinforced.

C. Depressed people receive a low rate of positive reinforcement due to environmental stressors and lack of personal skills.

A social worker has been working in individual therapy with an adult client for three months. At the beginning of the current session, the client suddenly announces that she is ready to terminate. She says, "I've done all I can do in therapy and I'm ready to stop. This will be my last session." What is the BEST way for the social worker to respond to this? Select one: A. Tell the client that, because her decision is abrupt, it would be better to continue in therapy for a while longer. B. Urge the client not to terminate, explaining that she has not met her goals. C. Discuss with the client the pros and cons of terminating at this time. D. Agree to terminate because the client believes she is ready to do so and this decision rests with the client.

C. Discuss with the client the pros and cons of terminating at this time.

A single mother seeks therapy for her 16-year-old son. She reports that the boy has been sullen and drinks alcohol on the weekends, and that they don't seem to be able to communicate anymore. The mother says she'd like to participate in her son's therapy. The social worker contracts with the clients for combined therapy, in which he will see the son for both individual therapy and a few sessions of family therapy to help them with their communication problems. After one session of scheduled family therapy, the mother begins dropping her son off for therapy each week, without ever coming in herself. The second time she misses a scheduled family session, the boy tells the social worker that he's upset with his mom for not coming to therapy; he adds that she doesn't even ask him how treatment is going. What is the social worker's BEST course of action? Select one: A. Encourage the boy to tell his mother how much her behavior upsets him. B. Assist the boy in telling his mother how much her behavior upsets him. C. Discuss with the mother the discrepancy between her behavior and her agreement to participate in family therapy. D. Shift the focus of the individual therapy to begin exploring the role that the mother's indifference plays in the boy's problems.

C. Discuss with the mother the discrepancy between her behavior and her agreement to participate in family therapy.

A social worker has been leading a weekly therapy group for three weeks. Before the current session, one of the group members arrives early so that he can ask the social worker a question in private about something that happened in last week's group session. How should the social worker handle this? Select one: A. Answer the clients question before the session. B. Schedule a meeting with the client to address his reluctance to speak openly in the group. C. Encourage the client to ask his question during the group session. D. Remind the client that she can't answer questions outside of group sessions.

C. Encourage the client to ask his question during the group session.

A social worker is working in family therapy with two parents and their teenage children, a girl, age 16, and a boy, age 15. The presenting problem was frequent arguing in the family, and the focus of treatment has been on identifying and altering the family's maladaptive communication patterns. After the family has been in treatment for six weeks, the father suddenly admits to the social worker that he drinks heavily. He manages to go to work and functions fairly well at his job, but he always drinks at night when he gets home, usually enough to become intoxicated. He says that he drinks at home because he can't stand all the fighting. Under these circumstances, what should the social worker do? Select one: A. Clarify how dysfunctional interaction patterns in the family have played a role in maintaining the fathers drinking problem. B. Educate the clients about alcohol addiction and recovery. C. Establish a therapeutic contract for abstinence with the family. D. Continue working to resolve the original presenting problem because this is what the family sought treatment for and it influences the fathers drinking pattern.

C. Establish a therapeutic contract for abstinence with the family.

After being battered by her husband, a middle-age woman seeks medical attention from an emergency room. The next day, the woman seeks individual therapy from a social worker recommended by emergency room personnel. What should the social worker focus on FIRST with this woman? Select one: A. Identifying coping strategies to empower her. B. Healing the effects of this trauma. C. Establishing safety and providing information. D. Confronting denial that prevents her from taking action.

C. Establishing safety and providing information.

A client is grieving the recent death of her husband. She is in the first phase of an active crisis state and reports difficulty sleeping and a high level of anxiety. The social worker verifies that the client is not thinking about suicide, uses sustainment to lessen her anxiety, and, toward the end of the session, recommends that she return for a few more sessions of crisis intervention, perhaps followed by grief counseling. The client rejects this and insists on being referred to a support group now. What is the social worker's BEST course of action? Select one: A. Refer the client to the group but explain to her why doing do is contraindicated. B. Refer the client to the group because it is an appropriate alternative to individual therapy in this case. C. Explore why the client doesn't want individual therapy. D. Begin individual therapy with or without the clients consent.

C. Explore why the client doesn't want individual therapy

A client with a physical disability is referred to a social worker for case management services. What should the social worker do FIRST as the case manager? Select one: A. Connect the client to needed medical services to address her disability. B. Advocate on the client's behalf to remove environmental barriers and ensure that she receives the services she is entitled to. C. Gather information to identify the client's needs and concerns. D. Work with the client to formulate an appropriate case plan to address immediate needs stemming from her physical condition.

C. Gather information to identify the client's needs and concerns.

A 68-year-old client who retired six months ago reports that he has been feeling isolated, useless, and a little depressed. He has seen his doctor, who ruled out a medical condition. What intervention should the social worker use? Select one: A. Help him perform a "life review." B. Modify his mistaken beliefs about aging and retirement. C. Help him identify activities that will restore meaning to his life. D. Help him resolve unfinished business.

C. Help him identify activities that will restore meaning to his life.

A social worker is using task-centered treatment with a client who is having difficulty managing her adolescent son. The boy often disobeys her when she asks him to help out around the house. In using task-centered treatment with this client, which of the following is MOST important? Select one: A. The extent to which the client is capable of acquiring insight into what is causing this problem. B. The social worker's view of the problem after the client has finished describing it. C. Identifying relevant problem-solving actions. D. The depth and strength of the social worker-client relationship.

C. Identifying relevant problem-solving actions.

In group therapy, when is the group leader MOST active? Select one: A. When the members ask questions. B. When the members begin self-disclosing. C. In the first stage. D. When conflicts arise in the group.

C. In the first stage.

A social worker involved in policy management relies on a model that emphasizes efforts to engage community members as much as possible in the development and implementation of local programs. He and his colleagues are concerned with facilitating problem-solving in their community. They avoid making decisions on behalf of the community. The social worker is MOST likely using which of the following approaches to public management? Select one: A. Principal-agent. B. Expertise. C. Inclusive. D. Human relations.

C. Inclusive.

The stages of the management strategy known as "management by objectives" (MBO) are BEST described by which of the following terms? Select one: A. Needs analysis, inputs, outputs. B. Input traps, activity traps. C. Inputs, activities, outputs. D. Training, inputs, actions.

C. Inputs, activities, outputs.

A client says, "I'm always helping my friends. They know I'll drop everything and be there when they need me. I'm tired of it." In response, the social worker says, "It sounds like you feel responsible for taking care of your friends, but, at the same time, you want to be more in charge of your own life, no longer at the mercy of your friends' appeals for help. What do you think makes you feel that you're responsible for taking care of your friends?" What skill has the social worker used? Select one: A. Paraphrase. B. Confrontation. C. Interpretation. D. Summarizing.

C. Interpretation.

The mother of a 4-year-old girl comes in for a consultation about changes in her daughter's behavior. She's concerned because, for the past two months, the child has been "forgetting" to go to the toilet and wetting and soiling herself during the day, both at nursery school and at home. The girl seems unworried about her soiled panties and unembarrassed, even at school. The mother says that she has "reached the end of her rope" concerning her daughter's behavior. She reports that the girl was toilet trained at age 2. What would be the BEST way to approach treatment in this case? Select one: A. Assess interaction patterns in the family and then use behavioral techniques. B. Involve the mother and any other significant adults in a program of behavior modification. C. Investigate recent stress at home and school and then develop a program of behavior modification. D. Provide individual play therapy to assess for recent trauma and then provide family therapy.

C. Investigate recent stress at home and school and then develop a program of behavior modification.

A social worker has been working with an 8-year-old girl who was physically abused by her father for several years until her parents divorced. During a play therapy session, the girl draws a picture that depicts a violent situation. The social worker believes that this drawing may indicate that the girl's feelings of anger are beginning to surface. To better understand the girl's feelings, the social worker should do which of the following? Select one: A. Reflect the girl's feelings of anger. B. Ask the girl to draw another picture. C. Invite the girl to tell him about her drawing. D. Ask the girl to tell him why her picture is angry.

C. Invite the girl to tell him about her drawing.

An 80-year-old woman has been living in a nursing home for several months. Once each week, the woman is visited by a female friend who takes her on car rides around the nearby countryside. The woman's son tells the social worker that he objects to these car rides and is upset because his mother has been paying the friend a few dollars for the rides. What is the social worker's BEST course of action? Select one: A. Place limitations on the mother's outings with her friend. B. Meet with the mother and encourage her to stop paying for the car rides. C. Meet with the mother and the son to discuss this issue. D. Explain to the son that nothing should be done because the outings appear harmless and his mother probably enjoys them.

C. Meet with the mother and the son to discuss this issue.

A child does not like broccoli. His parents tell him that he must eat his broccoli before he watches television. The parents have used which of the following? Select one: A. Response cost. B. Differential reinforcement for alternative behaviors. C. Premack principle. D. Negative punishment.

C. Premack principle.

The client is a woman who was diagnosed with cancer two weeks ago. The client is a single mother with two school-age children. She and her husband divorced five years ago and the client doesn't know where he lives now; he severed contact with the family soon after the divorce. The client is in a state of distress and says she feels overwhelmed. What should the social worker do? Select one: A. Help the client make provisions for her children. B. Refer the client to a support group for cancer patients. C. Provide supportive counseling. D. Provide her with access to information about cancer.

C. Provide supportive counseling.

The social action model of community organizing emphasizes which of the following goals? Select one: A. Provision of needed services. B. Economic progress within the community. C. Reallocation of resources. D. Development of indigenous leadership.

C. Reallocation of resources.

A middle-aged man seeks therapy a few weeks after his wife was raped by a stranger. His wife is receiving individual therapy from another therapist. The man tells the social worker that he feels distressed and confused about what happened: He desperately wants to support his wife, but feels disconnected from her both sexually and emotionally. How should the social worker approach treatment in this case? Select one: A. Offer short-term counseling in which she encourages the client to support his wife more adequately by providing education about the effects of rape on the victim. B. Offer short-term therapy in which she reassures the client that his feelings are normal and teach him coping skills. C. Refer the client to a support group for men whose partners have been raped. D. Offer to see the man and his wife for couples therapy and collaborate with the wifes therapist.

C. Refer the client to a support group for men whose partners have been raped.

A social worker is beginning family therapy with a family of four, including the father, mother, and two children, ages 18 and 19. The mother was recently diagnosed with a serious mental disorder and is taking medication which is helping to control her symptoms. During the first session, the father and children focus on talking about the mother's insurance coverage. What is the social worker's BEST course of action? Select one: A. Point out and address the familys denial. B. Redirect their focus. C. Reframe the familys behavior as concern. D. Allow them to continue talking about insurance coverage until they are ready to talk about the mothers illness.

C. Reframe the familys behavior as concern.

Social policy emerges from governments, voluntary organizations and the will of the people. The policy that is instituted determines how resources are distributed. The differences between collectivism and individualism can be described in what ways? Select one: A. Collectivistic philosophy aligns with the idea that society collectively decides how best to address social problems, while individualism assumes individuals will rise in function to a level to meet their own needs. B. The idea that some individual choice must be limited to better serve the good of society has its roots in individualism, while collectivism is based on societal norms and customary values. C. Social policy influenced by individualism seeks to remove restrictions on personal freedom while the collectivist philosophy predicates that individual choice will necessarily be limited by the needs of the whole. D. Individualism is based in Social Darwinism that assumes that the wealthy are more fit for survival, while collectivism assumes that disparities in resources are purely determined by chance.

C. Social policy influenced by individualism seeks to remove restrictions on personal freedom while the collectivist philosophy predicates that individual choice will necessarily be limited by the needs of the whole.

Carlos is an 18-year-old African American male who struggles with substance use and has been in and out of the foster care system for most his life. He is now transitioning out of foster care and his new social worker is attempting to integrate him into a substance abuse prevention program. However, his attendance is inconsistent and he shares feeling like it is a waste of time. He wants to leave the transitional housing that he is currently in to live on the streets where he has more independence. What would be the BEST way to engage this client? Select one: A. Caution his desire to leave the transitional housing and remind him of potential consequences that could come from that. B. Provide psychoeducation about the health risks that come with engaging in substance use. C. Start by building rapport with Carlos by emphasizing his voice and what he feels would be helpful. D. Research other substance abuse prevention programs and allow him the autonomy to choose which one he feels will suit him best.

C. Start by building rapport with Carlos by emphasizing his voice and what he feels would be helpful.

What is the BEST way to begin play therapy with a child who has been diagnosed with separation anxiety disorder? Select one: A. Organize the playroom so that it is a safe environment for the child. B. Offer the child a wide variety of play materials. C. Structure the time by seeing the child with his parent and then seeing the child alone. D. See the child alone from the beginning of treatment to avoid reinforcing the problem.

C. Structure the time by seeing the child with his parent and then seeing the child alone.

A woman has been taking care of her 77-year-old father ever since he had a stroke several months ago. Recently, the father's cognitive functioning has declined significantly and his medical needs have become too great for his daughter to meet. The man's physician gives them the name of a complete care nursing facility in their community. The daughter is distraught about the prospect of leaving her father in the care of strangers and insists that she wants to continue caring for him at home. She has been referred to the social worker by her father's physician. Which of the following actions should the social worker take to address the problem described in this case? Select one: A. Tell the woman to discuss the issue further with her fathers physician. B. Encourage the woman to be realistic and take the doctors advice seriously, for the sake of her father. C. Suggest that the woman tour the facility. D. Set up a family session, including the father, to discuss what to do.

C. Suggest that the woman tour the facility.

Which of the following serves as the control in a single subject design? Select one: A. The dependent variable. B. The independent variable. C. The subject. D. A control group.

C. The subject.

A social worker begins working in individual therapy with a woman who has been physically abused by her husband on multiple occasions. The woman acknowledges the abuse but doesn't want to leave her husband. The husband has been ordered into a batterer intervention program by the court, and the woman believes that things will change now that he's finally getting help. Research on batterer intervention programs and similar court-ordered treatments for men who batter their intimate partners has found which of the following to be true? Select one: A. They are effective for terminating physical violence. B. They are effective for reducing both physical violence and more subtle forms of abuse. C. They can be effective for reducing physical violence but do not usually reduce more subtle forms of abuse. D. They have no effects at all because offenders rarely complete the program.

C. They can be effective for reducing physical violence but do not usually reduce more subtle forms of abuse.

In structural family therapy, what is the purpose of "unbalancing"? Select one: A. To provoke resistance from family members. B. To reframe the problem. C. To disrupt the familys homeostasis. D. To engender insight.

C. To disrupt the familys homeostasis.

What is the primary purpose of using self-directed strategies (i.e., self-instruction, self-monitoring, or self-reinforcement) in treatments for attention-deficit/hyperactivity disorder (ADHD)? Select one: A. To enable clients to track their own improvement over the course of treatment. B. To assist clients to record psychosocial phenomena that affect their symptoms. C. To help clients gain more control over their own behavior and rely less on support from others. D. To obtain information needed to complete rating scales during assessment.

C. To help clients gain more control over their own behavior and rely less on support from others.

Which of the following describes an important goal Title XX of the Social Security Act Amendments of 1974? Select one: A. To increase the federal government's role in developing funding for personal social services programs. B. To make it easier for people living in poverty to receive welfare payments. C. To provide social services to low-income people in a more economical way. D. To increase the federal governments role in determining how funds will be allocated to social services.

C. To provide social services to low-income people in a more economical way.

A young woman who was recently admitted to an inpatient treatment center for drug addiction tells the social worker at the center that she wants a pass to leave the facility so that she can go visit her mother who is very sick and may die. What is the social worker's BEST course of action? Select one: A. Find out about the patient's feelings toward her mother. B. Arrange for a one-day pass. C. Verify that the mother is sick before arranging for the pass. D. Deny the pass but reassure the patient that, if she complies with her treatment plan, she will be allowed to visit her mother in the near future.

C. Verify that the mother is sick before arranging for the pass.

A social worker begins individual therapy with a woman whose husband abuses her. The client left home to stay with a relative for a while, but her husband found out where she was and convinced her to come home. She states that she wants to "try again and make things work" with her husband even though she worries all the time that he'll "snap." When asked why she has come in, the client says she's been having trouble sleeping at night; her doctor prescribed medication to help her sleep and suggested she try therapy. What should the social worker do FIRST in this case? Select one: A. Take a psychiatric history to find out if the client has had other symptoms of depression or anxiety. B. Discuss with the client her decision to return home and explain that she and her husband are in the "honeymoon phase." C. Work with the client to develop a safety plan that she can use right away if she is threatened. D. Help the client identify her strengths and survival skills to counteract underlying feelings of helplessness and self-doubt.

C. Work with the client to develop a safety plan that she can use right away if she is threatened.

A client has been feeling tired and having headaches but can't afford to pay for medical care. She asks the social worker whether she might be eligible for Medicaid. In response, the social worker could explain that eligibility for Medicaid is based on all of the following criteria EXCEPT: Select one: A. resources. B. income. C. age. D. health factors.

C. age.

A social worker is conducting an interview with a client who expresses a tremendous amount of anger about something that happened during the week at his job. The social worker realizes that she needs to help the client regain control so that his anger doesn't escalate to a point where he becomes dangerous. To achieve that goal, the social may do all of the following EXCEPT: Select one: A. admit her error and apologize if she says something that causes the client to become more angry. B. let the client know exactly what she needs from him right now. C. give the client specific advice on how to manage his angry feelings. D. give the client supportive feedback to mitigate his angry feelings.

C. give the client specific advice on how to manage his angry feelings.

The research goal of formative evaluation is to obtain information to: Select one: A. determine whether a program should continue or close. B. measure the programs effects. C. identify what modifications are needed so that a program achieves its goal and objectives. D. identify the needs of a target population.

C. identify what modifications are needed so that a program achieves its goal and objectives.

A client complains of intense anxiety whenever he's in a crowd or an open space such as a parking lot. About a week ago, he had a panic attack while waiting in line at a store. The social worker determines that the client has agoraphobia and informs him that treatments for agoraphobia are MOST effective when they incorporate: Select one: A. cognitive restructuring. B. eye movement desensitization and reprocessing (EMDR). C. in vivo exposure with response prevention. D. relaxation training.

C. in vivo exposure with response prevention.

Community organizing emphasizes the involvement of community members in change efforts and has as its primary goals to resolve social problems, improve social welfare, and: Select one: A. redistribute resources. B. protect those individuals who lack power. C. increase the capacity of people to help themselves. D. develop and maintain community groups.

C. increase the capacity of people to help themselves.

According to Eric Berne, the founder of transactional analysis, "games": Select one: A. may be healthy and fun. B. are always played from a position of awareness. C. involve ulterior transactions and at least two ego states. D. are always played from the Child ego state.

C. involve ulterior transactions and at least two ego states.

Ethnic minority clients with a strong affiliation with their own culture tend to: Select one: A. not benefit from therapy. B. drop out of therapy prematurely. C. prefer ethnically similar therapists and counselors. D. respond to therapy in the same way as nonminority clients regardless of the therapist.

C. prefer ethnically similar therapists and counselors.

A social worker trying to build support for a new program would use co-optation to: Select one: A. expose opposition. B. exclude opposition. C. reduce opposition. D. voice opposition.

C. reduce opposition

Using a standardized rating scale for summative evaluation in direct practice involves comparing the client's score on the scale before intervention begins to: Select one: A. the same clients scores during intervention. B. a list of outcome goals. C. the same clients score at the end of service. D. scores obtained by other clients on the same scale.

C. the same clients score at the end of service.

A divorced middle-aged client had been juggling work responsibilities with efforts to care for his elderly mother, but he then placed his mom in a nursing home three months ago. In a session with his social worker, the client says, "I should visit my mom more often, but I get so busy with work. I feel bad about that because I know she's lonely and won't be around much longer." In response to this, the social worker says, "You've said several times in our sessions that you think you should spend more time with your mom, but you're not doing it. I can't help but wonder whether the feelings you've described having about moving your mom to the nursing home are making it difficult for you to visit her there. What do you think about that?" What technique has the social worker used? Select one: A. Reframing. B. Universalization. C. Clarification. D. Confrontation.

D. Confrontation.

A man brings a woman to a medical clinic; he doesn't know the woman but found her wandering in his neighborhood. He reports that she appeared disoriented and upset. The physicians at the clinic examine the woman and find no medical problem to explain her mental status. They refer her to a social worker for services. The woman is Hispanic and speaks almost no English. The social worker does not speak Spanish. What is the social worker's BEST course of action? Select one: A. Engage the woman to reduce her distress. B. Observe the woman's nonverbal behavior to get more information about her mental status. C. Provide the woman with a full list of therapists and other service providers in the community who speak Spanish. D. Contact local resources that provide mental health and social services to Spanish-speaking people and help the woman access assistance from these resources.

D. Contact local resources that provide mental health and social services to Spanish-speaking people and help the woman access assistance from these resources.

Which of the following is not a guiding principle for the evidence-based practice of motivational interviewing? Select one: A. Supporting the clients development of self-efficacy B. Avoiding engaging in resistance C. Expressing empathy and acceptance D. Defining the clients presenting problem and goals

D. Defining the clients presenting problem and goals

Which of the following sets of words is BEST representative of community development work? Select one: A. Self-help, technical activities, grass-roots, oppressors. B. Bureaucratic, directive, community solidarity, empowerment. C. Local leadership, non-directive, community meetings, regulated change. D. Empowerment, face-to-face groups, directive, grass-roots.

D. Empowerment, face-to-face groups, directive, grass-roots.

A 40-year-old man who is preoccupied with a fear of contracting HIV disease has been seeing his doctor every month, complaining of symptoms and demanding to be tested for the virus. The doctor has performed HIV testing on the man several times, and each test has been negative. The doctor has found no medical problems to account for the man's reported physical symptoms. The doctor refers the man to a social worker. When asked, the man confirms to the social worker that he's terrified of "being infected with HIV." What should the social worker do FIRST? Select one: A. Refer the man to an HIV support group. B. Offer the man reading material and other education about HIV/AIDS. C. Explore whether the man is anxious about other things too. D. Encourage the man to talk about his fear of getting HIV disease.

D. Encourage the man to talk about his fear of getting HIV disease.

A social worker has been working in individual therapy with an adult client for five months, and the presenting problem is in remission. The client tells the social worker that he wants to terminate therapy; the social worker believes that the client would benefit from additional therapy to consolidate the gains he has made. What should the social worker do? Select one: A. Discuss with the client why he wants to terminate and why she thinks he shouldn't. B. Seek case consultation. C. Agree to terminate because the client feels ready to leave therapy. D. Explain to the client why she feels he shouldn't terminate but allow him to do so if he still wants to after that.

D. Explain to the client why she feels he shouldn't terminate but allow him to do so if he still wants to after that.

The client is a 25-year-old gay man who has just discovered through anonymous testing at a community clinic that he is HIV positive. He is asymptomatic and can still participate in all of his usual activities; however, he is anxious, depressed, and worried that his new boyfriend will leave him if he finds out about his diagnosis. He also wonders what to tell his parents, who don't even know he is gay. What should the social worker do FIRST? Select one: A. Refer the client to a support group. B. Coach the client on coming out to his parents. C. Use behavioral rehearsal to help the client practice telling his boyfriend. D. Find out if the client has received medical attention and advice.

D. Find out if the client has received medical attention and advice.

A social worker is providing case management services to a client. She and the client have completed a careful assessment, established the goals that will be pursued, developed a service plan, and determined what resources are most likely to be helpful for the client. The social worker is now ready to connect the client to these resources. In using connecting activities with this client, what is the social worker's ultimate goal? Select one: A. For the client to obtain all of the resources he needs. B. For the client to report a satisfactory experience with the other providers. C. For the client to make these appointments on his own and maintain appropriate contact with these providers. D. For the client to take charge of getting and using the resources he needs.

D. For the client to take charge of getting and using the resources he needs.

The client is a self-referred woman who was diagnosed with schizophrenia about a year ago, is currently taking antipsychotic medication, and reports feeling mildly depressed. The client meets regularly with a psychiatrist, who is managing her medication regimen and monitoring its effectiveness. In the initial interview, the client says that she's finally ready to begin her life and hopes that the social worker can help her with that. She says she wants to find a good job, save money to buy a house, and begin dating regularly so that she can get married and start a family. The social worker's assessment reveals that the client has mild depression but, otherwise, seems to be functioning well at this time. What should the social worker do FIRST? Select one: A. Provide referrals to address the client's goals. B. Urge the client to set more realistic goals. C. Use interventions to target the client's depression. D. Help the client clarify and prioritize her goals.

D. Help the client clarify and prioritize her goals.

The client is a 50-year-old woman whose presenting problem involves her relationship with her 26-year-old son. The woman rents out the guest house on her property to her son, who works part time at a music supply store. The son spends his money on music downloads, vinyl records, concerts, and alcohol and relies on his mother to pay for his food and other needs; he rarely pays his rent. The social worker and client agree that a significant goal of therapy will be to help the client develop greater autonomy in her relationship with her son. Three weeks later, the client reveals in her session that her son smokes marijuana every day and is verbally abusive toward her. What should the social worker do? Select one: A. Recommend a session with the client and her son. B. Have the client give her son an ultimatum: either seek treatment or move out. C. Help the client see how she plays a role in her son's addictive behavior and what she can do to change this pattern. D. Help the client set clear expectations with her son about behavior that is acceptable and unacceptable in her home.

D. Help the client set clear expectations with her son about behavior that is acceptable and unacceptable in her home.

Which of the following is NOT characteristic of a classical bureaucracy? Select one: A. A merit-based system of compensation. B. Formalized channels of communication. C. A power hierarchy. D. Overlapping roles and functions.

D. Overlapping roles and functions.

A 19 year old who lives with his parents has sought therapy for help getting his life "on track" following a series of job losses and interpersonal failures. The social worker discovers that the client tends to passively resist doing what authority figures ask him to do, to a point where his supervisor at work has threatened to fire him and his parents have asked him to move out. During last week's session, the social worker raised the issue of the client's characteristic response to authority, and he changed the subject without acknowledging what she said. The social worker raises the issue again in the current session, and the client just sits there, silently. What is the social worker's BEST course of action? Select one: A. Allow the client to remain silent until he regains control of his emotions. B. Actively encourage the client to respond to her. C. Shift the focus to exploring the client's underlying thoughts and feelings. D. Point out the pattern of behavior and help the client explore its effects.

D. Point out the pattern of behavior and help the client explore its effects.

An 11-year-boy was removed from his parents' custody because of chronic, severe neglect. The social worker has been working with the boy and his parents for some time in therapy. The parents have not made any progress at all; they have missed many sessions and resisted the social worker's efforts to draw them out. The local child protective agency determined last week that it will give the boy's foster parents the right to adopt him within the next two months. Under these circumstances, what should the social worker do? Select one: A. Explore the parents resistance to change. B. Initiate the termination phase of treatment. C. Petition the agency to re-evaluate its decision. D. Prepare the boy for not returning home to his parents.

D. Prepare the boy for not returning home to his parents.

The parents of a 6-year-old girl have just learned that their daughter has ADHD, predominantly hyperactive/impulsive type, and they are "at a loss." When the social worker begins discussing the possibility of incorporating treatment for the whole family, the parents say that they don't want to participate in therapy - they just want the social worker to "fix" their daughter so that she won't be such a handful at home. What is the social worker's BEST course of action? Select one: A. Follow the parents wishes and agree to see the daughter in individual therapy. B. Discuss with the parents the need for change and the negative consequences that might result if they resist treatment. C. Persuade the parents to change their minds by outlining a treatment plan and enlisting the pediatricians support for your recommendation. D. Provide psychoeducation to the parents about hyperactivity and its treatment.

D. Provide psychoeducation to the parents about hyperactivity and its treatment.

A social worker has been working in individual therapy for 11 months with an adult client. The client has met her treatment goals and reports being very satisfied with what she accomplished in therapy. The social worker brings up the topic of termination, and the client reacts by beginning to question whether therapy has helped her enough and then criticizing the way the social worker "pressured" her when she stopped making progress for a while a few months back. The client's behavior MOST likely reflects which of the following? Select one: A. She needs additional therapy to address new problems. B. In reality, she has not met her treatment goals. C. Her presenting symptoms have resurfaced. D. She is struggling with the sense that she is about to lose something of value.

D. She is struggling with the sense that she is about to lose something of value.

A social worker treating a client with schizophrenia is using instruction, modeling, practice, coaching, and feedback to help the client overcome social difficulties. What approach is the social worker using? Select one: A. Cognitive-behavioral therapy. B. Reality therapy. C. Solution-focused treatment. D. Social skills training.

D. Social skills training.

Which statement best represents the National Association of Social Workers (NASW) stance on political action by Social Workers? Select one: A. Social workers should promote polices that support the expansion of cultural knowledge and social justice. B. Social workers should avoid taking political positions that conflict with the NASW. C. Social workers should critically examine and keep current with emerging knowledge relevant to social work and fully use evaluation and research evidence in their professional practice. D. Social workers should engage in social and political action to ensure that all people have access to the resources they require to meeting their basic human needs.

D. Social workers should engage in social and political action to ensure that all people have access to the resources they require to meeting their basic human needs.

A young boy expresses a metaphor during a play therapy session. How would a play therapist respond to this? Select one: A. Encourage the child to express himself more directly. B. Restate the metaphor and assess the child's reaction to this. C. Ask the child to describe the meaning of his metaphor. D. Stay with the metaphor.

D. Stay with the metaphor.

Although the targets for treatment depend on the particular child's symptoms, there are certain goals that are common to the psychological treatment of most children who have been physically or sexually abused or neglected. Which of the following is NOT one of these goals? Select one: A. Educate the child about self-protective strategies. B. Help the child talk about the abuse without embarrassment or significant anxiety. C. Help the child develop healthier attachments. D. Teach the child strategies for getting support from unsupportive family members.

D. Teach the child strategies for getting support from unsupportive family members.

A social worker is providing case management services to a client who works part time at a low-paying job, has diabetes, and lacks transportation because he can't afford to own a car and doesn't understand the public transportation system in his city. He reports that he's been having difficulty getting good medical care for his diabetes - he says that doctors don't take him seriously because he can't read or speak very well. In providing case management services to this client, the social worker's overall focus should be on which of the following? Select one: A. The clients unmet needs. B. The clients strengths and capacities. C. The barriers that keep the client from using resources in his environment. D. The clients relationship to his environment.

D. The clients relationship to his environment.

A social worker is providing case management services to a client who has been diagnosed with cancer. The client reports that she feels ignored by her doctor who tends to brush off her questions and has provided her with little information about her illness, treatment alternatives, or what side-effects she can expect. When she has pressed him for information, he has told her to talk to the nurses at the hospital or do an Internet search for information. After exploring this problem in some depth and then trying unsuccessfully to negotiate with the doctor, the social worker determines that case advocacy is called for and the client agrees. The social worker's FIRST step in advocating on behalf of this client should be which of the following? Select one: A. To contact the hospital administrator. B. To contact the state Medical Board. C. To initiate a grievance procedure. D. To make a direct appeal on her behalf.

D. To make a direct appeal on her behalf.

A social worker meets with a client who is an inmate in the local prison. The client is a transgender person who started hormone therapy shortly before he was incarcerated. The client tells the social worker that the prison doctor has been refusing to give him the hormones and that no one at the prison is paying attention to his complaints about this. What is the social worker's role in this case? Select one: A. To advocate for changes in the prisons policies. B. To provide education to the doctor, prison warden, and others in the prison system to counteract their prejudices. C. To assist the client in initiating legal action against the prison system. D. To work for and with the client to ensure that he receives the medical care he is entitled to.

D. To work for and with the client to ensure that he receives the medical care he is entitled to.

A client has alcohol use disorder and has had trouble staying abstinent in the past. What is the BEST way to approach treatment in this case? Select one: A. Refer to AA. B. Provide individual psychotherapy. C. Confront low motivation. D. Use Gorskis relapse prevention model.

D. Use Gorskis relapse prevention model.

A client reports feeling sadness and loneliness after the death of his mother several months ago. While exploring these feelings with the social worker, the client suddenly withdraws from the conversation, saying he doesn't want to talk about his feelings anymore. Later in the session, the client blurts out that he also felt relieved when his mother died. What should the social worker do FIRST in responding to that statement? Select one: A. Explore why the client felt relieved. B. Interpret the statement as a way of helping the client understand how he really feels. C. Use the technique of mirroring to reduce the client's defensiveness. D. Use the technique of universalization to let the client know that this feeling is normal.

D. Use the technique of universalization to let the client know that this feeling is normal.

A school social worker was just informed by the school principal that over the weekend, a 5th grade girl posted a video of her drinking out of a vodka bottle on her social media page. What is the role of the social worker in assisting with this situation? Select one: A. You do not have a responsibility to do anything because the student is not a client of yours and the video was posted outside of school over the weekend B. You should begin meeting with the girl immediately C. You are required to call the police to report underage drinking and neglect D. You should encourage the principal to invite the girl and her parents into a meeting, including yourself.

D. You should encourage the principal to invite the girl and her parents into a meeting, including yourself.

Each year, an agency starts its budget process from scratch and must justify every financial request it makes. What type of budget is being used? Select one: A. Line-item. B. Program. C. Base-increment. D. Zero-based.

D. Zero-based.

The primary purpose of reflection is to: Select one: A. provide support. B. focus an interview. C. interpret behavior. D. build understanding.

D. build understanding.

A group of social workers involved in an episode of macro change have finished planning the intervention, including selecting an approach to change and establishing the intervention's goal and objectives. In the next phase of their work and prior to actually implementing their intervention, these social workers are likely to do all of the following EXCEPT: Select one: A. select a lead person or coordinator. B. acquire and organize resources needed to launch the intervention. C. hire additional personnel. D. develop a working hypothesis of intervention.

D. develop a working hypothesis of intervention.