Practice Exams

2. At what age does normal separation anxiety typically begin?

A. 24 months B. 18months C. 12 months D. 3 months

99. B. Which of the following statements is TRUE about the relationship between ethical and legal actions of social workers?

A. All legal behaviors are ethical B. All illegal behaviors are unethical C. Some behaviors are legal, but unethical D. A behavior that is illegal can never be ethical

106. A social worker receives notice that a close family member living out of state has become gravely ill. The social worker makes plans to go to stay with the relative for an indeterminate period of time. What should the social worker do FIRST?

A. Arrange for ongoing coverage for clients B. Direct the office assistant to cancel all appointments C. Send a letter to clients explaining the situation D. Provide clients with a list of alternative resources

81. A hospital social worker has a client who is noncompliant with management of diabetes. The client believes that the illness is God's will and God will provide a cure. What should the social worker do FIRST?

A. Assure the client that God would want the client to be compliant B. Educate the client on the health consequences of being noncompliant C. Explore the role that religion plays in the client's overall self-care D. Inform the client that managing diabetes is not a spiritual issue

63. B. Most models of spiritual development move form an individual being egocentric to eventually becoming a (n):

A. Conformist B. Integrated being C. Dichotomous thinker D. Follower of blind faith

163. B. A client who struggles with alcoholism is prescribed a medication that makes him feel sick every time he drinks while taking it. The use of this medication is what type of operant technique?

A. Extinction B. Flooding C. Aversion therapy D. In vivo desensitization

58. B. Which of the following is NOT one of Freud's stages of psychosexual development?

A. Genital B. Latency C. Castration D. Oral

49. A social worker working in a homeless shelter is reviewing policies and produceres. The social worker wants to focus on what can be done to promote client trust and mitigate power imbalances. What should the social worker do FIRST?

A. Implement a staff training program on principles of confidentiality and exceptions B. Create a client-managed review board that investigates critical incidents C. Interview clients to learn ways of implementing policy to be sensitive to client needs D. Recruit former shelter clients to perform in policy advocacy roles

139. B. Which of the following is NOT a physical symptom of trauma?

A. Insomnia B. Feeling disconnected C. Muscle tension D. Aches and pains

120. A social worker interviews an adolescent who recently emigrated from another country. The adolescent has abandoned cultural customs and refuses to speak his native language. What concept BEST describes this dynamic?

A. Integration B. Separation C. Assimilation D. Marginalization

142. What is the PRIMARY barrier to women entering and completing substance abuse programs?

A. Lack of access to programs B. Employment commitments C. Child care responsibilities D. Limited social support

39. B. Echolalia is BEST defined as:

A. Mimicking another's speech B. Spontaneous C. Repetitive movements D. Odd mannerisms or actions

131. B. Which of the following is NOT a form of institutional discrimination?

A. Not providing translation services or agency paperwork in any language other than English B. Only offering therapy and other services on Saturdays C. Referring a client to another social worker based on his or her cultural background D. Not hiring individuals if they were not born in the United States

33. A. The mistake [MOST] often made when diagnosing the elderly is:

A. Parkinson's Disease B. Clinical Depression C. Bi-polar Disorder D. Korsakoff's Syndrome

4. A. Bob is working with a Social Worker on impulse control and anger. After an emotional session, Bob informs the Social Worker his wife cheating on him and states. "I am not concerned with what she is doing". The Social Worker's assessment of Bob's statement and reaction is [BEST] known as:

A. Projection B. Denial C. Rationalization D. Sublimation

161. B. A husband complains that his wife nags him too much about working around the house. Once she stops this behavior, he begins to spend more time on house maintenance. This is an example of:

A. Shaping B. Negative reinforcement C. Aversion treatment D. Positive reinformance

143. During a group session, an adolescent has difficulty talking about an interaction with an abusive parent. The social worker helps the adolescent define and express feelings. What social work concept is demonstrated by this process?

A. Summarizing B. Clarifying C. Reflecting D. Linking

59. B. Which is NOT true when an agency uses the services of a consultant?

A. The agency retains formal authority over agency practices, whereas a consultant has informal authority based on skills and knowledge B. The agency must get consent for releases of information when sharing client information with a consultant C. The agency is mandated to follow a consultant's recommendations D. The agency must use a consultant who has demonstrated knowledge, expertise, and competence

129. B. Which of the following is NOT assessed as part of a routine mental status examination?

A. Thought processes/reality testing B. Psychiatrict pathology C. Orientation D. Judgment/insight

135. In a clinical setting, what is information gathered from an ecomap MOST often used for?

A. To identify a family's evolutionary patterns B. To assess family strengths and weaknesses C. To assess intrafamilial communication patterns D. To identify systems that are part of a family's life

84. A. Mrs. Brooks, during intake, states that her school-age children are unruly, out of control and presents a serious disciplinary problem at school and home. She reports her husband drinks alcohol heavily, is not interested in spending time with the children and has not worked for over a year. The [MOST] appropriate intervention is to:

A. immediately make an appointment for Ms. Brooks and her children B. begin treatment by focusing on the children since they are in danger C. encourage Mrs. Brooks, her husband and children to come for a session D. provide Mrs. Brooks with information regarding the twelve-step program

83. A. Joe informs his Social Worker he became extremely frightened as a result of thinking about his friend's recent suicide and has again begun to experience suicidal thoughts. The Social Worker [FIRST] should:

A. immediately recommend a psychiatric evaluation B. conduct an assessment of suicidal potential C. explore Joe's most recent thought concerning suicide D. implement a treatment plan focusing on suicide interventions

96. A. Group Work is a treatment method that helps individuals enhance their social functioning. Group Work also helps in the development of coping skills to effectively address problems. All of the following are positive outcomes of a professional Group Work experience [EXCEPT]:

A. individuals who work in a group tend to help each other B. Group Work supports individual change C. Group Work places pressure on group process D. groups slow down or hinders ability of individuals to engage in problem solving

80. A. Depakote is [MOST] often used to manage:

A. neurosis B. sleeping disorder C. mania D. learning disorders

153. A family member of a 54-year-old client tells the social worker that she is concerned about the client's benhavior. The family member describes the client as having greater difficulty in managing activities of daily living and demontrating a decline in memory and thought processing. What condition should the social worker assess the client for FIRST?

A Schizophrenia B. Alcohol use disorder C. Anxiety disorder D. Mild neurocognitive disorder

8. B. Which of the following is an example of social stratification?

A. A child is not included in group activities in school because of his or her poor socials skills B. Children who are violent need to be segregated from their peers C. A child with social deficits is assumed to be delayed in cognition without additional assessment D. Children from affluent households receive a better public education than those from low-income households

70. A. The [LEAST] stringent research design which controls the lowest number of extraneous variable is:

A. Action Research B. Participant Observation C. Longitudinal Research D. Demographic Research

38. B. A new client enters the office walking slowly, using a cane, and has difficulty picking up objects, swallowing, and speaking as a result of a stroke. The BEST diagnosis for this client is:

A. Agnosia B. Ataxia C. Prosopagnosia D. Acalculia

73. B. A deceased client has:

A. All of the same rights to confidentiality as a living client, with the exception of billing records B. Some of the same rights to confidentiality as a living client as decided by the executor of the estate C. None of the same rights to confidentiality as a living client D. All of the same rights to confidentiality as a living client

25. A. Mr. Freedman has been diagnosed with Generalized Anxiety Disorder. He has been making progress with the help from medication. All of the following medications are often used in the management of anxiety [EXCEPT]:

A. Ativan B. Klonopin C. Zyprexa D. Celexa

60. A. The DSM-5 is commonly reserved for Personality Disorders and Mental Retardation. Some common personality disorders are Obsessive-Compulsive, Antisocial and Avoidant. Other less common personality disorders include all the following [EXCEPT]:

A. Borderline B. Schizotypal C. Narcissistic D. Catatonic

16. B. Culture-bound syndromes in the DSM-5 are replaced by all of the following concepts EXCEPT:

A. Cultural syndromes B. Cultural stratification C. Cultural idioms of distress D. Cultural explanations

86. A social worker is in the early stages of intervention with a client who is acutely depressed. What approach style would be MOST effective for the social worker to use at this point in the treatment process?

A. Emotive B. Directive C. Motivational D. Supportive

64. B. All of the following are true about empathetic communication EXCEPT:

A. Empathetic communication bridges the gap between the social worker and client by establishing rapport B. Empathetic communication is nonjudgmental, accepting, and genuine C. Emphatic communication is verbal communication in which the client is engaged in oral problem-solving and processing of new information D. Empathetic communication decreases defensiveness and encourages a more rational discussion of problems

88. To take into account the information processing deficits of clients with schizophrenia, what should the social worker do to BEST structure group treatment?

A. Encourage the free flow of ideas B. Use expressive therapy tools C. Enforce a rigid agenda for the group D. Schedule a variety of brief activities

107. B. A social worker finds that a client has poor interpersonal skills. The BEST intervention that a social worker can use to address these issues is:

A. Engaging the client in a psychoeducational group aimed at providing information about communication skills B. Modeling appropriate verbal and nonverbal communication skills C. Conducting intensive psychotherapy aimed at addressing the communication deficits D. Providing the client with individual instruction on appropriate interpersonal skills

165. A social worker is invited to a client's birthday celebration. In contemplating the invitation, what concept should the social worker consider?

A. Enmeshed relationships B. Dual relationships C. Codependent relationships D. Triangulated relationships

94. A social work administrator in a public social services agency is assessing how to provide services in response to an influx of multiple immigrant groups. What should be the administrator's PRIMARY task?

A. Ensuring coordinated services for all immigrant groups B. Establishing separate service centers for each ethnic group C. Hiring agency staff form immigrant groups D. Encouraging immigrants to assimilate into the larger society

139. A family applies to a local department of social services for assistance. The social worker uses established criteria to decide whether the family may receive financial assistance. What term MOST accurately describes what the social worker is doing?

A. Family advocacy B. Eligibility determination C. Relief assistance D. Family planning

68. B. According to Freud, an adolescent in puberty is in which stage of psychosexual development?

A. Genital B. Phallic C. Latency D. Anal

44. A. During a job interview John shares he has Multiple Sclerosis. The Social Worker on the job panel fears John wills miss work because of his condition and refused to offer the position to an otherwise competent candidate. This is [MOST] likely a violation of:

A. Handicapped Act of 1975 B. Americans with Disabilities Act. C. Workers Compensation Laws D. Vocational Rehabilitation Act.

12. What client factor MOST likely determines the scope and focus of an assessment?

A. Needs of the client B. Motivation of the client C. Family systems D. Social network

134. B Which of the following target populations would BEST have their needs fulfilled by participation in a psychoeducation group?

A. Older adults with high blood pressure who need to learn about healthy eating methods B. Teens who need peer support to address issues of addiction C. Mothers who feel isolated and want to meet other mothers in their area D. Couples who have experienced loss and are having trouble coping

47. If a client has a Substance Use Disorder in addition to Schizophrenia these two disorders are considered to be:

A. Premorbid B. Comorbid C. Contraindicated D. Dissociated

51. A. Bi-Polar Disorder is [MOST] often treated with:

A. Ritalin B. Adderall C. Dexedrin D. Geodon

28. B. Which of the following is NOT one of six levels of cognition?

A. Synthesis B. Knowledge C. Affective D. Evaluation

44. B. Which of the following is NOT true of life crises?

A. The must be precipitated by major life events B. The ways in which they are addressed have a significant role in subsequent functioning C. They can produce healthier behavior if understood and overcome D. They produce anxiety, tension, and disequilibrium

27. A. Women known to suffer hypochondriasis [MOSTLY] peak a:

A. age 60-64 B. age 30-34 C. age 45-50 D. age 50-55

91. A. Mrs. Early, age forty, was recently diagnosed as having diabetes. She became emotionally overwhelmed by the diagnosis and seeks help from the Clinical Social Worker. The [FIRST] intervention is to:

A. be sensitive to Mrs. Early's emotions and provide support B. probe for cause of possible low self esteem C. identify emotional effects resulting from a medical condition

38. A. A after or symptom [NOT] often related to misuse of alcohol is:

A. gastritis B. pancreatitis C. rhinitis D. hepatitis

138. A social worker is asked to devise a strategy for promoting greater community involvement. The social worker begins by facilitating a series of community meetings and focus groups to foster a shared sense of common needs and concerns. This approach to community intervention is MOST closely identified with:

A. policy advocacy B. social planning C. political activism D. social movement

55. A. Sara, age eight, is referred to the Social Worker because her parents cannot understand nor tolerate her clinging behavior. Sara refused to go to camp the preceding summer and showed anxiety when her parents suggested such a plan. For the past, several months she has had problems leaving home to go to school and has begun "shadowing" her parents as they go about their home. She has difficulty at bedtime and has begun to make her way into her parents' bed. The [MOST] appropriate DSM-5 is:

A.Dysthymic Disorder B. Separation Anxiety C. Major Depressive Disorder D. Childhood Disintegrative Disorder

77. A couple meet with a social worker about concerns in their relationship. Both partners report the other person does not offer emotional support or affection. What should the social worker explore FIRST?

A.Gender roles B. Safety risks C. Relationship expectations D. Relationship development

100. A social worker has been asked to evaluate client progress using a single-subject design. Which of the following designs has the fewest threats to internal validity?

A. AB B. A C. ABAB D. BAB

45. A social worker assesses a client with an eating disorder. The client expresses ambivalence about changing eating habits. What should the social worker do NEXT?

A. Advocate for change B. Confront the resistance C. Explore the client's values D. Validate the client's concerns

121. B. In the DSM-5, which of the following is NOT incorporated into Autism Spectrum Disorder?

A. Asperger's Disorder B. Pervasive Development Disorder Not Otherwise Specified C. Childhood Disintegrative Disorder D. Mental Retardation

129. During a session, a social worker becomes increasingly frustrated with a client's denial of issues. The social worker chooses to end the session early. What concept BEST fits this action?

A. Boundary diffusion B. Disengagement C. Countertransference D. Role differentiation

109. What is the MOST practical research design for completing an agency program evaluation?

A. Correlational B. Quasi-experimental C. Single-subject D. Quialitative

53. A social worker works in a community where gangs and drugs are a major problem. The mayor has requested that the social worker develop a plan involving the community to reduce gang violence and drug related problems. What should the social worker do FIRST?

A. Create a forum for the gangs to meet B. Hire community leaders to lead the initiative C. Organize a task force to address the problems D. Conduct an educational workshop at the community center

161. When beginning family therapy, what should the social worker do FIRST?

A. Establish rapport B. Identify needs and wants C. Highlight family problems D. Communicate hope

149. B. Which of the following is NOT a separate stage experienced in the five stages of griet?

A. Hope B. Acceptance C. Bargaining D. Anger

75. What components are included during the contracting phase of intervention?

A. Informative events and critical incidents B. An ecomap and periods of observation C. Goals and objectives D. Assessment and evaluation

53. B. A client needs to access services form another organization. In order to BEST assist this client, a social worker should:

A. Let the client identify and contact agencies independently to avoid interfering with the client's right to self-determination B. Refer the client to an agency that the social worker has a relationship with to ensure an easy transition C. Work with the client to evaluate options and select an agency that the client thinks will best meet his or her needs

102. B. A client became depressed a month ago due to the ending of her marriage. The BEST diagnosis for the client is:

A. Major Depression B. Endogenous Depression C. Major Depressive Disorder with Mixed Features D. Exogenous Depression

13. A social worker is contacted by a client whose initial complaint is depression. The client reports symptoms of insomnia, headaches, inability to eat, vomiting, and neck aches. What should the social worker do FIRST?

A. Obtain a detailed social history on the client B. Probe for a substance abuse problem C. Engage the client in establishing goals D. Ask the client to obtain medical consultation

40. B. A man who is having problems at work finds that he is yelling at his children more and has begun to have marital issues with his wife. The husband is MOST likely using the defense mechanism of:

A. Reaction formation B. Projection C. Conversion D. Displacement

28. A. A major side effect of psychiatric medication is Agranulocytosis. The side effect of Agranulocytosis is not found in any of the following medications [EXCEPT]:

A. Risperdal B. Clozaril C. Seroquel D. Abilify

15. B. Aphasia is BEST defined as difficulty with:

A. Walking or running B. Common motor skills such as combing hair, despite normal strength C. Understanding language or using language to speak or write D. Recognize familiar objects

36. Termination of a 12-week therapy group needs to be initially discussed in the group:

A. at the first session B. during the sixth session C. at the ninth or tenth session D. when the clients are ready

14. A. The Clinical Social Worker has secured a contract to develop a treatment program for first time youth offenders. The Social Worker, not sure of the population 's needs, conducts a comprehensive literature review of first time youth offenders. The literature review reveals that the [MOST] often listed needs of youth offenders is:

A. interpersonal development skills B. substance abuse services or treatment programs C. decision making information skills D. peer relationship building programs

91. What means of communication is MOST often misinterpreted by a non-Native American/Indigenous peoples social worker who is working with a traditional Native American/Indigenous peoples client?

A.Body posture B. Eye contact C. Hand gestures D. Facial expressions

155. B. Tardive dyskinesia is associated with the prescribing of:

A. Antipsychotics B. Antidepressants C. Antianxiety medications D. Reaction formation

58. A social worker supervises volunteers in a day care facility with children from multiple ethnic backgrounds. Parents are complaining about one volunteer's lack of sensitivity. What should the social worker do FIRST?

A. Assist the volunteer in working with the families B. Assess the volunteer's cultural competency C. Reassign the volunteer's responsibilities D. Recommend education workshops

62. A preschooler's parents report that their child masturbates at night and has tried to touch a sibling's genitals while bathing. What do these behaviors MOST likely indicate?

A. Child sexual abuse B. Normal sexual development C. Diffuse personal boundaries D. Delayed superego development

159. B. As required by law, Individual Educational Plans (IEPs) for children with disabilities must be reviewed and revised by schools at least:

A. Daily B. Yearly C. Monthly D. Weekly

122. A social worker is assisting a client with problem resolution. The problem has been indentified, solutions have been explored, and pros and cons have been considered. What is the NEXT step toward resolving the problem?

A. Developing specific goals B. Establishing a time line for resolution C. Identifying termination criteria D. Highlighting the client's strengths

109. B Which of the following will MOST likely produce emotional or psychological trauma?

A. Events that happen in adulthood B. Events that were expected C. Events that could have been prevented D. Events that occur unexpectedly without preparation

71. B. Which of the following is NOT considered as part of culturally informed intervention planning?

A. Involvement of family members in treatment B. Use of individual versus group treatment modalities C. Incorporation of alternative treatment approaches D. Need for informed consent procedures

157. B. Which of the following is NOT an appropriate task for a social worker facilitating a group?

A. Modeling methods for the group in dealing with dilemmas or situations B. Identifying assumptions made by, or unconscious communication used by, the group C. Opening up new avenues of exploration to the group D. Providing solutions to problems that are raised by the group

87. A social worker facilities a group for domestic violence perpetrators. A group member is now able to recognize the triggers for anger and is committed to changing resulting reactions. According to the transtheoretical model of change, what stage is the group member MOST likely experiencing?

A. Precontemplation B. Contemplation C. Maintenance D. Termination

15. During a therapy session, a client reveals to the social worker that she has difficulty managing her three-year-old child. The client reports that her child ran into traffic and was nearly hit by a car. What should the social worker do FIRST?

A. Report the possible neglect to child protective services B. Work with the client to develop a safety plan C. Consult with the social work supervisor D. Refer the client to a parenting class

23. What task is the FIRST step in setting up a program evaluation?

A. Selecting the criteria for measuring success B. Determining the goals and objectives C. Assessing the available resources D. Designing the methodology

22. B. A client is currently taking Clozaril for the treatment of Schizophrenia. the client is MOST likely going to be required to undergo what medical monitoring due to this medication use?

A. Weight checks B. Blood work C. Dietary restrictions D. Exercise regimen

10. A. Mr. and Mrs. Smith are experiencing a messy divorce and custody fight. The Social Worker saw the couple for a few sessions before their divorce. There is no history of child abuse by either parent. Abduction charges have been placed against Mr. Smith in Federal Court. The prosecutor has subpoenaed the Social Worker and her records. The Social Worker [SHOULD]

A. honor the subpoena B. testify against Mr. Smith C. refuse to testify D. tell the court that the abduction charges were not addressed during their sessions

86. A. The [MOST] important activity to engage in, especially during the initial phase of conducting a research project, is:

A. selection of research methodology B. problem selection C. selection of statistical methodology D. hypothesis development

49. A. A Native American female, age eighty, is in need of on-going health care and is admitted to a nursing home. The nursing home's population is composed entirely of Non-Native Americans. The nursing home Social Worker [SHOULD] consider the reality that:

A. such a placement will be uneventful B. it will be normal for an adjustment period C. the client will not adjust to the nursing home's culture D. the client will feel lost because of the nursing home's culture

27. B. Which of the following is an example of role discomplementarity?

A. A husband complains that this wife does not take responsibility for keeping the house clean and a wife is upset that her husband does not financially provide for the family B. A woman states that she does not like working and wants to quit her job C. A young child wants to play in the neighborhood unsupervised D. A man struggles to fit in time at home with his family due to his hectic work schedule

30. B. Which of the following is an example of role reversal?

A. A mother who shares her 11-year-old daughter's clothes and collects stuffed animals B. A mother expecting her 11-year-old daughter to stay at home unsupervised C. A mother with relationship problems who is repeatedly emotionally comforted by her 11-year-old daughter D. A mother who arranges a date for her 11-year-old daughter

152. B. Which of the following does NOT have to occur in order for a social worker who is in private practice to terminate services to a client who is not paying an overdue balance?

A. A safety assessment to determine if the client is a danger to self or others B. A signed agreement that the client is willing to be seen by another social worker C. Documentation of conversations in which the nonpayment has been discussed with the client D. Billing for overdue balances

117. B. Which of the following is the BEST definition of rapprochement?

A. A technique used to confront a client in a nonthreatening way B. A time in the problem-solving process that indicates the beginning of termination C. A feeling experienced by clients who have not formed emotional attachments to others D. A stage childhood development where a small child needs reassurance from a caregiver?

23. B. Which of the following inhibits the establishment of a therapeutic relationship?

A. A universalism approach or the acceptance of a standard set of norms or standards B. A pluralistic approach that values cultural pluralism C. Clients examined as being influenced by their environment with problems being seen as resulting from role ambiguity rather than individual deficits D. Flexible treatment approaches that take into account the subjective realities of clients

108. B. A school social worker is using an intervention aimed at enhancing the social functioning of an adolescent student who is acting out. The social worker collects data daily prior to the intervention and during treatment. During the holiday break, the social worker asks the parents to write down the frequency of the behavior each day in a journal. This journal is reviewed by the social worker upon return to school, at which time the intervention is restarted and behavior is monitored. Which of the following single-subject designs is reflective of the social worker's intervention?

A. AB B. A C. ABA D. ABAB

101. B. A social worker has been asked to evaluate client progress using a single-subject desing. Which of the following designs has the fewest threats to internal validity?

A. AB B. A C. ABAB D. BAB

26. A. As a Clinical Social Worker you have been assigned to provide services to a child who has been diagnosed with ADHD. As part of his treatment you will be holding a series of meetings with psychiatry for medication review. The medication [MOST LIKELY] used in the

A. Abilify B. Adderall C. Zprexa D. Geodon

66. A social worker assesses a victim of psychological abuse by a long-term partner. What is MOST important for the social worker to remember about the dynamics of abuse within a relationship?

A. Abuse frequently arises from uncontrolled anger B. Abuse is often a response to the fear of abandonment C. Abuse frequently comes from feelings of inadequacy caused by jealousy D. Abuse is often an effort to retain control

33. What a pattern of alcohol and substance use that is more likely to be observed in women than in men?

A. Abuse of prescription drugs B. Consumption of substances with friends C. Consumption of alcohol and drugs together D. Resistance to treatment referrals

88. B. A client who has been experiencing severe depression and previously expressed thoughts aimed at hurting herself appears less hopeless and to have a more positive affect. In this situation, the social worker should FIRST:

A. AcKnowledge the recent improvement in depressive symptoms to the client B. Determine the coping skills that the client is using to bring about change C. Focus on other immediate goals that are a concern to the client D. Conduct a suicide risk assessment

162. A social worker meets with a client for a determination session. The client has frequently expressed gratitude for the social worker's assistance during past sessions. During this session, the client presents the social worker with an expensive gift basket. After expressing gratitude, what should the social worker do NEXT?

A. Accept the gift basket as a token of the client's appreciation B. Explain why the gift basket cannot be accepted C. Request that the gift be donated to another agency D. Make a gift of the basket to a client in need of the items

128. All of the following occur during termination EXCEPT:

A. Acknowledgement of loss on the part of the social worker and client B. Review and update of the client record to ensure completeness C. Identification of resources to meet future needs D. Review of client accomplishments

14. B. A social worker employed in a hospital is asked to use a SOAP format in a client's record. In this format, the "A" stands for:

A. Action plan B. Assessment C. Active treatment D. Adjustments to services needed

27. A hospital social worker works with a terminally ill patient who is refusing the use of a breathing machine to prolong life. What action is the patient choosing?

A. Active euthanasia B. Natural death C. Physician-assisted death D. Palliative care

76. B. Group therapy is not appropriate for all of the following client groups EXCEPT those who are:

A. Actively in crisis B. Paranoid or psychotic C. Compulsively in need of attention D. Isolated from others

75. A. Betty, age six, was referred by her teacher. Betty lives with her parents and younger brother. Concerns with Betty began at the birth of her brother, who is three months old. The teacher noticed a change in Betty's behavior when Betty began pushing children and hit a schoolmate with a toy. The teacher noticed belt markers on Betty's legs and bruise on her face. The mother indicated that the baby was sick much of the time, crying and demanding of her time, so father became the primary caregiver of Betty in the evenings and weekends. Betty began awakening frequently at night. Her father is unable to cope with her demands for attention and yells at her to shut up. When she does not, he slaps her. Betty is bright and able to take part in the interview.She says she gets hit for crying but her brother does not. She has bad dreams about a scary man killing her. The [MOST] appropriate DSM-5 diagnosis is:

A. Adjustment Disorder with Mixed Disturbance of Emotions and Conduct B. Separation Anxiety Disorder C. Oppositional Defiant Disorder D. Attention-Deficit/Hyperactivity Disorder

82. An adolescent who was recently discharged from a psychiatric hospital is meeting with the school social worker to assist with school adjustment. The social worker would like to speak with the referring psychiatrist about the treatment plan. What should the social worker do FIRST?

A. Advise the staff that specialized services will be required B. Review the student's records to determine if a discharge plan was sent C. Schedule a case conference to discuss the treatment plan D. Call the student's guardian to obtain a release of information

54. What is the MOST important action that can be taken by a social work supervisor to reduce liability resulting from acts or omissions by supervisees?

A. Advise the supervisees to communicate potential risks B. Request that supervisees sign waivers of liability C. Document topics discussed supervision D. Purchase insurance that provides malpractice coverage

5. A school social worker meets with parents of a child who has recently completed treatment for cancer. The child's physician is recommending that the child return to school as soon as possible, but the parents believe that more time at home would be beneficial. What should the social worker do NEXT?

A. Advocate for the parents to keep the child at home B. Explore the reasons for the parent's beliefs C. Obtain the child's perspective on the situation D. Refer the parents and child for family therapy

65. A. Mr. Hersey was brought to the community hospital emergency room after drinking at a local bar with friends. Though known to be calm by nature, his behavior became highly aggressive and exhibited inappropriate sexual behavior toward the women patrons. His speech was slurred, his gait unsteady, and had impaired attention and memory. There were no significant medical problems identified upon examination. The [MOST] appropriate DSM-5 diagnosis is

A. Alcohol Abuse B. Wernicke-Korsakoff Syndrome C. Alcohol Intoxication D. Alcohol Dependency without Physiological Dependence

76. A. Referencing item 75, given your diagnosis of Betty, the [BEST] treatment is:

A. Alcohol treatment for the father only B. Family therapy including parenting training and behavioral therapy for Betty C. Supportive counseling for Betty's mother and behavioral therapy for Betty D. Foster care for Betty and Parent Effectiveness Training and Supportive Therapy for father

25. A former client contacts a social worker to request access to treatment records. The client and the client's spouse have been seen individually and jointly. What is the social worker's MOST appropriate response?

A. Allow the client access to information pertaining only to the client B. Advise the client that agency policy prohibits client access to records C. Allow total access to records pertaining to the client and the spouse D. Request a ruling from the agency's executive director and attorney

32. A. The [MOST] accurate description of dementia caused by a cut-off blood supply to the brain is:

A. Alzheimer's Disease B. Parkinson's Disease C. Multi-Infarct Dementia D. Korsakoff's Syndrome

34. What condition is NOT a cause of mild or major neurocognitive disorder?

A. Alzheimer's disease B. Substance abuse C. Cerebral vascular event D. Osteoporosis

46. A. John had a stroke that left him with weakness to one side of his body and with difficulty speaking. John is benefiting form re-training and use of special assistive devices. These benefits are [MOST LIKELY] provided through the public law know as:

A. American with Disabilities Act. B. Vocational Rehabilitation Act of 1992 C. Education of the Handicapped Act of 1975 D. Disability Insurance Act.

152. What is the BEST definition of informed consent?

A. An opportunity for the client to express expectations B. A client's decision at the beginning of the intervention process C. Decisions made by the client after receiving all relevant information D. A consensus process regarding information exchange and treatment

79. A school social worker completes a functional behavioral assessment of a child who is exhibiting challenging classroom behaviors. What is the social worker trying to identify by completing this assessment?

A. An overview of the client's family system B. An understanding of why the disruptions occur C. The strengths of the client D. Times when learning can best occur

102. What is the FIRST thing social workers should do when attempting to evaluate institutionalized racism in an agency?

A. Analyze the agency's policies and produces B. Discuss the issue of fairness with the supervisor C. Facilitate research on the impact of agency policies D. Review policies that have been successful in other agencies

17. B. A social worker receives a court order to provide records of a former client. In this instance, the social worker should submit the records:

A. And try to contact the client to inform her about the disclosure B. With the contact information of the client so the court can contact her about the release C. But not contact the client as court orders are not to be discussed by anyone other than judges and attorneys D. And write to the judge to see if he or she wants the client to know about the court order

1. A social worker employed by a retirement home is approached by a client for help in establishing a recycling program in the facility. The social worker decides to co-host a meeting with the client to discuss the idea with other residents. What is the MOST likely reason for this approach?

A. Antagonizing administration could be dangerous. B. Legitimizing the residents' concerns may be helpful. C. Helping residents start new relationships is important. D. Sharing leadership is very effective with groups.

98. What personality disorder is characterized by a restricted of emotional experience and expression?

A. Antisocial B. Schizoid C. Histronic D. Dependent

39. A. Secondary Alcoholism includes individuals who are experiencing major psychiatric disorders before the onset of drinking problems. A factor [MOST] often connected with the problems of Secondary Alcoholism is:

A. Antisocial Personality Disorder B. Compulsive Personality Disorder C. Dependent Personality Disorder D. Narcissistic Personality Disorder

167. A single mother of two young children is in therapy with a social worker at an outpatient mental health clinic. She describes herself as isolated and overwhelmed in her role as a parent. The social worker is of the opinion that the client could benefit from a referral to a parent support group at a local child welfare agency. In exploring this as a possible option, what should the social worker do FIRST?

A. Arrange an appointment for the client with the group leader B. Consult with the client about whether additional services are desired C. Send the client's treatment summary to the group leader D. Contact the agency to explore the appropriateness of a referral

167. B. During a session, a client is reporting on her daily activities during the last week. She looks down at the ground, not making eye contact. She also pauses repeatedly with periods of silence. The social worker should:

A. Ask the client if there is something that is bothering her B. Listen attentively to show acceptance of her feelings C. Accept this behavior as part of her communication style D. Document this behavior in the client's record

150. A client begins services with a social worker. The client has multiple problems, including substance abuse and posttraumatic stress. The client recently became unemployed, and a close friend died two weeks earlier. What should the social worker do NEXT?

A. Ask the client what is most troubling now B. Refer the client for substance abuse treatment C. Encourage the client to find employment D. Begin client-centered bereavement counseling

112. After the death or their child, a couple attend a bereavement group led by a social worker. The group meeting deals almost exclusively with this couple's loss. After the session, other group members report that this caused them to feel frustrated and uncomfortable. What should the social worker do NEXT?

A. Ask the couple to join a different support group B. Plan to discuss the issue with the group at the next session C. Meet individually with the couple before the next session D. Remind the members of their own first group experiences

11. B. A social worker is appointed by the court to conduct a child custody evaluation for a couple that is divorcing. The mother reports that her husband is verbally abusive, controlling, and neglects the children when they are in his care. She reports that the children have missed a lot of school when staying with their father because he does not assist with getting them ready for school or doing their homework. The father states that this wife is lazy, irresponsible, and cannot meet the children's basic needs. He reports that the school frequently has to provide lunch for the children because the mother does not supply it when they are in her care. In order to BEST evaluate the legitimacy of the information, the social worker should:

A. Ask the husband and wife to put their allegations in writing and sign them, attesting to their accuracy B. Determine whether the husband or wife have had any past instances with being untruthful C. Always speak to the husband and wife together so that they are more likely to be honest D. Obtain information form school personnel and records after obtaining parental consent

116. B. Upon coming in for an intake interview, a couple reports that they have not had sexual intercouse for more than a year due to the husband's inability to sustain an erection. He reports that he has had a lot of stress at work and feels overwhelmed by the pressures placed upon him. In order to best diagnose the reasons for the husband's sexual dysfunction, a social worker should FIRST:

A. Ask the husband to provide more information about his job stress B. Determine if the physiological changes in the husband occurred at about the same time as his overwhelming feelings C. Recommend that the husband see a physician to see if there are any medical problems D. Explore whether the couple is having any other problems in the relationship

155. A social worker in a family counseling agency has been asked to use a single-subject design with several clients to monitor their progress on treatment goals. The social worker is frustrated about the time required to update behavioral tallies and assessment instruments each week. Providing feedback to clients has also been much slower. What is the social worker's BEST approach to resolve this problem?

A. Ask the supervisor to assign clients B. Change to a program evaluation model of assessment C. Refuse to use session tome for behavioral tallies D. Explore having clients document self-reported behaviors

83. B. A teenager is having problems initiating conversation with peers. In order to BEST assist the teenager, the social worker should:

A. Ask the teenager to keep a journal documenting thoughts that can be used in later conversations with peers B. Explore with the teenager the underlying reasons for his or her problems with peer relationship C. Assess whether there are other social deficits that may result in appropriate diagnosis D. Engage in a role-play with the teenager so that he or she can practice needed communication skills

16. Parents of a 24-month-old child report their only concern is that their child plays alongside of, but not with, other children. What should the social worker do?

A. Assess for symptoms of developmental delays B. Observe the child's play in a group setting C. Suggest that the parents report their concern at a doctor visit D. Reassure the parents that parallel play is typical at this age

71. A social worker is asked to evaluate a ten-year-old child who reported to be talking with peers about explicit sexual activity and singing a song about incest. After ruling out direct sexual abuse to the child, what should the social worker don NEXT?

A. Assess other exposures to sexually explicit material B. Assess the child's level of impulse control C. Considerer a diagnosis or conduct disorder D. Educate the child about appropriate talk with peers

34. B. A client was referred to a mental health agency for treatment. Upon admission, he reported feeling lethargic and hopeless and had difficulty getting out of bed. Several weeks later, he states that he is sleepless, agitated, and unable to focus. Which of the following medications is the client MOST likely going to be prescribed?

A. Ativan (lorazepam) B. Nardil (phenelzine) C. Lithium (lithium carbonate) D. Buspar (buspirone)

73. A. Ray's 2nd grade teacher is concerned about his behavior in class and referred him to the school's Social Worker for assessment. Ray frequently forgets his homework and his mother will send him to school with notes attached to his shirt, asking the teacher to send Ray's homework assignment to her. He will leave his seat when classroom activities are being explained, and ignores the teacher's request to return to his seat. He brothers other children in the classroom who are trying to do them class work, and when give choices, he has difficulty making a decision. On the playground, he often plays alone, but he will run form the swings to the slide to the ball field without attempting to do any activity. Ray often becomes frustrated by classroom structure, and he will throw tantrums or talk back at the teacher loudly when asked to quiet down. All of them are potentially appropriate diagnosis for Ray [EXCEPT]:

A. Attention Deficit Disorder-Hyperactivity-Impulsive type B. Attention Deficit Disorder-Inattentive Type C. Attention Deficit Disorder-Combined Type D. Attention Deficit Disorder-Non-Specified Type

56. A. Jose age seven, is referred for a mental health assessment by the teacher. His teacher reports that for the last four months Jose does not listen when spoken to directly, has trouble following instructions, and fails to finish his school work. He has difficulty organizing tasks and activities and loses things necessary for his work (pencils, book, etc). Jose is in constant motion, fidgeting with is hands or feet, squirming in his seat, He runs about when expected to be still and does not like quiet activities. He talks excessively, often blurting out the answers to questions before the questions have been completed. Jose's mother reports a similar situation at home. She reports these patterns became noticeable to her when Jose turned five. The [MOST] appropriate DSM-5 is:

A. Attention-Deficit/Hyperactivity Disorder, Combined type B. Conduct Disorder C. Attention-Deficit/Hyperactivity Disorder, Predominately Inattentive Type D. Attention-Deficit/Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type

51. B. Which of the following is NOT a key diagnostic criterion of paraphilic disorders according to the DSM-5?

A. Atypical sexual interests B. Personal distress about sexual interests not strictly due to societal disapproval C. Sexual desire or behavior that involves another person's psychological harm or from persons who are unwilling or unable to consent D. Legal involvement due to sexual interest or behaviors

99. A social work supervisor meets with a staff person who has difficulty setting limits with clients. What is the MOST effective strategy that the supervisor could suggest to correct this pattern?

A. Avoid contact with manipulative clients B. Increase assertiveness through educational activities C. Use work time for self-appraisal D. Ask colleagues to provide feedback during client sessions

132. A social worker meets with a new client who was recently reunited with the spouse, who is an injured soldier. The client is struggling with assisting the spouse to cope with the injury, but the spouse responds with irritation. What should the social worker do FIRST?

A. Avoid the topic of the injury B. Talk with the client about the situation C. Ask to meet with the spouse to assist with reintegration D. Refer the client and spouse for marital counseling

76. During what stage a gay or lesbian adolescent face the greatest need of treatment and the MOST stress?

A. Becoming involved in an intimate same-sex relationship B. Coming out and acknowledging gay feelings C. Exploring gay identity D. Experiencing the sense of being different

62. B. Projective tests are based on which of the following theoretical approaches?

A. Behavior management B. Psychoanalytic C. Cognitive behavioral D. Self psychology

154. B. Which of the following is NOT a social work role?

A. Being a client's support system B. Advocating for change to address a social problem C. Assisting with locating services for a client D. Educating a client to assist with problem solving

130. B. According to self psychology, children need all of the following to develop a strong sense of self EXCEPT:

A. Being around others like themselves in order to feel "belonging" B. Someone to look up to who is more capable C. Being soothed and validated so they know their feelings matter D. Methods to control aggressive drives

34. A. Joe, age fifty. has been drinking a pint of whiskey with two beers every day for the past seven years. Joe was arrested for Drinking While Intoxicated and will be in jail for two months and not be able to continue his consumption of alcohol. Based on the amount, duration and frequency of Joe's alcohol consumption and forced abstinence it is [MOST] likely Joe, while incarcerated, will experience:

A. Bi-polar Depression B. Generalized Anxiety Disorder C. Delirium Trements D. Social Insolation

64. A. A social Worker's client has been provided with an extremely slow acting anti-anxiety medication. The medication is [BEST] known as:

A. Buspar B. Klonopin C. Ativan D. Xanax

58. A. Mrs. Doyle has been receiving services for over three months to treat her over-powering anxiety. She informs her Social Worker that four days ago, she was prescribed some anti-anxiety medication, but she does not believe that the medication is working. Based on this information the Social Worker believes that Mrs. Doyle has been provided with anti-anxiety medication that is slow acting. This type of medication is [BEST] known as:

A. Busper B. Klonopin C. Ativan D. Xanax

9. A woman who is five months pregnant speaks with A social worker at an adoption agency to request information. The woman explains that she lives with her sister and that her sister's boyfriend is threatening to force her out of the home. She says that she does not feel safe. What should the social worker do FIRST?

A. Call the police for the woman B. Develop a safety plan C. Try to locate housing for the woman D. Determine the nature of the danger

148. B. Which of the following is TRUE about sexual development of individuals?

A. Children are not sexual before birth B. Humans are sexual beings throughout life C. Same-gender sexual behavior during childhood is directly related to sexual orientation later in life D. Adults lose their desire for sexual expression later in life

96. B. A client who has repeatedly stated that she hates her sister tells a social worker that she has just asked her sister to be the maid of honor in her wedding. The social worker points out that this action appears contradictory to her feelings about her sister. This statement by the social worker is known as a:

A. Clarification B. Generalization C. Paradoxical instruction D. Confroctation

141. B. At the beginning of the initial session, a client states, "I am so glad that I am here because I really need you to tell me how to solve my problems." The social worker should:

A. Clarify the social worker's role in the problem-solving process with the client B. Not respond to the comment, but make a note to clearly delineate the social worker's role in the treatment plan C. Praise the client for her willingness to be open to feedback D. Suggest to the client that her need to solve her own problems may be an area to explore further in therapy

146. A social worker in an agency providing services to clients with a chronic mental health diagnosis wants to ensure that policies to engage clients are in place. What statement is consistent with this goal?

A. Clients will develop realistic personal goals B. Clients are encouraged to attend monthly progress reviews C. Stereotypes about disabilities are unacceptable D. Employees will ensure that clients are safe at all times

118. B. Which of the following is NOT true regarding Delirium and Dementia?

A. Clients with Dementia are highly susceptible to Delirium B. Many of the same symptoms are shared by Delirium and Dementia C. In both Delirium and Dementia, there is a gradual deterioration of memory and intellect, causing confusion D. Clients who have Dementia can also experience Delirium

96. A social worker at a community mental health program includes a spiritual assessment as part of the intake interview. The program serves members of a local tribal community. What is important for the social worker to remember when working with clients who are Native Americans/Indigenous people?

A. Closed-ended questions within a structured protocol should be used B. The assessment must be kept brief and storytelling minimized C. Clinical language should be used to create a safe environment D. Trust should be established before asking for sensitive information

74. A client request mental health services to manage chronic and escalating anger. During the initial session, the client tells the social worker of instances when she was verbally abusive to an individual in her care who uses a wheelchair. The client is remorseful and says that the incidents have occurred on only two or three occasions. What should the social worker do NEXT?

A. Collect collateral information from the care recipient B. Explain the need report the incidents to the proper authorities C. Discuss the incidents further to determine the appropriate action D. Develop a personalized anger management program for the cllient

5. B. A young boy is stopped by a police officer and claims that he is member of the armed forces, though it is obvious that he is not. This assertion by the boy is MOST likely a:

A. Comorbid thought B. Dissociation C. Folie a deux D. Delusion

137. B. Which of the following observation roles poses the MOST ethical challenges for social workers?

A. Complete participant B. Participant as observer C. Complete observer D. Observer as participan

115. A social worker at a chemical dependency treatment center devotes time after each session to complete case notes. In recording the client's progress toward specific treatment goals, what information should the social worker include in each case not?

A. Compliance with treatment program requirements B. The development of insight on the part of the client C. The client's level of investment in treatment D. The actual service or treatment provided during the session

93. A social worker in a high school is asked to facilitate a treatment group. What consideration would be MOST important in planning for the group?

A. Conflict with authority is characteristic of adolescent B. Adolescents can form cliques C. The media can be influential on behavior at this age D. Drug and alcohol use should be addressed

59. A client is discharged from inpatient treatment for alcohol and prescription drug abuse. A mental health social worker meets for a follow-up session with family members and observes that they avoid discussing the problem. What should the social worker do FIRST?

A. Confront family members about the long-term nature of the problem B. Assist the family in understating the ham of alcohol and drug abuse C. Determine the extent of denial within the family system D. Advise the family members that relapse is a realistic possibility

156. During a regular weekly session with a client in recovery from chemical dependency, a social worker notes that the client appears irritated when asked the standard questions about the progress of recovery during the past week. After several minutes the social worker says."You have been telling me that you still want to work on recovery issues, but today you are not participating in the process. What has changed?" What technique is the social worker using to encourage feedback from the client?

A. Confrontation B. Reflection C. Interpretation D. Clarification

79. Which of the following statements is true?

A. Consent and assent have the same legal meaning B. When treating those who lack capacity to provide informed consent, consent should be obtained by the responsible tjird party and assent should obtained by the client C. All clients must receive social work services voluntarily D.There is no need to get consent to audiotape or videotape services because it is always permitted if a client signs a consent form

123. What activities is least effective for the social worker when engaging clients in the beginning phase of treatment?

A. Considering options for problem resolution with the client B. Exploring the client's perceptions of the problem C. Reducing the client's anxiety by providing support D. Clarifying the services that can be offered to the client

121. A social worker provides services to a client at a mental health agency. The client dies suddenly. The client's family asks the social worker for the client's records. What should the social worker do NEXT?

A. Consult with a colleague at the agency B. Refuse the family's request for records C. Determine the jurisdictional mandates about release of records D. Offer to meet with the family to help them with their loss

63. A social worker facilities therapy with a married couple. Because of limited experience working with the couple's issues, the social worker approaches a colleague in the community for structured advice. What term BEST describes this action?

A. Consultation B. Supervision C. Cultural competency D. Interdisciplinary collaboration

40. A client is in treatment with a social worker in a fee-for-service setting. After paying in full and on time for the first ten sessions, the client begins to make either partial payments or no payments at all. Assessment of risk indicates that the client poses no danger to self or others. According to ethical standards of social work practice, what is the social worker's BEST response?

A. Continue services after negotiating a nonmonetary compensation system B. Suspend services until the client has caught up on all financial obligations C. Terminates services after the third incident of insufficient or nonpayment D. Terminate services if debt persist after a discussion of financial obligations

144. B. A private pay client has made substantial progress and achieved all stated treatment goals, but wants to continue to see a social worker "in case something comes up." In this situation, the social worker should:

A. Continue to see the client at the regular fee in order to respect the client's self-determination B. Being termination with the client C. Continue to see the client, but reduce the fee since the treatment goals have been achieved D. Refer the client to another social worker because it appears that the client may have become dependent on the social worker

70. B. A client is starting a new business and really needs a partner to assist with start-up activities. Without this help, the client will experience extreme financial hardship because she will not be able to bring in needed income to her household. The social worker has a lot of business expertise that would be valuable to the client. In this situation the social worker should:

A. Continue to serve the client, providing only emotional support during this crisis B. Terminate services to the client to assist with the start-up business so that the client does not experience financial loss C. Continue to serve the client, providing financial support in addition to emotional support during this crisis D. Stop billing the client for a short period while assisting the client with business start-up, with the understanding that this arrangement is time limited

11. An adolescent is admitted to the hospital for the second time in three weeks for noncompliance with diabetes management. The physician believes that the adolescent is intentionally manipulating the diabetes care and wants to be admitted. The physician consults a social worker. What should the social worker do FIRST?

A. Contract with the adolescent to prevent readmission B. Review the medical management plan with the adolescent C. Notify the local child welfare services D. Obtain a social and family history

156. B. A client sees a woman get brutally beaten and killed during and incident of domestic violence. Shortly after the incident, the client reports the inability to see. This client is MOST likely experiencing the defense mechanism of:

A. Conversion B. Acting out C. Compensation D. Reaction formation

41. B. Upon admission, a client reports that he has always feared disapproval and rejection from others in his life. Several weeks later, the client appears anxious and worried. When asked about his behavior, he states that the feels judged by the social worker and that the social worker is being critical of him when he sees her. The client's feeling are an example of:

A. Countertransference B. Psychosis C. Paranoia D. Transference

26. B. A social worker is working with a client who is anxious about public speaking. The social worker asks the client to close her eyes, visualize herself speaking to a large group, and describe her feelings related to the imaginary situation in detail. This technique by the social worker is known as:

A. Covert modeling B. Self-modeling C. Live modeling D. Symbolic modeling

83. A family services agency has a high number of clients who do not keep appointments. The agency's social work administrator conducts a client satisfaction survey, which reveals that clients believe the agency is not welcoming to their children. To alleviate the client's concern, what should the administrator do FIRST?

A. Create specialized activities for children B. Evaluate the need to change agency programs C. Obtain consultation to develop an action plan D. Form a committee of clients and staff to identify solutions

64. A social worker meets with a client to complete a biopsychosocial assessment. The social worker also speaks with the client's parents and probation officer to gather additional information. What BEST describes the social worker's actions?

A. Data triangulation B. Client debriefing C. Historical checking D. Audit trail

164. A social worker provides mental health services to a client who is elderly and gradually driving less because of health problems. What concern is the client MOST likely to experience because of this change?

A. Decreased social contacts B. Functional decline C. Impaired memory D. Medication noncompliance

154. The wife and adolescent daughter of a man who is alcoholic find many reasons to deny and minimize his behavior and support his explanations of absences from work and frequent aggressiveness. What is the behavior of the wife and daughter calLed?

A. Depersonalization B. Sublimation C. Avoidance D. Enabling

29. What term describes the belief that one's thoughts alone can result in the accomplishment of certain wishes?

A. Despersonalization B. Magical thinking C. Thought broadcasting D. Looseness of associations

169. When a social worker discovers that a client has been lying, what is the MOST helpful course of action?

A. Determining what is motivating the client's dishonesty B. Confronting the client immediately with evidence of the dishonesty C. Ignoring the behavior for the present and focusing on where the client is D. Interpreting for the client the underlying meaning of the lie

140. B. A client has recently learned that her child has been diagnosed with a life-threatening condition that will substantially affect her abilities in the future. For an hour, she talks to the social worker in detail about the medical condition without showing any emotion. The defense mechanism that BEST describes the client's response is:

A. Devaluation B. Substitution C. Intellectualization D. Rationalization

140. A social worker in a community agency serving clients with HIV/AIDS is responsible for coordinating a variety of services to meet the client's needs. After linking a client to programs to meet those needs, what should the social worker do NEXT?

A. Develop a backup list of referral programs B. Reexamine the client's formal and informal resources C. Monitor the services received to ensure effectiveness D. Discharge the client form the community agency

67. B. A client has just been diagnosed with terminal cancer. Using a systems approach, the social worker should:

A. Develop a plan for long-term care aimed at meeting the client's medical needs B. Work with the client on addressing the impacts of this prognosis on his or her psychological and spiritual well-being C. Consider whether continuing to treat the client is in the client's best interest given this prognosis D. Reexamine the treatment goals to see if they are still relevant or need to be revised given this health information

69. A social worker meets with a client who is chronically mentally ill. The client often refuses to take psychotropic medication but does not yet exhibit symptoms of active psychosis. What approach is MOST likely to help the client achieve long-term optimal functioning?

A. Developing a behavioral program to enhance medication compliance B. Referring the client to a day treatment center C. Referring the client for long-term hospitalization D. Arranging for medication to be administered by a visiting nurse

153. B. Which of the following systems in the body is responsible for the production of hormones that control metabolism and growth?

A. Digestive B. Nervous C. Lymphatic D. Endocrine

103. B. The social worker learns from a client who is HIV positive that he is having unprotected sexual contact with his girlfriend who is unaware of his HIV status. In order to address this situation ethically, the social worker should:

A. Disclose to the client that the social worker must try to contact the girlfriend in this situation under the obligation of duty to warn and ask for her contact information B. Try to locate the girlfriend without informing the client because such notification is required under the Tarasoff decision C. Make no attempt to contact the girlfriend to disclose the client's HIV status D. Tell the client that services will need to be terminated unless this behavior ceases

157. A school social worker believes the actions of administrators at the school are detrimental to students. What should the social worker do FIRST?

A. Discuss the concerns with school officials B. Prepare a report for the school board C. Educate the parents on advocacy skills D. Empower the students to self advocate

47. An agency social worker becomes aware that a coworker frequently consumes alcohol on their lunch break. When this occurs, the coworker does not appear intoxicated. This individual is responsible for driving foster children to and from specialized services throughout the day. What should the social worker do FIRST?

A. Discuss the drinking directly whit the coworker B. Inform the coworker's supervisor of the behavior C. Continue to observe and document the coworker's actions D. Consult the jurisdictional social work regulatory board for direction

158. A new social worker is working at a community mental health center with adult sex offenders. The social worker is assigned to a client who disgusts and repels him. When meeting with the client, the social worker finds himself unable to be sympathetic or empathic. The social worker realizes that his intense feelings are not changing. After a month of discussion on this issue in supervision, there is still no improvement. What action should the social worker take NEXT?

A. Discuss the feelings with a colleague without providing identifying details B. Explore whether this area of practice is appropriate for the social worker C. Pursue this issue in his own therapeutic treatment D. Ask to have the client transferred to another therapist

78. A social worker leads a parenting skills group. During a session, a three-year-old child roars and gestures like a lion. The parent appears embarrassed and scolds the child for this behavior. What should the social worker do?

A. Discuss the importance of pretend play B. Suggest the parent take the child to the zoo C. Demonstrate approval of the child's behavior D. Use an animal song to normalize the behavior

114. A social worker is treating a young single mother for depression. The client expresses feeling overwhelmed while caring for her toddler and going to school. The client then reveals that she is pregnant and is planning an abortion. The social worker possesses strong negative feelings about the client's decision and feels unable to continue to treat her. What should the social worker do FIRST?

A. Discuss the negative feelings with the client B. Obtain supervision about personal feelings C. Refer the client to another social worker D. Enter therapy to resolve the negative feelings

68. A. An interesting, complicated and challenging mental health disorder is schizophrenia. Typically, schizophrenia interferes with a person's ability to think clearly and to know the difference between reality and fantasy. Most that experience schizophrenic symptoms tend to also experience hallucinations and delusions, and have difficulty performing everyday functions. All of them are types of schizophrenia [EXCEPT]:

A. Disorganized B. Undifferentiated C. Residual D. Compulsive

75. B. Trichotillomania is classified under which of the following in the DSM-5?

A. Disruptive, Impulse-Control, and Conduct Disorders B. Anxiety Disorders C. Trauma-and Stressor-Related Disorders D. Obsessive-Compulsive and Related Disorders

51. In a small community hospital, the newly hired social worker learns that some nurses document that they perform a psychosocial family assessment as part of the patient's admission history. The social worker proposes making this a social work function. What is the BEST approach to advocate for this proposal?

A. Document how much time the change will save the staff B. Compare length of stay data for each approach C. Ask the nurses why they are doing the family assessment D. Identify the unique skills and abilities of social workers

49. B. A social worker notices what appears to be burns on a child's arm and asks the child about these markings. The child responds that "grandma burned me, but mommy isn't going to let me go over there anymore so it's OK." The social worker should:

A. Document the conversation in the file and make sure to check the child regularly in the future for burns or bruises B. Report the conversation immediately to child protective services C. Discuss the conversation with a supervisor at the next supervision session D. Contact the grandmother to validate this report by the child

147.What is the MOST appropriate time for social workers in health care settings to gather family histories?

A. During an acute medical crisis B. When directed by agency practice C. During the initial visit with the patient D. After meeting with a physician

99. A. The Clinical Social Worker and Mr. Marshall developed the goals of increasing Mr. Marshall's trust toward others, eliminating verbalized distrust of his wife, reduced vigilance when he is around others, and working towards a more relaxed and comfortable set of interaction with others. The [BEST] diagnosis supporting these goals is:

A. Dysthymic Disorder B. Generalized Anxiety Disorder C. Dissociative Disorder D. Paranoid Personality Disorder

54. A. Mrs. Brown has been experiencing a depressed mood for most of the day and loss of interest and pleasure in life. This description is supported by her family and has had a 6% loss of body weight in the last month. Mrs. Brown is tearful, complains of insomnia nearly every day and reports suicidal ideation without a plan. Her symptoms have lasted for more that two months and she is unable to function on her job or with her family. There have been two other such episodes' in her life, widely spaced with periods of normal functioning. The [MOST] appropriate DSM-5 is:

A. Dysthymic Disorder B. Major Depressive Episode C. Cyclothymic Disorder D. Borderline Personality Disorder

144. A social worker wants to assess the impact of heritage and belief systems on a family's interactions. What form of assessment BEST accomplishes this goal?

A. Ecomap B. Genogram C. Person-in-environment D. Culturagram

26. What instrument is MOST likely to be used by social workers in the initial assessment of families?

A. Ecomap B. Life history grid C. Family sculpting D. Global Assessment of Functioning Scale

104. A hospital social worker assists a patient who is scheduled for discharge. The patient and family feel the patient needs more time to regain strength before returning home alone. What should the social worker do NEXT?

A. Educate the family on assisting with patient care B. Arrange a meeting to discuss aftercare options C. Inform the patient and family about hospital rules D. Ask hospital administration to extend the discharge date

81. B. A client is very worried about her finacial situation. She buys a new car and tells the social worker that she made the purchase "because the car is much less likely to break down and will save money in the long run." This statement MOST likely results from:

A. Ego-syntonic beliefs B. Isolation of affect C. A double bind D. Cognitive dissonance

108. A social worker is asked to email a client's records to a local physician. The client has signed a document legally permitting the release of the records. What should the social worker do NEXT?

A. Email the records to the physician B. Hand deliver the records to the physician C. Confirm that the information can be securely transmitted D. Explain that ethical standards prohibit electronic transmission of information

92. A social worker who recently graduated begins working in a drug treatment program. The social worker notices that clients have many needs, including medical attention, mental health services, housing assistance, and employment training. The social worker feels overwhelmed. What should the social worker do FIRST?

A. Establish priorities B. Be aware of countertransference C. Obtain supervision D. Plan to write a grant to hire an additional worker

119. B. A client who has been paying a reduced fee to a social worker in private practice inherits a lot of money from a relative's estate. The client, who was previously poor, is now extremely wealthy and very appreciative of the social worker's services. The client would like to pay the social worker the amount that was discounted for prior services. This action is:

A. Ethical as long as the client only pays the amount of the discount and no more B. Ethical because the client now has the ability to pay for the prior services C. Unethical because the social worker agreed to a reduced feer for those services D. Unethical unless the social worker can determine that the client can afford this payment for prior services

6. B. A social work administrator is having trouble finding a group home manager for a new program scheduled to open in two weeks. Further delays in locating staff will delay clients form moving into the program. The administrator temporarily hires her niece, who just graduated with a social work degree, for this position. This action is:

A. Ethical because the niece is clearly qualified for the position B. Unethical because this is a conflict of interest C. Ethical because the position is temporary and ensures clients get the services needed D. Unethical because clients will experience staff turnover when a new manager is hired

36. B. A social worker in private practice designs a standard intake form that includes questions about the client's demographic information including age, gender, marital status, sexual orientation, education, and drug/alcohol use. This form is:

A. Ethical since it contains important information for the social worker to know in order to work with the client effectively B. Ethical since all of this information will be kept confidential C. Unethical since this information may not be needed for treatment D. Unethical unless the social worker makes it clear that the client has the choice as to whether to complete it

56. B. A client's insurance company threatens to discontinue to pay for services immediately if it does not receive the current treatment goals of the client. The social worker sends these goals without written consent from the client. This action by the social worker is:

A. Ethical since the client would not be able to continue services without the insurance payments B. Unethical because such a release requires written consent C. Ethical since treatment goals can be sen to an insurance company without written consent D. Unethical or ethical, depending upon whether the social worker spoke to the client about insurance requirements at the beginning of treatment

8. A social worker is asked to analyze new social welfare policies that will effect the community. Whas should the social worker do FIRST?

A. Examine the likely impact of the policies on the community B. Research the historical problems that led to the policies C. Inform the client that the drug use will be reported to the child protection agency D. Ask the client's health care provider to drug test the client at her appointments

48. B. A woman complains that her 7-year-old son "makes things up and exaggerates." He often adds information when recalling experiences and talks about knights and dragons being part of his everyday world. The woman is angry about this behavior and worried that it is an indication of some mental health problem. In order to best assist, the social worker should:

A. Explain that the behaviors are associated with the preoperational thought stage of cognitive development B. Conduct a mental status examination on the child C. Refer the child for a mental health evaluation based upon the mother's concerns D. Determine whether this behavior is a concern to other's including his teachers

124. B. An agency is experiencing financial hardship and social workers are upset because they have not been able to meet with their supervisors in several weeks because the supervisors have had to assist with other agency administrative tasks. In this situation, the social work administrator should:

A. Explain to social workers that this situation is not ideal, but necessary in order for the agency to continue to operate B. Terminate services to several clients in order to free up social work staff to provide supervision C. Explore the use of peer supervision D. Instruct the staff to pay for outside supervision if affordable

54. B. During an intake interview, a client uses derogatory language to refer to individuals of a particular ethnic group. This language causes the social worker to become angry. In order to appropriately deal with the anger, the social worker should:

A. Explain to the client in a professional manner that this language is inappropriate and upsets the social worker B.Suggest that the client see another social worker in the agency without giving the client an explanation C. Recognize the anger and discuss it later with the supervisor D. Tell the client about the reaction so that a decision can be made by the client about whether the social worker is the best match for the client

78. B. A client enters a social worker's office and is outraged at an interaction that has just taken place with another agency staff member. The client is indignant and demands that the social worker "do something." In this situation, the social worker should FIRST:

A. Explain to the client that it would be best for the client to address the issue directly with the staff member B. Get the staff member so that the client can speak to him or her and resolve the issue immediately C. Tell the client to go to the agency director who is in a position to take action D. Listen to the client's account of the situation

60. B. A client expresses an attraction to the social worker during a therapy session. In order to address this issue ethically, the social worker should:

A. Explore it as a therapeutic issue, seek supervision, and document the disclosure in the client file B. Ignore the overture and hope that the client does not express this attraction again C. Immediately refer the client to another social worker in the agency because the current social worker cannot be objective once such a disclosure has occurred D. Terminate services immediately in case a personal relationship develops

21. A medical social worker in a home health setting believes a client is abusing alcohol. The nurse reports that the client is not progressing medically. During a home visit., the social worker notices multiple empty liquor bottles in the trash. What should the social worker do FIRST?

A. Explore this observation with the client B. Refer the client to chemical dependency treatment C. Assess the client for acute alcohol poisoning D. Request that the nurse make an additional visit

125. B. During an initial session, a client complains that she feels like a failure because she is getting divorced and could not save her marriage." She ends by asking whether she is wrong to feel this way. In order to facilitate the therapeutic alliance, the social work should:

A. Explore with her why she thinks that the divorce is causing her to feel this way B. Find out more about her past relationship C. Tell her that such feelings are commonly felt in this situation D. Explain that she will have a lot of time to work through these feelings in the coming weeks

134. Both the general public and decision makers have very little awareness of a community problem brought to the attention of a social worker. What strategy can BEST facilitate the development of policies or programs to correct the problem?

A. Facilitating extensive client satisfaction surveys B. Organizing empowerment training for key players C. Using multiple forms of media communication D. Circulating a petition in the neighborhood

118. A 16-year-old adolescent reveals to a social worker, in the course of being admitted an inpatient psychiatric facility, that he uses alcohol on weekends and sniffs paint and gasoline on a daily basis. His family relationships are strained, his school performance is poor, and he has a driving violation. In the process of completing the assessment, what should the social worker recommend NEXT?

A. Family sessions B. One-to-one observation C. Further psychological and neurological testing D. Review of school attendance and performance reports

22. A woman is referred to a domestic violence shelter after experiencing abuse by her partner. The woman explains to the social worker that she will return to her abusive spouse because it is God's will. What concept BEST explains her reasoning?

A. Fatalism B. Nihilism C. Familism D. Paternalism

111. A social worker meets with a family who recently immigrated. The family believes that alcohol has health benefits. The parents purchase alcohol for their young children and permit them to become intoxicated. The parents tell the social worker that this is a custom in their of origin. What should the social worker do FIRST?

A. File a child abuse report with the appropriate authorities B. Encourage the family to practice their cultural norms C. Consult with the agency supervisor D. Research the customs of the family's country

10. A social worker meets with a new client who is diagnosed with depression. The social worker observes that the client is ambivalent, not-trusting, and passive. What should the social worker do NEXT?

A. Focus indirectly engaging the client B. Suggest a task to improve the client's mood C. Encourage the client to recall better times D. Provide information about depression

89. B. Which of the following stages is often described as "a midlife crisis" where individuals struggle between guiding the next generation and becoming self-absorbed?

A. Generativity versus stagnation B. Ego integrity versus despair C. Intimacy versus isolation D. Identity versus role confusion

43. B. A social worker sees that a colleague is distracted when interacting with clients and is showing up for appointments late. The social worker learns that this behavior began several weeks earlier, after the death of her colleague's husband. In this instance, the social worker should:

A. Give the colleague additional time to grieve and monitor the colleague's actions to see if the behavior subsides on its own B. Speak to a supervisor to see if the colleague's workload could be reduced for a period of time C. Contact the human resources department to see if there are employee assistance services available D. Speak to the colleague directly about the observations to see if additional assistance is needed

86. B. Which of the following is the basic premise of groupthink?

A. Groups make faulty decisions because they ignore alternative due to group pressures B. Groups with similar membership tend to be more cohesive and effective C. Decision making by groups takes longer than individual decision making D. Groups come up with creative solutions to problems using their diverse perspectives

145. B. A social work administrator is part of a management team who decides to close an agency program due to financial pressures. The management team receives many letters from program supporters asserting that this program is essential for other agency operations. The team does not consider other alternatives and closes the program anyway, only to encounter major problems in agency operations weeks later. The actions by the management team are an example of:

A. Groupthink B. Homogeneity C. Interdependence D. Group polarization

65. B. A new client comes to the first appointment and is extremely anxious. She paces while in the waiting room and states that she "just needs to get some sleep." During the intake interview, the client reports that she is a recreational drug user. Based on her behavior, the client is MOST likely using:

A. Heroin B. Cocaine C. Marijuana D. Oxycontin

105. A school-age boy is being beaten almost daily by his father, who has a drug and alcohol problem for which he receives mo treatment. The boy solves his own school conflicts by punching and kicking younger children. What is the BEST description of this behavior?

A. Identification with the abuser B. Hostility toward peers C. A conduct disorder D. A personality disorder

55. B. A client who has Schizophrenia has not been taking his medication. He is in crisis, but does not pose a danger to himself or others. The client was recently discharged from an inpatient hospitalization after an involuntary commitment. In the social worker's opinion, the client would benefit from rehospitalization, but the client does not want to be readmitted. The social worker should:

A. Identify community resources to meet his immediate needs B. Contact the hospital to see if he can be readmitted C. Recommend that the client be involuntarily committed again to get the medication needed D. Determine if he has a family member or someone who can persuade him to enter the hospital again

4. B. Which of the following is NOT an essential step in ethical problem-solving?

A. Identifying the ethical standards that may be compromised B. Determining whether there is an ethical dilemma C. Weighing ethical issues in light of social work values and principles D. Asking a supervisor to monitor practice to identify new ethical issues or dilemmas

91. B. Which of the following is NOT congruent communication?

A. Ignoring nonverbal cues that indicate anger B. Smiling at a person who is being annoying C. Hugging a person in pain D. Yelling at an individual when upset

31. B. A social worker receives a subpoena from the courts in the mail for a former client's records. In this situation, a social worker should:

A. Immediately send in the original records to the courts B. Prepare a summary of the records to send in immediately C. Claim privilege to protect the confidentiality of the client D. Ignore the subpoena because it relates to a former client and is not relevant

57. A social worker is attempting to secure public income support for an immigrant family. What does the social worker in this situation need to know?

A. Immigrants are barred from receiving public assistance B. Only refuge immigrant populations qualify for public assistance C. Eligibility varies for public assistance that is provided to immigrants D. Immigrants must become citizens to qualify for public assistance

89. A social worker meets with a client who reports shortness of breath and rapid heartbeat. The client has a fear of losing control. What is the MOST likely explanation for the client's condition?

A. Impulse control disorder B. Delusional disorder C. Neurocognitive disorder D. Panic disorder

97. What characteristic is one of the diagnostic criteria of hoarding disorder?

A. Inappropriate compensatory behavior B. Unmanaged stress C. Avoidant personality traits D. Impaired quality of life

77. A. The three [PRIMARY] symptoms of Attention Deficit/Hyperactivity Disorder are:

A. Inattention, Impulsivity, Overactivity B. Depression, Impulsivity, Overactivity C. School Phobia, Overactivity, Inattention D. Anxiety, Impulsivity, Overactivity

17. A social worker is providing marital therapy to a couple. What goal statement is MOST likely to enhance a couple's motivation?

A. Increase by one-fourth the frequency of positive statements B. Reduce by one-third the angry exchanges C. Eliminate all physical altercations D. Reduce by one-half the amount of shouting

57. B. A social worker is running a group with adolescents. One of the group members calls the social worker because she is very upset that something that she said in group was disclosed to others in her school by another group member. The BEST method for the social worker to address this situation is to:

A. Individually contact the group member who disclosed the information to discuss the concern B. Terminate the group member who disclosed the information in order to create "safe" environment for the other participants C. Suggest that the upset group member bring up her concern at the next group session D. Develop a confidentiality agreement to be signed by all members at the next group session

168. B. Which of the following statements is NOT true about cultural, racial and ethnic identity development?

A. Individuals can share the same race, but have different ethnicities B. The ways in which races have been defined have been fixed over time C. Some ethnic and racial identities confer privilege D. Cultural, racial, and ethnic identity is not passed from one generation to the next

116. A social worker develops educational sessions for parents of adolescents. The sessions focus on how parents can interview to reduce sexual exploitation of their children on the internet. What developmental need is MOST important for the social worker to discuss with the parents?

A. Industry B. Intimacy C. Separation D. Autonomy

13. B. An 11-year-old child would like to start helping around the house with chores. She approaches her mother many times, but is told she cannot assist because "she won't do it right." During several attempts to do things on her own, she is scolded. According to psychosocial development theory, she may experience doubts in her abilities due to a crisis in which of the following stages?

A. Industry versus inferiority B. Initiative versus guilt C. Autonomy versus shame/doubt D. Generativity versus stagnation

90. A social worker disagrees with the way agency policy restricts client services and believes it is an ethical issue. What should the social worker do NEXT?

A. Inform clients of the ethical disagreement B. Identify possible actions to resolve the issue C. Organize colleagues to lobby for change D. Determine whether ethical values are in conflict

20. B. Federal law requires health care facilities that receive Medicare and Medicaid reimbursements to do all of the following with regard to advance directives EXCEPT:

A. Inform clients of their rights to have advance directives that will allow them to make decisions regarding their health care B. Use a portion of their revenues to assist clients with the costs associated with creating advance directives C. Ask clients if they have advanced directives and document their responses D. Provide aducation about advance directives

130. A client informs a social worker that despite a court mandate the client does not intend to attend future sessions. What should the social worker do FIRST?

A. Inform the client of the consequences of that decision B. Advise the judge of the client's decision C. Assist the client in identifying and clarifying D. Express disappointment in the client's decision

85. A client meets with a social worker to discuss parenting a rebellious adolescent. After several sessions, the client shares religious beliefs that support physical punishment. What should the social worker do FIRST?

A. Inform the client that physical punishment psychologically harms children B. Validate the client for openly sharing the physical punishment viewpoint C. Request that the client describe the physical punishment practices D. Explore the client's own history of physical punishment during childhood

37. A social worker at a corrections facility is providing a treatment group for substances abusers who are inmates at the prison. A prison classification committee has selected 12 group participants of various racial and ethnic backgrounds. During the first three weeks of group, the social worker notices that very few participants seem willing to speak. What statement MOST likely explains the participant's reluctance to talk in the group?

A. Inmates tend to exhibit much denial substance abuse problems B. Racial tension in prison populations inhibit communication in treatment situations C. Inmates often have an adversarial view of non-inmates, which can hinder disclosure

87. A. Mrs. Dean, age eighty, is a resident at an Assisted Living Home. She was referred to the Social Worker because she is not involved in activities. The Social Worker discovers that Mrs. Dean's closest friend in the facility died and makes a point of visiting with Mrs. Dean regularly and encourages her to talk about her loss. The Social Worker finds that Mrs. Dean wants to talk about her need for companionship. The Social Worker helps Mrs. Dean consider ways in which she can become more involved in activities of the home. This intervention is a [BEST] example of :

A. Insight therapy B. Empathic C. Supportive therapy D. Crisis therapy

163. A social worker is a member of an advisory committee that is studying racially biased practices of the local police department. To raise community awareness of the issues, the committee has decided to sponsor a forum. Persons who have experienced problems will provide testimony. From an ethics perspective, what should the social worker do?

A. Insist that committee members remain anonymous B. Invite the public to the forum C. Speak at the hearings about the committee's recommendations D. Ask speakers not to disclose confidential information in the hearings

46. A social worker's research shows that when inmates who have been released from prison are given transportation resources, they are less likely to reoffend. The social worker submits the research to officials, advocating for a transportation program. What social work value BEST describes the social worker's efforts?

A. Integrity in social work practice B. Inherent dignity and worth of individuals C. Promotion of social justice D. Competence in professional practice

113. B. Which of the following is NOT associated with Histrionic Personality Disorder?

A. Interacting with others using inappropriately seductive or provocative behavior B. Using appearance to draw attention to oneself C. Being highly suggestible and easily influenced by others D. Having close romantic and social relationship with others

170. A 17-month-old child is placed in temporary foster care. Initially, the child cries vigorously, struggles in the arms of the foster mother, and will not be comforted. After a day or two, the child becomes increasingly quiet, withdrawn, and sad-looking. This is followed by an increase in activity, a decrease in crying, but little show of affect. The child's behavior can BEST be understood in terms of which of the following theories?

A. Interpersonal B. Attachment C. Rational-emotive D. Ego development

2. B. Evidence-based social work practice can BEST be defined as:

A. Interventions that a social worker has gained training and experience in delivering B. Treatment that yields the most cost-effective outcomes according to a cost-benefit analysis C. Decision making based on the conscientious, explicit, and judicious use of research knowledge, clinical expertise, social work values, and client wishes D. Practice evaluations that adhere to scientific principles

103. A second grade student has repeated absences from school, an unclean appearance, and occasional bruises. The student has historically maintained average grades and does not exhibit behavior difficulties in the classroom setting. What should the school social worker do FIRST?

A. Interview the student B. Contact a child protective services agency C. Develop an intervention plan D. Facilitate a behavioral observation

45. B. Which of the following is true of BOTH networking in business and networking in social work practice?

A. It aims to educate about the problems experienced by others and thereby help to effects system changes B. It aims to attract more individuals to organizations so that these entities can prosper C. It is beneficial for clients as it keeps the costs down through sharing of resources

105. B. All of the following are true about crisis intervention EXCEPT:

A. It is time limited B. It focuses on the "here and now" C. It must follow a major life event D. It involves a high level of intervention and activity by the social worker

46. Which of the following is the MOST important benefit of community participation in social work practice?

A. It pus the decision-making power partly or wholly with community members B. It shows the media that individuals want to get involved when there is a good cause C. It informs community members about the work that needs to be done to make change D. It divides the workload so that it can be distributed across a larger group

52. B. Which of the following is a limitation when using existing case records as the data source for the evaluation of client progress?

A. It saves time because the information is already available and does not have to be gathered B. There are financial benefits because there are no additional costs associated with data collection C. The scope of the evaluation is restricted to that which is explicitly stated in the file D. It cannot be done unless the client consents in writing to allow such use

37. B. A social worker is charged with creating a behavioral objective to assist her client, John, in his educational setting. Which of the following statements is the BEST example of this type of objective ?

A. John will make eye contact during conversations in practical arts class at least 75% of the time B. John will be motivated to complete his homework daily in order to achieve a grade of a B or better C. The teacher will praise John during class at least 10 times per hour D. John will sit in his chair at least 80% of the time

106. B. A social worker providing psychotherapy in a mental health agency is concerned about protecting the confidentially of client records. In order to provide the greatest protection for clients while adhering to best clinical practices, the social worker should:

A. Keep all psychotherapy notes in the client file in a secure and locked location B. Take the psychotherapy notes home to ensure that they are only seen by the social worker C. Store the psychotherapy notes in a secure and locked location separate from the client file D. Not keep any documentation, including psychotherapy notes

114. B. A social worker who does not provide adolescent services makes referrals to a very reputable agency in her community when she is contacted for such services. In exchange for each of these referrals, the agency provides a $50 gift card to the social worker. This practice is:

A. Known as fee splitting and is ethical B. Known as collateral contact and is unethical C. Known as collateral contact and is ethical D. Known as fee splitting and is unethical

94. B. A client is very distressed because she is physically attracted to individuals of the same gender. She has become increasingly upset by these desires and wants to find ways to eliminate them. The feelings that the client is experiencing are:

A. Latent B. Ego alien C. Ego-syntonic D. Rooted in the pleasure principle

151. B. A client who is suffering from depression asks a social worker to read her journal. After reading it, the social worker identifies major themes of her writings including feeling isolated, not understood, and rejected by her family. The social worker speaks with the client about these issues and they decide to include them as treatment goals. These goals are based on which of the following in the journal?

A. Latent content B. Manifest content C. Explicit communication D. Overt writings

39. A social worker creates a job readiness program for young people transitioning to adulthood. The program is based on developmental theory. Whatis the PRIMARY goal of the program?

A. Learning the basics of how to find employment B. Keeping track of the number of participants who secure employment C. Determining a particular career path at program onset D. Ensuring connections to community resources and systems

20. A weekly meeting is held at a family services agency to determine if referred families meet the criteria for services. Staff members are frustrated because the meetings have become characterized by unrelated discussion and have begun to last several hours. What should social worker do has chair of the meeting?

A. Limit the number of cases presented B. Redirected staff members who digress C. Schedule individual meetings with problem staff members D. Set time limits for the meeting

73. A social worker is aware of a client having difficulty paying for prescription medications. What should the social worker do?

A. Loan the client money to pay for the medications B. Suggest alternatives to prescription medications C. Inform the client of low-cost medications available online D. Encourage the client to talk with a pharmacist about payment options

169. B. In the precontemplation stage of change, resistance is BEST addressed by a social worker:

A. Looking at the pros and cons of behavior change B. Acknowledging a client's fears and concerns C. Assessing whether new development in a client's life are causing barriers to the plan D. Reviewing the appropriates of the intervention

57. A. Lithium can cause several side effects, and some may have serious negative consequences. All of the following are side effects that can be caused by Lithium [EXCEPT]

A. Loss of coordination B. Excessive thirst C. Frequent urination D. Extreme anxiety attacks

84. What is a social worker required to do before beginning work with a client that includes electronic transfer or records?

A. Mail a copy of the requirements to all clients, including minors B. Provide the client with the agency privacy policy C. Give the client information regarding fee policies D. Obtain signed insurance releases to protect client privacy

74. A. Mr. Albert, age thirty, shares with his Social Worker that he has recently discovered he is HIV positive. Mr. Albert presents with some anxiety, talkative and appears to need emotional support. A complete physical revealed Mr. Albert was healthy except for allergies which caused a sore throat. The sore throat is considered by medical professionals as of no concern. Mr. Albert is worried that the symptoms are indications of AIDS. He Knows that a positive test does not mean that he will necessarily get AIDS. He is spending time thinking about a painful and prolonged death. He has constant and increasing anxiety and has trouble concentrating at work. He worries that the stress of his job will compromise his immune system and thinks about quitting. Sleep and eating patterns have not changed. The [MOST] appropriate DSM-5 diagnosis is:

A. Major Depressive Disorder B. Adjustment Disorder with Mixed Emotional Features C. Mood Disorder Due To a General Medical Condition D. Cyclothymic Disorder

126. B. A social worker is reviewing a client's record and sees that a client was recently taking Zoloft after being switched from Lexapro. The client is MOST likely diagnosed as having:

A. Major Depressive Disorder B. Schizoaffective Disorder C. Autism Spectrum Disorder D. Attention-Deficit/Hyperactivity Disorder

66. A. Mrs. Chuck, a graduate student, is referred to student health services. The Social Worker discovers that Ms. Chuck for three weeks lost interest in activities, is tearful, experienced weight gain, problems sleeping, and decreased energy. Nothing in her daily routine relieves her feelings of hopelessness, is unable to attend class and has no social life. Mrs. Chuck has had two other episodes just like the one she is now experi encing. The [MOST] appropriate DSM-5 diagnosis is:

A. Major Depressive Disorder, Recurrent B. Dysthymic Disorder C. Major Depressive Disorder D. Bipolar I Disorder

112. B. A child in an after-school program comes into a social worker's office and shows the social worker a burn that appears to have been caused by an iron. The child reports that her mother did it as punishment because she was "being bad." The social worker's colleague overhears the child and tells the social worker that the child has lied many times in the past. The social worker should:

A. Make a note in the file of the incident, including the observation and the colleague's comment B. Ask the colleague to discuss the incident with the social worker and the agency director C. Report the incident to the child protection agency D. Investigate the incident to see if the child is telling the truth

19. A new social worker receives a court order to disclose client records. The social worker notes that there are grammatical problems and minor errors regarding dates and events in the recordings. What should the social worker do FIRST?

A. Make corrections as needed B. Claim record confidentiality C. Send the records D. Meet with a supervisor

93. B. A client is having difficulty finding a career that is fulfilling to her. SShe has repeatedly taken jobs that she has quit because "they just don't fit." In order to assist the client in resolving this problem, which of the following tests may be used?

A. Minnesota Multiphasic Personality Inventory B. Myers-Briggs Type Indicator C. Thematic Apperception Test D. Wechsler Intelligent Scale

1. B. Which of the Following is NOT true about motivation to change?

A. Motivation fluctuates from one time to another B. Motivation can be increased by working to remove barriers to change C. Motivation is driven by hope or the belief that life can be different D. Motivation that is imposed by external forces is more salient than that which is intrinsic

77. B. A client is referred to a social worker by an employee assistance program for problems at work including insubordination and not following company policies. Upon intake, the client states that he is not the one that needs help and that the social worker should be trying to "fix" his boss, who is the real problem. The client reports that his difficulties are a result of jealousy by his boss because the client "knows more and is more successful." The client dominates the conversation during the session and spends most of the time describing his achievements, including the amount of money that he earns and spends on his possessions. The BEST diagnosis of the client is:

A. Narcissistic Personality Disorder B. Histrionic Personality Disorder C. Avoidant Personality Disorder D. Obsessive-Compulsive Personality Disorder

61. A social worker is asked by community members to join a new task force. The goal of the task force is to prevent adolescent gang activity, which community members fear will happen soon. In what setting are adolescent gangs MOST likely to emerge?

A. Near public schools B. In inner-city neighborhoods C. In economically depressed areas D. Near communities that do not enforce curfews

136. B. A married couple reports that they feel disconnected from one another and rarely speak or provide each other with any kind of support. This is known as:

A. Negative entropy B. Entropy C. Differentiation D. Equifinality

52. A social worker completes an initial assessment of a client suffering from anorexia nervosa with significant weight loss. To BEST meet the client's immediate needs., what should the social worker do?

A. Network with a nutritionist who can recommend nutritional supplementation B. Refer the client to an occupational therapist who can model beneficial exercises C. Consult with a physician regarding possible hospitalization D. Contact a registered dietician who can teach the client healthy eating habits

160. A social worker agency director hosts a luncheon to meet with leaders of other community social services agencies. The goal of the director is to increase knowledge about community resources available to clients. What does this method exemplify?

A. Networking B. Planning C. Coordination D. Consultation

50. A social worker provides opportunities to community residents to increase political participation. The goal is to affect policy and improve socioeconomic conditions. What approach is the social worker MOST likely using?

A. Networking B. Program development C. Coalition building D. Empowerment

32. B. In the DSM-5, when a social worker provides a reason why a condition does not qualify for a disorder, it should be noted as:

A. Not Otherwise Specified B. Other Specified C. Unspecified D. Not Specified Elsewhere

19. B. A social worker is leaving one agency to work at another. In order to address this situation ethically, the social worker should:

A. Not inform clients in order to avoid causing them undue stress and harm B. Advise clients that it would be best for them to transfer services to the social worker's new agency to avoid any interruptions in treatment C. Inform clients of appropriate options for the continuation of services and the benefits and risks of the options D. Discontinue services to clients immediately

131. A social worker meets with a couple who describe frequent arguments at home. They are unable to answer specific questions about the conflicts and lack insight into their arguments. What is the MOST effective method of assessing the couple's communication skills?

A. Observation of the couple discussing an issue of concern B. Videotaping of the couple on their home C. Review of client reflections in individual journals D. Review of client responses on a communication skills test

30. An adolescent who has been living with her 23-year-old boyfriend for six months calls a crisis hotline at 2:00 am requesting assistance. She claims that her boyfriend evicted her because she may be pregnant. She will be 18 in two days. The adolescent says that she has no place to go. What should the social worker do FIRST?

A. Obtain a court order for emergency foster care placement B. Notify the police of the boyfriend's actions C. Call the adolescent's parents, requesting help D. Contact a youth shelter facility

69. B. Which of the following is the BEST definition of empowerment?

A. Obtaining resources to assist in improving a client's financial and social status B. Building skills and obtaining resources that will assist a client in controlling and making changes, if desired, in his or her own well-being C. Meeting basic needs in a client's life to facilitate growth toward self-actualization D. Creating alliances or power networks that can be used by a client to increase his or her social standing

7. A client go is trying to become pregnant uses marijuana consistently and has questions about the effects on the fetus. The social worker tells the client that the marijuana use could possibly harm the fetus. What should the social worker do NEXT?

A. Offer substance abuse treatment ojptions to the client B. Refer the case for possible criminal prosecution C. Inform the client that the drug use will be reported to the child protection agency D. Ask the client's health care provider to drug test the client at her appointments

166. Which of the following is NOT essential for implementing a strengths perspective?

A. Opportunities are created so that clients can learn or display competencies B. There is collaboration and partnership with the client C. There is assumption that clients can change and adapt D. The inner psychological struggles that clients are experiencing must be a focus of treatment

127.A social worker meets with a 15-year-old client who is promiscuous and struggles with low self-esteem. The client describes symptoms of an eating disorder. What should the social worker assess for FIRST?

A. Oppositional defiant disorder B. Sexual abuse C. Suicidal identation D. Adjustment disorder

44. A social worker facilitating change at a human services organization recognizes that clients are not assigned to the most appropriate personnel. Case assignments are based only on caseloads, with no attempt to match clients needs with workers skill sets. On what aspect of the agency is the social worker focused?

A. Organizational structure B. Agency mission C. Communication system D. Staff motivation

100. A. The Clinical Social Worker and Mrs. Hudson have developed the goals of a reduction of fears that make leaving home possible and pleasant. Addressing her feelings of fear Mrs. Hudson increased experiences in social situations and eliminated interference in normal routine that these fears create. Interventions include encouranging the sharing of feelings from the past through active listening, sharing of feelings associated with emotionally painful experiences and differentiating real from distorted or imagined situations. The [BEST] diagnosis supporting these goals is:

A. Panic Disorder without Agoraphobia B. Panic Disorder with Agoraphobia C. Delusional Disorder D. Schizophreniform Disorder

72. B. Which of the following statements about gender identity and/or sexual orientation is TRUE?

A. Pansexual refers to being attracted to individuals outside or independent of gender B. Individuals who crossdress usually indentify as homosexual C. Sexual orientation and gender indentity are related D. Gender expression and gender indentity must be congruent

18. B. A family comes into treatment because of their young daughter's behavior. They report, upon intake, that she yells at her parents, doesn't listen, and complains about their behavior. There is little progress during the course of treatment and the girl reports that she has no intention of changing. After the sixth session, a social worker tells the girl that she cannot help with her behavior and she should continue to "do as she wishes." According to strategic family therapy, the social worker's directive is known as a:

A. Paradoxical intent B. Pretend technique C. Relabeling paradigm D. Differentiation response

72. A. Mr. Yalm, age forty-five, is a married computer corporation employee. He is brought to the mental health clinic by his wife because he fears his supervisor has hired someone to kill him. History reveals that Mr. Yalm's problems began several months ago, when his supervisor accused him of computer theft. His job was on the line, but was cleared of wrong doing within a short period of time. Mr. Yalm believes that this supervisor became furious and set out to have him killed. As time went on, Mr. Yalm became more elaborate with the idea of being killed and began carefully watching new employees. He was convinced that they hit men out to get him and could no longer go to work. He became preoccupied with these concerns and so was brought to the clinic. Other than in these concerns, Mr. Yalm appears perfectly normal. The [MOST] appropriate DSM-5 diagnosis is:

A. Paranoid Personality Disorder B. Delusional Disorder, Persecutory Type C. Mood Disorder with Psychotic Features D. Dementia

61. A. Mrs. Mear is referred for Social Work services because of her unwarranted beliefs that her coworkers are exploiting and deceiving her. Her preoccupation with unjustified doubts about the loyalty of others is seriously interfering with her work. She is reluctant to confide in others because of a fear that the information will be used against her. She reads hidden meanings into benign remarks, and maintains grudges. She expresses the belief that her husband is unfaithful; there is no evidence of such behavior on his part. The [MOST] appropriate diagnosis is:

A. Paranoid Schizophrenia B. Schizoid Personality Disorder C. Paranoid Personality Disorder D. Schizotypal Personality Disorder

166. A hospital social worker investigates why a patient with home health services was admitted with severe wound infection and malnutrition. The social worker calls the home health agency and talks with the person who ensures that the agency's obligations and ethical duties are being fulfilled and its rules are followed. What is this person's role in the agency?

A. Paraprofessional B. Care planner C. Social activist D. Ombudsperson

98. A. The Social Worker and Ms. Brown developed the goals of elevated self-esteem, consistent positive self image, increased pride in appearance, and greater eye contact. Interventions include reframing the client's self-disparating comments, assisting her to increasing her self-esteem and reinforcing realistic and positive interpretations in life events. The [BEST] diagnoses supporting these goals is:

A. Personality Change Due to (Axis III Disorder) B. Dysthymic Disorder C. Obsessive-Compulsive Disorder D. Avoidant Personality Disorder

59. A. Mr. Nickel is preoccupied with details and rules. His perfectionism interferes with the completion of tasks he undertakes. He is known as a "workaholic" and does not have friends or leisure activities. He is not flexible in matters of morality, ethics, or values and has been called "rigid" and "stubborn". This makes the company's team approach of problem solving impossible from him. He cannot delegate tasks unless he is sure that others will do things exactly as he wishes. He is poor in his spending habits. The [MOST] appropriate DSM-5 Diagnosis is:

A. Personality Disorder NOS B. Narcissistic Personality Disorder C. Obsessive Compulsive Disorder D. Avoid Personality

41. A. Social services agencies tend to be created around specific set of community required services and funding streams. Agencies are typically [BEST] managed and developed by employing a program that includes:

A. Philosophy, Vision, Mission and Program B. Vision, Objective, Culture and Outcomes C. Philosophy, Vision, Mission and Objectives D. Policy and Procedures, Mission and Vision

84. B. Which of the following represents the order of client needs within a hierarchy?

A. Physiological, safety, social, esteem, and self-actualization B. Physiological, safety, esteem, social, and self-actualization C. Safety, physiological, social, esteem, and self-actualization D. Safety, physiological, esteem, social, and self-actualization

111. B. Which of the following is NOT always true when using a token economy?

A. Points or rewards must be consistently given when the targeted behavior is exhibited B. For the system to be effective, a substantial number of points or rewards must be taken away for undesirable behavior C. Rewards must be of value to the client D. It works best when a client can see the points earned toward a reward

35. A. Crisis and change have long been recognized as important in the emotional life of individuals, families and communities. One of the following statements is [NOT] correc:

A. Positive change does not contribute to imbalance B. Divorce is often a crisis for parents and children C. Situational stress often causes social imbalance D. Personal growth can result from a crisis

3. A nine month-child is neglected and lacks a secure attachment to a caretaker. What long-term effect should the social worker be MOST concerned about as the child gets older?

A. Posttraumatic stress disorder B. Social anxiety in middle age C. Risk for incarceration D. Negative social interactions with pears

3. B. What are the stages of change in sequential order?

A. Precontemplation, preparation, contemplation, action,maintenance, and relapse B. Preparation, action, precontemplation, contemplation, maintenance, and relapse C. Preparation, precontemplation, contemplation, action, maintenance, and relapse D. Precontemplation, contemplation, preparation, action, maintenance, and relapse

6. A social worker begins a job at a psychiatric hospital and is assigned a caseload. One of the clients is a former intimate partner. The social worker and client have not had any contact for several years. What should the social worker do?

A. Process the issue with the client B. Deny the relationship occurred C. Transfer the client to a colleague D. Request transfer to a different department

32. A social worker is employed by a primary care clinic that offers services to a local Native American/Indigenous peoples tribe. Some tribe members have reported reluctance to use the health care services even though they recognize the potential benefits. What is the social worker's BEST response?

A. Provide education on Western medicine B. Include tribal healers in the clinic setting C. Use tribal folklore while providing clinic services D. Self-disclose personal family health history

159. A 21-year-old patient is approaching discharge from the hospital following a serious suicide attempt. The social worker meets with him before discharge to assess his emotional state. He will not answer any specific questions. The patient tells the social worker that he just needs to get home. What should the social worker do NEXT?

A. Provide the patient with suicide hotline and mental health resources B. Contact the appropriate staff to explore involuntary commitment C. Chart the conversation before approving the discharge plan D. Explain to the patient the seriousness of the suicide attempt

138. B. Which of the following is NOT a dual relationship for a social worker?

A. Providing therapy to a friend B. Hiring a client to do repairs on the social worker's home C. Being an agency supervisor to a family member D. Going to the same outside clinical supervisor as a friend

128. What theory of addiction is used by Alcoholics Anonymous as the PRIMARY approach to explaining alcoholism?

A. Psychodynamic B. Behavioral/social learning C. Biopsychosocial D. Disease

8. A. A mayor of a small city has concerns regarding assaults on senior citizens by gang members. Recently, four senior citizens were beaten and robbed. The mayor has requested that a research assist in solving this concern by collecting data using a sampling method that accurately reflected the entire population. However, because of funding restriction the Social Worker is to study a small portion of the entire population. The sampling design [COMMONLY] used in this situation is:

A. Random method B. Convenient method C. Non-random method D. Action research method

82. A. The center's board of directors requested a study be conducted and data collected from the entire center's staff. After a long discussion, it was determined that the entire staff did not need to be part of the study. Instead, a sample of the staff would be sufficient to understand how to improve services. It was recommend that a sample of staff be secured where all selected staff members had an equal chance of being selected. The [MOST] appropriate sampling method:

A. Random sampling B. Non-random sampling C. Quantitative sampling D. Quialitative sampling

41. A social worker is providing therapy to a family. The husband and wife have been arguing constantly for several months and are considering a separation. Recently, the oldest child began acting out in school. With attention focused on the child's problems, arguments between the parents have subsided. What concept BEST describes this family's situation from a systems perspective?

A. Reaction formation B. Adaptation C. Triangulation C. Entropy

164. B. Which of the following is a TRUE statement about the relationship between expressive and receptive communication?

A. Receptive communication usually develops at an earlier age than does expressive communication B. Receptive and expressive communication skills are usually equally develop in young children C. Expressive communication usually develops at an earlier age than does receptive communication D. Some young children develop receptive communication skills before developing expressive communication skills; for other children, it is the reverse

125. A mother brings her-four-year-old boy to a clinic following referral by his pediatrician. He is aggressive with his mother and peers and has poor language skills. What should the social worker do FIRST?

A. Recommend former discipline B. Explore how the child is disciplined C. Begin a behavioral program D. Refer the child for speech therapy

12. B. A social worker is facilitating a psychotherapy group for individuals who are in recovery from substances abuse. After group, a client mentions that she has been having problems dealing with job stress without the use of substances. In order to meet this client's needs the social worker should:

A. Recommend that the client see the social worker individually in addition to the group therapy because she appears to need some additional support B. Suggest that the client bring this topic up in the group next week to see if others are having similar problems C. Evaluate whether group therapy is the best treatment modality for the client due to the issue being mentioned to the social worker outside of the group context D. Determine if there an employee assistance program in the client's work setting to assist

143. B. Which of the following is NOT a practice that promotes cultural competence within social work organizations?

A. Recruiting multiethnic staff B. Including cultural competence requirements in job descriptions and performance/promotion measures C. Advocating for clients as major stakeholders in the development and monitoring of the service delivery system D. Ensuring employees get a copy of the professional Code of Ethics to review upon hiring and as needed thereafter

68. A social worker is a member of the disaster response team in a community where there was a recent tornado. An elementary school was destroyed and three children were killed. A month later, parents and school officials ask the social worker to evaluate a child whose behavior has become unmanageable in class. The child is having difficulty concentrating and has not completed any assignments in several weeks. What should the social worker do FIRS?

A. Refer the child for an evaluation for attention-deficit/hyperactivity disorder B. Encourage the parents to spend more time with the child each day C. Complete an individual assessment with the child D. Provide crisis intervention for the child

55. During an initial interview with a social worker, a client reports a lack of desire for a sexual relationship with the spouse since getting married. The client engages in sex only when pressured, then dissociates during intercourse. The client has been having recurring violent nightmares and suicidal thoughts. What is the social worker's BEST response?

A. Refer the client and spouse for sex therapy B. Refer the client to an inpatient psychiatric unit C. Request a neurological evaluation for the client D. Evaluate for a history of sexual abuse as a child

85. B. A client reports that he has experienced some "ringing" in his ears for the last week, which is causing him great distress. The social worker should FIRST:

A. Refer the client for a neurological evaluation B. Provide the client with coping skills to address his distress C. Identify whether he is reporting an auditory hallucination D. Explore with the client what changes in his life may have coincided with this symptom

149. A client who is a college student expresses ambivalence about his sexual orientation during a session with a social worker. Despite having always dated women, the client now feels attracted to men. He is distressed and wants to better understand these feelings. What should the social worker do?

A. Refer the client to a social worker who specializes in sexual orientation issues B. Explain that homosexuality is not a choice C. Examine the relationship between the client's concerns and his sexual identify D. Explore with the client how his family would react to his same-sex attraction

31. A social worker provides treatment to clients on the sex offender registry. Some clients are discouraged when they are fired from a job after their sex offender status becomes known. What should the social worker do to BEST support clients?

A. Refer the clients to a human rights agency B. Teach clients how to disclose their background proactively when offered a job C. Require clients to empathize with how employers view individuals registered as sex offenders D. Discourage clients from pursuing employment until they complete treatment

56. A child protective services social worker meets with a parent who has allegedly been neglectful. The parents talks about being overwhelmed by the needs of her child. She describes having trouble sleeping because she needs to stay alert for messages from a favorite talk show host. The parent also shares beliefs that the child's teacher is against her. What should the social worker do NEXT?

A. Refer the parent to a physician B. Encourage the parent to discuss her anxiety C. Initiate a mental status examination D. Plan a collaborative meeting with the school

124. A hospice worker makes a home visit to a client who is becoming increasingly angry at his wife, who is his caregiver. The client is observed yelling and throwing books. What should the social worker do FIRST during the home visit?

A. Refer the wife to a caregiver support group B. Assess the potential for further violence C. Instruct the wife to remove lethal means D. Evaluate home safety for hospice team members

35. B. When clients are at high risk for relapse after discharge, all of the following should occur after termination EXCEPT:

A. Regular assessment to determine whether services are needed B. Creation of client contracts that reinforce positive behaviors C. Utilization of natural supports and peer support services D. Follow-up to see whether discharge plans are being implemented

107. A social worker is working with a 16-year-old client who was sexually abused by a former stepparent. The social worker believes it is important for the client to be able to talk about the abuse in order to deal with the complicated feelings the client has already expressed. The client tells the social worker that talking about the abuse is painful and ask not to proceed in that way. What is the social worker's BEST response?

A. Reiterate the importance of dealing with feelings through talking about the abuse B. Change the course of treatment as the client requests C. Refer the client to a support group to hear from others who have experienced abuse D. Engage the client's family to provide more consistent support

67. A social worker meets with an eight-year-old client to work on issues of impulsivity and anger management. The client tells the social worker of his intent to push his infant sibling down the stairs. The client asks the social worker not to tell anyone. After discussing the client's concerns, what should the social worker do NEXT?

A. Report to the appropriate jurisdictional B. Discuss the client's statements with the parents C. Assess the client's current coping strategies D. Teach anger management techniques

148. In a routine review of case records at a mental health center, a social worker supervisor discovers that case managers routinely refer all Native American/Indigenous peoples clients to either Alcoholics Anonymous or Al-Anon. In discussing this practice with the case managers, the supervisor learns that the referrals are made without obtaining information about the client's use or abuse of substances. What should the supervisor do FIRST?

A. Reprimand case managers about providing client services based on stereotyping B. Educate the staff about services provided by Alcoholics Anonymous and Al-Anon C. Provide staff training about culturally competent social work practice D. Allow no referrals to be made without approval from the supervisor

14. A 16-year-old client who is depressed mentions suicidal plans to a social worker. Privacy and confidentiality had been discussed early in the treatment process. The social worker believes that the threat is serious. What should the social worker do NEXT?

A. Respect the client's right to confidentiality B. Consult with an agency supervisor about the dilemma C. Discuss a safety contract with the client D. Arrange for the client to receive a crisis assessment

101. A social worker at a clinic for military veterans meets with a client. The client requests help with finding a job. Military records show that the client was diagnosed with posttraumatic stress disorder when discharged from the military ten years ago. The client denies this diagnosis and refuses to be evaluated by the clinic psychiatrist. What should the social worker do FIRST?

A. Respect the client's right to refuse services B. Focus on the client's presenting problem of obtaining a job C. Refuse services until the client accepts the psychiatric evaluation D. Refer the client to the local employment center

60. After several meetings with a client, a social worker notices the client making multiple complimentary statements about the social worker. What should the social worker do FIRST?

A. Restate the purpose of the therapeutic relationship B. Ask the client to stop the compliments C. Confront the client about the inappropriateness of the behavior D. Help the client explore the reasons for the behavior

119. A client who experienced severe neglect by his biological parents during infancy is brought a social work agency for evaluation. According to records, the client lived with several foster families before being adopted at the age of five. Despite receiving consistent nurturance from his adoptive family, the client has failed to bond with them. Upon initial assessment, a social worker notes that the client's inhibitions and ambivalence toward others could indicate the presence of:

A. Rett syndrome B. selective mutism C. separation anxiety disorder D. reactive attachment disorder

136. A social worker is providing court mandated services to a child of a divorcing couple. The court has granted the father sole custody. The child's mother demands that the social worker share the child's records with her. What should the social worker do?

A. Schedule a session with both parents B. Disclose all records to the mother C. Provide the limitations of disclosure in writing D. Encourage the mother to talk with the father

42. A social worker is working with a client who is severely depressed. The social worker has learned that earlier in the year the client boasted to others of his perceived importance, went without sleep for several days, spent large amounts of money, and talked rapidly. What disorder is the MOST likely diagnosis for this client?

A. Schizoaffective B. Cyclothymic C. Persistent depressive D. Bipolar I

5. A. A Clinical Social Worker is providing group supervision to Social Worker employed at an inpatient psychiatric hospital. The Social Workers are interested in learning more about the role psychiatric medication play in the management of mental disorders. The Clinical Social Worker explains that medications are typically used in management of the following mental health symptoms [EXCEPT]:

A. Schizophrenia Disorders B Depression Disorders C. Bi-polar Disorders D. Personality Disorders

61. B. An agency that employs social workers has detailed job descriptions that delineate the best way to perform functions, closely supervises its employees, and ties employee pay increase to behaviors that promote the goals organization. This agency is MOST likely using which of the following approaches to manage its workers?

A. Scientific management B. Human relations C. Systems D. Contingency

104. B. Which of the following is associated with negative body image?

A. Self-worth is not tied to appearance B. Time is not spent on worrying about food or weight C. Confidence with one's body D. Believing physical appearance is tied to the value of a person

110. B. A mother states that her 12-year-old son is now able to stay home alone because he is aware of dangers, meets his basic needs, and problem-solves when needed. This child has reached which stage of cognitive development?

A. Sensorimotor B. Formal operations C. Concrete operations D. Preoperational

162. B. Which of the following is NOT one of social work's core values as stated in the professional Code of Ethics?

A. Service B. Integrity C. Loyalty D. Competence

87. B. When working with an involuntary, court-mandated client, it is useful for a social worker to FIRST do which of the following to address resistance?

A. Show the client a copy of the court order so that he or she can understand the reasons for treatment B. Make sure that the client sees all reports given to the court to build trust between the client and social worker C. Include some of the client's own goals in the service plan in addition to those that must be addressed as mandated by the court D. Acknowledge the client's circumstances and lack of choice in receiving services

52. Social Workers evaluate their practice with the research tools [MOST COMMONLY] known as:

A. Single Subject Design B. Quasi-Experimental Design C. Experimental Design D. Survey Design

80. Lithium would MOST likely be prescribed for what type of disorder?

A. Sleep-wake B. Anxiety C. Bipolar D. Dissociate

93. A. Social Workers are professional vested in assisting others. The paradigm [MOST] supportive of individual's interaction with the environment and the idea that factors in the environment directly affect the individual is:

A. Social Learning B. Humanistic C. Social System D. Psychodynamic

126. In a couples therapy session, the husband says that he expects his wife to take care of the household chores because that is what his mother did. The wife exhibits frustration. The social worker assists the couple in understanding their functioning as a unit. What framework is the social worker MOST likely using?

A. Structural family B. Self-psychology C. Solution-focused D. Psychoanalytic

120. B A young man who has a criminal history for violent acts later becomes an acclaimed boxer-which of the following defense mechanism is the young man MOST likely using?

A. Sublimation B. Incorporation C. Introjection D. Undoing

18. A social worker at an adoption agency receives a subpoena for the records of an adult client recently seen by the social worker regarding the client's adoption many years ago. In the process of responding to the subpoena, what should the social worker do FIRST?

A. Submit the client's record as requested by the subpoena B. Discuss the subpoena with the agency's legal counsel C. Discuss the subpoena with a professional colleague D. Ask for approval from the client to respond to the subpoena

63. A. Mr. Michaels has had a series of car accidents where police reports document alcohol was involved. He has self-referred to a local mental health center. While conducting, the intake interview the Social Worker discovers Mr. Michaels has a long history of amphetamines, barbiturates, alcohol and marijuana use. His family has argued with about his behavior and his drug use. His relationship with co-workers are stressed and has a been dismissed from the position of construction chief of a small construction company. The [MOST] appropriate DSM-5 diagnosis is:

A. Substance Abuse B. Substance Withdrawal C. Substance Induced Mood Disorder D. Substance Intoxication

42. Which of the following is the MOST significant change in the DSM-5 concerning substance-related disorders?

A. Substances Abuse and Substance Dependence have been combined into a sign Substance Use Disorder B. Recurrent legal problems were added to the criteria for Substance Use Disorders C. Craving or a strong desire to use a substance was deleted form Substance Dependence D. Recurrent legal problems were deleted from the criteria for Substance Abuse

158. B. A woman has strong feelings of resentment toward her sister. These feelings are rooted in her childhood and she has always believed that her sister was a mean person. However, throughout her childhood, she reports being inseparable from her sister and "doing everything together." She also reports buying a necklace for her recently that states "Best Sister Ever." This behavior by the woman is an example of:

A. Substitution B. Splitting C. Projective identification D. Reaction formation

66. B. A woman who is in a relationship that is physically abusive would like to begin couples counseling because she believes that helping her boyfriend to see her point of view may assist in decreasing the violence. In order to appropriately address this request, the social worker should:

A. Suggest that she ask her boyfriend to come to the next session B. Ask if the social worker can contact the boyfriend to assess his interest in receiving couples counseling C. Explain to the woman that couples counseling should not take place at this time, given the physical abuse D. Contact the boyfriend about coming in for individual counseling with the suggestion that there be joint sessions with the two of them at times

48. A social worker receives a call from an angry client who yells at the social worker about perceived mistakes in a case. What should the social worker do NEXT?

A. Suggest that the client discuss the concerns at the next session B. Refuse to listen because the client is behaving inappropriately C. Respond empathically to the client's concerns D. Refer the client to the agency supervisor

50. B. A client has been in therapy for about 4 months and has made substantial progress toward achieving his goals. The social worker and client believe that continued treatment would be beneficial. However, the client recently lost his job and has been informed that his insurance coverage, which has been paying for the services, will end immediately. The client states that he cannot afford to pay the rate paid by the insurance company. In order to facilitate continued progress, the social worker should:

A. Suggest that the client now only pay the amount of the copay and keep track of what would have been paid by an insurance company so a payment plan can be put in place once the client is employed again B. Brainstorm with the client about services that the client can provide in exchange for treatment C. Terminate therapy immediately, but with the understanding that it will begin immediately upon enrollment in a new insurance plan D. Discuss a feasible amount to be paid by the client while he is uninsured

7. B. A social worker is interested in seeing the extent to which current clients are satisfied with a new relapse prevention program. The social worker distributes a client satisfaction survey to those in the program. The social worker then collects the surveys and analyzes the results that are presented to a management team in the agency. The social worker is conducting which type of evaluation?

A. Summative B. Experimental C. Quasi-experimental D. Formative

35. During an assessment, a social worker is trying to understand a client's perspective. At the same time, the social worker is maintaining the perspective of an outside observer. What concept is BEST reflected?

A. Sympathy B. Supportive treatment C. Empathy D. Differential validation

110. A social worker at a family services agency has been working with a parent and an eight-year-old child. The child is enrolled in the same school as the social worker's child. On the first day of school, the social worker finds out that the children are assigned to the same classroom. What should the social worker do NEXT?

A. Talk with the agency supervisor B. Request that one child be moved to another classroom C. Share information on confidentiality with the family D. Refer the family to another social worker

146. B. Members of a community are concerned about rising crime rates, drug problems, and high unemployment in their neighborhood. When engaging in community organizing whit this group, the social worker should FIRST:

A. Tell community members about strategies that have worked well to address these issues in other locations B. Work with the citizens to prioritize their concerns C. Contact local legislators to make them aware of the problems D. Identify an individual who can lead the other community members in taking action

9. B. During an intake interview, a client reports that she is extremely depressed and has self-destructive thoughts. She has had prior suicide attempts, but tells the social worker not to worry as she won't "do it again." The social worker should FIRST:

A. Tell the client that her decision not to harm herself is a good one B. Explore with the client what is causing her depression C. Conduct a safety assessment D. Refer the client to a psychiatrist for a medication evaluation

150. B. A client barges into a social worker's office yelling in a loud and hostile manner. The MOST effective method for the social worker to address the situation is to:

A. Tell the client that it is not possible to speak now, but his her concerns can be discussed during a scheduled appointment B. Listen to the client's concerns and provide other methods to reach the social worker in the future if problems arise C. Contact agency security immediately to remove the client in order not to reinforce the behavior D. Instruct the client on appropriate tone and voice volume when interacting with others

115. B. Upon intake, a woman tells a social worker that she was brutally beaten by her boyfriend 6 months ago, but it was an isolated incident and there have been no further acts of violence. Since that time, he has been remorseful and attentive. In this situation, the social worker should BEST:

A. Tell the client that the boyfriend's behavior was unacceptable B. Document the incident in the assessment, but do not include as a treatment issue since no further incidents have occurred C. Explore with the client the degree to which the incident affected her relationship with her boyfriend D. Evaluate the need for medical and protective services

80. B. A mother comes in to see a social worker because she is concerned about cognitive delays in her child. The child is far behind her peers in academic achievement. A social worker refers this child for diagnostic testing. Given the mother's concerns, the child will MOST likely be given which of the following assessments?

A. The Minnesota Multiphasic Personality Inventory B. The Myer-Briggs Type Indicator C. The Thematic Apperception Test D. The Wechsler Intelligence Scale

137. A hospital social worker meets with the parents of a three-year-old child who has a seizure disorder. Because of their religious beliefs, the parents refuse a test to measure the child's brain activity. The medical team feels strongly that the child could be at imminent risk without the test results. What statement should guide the social worker's response?

A. The child's right to medical treatment supersedes the parent's right to refuse treatment B. The parent's right to religious expression supersedes their child's medical needs C. The parents must first consent to treatment per hospital protocol D. The family's right to well-being may override laws and policies

141. A social worker who works in an assisted living facility meets with a resident prior to a family meeting. The resident says that his daughter is upset about his new romantic relationship. What is MOST important for the social worker to consider when planning the meeting?

A. The daughter's resistance to the resident's choices B. The resident's attempts to maintain his independence C. The daughter's reaction to the romantic relationship D. The resident's feelings about his daughter's objections

97. B. Which of the following is NOT a component of a client contract?

A. The problem to be worked on and the goals to reduce the problem B. Authorization letter approving services by the client's insurance company C. Means of monitoring progress D. Fees and frequency of meetings

117. A social worker is interested in the social cohesion of a particular community. What should the social worker assess for FIRST?

A. The rate of unemployment B. The level of trust in neighborhoods C. The high school graduational rate D. The social mobility within neighborhoods

165. Which of the following is the MOST critical factor for the delivery of effective culturally competent services?

A. The social worker and client must be form the same cultural group B. The social worker must have self-awareness about cultural differences with the client C. The social worker must have worked with a cultural group for at least 5 years D. The social worker must have a supervisor who is from a different cultural group

145. A social worker refers a client to an agency for additional services that the social worker cannot provide. The social worker says, "Call me after your meeting to let me know what happened." What BEST describes the social worker's statement? '

A. The social worker is experiencing countertransference B. The social worker is assessing the quality of referral agencies C. The social worker is attempting to increase the client's chance of success D. The social worker is being overly protective of the client

98. B. Which of the following does NOT have to be done in order for a social worker to provide services in areas that are new to him or her?

A. The social worker must engage in appropriate study of the area B. The social worker must receive supervision for someone who is competent in the area C. The social worker must receive training and consultation in the area as needed D. The social worker must add it to his or her resume to reflects practice in this area

95. B. A client learns that she may have a genetic condition and would like to be tested as she and her husband are thinking about having children. All of the following are true EXCEPT:

A. The social worker should make sure that the client is fully informed of all risks/benefits of testing before it is done B. The insurance provider must authorize these tests in order for them to be completed C. Self-determination of the client should be respected in this situation D. The social worker should be aware of the process of genetic inheritance and develop a genogram to assist in decision making

135. B. Which of the following is TRUE about psychodynamic treatment modalities or approaches?

A. They are good for use in a managed care environment where change has to occur in a limited time period B. They are focused only on the information that a person is paying attention to at a given time C. They use dynamic intervention methods that are hands on, such as play therapy D. They emphasize unconscious motives and desires, as well as the importance of childhood experiences, in shaping personality

17. A. Mr. Hampton has been diagnosed with schizophrenia and intends to become involved in psychotherapy. He plans to use medication, but is not sure as to what medications if any should be prescribed to him. Some of the most often used medications for management of schizophrenia symptoms include all of following [EXCEPT]

A. Thorazine B. Haldol C. Risperdal D. Zoloft

133. B. What is the immediate goal of social work services for a client in crisis?

A. To assist the client to return to the previous level of functioning B. To provide the client with strategies to prevent future crises from occurring C. To determine whether the emotional stressors have caused the client to be a danger to self or others D. To develop a long-term strategy to assist the client in dealing with the impacts of the trauma caused by the crisis

142. B. Which of the following is NOT an aim of case management?

A. To avoid duplication and gaps in treatment in care B. To coordinate and monitor multiple services to ensure efficient and effective utilization C. To treat emotional or mental dysfunction in order to maximize well-being D. To link to services as needed to optimize functioning

29. B. Which of the following is NOT a stated purpose of the professional Code of Ethics?

A. To be used by malpractice insurance companies to mitigate liability B. To summarize the values on which the profession is based C. To be used by the profession to determine whether social workers have acted unethically D. To serve as a guide to socialize new social workers in the field

92. B. Which of the following is NOT an objective of social work supervision?

A. To increase the social worker's capacity to work more effectively B. To assist the social worker in resolving conflicts or problems C. To assure the delivery of the most effective and efficient client services D. To ensure consistent treatment of clients

38. What is the MOST likely reason that a client in an outpatient alcohol treatment program would be prescribed the drug naltrexone in conjunction with counseling?

A. To treat clinical depression B. To east alcohol withdrawal symptoms C. To induce necessary sleep D. To decrease cravings for alcohol

4. A couple identify strongly with the deaf culture. A social worker is helping them to obtain educational services for the child, who has experience hearing loss. What communication strategy should the social worker consider during planning?

A. Total immersion in the use of sign language B. Cochlear implant surgery yo improve hearing C. Mainstreaming with children who do not have hearing loss D. The use of lipreading as a primary technique

82. B. A social worker's ex-husband comes to her agency for therapy services. The ex-husband asks that the social worker provide these services because she is aware of his history and he feels comfortable speaking to her about his problems. They have been divorced for 15 years. The social worker refuses. Based on the professional Code of Ethics, this action by the social worker is:

A. Unethical because it has been more than 10 years since they were married B. Ethical because she had a prior sexual relationship with the client C. Unethical because the social worker did not respect the client's wishes with regard to the provision of treatment D. Ethical because the social worker does not want the client to know anything about her current life circumstances

33. B. A client abruptly stops coming to therapy after the sixth session. She shows up at the office several weeks later demanding a copy of her records. The social worker does not believe that the information in the record could cause harm to the client, but denies access because the client did not provide any reason for the abrupt termination or reason for wanting the copies. The actions by the social worker are:

A. Unethical because the client should have access to his or her record under these circumstances B. Ethical because the reason for the release must be disclosed to the social worker C. Ethical because the client terminated without notice D. Unethical because the client is always able to access his or her record under any circumstances

147. B. An agency hires a consultant to assist a social worker to become more competent in addressing substance use issues. The social worker shows the consultant a few clients assessment documents and case notes to provide needed background on the kinds of substance use problems that the social worker is facing in practice. The social worker's actions are:

A. Unethical because the clients need to consent to disclosure of this information B. Ethical because the consultant was hired by the agency and therefore can see this information without client consent C. Ethical because this information is accessible to anyone in the agency and available for teaching or training purposes D. Unethical because the social worker should have shown the records of all clients with substance use problems to give the consultant complete information related to all the problems that the social worker is treating

160. B. A social worker who is in a private mental health practice recently earned a doctorate from an accredited university in an unrelated field. She adds "Dr." to her name on her private practice business card. This practice is:

A. Unethical since it is not related to mental health treatment B. Ethical since she earned a doctorate that entitles her to list it C. Unethical unless she discloses that it is in another field when asked D. Ethical since it was from an accredited university

151. A social worker provides case management to a child with multiple disabilities. The family uses several service sources, including school social work, psychiatric consultation, and family therapist. What is the BEST strategy for evaluating the child's progress?

A. Use of family self-evaluation tools B. Periodic case review conferences C. Repeated psychiatric measurement D. Parental and education reports

100. A social worker meets with a client who is having marital difficulties. The client reports unmet needs and difficulty communicating the needs to the spouse. After assessing the nature of the relationship, what should the social worker do to BEST support skill development?

A. Use role play as an intervention B. Encourage the client to be self-sufficient C. Refer the couple for marital counseling D. Provide reading materials on assertiveness

170. B. During an initial session, a client appears reluctant to speak and states, "I am not sure if this is going to work out." The BEST response for the social worker to take is to:

A. Use this as an opening to address this hesitancy as a therapeutic issue B. Ignore the comment because this is only the first interaction and such feelings are likely to subside over time C. Ask the client to speak about other situation in which the client had similar feelings D. Clarify what the client can expect, including the social worker's role and confidentiality practices

122. B. In instances when clients are not literate or are having difficulty understanding the primary languages used in the practice setting, all of the following are acceptable practices by a social worker EXCEPT:

A. Using a family member to translate information into the client's native language B. Assessing the client's comprehension to determine what additional informed consent procedures are needed C. Reading documents to the client and providing verbal explanations to written policies as needed D. Using a qualified interpretor service when possible to translate information into the client's native language

24. What practice has the MOST positive effect on service delivery?

A. Using employment practices that support diverse staff skills B. Making the needs of clients the focus for all agency policy C. Providing paraprofessionals to ensure client attendance at all activities D. Providing professional development time for in-service training

24. B. Which of the following is NOT an exception to a social worker's duty to protect confidentiality?

A. When a client poses a serious risk to self and others B. When child abuse is suspected C. When a client has violated criminal laws and has not been properly prosecuted D. When there is an imminent threat by a client to an indentifiable third party

74. B. A social worker cannot limit a client's right to self-determination in the following circumstances EXCEPT:

A. When a client's actions violate policies set forth by the social worker's agency B. When the social worker does not believe that a client is making appropriate decisions C. When a client poses a serious and imminent risk to himself or herself or others D. When there are alternatives that will enhance the client's well-being

21. B. In which of the following circumstances is task-centered treatment NOT recommended?

A. When the client wants to see immediate results or changes in circumstances B. When the client is anxious to be an active part of the change process C. When there is a time limited period in which to work with the client D. When the client is addressing long-standing problems that are complex in nature

90. B. A mother and teenage child yell at each other almost the entire time of a session. The mother says that she is upset with her daughter's choice in boyfriend, her grades in school, her inappropriate dress, and her lack of help around the house. The daughter says that she is angry as her mother does not listen to her, does not respect her privacy, does not give her any "space" and speaks to the daughter's friends in a demeaning manner. In order to BEST assist with helping them resolve their conflicts, the social worker should:

A. Work with the mother and child to prioritize their concerns B. Focus on both the mother's and child's strengths and skills C. Suggest that the mother and child increase the amount of time that they spend with one another to facilitate the problem-solving process D. Acknowledge the level of conflict and discord between the mother and child

123. B. Which of the following is NOT an example of client advocacy?

A. Working with legislators to craft a bill that would fill a service gap B. Speaking to an agency board of directors to change a policy that negatively impacts on clients C. Writing a press release for a local paper about a growing community need D. Providing community members with a listing of service agencies that can assist them in meeting their needs

127. B. Which of the following is NOT included in the DSM-5?

A. World Health Organization Disability Assessment Schedule (WHODAS) B. Global Assessment of Functioning (GAF) C. Cultural Formulation Interview Guide (CFI) D. ICD-10 Codes

10. B. A client with a Social Anxiety Disorder will MOST likely be prescribed which of the following medications to take on an ongoing basis?

A. Zoloft (sertraline) B. Mellaril (thioridazine) C. Thorazine (chlorpromazine) D. Valium (diazepam)

29. A. Mrs. Lilly is experiencing extreme depression and has an appointment for psychiatric consultation. Mrs. Lilly reports that he is concerned her symptoms and looks forward to taking mediations. The medication to be prescribed for the management of Mrs. Lilly's symptoms of [MOST LIKELY]

A. Zyprexa B. Wellbutrin C. Xanax D. Ativan

53. A. Mr. Peterson is referred for Social Worker services after release from a three week stay in the local psychiatric hospital. He was admitted after he was arrested by police who reported Mr. Peterson was talking to himself, has poor hygiene, was yelling he was going to save the world from aliens. From this information, the [MOST] appropriate assessment is that Mr. Peterson was experiencing:

A. a psychotic episode B. an anxiety attack C. a manic psychotic episode D. a brief Personality Adjustment Disorder

90. A. Mrs. Smith, age seventy, presents with a loss of appetite and depressed affect. She is not involved in activities and shows psychomotor retardation, at times appears confused and extremely disorganized. She tells of the loss of her husband two months ago, after a comprehensive assessment, the Clinical Social Worker decides Mrs. Smith is experiencing depression. The [FIRST] intervention is:

A. address possible repression of feelings and mood B. refer Mrs. Smith for case management services C. refer Mrs. Smith to a neurologist for an evaluation D. asking Mrs. Smith to identify healthy ways to increase her independence

43. A. An idea specific to child sexual abuse that is [NOT] accurate is that it:

A. always develops from a relationship that is primarily sexual in the beginning B. can involve an older child C. can involve threat of force or death D. can involve the offer of "playing house" with young children

31. A. The [BEST] determinant of Alzheimer's Disease is:

A. an autopsy B. clinical depression C. Bi-Polar Disorder D. physical abuse

15. A. Mr. Bobbit arrives early to his session, explaining that he is experiencing chest pains, shortness fr breath and dizziness. The Social Worker determines that the symptoms result from anxiety. The Social Worker, sensitive to Mr. Bobbit's needs, develops a plan for the use of guided imagery. This can [BEST] be described as a:

A. an excellent situation for the use of guided imagery B. professional boundary issues C. plan for the treatment of anxiety D. excellent example of "reframing"

81. A. Risperdal is [BEST] used as an:

A. anti-psychotic B. anti-depressant C. analgesic D. anti-convulsant

7. A. A seasoned Social Worker finds Mr. Smith to be dependent, demanding and has become a source of extreme frustration for him; he feels he cannot assist Mrs. Smith any longer. The Social Worker thinks it is best to terminate their relationship and informs Mrs. Smith that she needs too secure another Social Worker and to contact him when she has completed this tack. When she has established services with another social worker they terminate their relationship . This situation can [BEST] be assessed as an example of:

A. appropriate referral since the Social Worker is helping Mrs. Smith become independent. B. a therapeutic experience and termination that would benefit from supervisory review. C. a brief and appropriate termination sesitive to the client's developmental needs. D. sincere use of self-awareness on part of the Social Worker

94. A. Mrs. Scott presents to the Clinical Social Worker with several vague physical complaints and is pre-occupied with a fear of serious physical disease. History reveals that she has had a preoccupation with chronic pain, Far beyond what is expected to be normal. Medical evaluation show no basis for the current complains. The intervention that is [LEAST] useful is:

A. assign Mrs. Scott to create a list of pleasurable activities B. work with Mrs. Scott to make the connections between emotions and physical concerns C. discuss with Mrs. Scott the social impact of her constant verbalization of her concerns D. encourage Mrs. Scott to focus on her concerns and find support for their existence

28. The personality disorder in which the individual is hypersensitive to potential rejection., has low self-esteem, is socially withdrawn and is generally unwilling to enter social relationships is:

A. avoidant B. schizoid C. antisocial D. histrionic

22. A. Most Social Workers who study human development and the adult life cycle suggest that a thirty-seven years old will [MOST LIKELY]:

A. become more distant from mentors B. become more dependent on mentors C. seek to become a mentor D. look for a reliable mentor

11. A. Surveys that seek to study the extent of diseases and injuries within a community and specifically report the findings as rates are [MOST] often known as:

A. community household surveys B. focus group surveys C. epidemiological surveys D. organized surveys

37. A. A large inner-city hospital has a policy of automatically referring public assistance clients to the social services staff. This policy is [MOST LIKELY] the result of a:

A. concerns for the client's well being B. bias regarding need of individual'son assistance for social services C. knowledge that private pay individuals do not need social services D. desire to make known the availability of services to low income communities

67. Mr. Tubs, a Social Work researcher, has been contracted to assess the behavioral treatment needs of couples who use services offered by the Family Services Center. Mr. Tubs has also been asked to lead the clinical supervision program sponsored by the Center. Mr. Tubs should [FIRST]

A. conduct a study of all couple who use the center to assess their interest in research B. identify and define the major research variables to be included in the study C. develop the clinical supervision program to create the survey for the research D. conduct a survey to assess community perspective on the need for a couple's program

40. A. The profession of Social Work is guided by a set of professional values, a Code of Ethics and practice principles. Social Work principles that support the profession include: a) acceptance; b) staff individuality; c) expression of feeling; d) using a non-judgmental perspective; and e) objectivity. These principles set the foundation for the Social Work profession. Other, equally important principles, include of the following [EXCEPT]:

A. controlled emotional involvement B. appeasement C. self-determinism D. confidentality

36. A. Common side effect of medication used in the management of Attention Deficit/Hyperactive Disorder symptoms include all of the following [EXCEPT]

A. decreased appetite B. stomach aches and headaches C. repetitive movement D. decreased attention

3. A. A seasoned Social Worker is asked to supervise the development of treatment plans by beginning Social Workers. He finds the Social Workers are having trouble arriving at appropriate diagnosis because the beginning Social Workers are confusing intake data with assessment data. Data collected [MOST] during intake is:

A. demographic in nature B. interpersonal functionality in nature C. family dynamics in nature D. treatment model assessment in nature

43. A social worker makes a home visit to a family to investigate alleged neglect of one the children. The social worker spends the first part of the interview discussing the family's new roof, their garden , and the rising costs of school supplies. In doing this, the social worker is purposefully:

A. demonstrating the importance of good conversational skills B. employing an important warm-up period to establish rapport C. disarming the family so that they will be straightforward D. avoiding discussion of a sensitive topic

19. A. Mr. Williams, a Clinical Social Worker, is in the process of developing a comprehensive treatment plan for a client he plans to provide services. All of the following are components of a treatment plan [EXCEPT]:

A. diagnosis B. clinical contract C. demographic assessment D. objective/goals

1.A. Research variables are essential and play a critical role in the Social Work research process. Social Worker's understand research variables as having special characteristics. The [MOST] powerful characteristic of research variables is that they:

A. do not differ in quality or quantity B. differ in quality of quantity C. are limited to one level of measurement D. cannot be defined or measured

133. Parents bring their five-year-old child to a family center for treatment. During the intake interview, the parents report that their child is defiant because the child does not listen to commands to be quiet when the older sibling is studying. The social worker explains that the child is not deliberately defiant but is unable to understand things from the point of view of others. The social worker is explaining:

A. egocentrism B. syllogistic reasoning C. reversibility D. conservation

6. A. Sampling is a research method that helps reduce the amount of time and cost required or used to complete a research project. Sampling is [BEST] defined as an activity used in the selection of:

A. entities/subjects form a larger group from where findings are inferred B. the research design C. statistical tools used in the analysis of data D. research topic and research question

2.A. Mr. Bell complains of problems with eating, sleeping of significant duration, and having serious thoughts about harming himself. He tells the Social Worker that the idea of hurting himself scares him. The Social Worker tells Mr. Bell he is experiencing symptoms of depression, however they will focus on the depression at a more appropriate time during later sessions. The Social Worker reassures Mr. Bell that with time and interpersonal work he will feel better and needs not to worry. The Social Worker's intervention can [BEST] be assessed as:

A. extremely supportive of Mr. Bell and his situation. B. an appropriate assessment which improves the entire treatment process. C. a method for avoiding reinforcing Bell's interest in harming himself D. inappropriate in both assessment and treatment of Mr. Bell

47. A. Mr. Sykes recently had an automobile accident in which he was not seriously injured. The emergency room Social Worker does not understand why the parents, grandparents, two brothers and three cousins arrived at the hospital seeking to be with Mr. Sykes while he was being evaluated. The Social Worker denies them access and tells them to go home. The Social Worker is [MOST LIKELY] demonstrating a:

A. good understanding of hospital procedure and appropriate care B. lack of understanding of the role of interdependence in some families C. lack of understanding of the dependent issues of family members D. good understanding for improving Emergency Rooms procedures

97. A. Mr. Mable has a case load of probationers who are experiencing a variety of interpersonal, anger and drug abuse concerns. Mr. Mable has been asked by his supervisor to make available group treatment services to probationers interested in such services. The Social Worker should [FIRST]:

A. identify probationers and assign them to a treatment group B. assign all probationers to a self-help group prior to assigning them to a treatment group C. inform probationers that group treatment is mandatory and assign them to treatment group D. identify probations interested in group treatment and make available the treatment group

71. A. Ms. Weeks, a seasoned Social Worker, fully understand that treatment planning directly assists clarify the process required for identifying clinical interventions and which treatment models to use. A clinical contract is [MOST] effective when it articulates clinical:

A. information to be collected during the assessment phase B. goals to be accomplished by the Social Worker C. goals to be accomplished by the Social Worker and the client D. goals to be accomplished by the client

69. A. Survey research is used by Social Workers because this designs allows for collection of data without the requirement of studying the entire universe. This is possible [MOSTLY] because:

A. little knowledge is acquired from studying the entire universe B. survey research is really an experimental design C. sampling methods exist and are used which do not require study of the universe D. survey research is the most rigorous design available to Social Work professionals

20. A. Mr. Skell, with a long history of mental illness, has been assigned to the case load of a Clinical Social Worker. The Clinical Social Worker notices that Mr. Skell engages in behaviors that seem to be out of Mr.Skell's control. For example, Mr. Skell is not able to control movement around his mouth and tongue and walks in a strange manner. Mr. Skell's uncontrollable behaviors can be [BEST] assessed resulting from:

A. malingering B. organic brain damage C. third level diabetes D. tardive dyskinesia

12. A. Three Social Workers who have never provided child welfare services become aware of the need for such services in their community. Having had some brief personal experiences with children services they decide to advertise themselves as child welfare experts. This can [BEST] be described as:

A. misrepresenting professional qualifications B. a creative approach to the long-standing problem of providing services to children C. a start in the process to the privatization of child welfare D. a fair response to address a need for child welfare services

24. A. According to the Adult Life Cycle and most development theories, the ages of 40-45 for men [BEST] represents a period of:

A. new choices B. few changes C. accepting parental visions for self D. preparation for dealing with chronic illness

50. A. John, age twenty-three, has returned home after college and a brief job experience in a neighboring town. He is seeking work in his hometown and expects to live with his parents for two years. The Social Worker [SHOULD] understand these events as developmental dynamics that are:

A. outside the normal experience for college educated people in today's culture B. supportive of the theory that adulthood begins around age thirty(30) in today's culture C. demonstrates a deep/serious dependency in John's, and his parent's personality D. helpful in proving that the family needs serious treatment for Attachment Disorder

62. A. Personality Disorders are a group of mental disturbances defined as: "enduring patterns of inner experience and behavior sufficiently rigid and deep-seated to bring a person into repeated conflicts with his or her social and occupational environment." To meet the diagnosis of Personality Disorder, the client's problematic behaviors must appear in all the following areas [EXCEPT]:

A. perception and interpretation of the self and other people B. intensity and duration of feelings and their appropriateness to situations C. relationships with others and ability to control impulses D. low educational attainment and interpersonal development

18. A. A social Worker takes insurance reimbursements and is concerned with low income clients and their ability to pay. The Social Worker decides to charge the low-income clients a significantly lower fee for services, all other clients are charged the full fee. This can [BEST] be an example of a:

A. positive reflection of the Social Work value system of caring for the less fortunate B. probable case of insurance fraud C. widely accepted practice in agencies with low income clients D. a highly developed Social Worker that is sensitive to client's needs and limitations

70. A social worker is subpoenaed to testify at a court hearing. However, the client asks the social worker not to disclose information from their sessions. The social worker might support adhering to the client's request on the basis of:

A. privileged communication B. self-determination C. liability reduction D. best practices

132. B. A woman who uses American Sign Language (ASL) to communicate comes to a community-based agency to see a social worker who is deaf. The woman is in need of mental health services that are not provide at this agency. In this situation, the social worker should:

A. provide the services in order to meet the client's needs since it is unlikely that she will be able to find a social worker in the mental health agency who knows ASL B. Contact a mental health agency with the woman to see what accommodations are available

45. A. An eighty-two-year-old female has moved onto a residential facility from her home of fifty-two-years. After one week, the facility's multidisciplinary Treatment Team notes that she has not made any effort to participate in programs and is referred for Social Work services. The Social Worker [SHOULD]:

A. refer client for psychiatric evaluation B. assess client's strengths and explore possible adjustment interventions C. provide client an additional week before beginning adjustment interventions D. invite client's family to discuss adjustment issues

95. A. Mr. Simpson has sought help from a Clinical Social Worker because of frequent arguments with his wife. There is a lack of communication and they have had several separations over a short period of time. There is verbal abuse on the part of Mr. Simpson and he reports little sexual contact with Mrs. Simpson. History demonstrates pattern of a conflicted relationship due to an inability of maintaining a trusting relationship. The intervention that is [LEAST] useful is:

A. review interaction patterns between Mr. and Mrs. Simpson that produce the most conflicts B. provide conjoint sessions to explore changes that each partner feels are needed C. refer Mrs. Simpson for assertiveness training to ensure equal communication styles D. increase awareness of patterns of behavior

92. A. In couple's work with Mr. and Mrs. Jame, the Social Worker notices a pattern of distrust of others by Mr. Jame. Mr. Jame expects to be harmed and misinterprets benign events as being threatening to him. He maintains a distance from others out of fear of being hurt and is damaging his relationship with his wife because he has doubt about her fidelity. No reasons or facts exist for the doubt. The appropriate intervention is to [FIRST]:

A. role play to increase understanding of impact of perception on behavior B. arrange for anti-psychotic medication C. assist client in reducing threat in client's enviroment by talking to others D. assist Mr. Jame to become involved in group work

30. A. The [MOST] accurate statement about late-onset of alcoholism it that it:

A. should be treated exactly as Alcoholism that is developed early in life B. is seldom found among the elderly C. can often be effectively addressed by treating the underlying depression D. effects women only

23. A. According to Levinson's work on Middle Adulthood (ages 40-65), life [MOST LIKELY] is:

A. stable throughout the entire period B. unstable throughout the entire period C. characterized by two stable periods divided by a transitional one D. characterized by two unstable periods divided by one stable period

89. A. Community assessment help identify social problems and provide suggestions for meeting the needs of the community. Keeping with program evaluation protocols, the [MOST] important area to focus on when assessing a program's ability to meet the needs of the community is the:

A. staff's treatment skills B. Staff's skills in program development C. program's mission statement D. program's goals and objectives

113. A parent brings a 13-year-old daughter to meet with a social worker because of concerns about recent changes in the daughter's behavior. The parent indicates that the daughter was playful, outgoing, and social until the last year, when she began to isolate herself at times. The parent is concerned about the daughter's choice of friends and feels that her personality seems to have completely changed. The social worker would FIST want to determine whether the daughter is:

A. struggling with new development crises B. being unconsciously influenced by early childhood issues C. becoming addicted to drugs or alcohol D. suffering from clinical depression

9. A. Ms. Morris, at intake, tells the Social Worker she needs help supervising her three young children. Ms.Morris informs the Social Worker that she leaves her children for several hours a day because she needs drugs to reduce the negative effects of withdrawal. Ms. Morris reports her boyfriend is physically abusive toward her and the children. The Social Worker first [SHOULD]:

A. submit a report to the Child Protective Services regarding Ms. Morris and the children B. refer Ms. Morris for substance abuse treatment C. immediately assist Ms. Morris to secure childcare services D. require Ms. Moriis, her children and boyfriend to attend family sessions

21. A. Extremely popular types of anti-depressants are [BEST] know as:

A. system sensory reception investors B. social system review instructors C. selective serotonin reuptake inhibitors D. selective serotonin reuptake indicators

85. A. The [MOST] accurate statement on the relationship between talk therapy and brain functioning in Obsessive-Compulsive Disorder is that:

A. talk therapy is not effective in treatment of the disorder B. talk therapy can result in measurable biological brain function changes C. medication is the only responsible treatment modality for the disorder D. talk therapy is effective only when combined with medication

88. A. Mr. and Mrs. Jackson have sought help with their marriage from the Clinical Social Worker. During couple's therapy, it becomes clear that Mrs. Jackson has some issues concerning her family of origin that do not involve her husband. Indeed, as a young person, she experienced some depression related to the death of her father. As the marital work ends, the Clinical Social Worker involves the couple in a summary of the services experience and identifies the worker's concern for Mrs. Jackson's unresolved issues from her childhood. This can [BEST] be described as an example of:

A. termination phase of treatment B. Social Worker clarification C. service planning D. the diagnostic phase of treatment

168. A social worker is working with a parent who has admitted to yelling at a child when feeling overwhelmed by the demands of parenting. The social worker teaches the parent coping skills, but the behavior toward the child does not improve. The social worker should FIRST consider:

A. that the parent lacks adequate motivation for change B. assessing other stressors affecting the parent C. focusing the change effort on the child's behavior D. using cognitive-behavioral strategies with the parent

95. The relationship with a client reminds a social worker of the social worker's relationship with a sibling. This is an example of:

A. transference B. a therapeutic block C. a dual relationship D. countertransference

42. A. The [MOST] accurate percentage of adolescents who successfully commit suicide and who are intoxicated at the time of the suicide is:

A. under 10% B. under 20% C. over 33% D. over 65%

16. A. An Asian-American youth, age sixteen, storms out of the School Social Worker's office. As the youth leaves the office he states. "I have a gun on me and I am going to kill my Parole Officer and girlfriend Mary. "The School Social Workers should [FIRST]:

A. warn the Probation Officer and Mary B. explore levels of anger expressed by the youth C. immediately call the police and provide them with as much detailed information possible D. assess for hospitalization and/or psychiatry medication

48. A. The Social Worker is working with a Hispanic couple. After a few sessions, it becomes clear to the Social Worker that the husband takes the lead role in the couple's relationship and with other family members. Attempts by the Social Worker to "join" with the wife to promote equal leadership is not successful. The Social Worker should [FIRST] explore the:

A. wife's obvious dependent nature B. husband's domineering nature C. couple's conscious and unconscious interpersonal agreements D. couple's religious belief system

13. A. Mary, a long-time heroin drug user, said that she often thinks that an overdose of heroin to herself would help to solve problems she is having with her husband. She tells her Social Worker that last night when she filled up her syringe she considered administering herself an overdose. The Social Worker's [PRIMARY] responsibility is to:

A. work with Mary and help her become aware of her destructive impulses B. contact the husband for his impression of the marital difficulties C. assure Mary that couples treatment will solve her concerns she has with her husband D. strongly suggest that Mary and her husband become involved in couple's work

65. A social worker meets with adolescent client who wants to run away from home. The client gives several reasons for this desire. What is the BEST technique for the social worker to use?

A.Confrontation B. Rationalization C. Exception exploration D. Partialization

25. B. Which of the following theories is used to explain why clients in battering relationship will not leave until the benefits exceed the risks?

A.Psychoanalytic B. Problem-solving C. Functional D. Social exchange

72. A medical social worker discusses discharge planning with a patient's spouse. The patient's spouse is adamant that no follow-up medical care is needed. The patients has the capacity to make medical decisions. What should the social worker do NEXT?

A.Respect the spouse's wishes B. Inform the patient's physician of the spouse's request C. Explain the patient's rights to the spouse D. Meet with the hospital board of ethics

79. A. Program evaluation methods help assess if a program is meeting its mission. Programs are typically created around a set of need which defined the program's purpose and services which are the centerpiece for the program's existence. An activity which helps to identify a program's purpose is [BEST] known as:

A.program's staffing patterns B. program's interventions C. community needs assessments D. community economic base that support such services

78. A. Ms. Jaffy, wants to understanding factors that have contributed to missed appointments by probationers. She has a few theories, but is not sure if the theories capture the factors. She requested and receive permission to survey all probations who make use of the center's services and begins with a data collection process that required categorization, organization and measurement of the data prior to analysis, and makes use of items with scales. This type of research is [BEST] known as:

A.quantitative B. qualitative C. pure D. applied