Practice Questions
A 15-year-old male teenager is angry with his father. He cannot tell his father how he feels. He plays football and during practice he deliberately tackles a member of the other team fiercely pinning the other player to the ground. While charging the other player he is thinking about his father and the anger he has for him. This is an example of: A. Sublimation B. Displacement C. Reaction Formation D. Projection
A
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
A
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
A
A client is being seen in individual therapy and reports that he wants to be more social and have more opportunity to relate to others in a similar situation. The social worker refers him to a support group but the client is hesitant to go. What should the social worker do to facilitate the referral? A.) Explore further with the client why the client does not want to attend the group B.) call the group leader so that the group leader can help the client to feel more welcome C.) have the client call the group leader and tell the group leader his concerns D.) explain to the client the purpose of the referral to the group
A
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
A
A client who is trying to become pregnant uses marijuana consistently and has questions about the effects on the fetus. The social worker tells the client that marijuana use could possibly harm the fetus. What should the social worker do NEXT? A. Offer substance abuse treatment options 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
A
A client with 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)
A
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 FIRST want to determine whether the daughter is: A. struggling with new developmental crisis B. being unconsciously influenced by early childhood issues C. becoming addicted to drugs or alcohol D. suffering from clinical depression
A
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
A
A social work administrator in a public social services agency is assessing how to provide services in response to an influx of multiple migrant 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 from immigrant groups D. Encouraging immigrants to assimilate into the larger society
A
A social worker has been seeing an Asian American family for supportive group work. The social worker recommends that the 15-year old son participate in group therapy as part of the agency intervention effort. The client's family is opposed to it and refuses. What should the social worker do? A.) Encourage the family to explore the factors that support their decision B.) Assess whether the family can continue to receive services C.) Discontinue services for non-compliance D.) refer the son to individual therapy instead of group
A
A social worker is assisting a client with problem resolution. The problem has been identified, 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
A
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
A
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. ADHD
A
A social worker is subpoenas 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
A
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
A
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 country 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
A
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
A
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
A
According to Freud, an adolescent in puberty is in which stage of psychosocial development? A. Genital B. Phallic C. Latency D. Anal
A
According to a psychodynamic theory framework, projective identification describes the process of: A.) unconsciously attributing and perceiving the behavior of another as a reflection of the self B.) linking characteristics of people in your past with people in your present C.) building ego identity in an individual D.) utilizing learning theory to address learned behaviors
A
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 with 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
A
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 increases to behaviors that promote the goals of the 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
A
Echolalia is best defined as: A. Mimicking another's speech B. Spontaneous movement C. Repetitive movements D. Odd mannerisms or actions
A
From a family therapy perspective in assessing family problems, the therapist would be least likely to: A.) Refer to the DSM B.) complete a structured family analysis C.) complete a developmental history on each member D.) have the family complete a family circle/genogram
A
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
A
To diagnose intellectual disability which one of the following is required? A. deficits in adaptive and intellectual functioning B. an IQ score of more than 70 C. occurs at any time during the lifespan D. less than 2 standard deviations below the mean
A
What immediate action must be taken when a parent is diagnosed with Munchausen syndrome by proxy? A. Child(ren) must be removed from his or her care to ensure protection from harm B. An evaluation must be completed to assess his or her ability to fulfill parenting responsibilities C. Counseling must be provided to the child(ren) to help with building ongoing coping strategies D. Support services must be provided to meet the basic needs of all family members
A
When addressing mental conditions, completing a comprehensive diagnostic assessment is most helpful in the area of: A. assessment interpretation B. treatment regimens C. medication recommendations D. treatment planning
A
When addressing termination of the client in a planned, short-term context, it should first be discussed with the client: A. in the beginning of treatment B. in the middle of treatment C. at the end of treatment D. generally, not discussed until termination
A
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
A
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
A
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 developed 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.
A
Which of the following is an example of role discomplementarity? A. A husband complains that his 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
A
Which of the following is the MOST important benefit of community participation in social worker practice? A. It puts 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
A
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 participant
A
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 vs. Stagnation B. Ego integrity vs. Despair C. Intimacy vs. Isolation D. Identity vs. Role Confusion
A
Which of the following target populations would BEST have their needs fulfilled by participation in a psychoeducational 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
A
A social worker is seeing an adolescent referred by his parents who are concerned about his angry outbursts related to an intense hatred for homosexuals. After several sessions with the social worker, the adolescent acknowledges having homesexual fantasies but continues to articulate his hatred for gays. Which defense mechanism is most likely being displayed? A. Reaction formation B. Denial C. Sublimation D. Displacement
A (This is most likely repression that has developed into reaction formation, exhibited by the angry outbursts used to avoid the feelings that are still attached to strong hatred.)
A woman does not like her neighbor referred to as M and is constantly yelling, arguing, fighting and finding fault with M. She believes all of the other neighbors living near her feel the same way about M. She tells the neighbor M that the other neighbors do not like her as well. When discussing her intense feelings for M, the other neighbors are often strangely silent and do not voice the same concerns. What is the client most likely experiencing? A. Projection B. Projective Identification C. Displacement D. Reaction Formation
A (client dealing with her own anger with M and assumes that everyone familiar with M feels the same way as her)
A mother brings in her three-year-old son for an evaluation because she is concerned he is stuttering. After completion of the assessment the worker correctly tells the mother: A. this can be a normal problem that can occur at this age B. that her child has probably developed this in regard to increased emotional stress C. this condition is generally more common in girls than in boys D. an immediate referral for a physical exam is required
A (many young children stutter. It is not considered a potential concern till after the age of 5 years old.)
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
B
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
C
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.
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 their 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
B
A client discusses with the social worker a fight she had with her husband. The client explains how angry she was with her husband but the husband abruptly left the house and ended the fight. The client reported she was still furious with him. Since she had to hurry and get her daughter ready for school she wildly brushed the child's hair until the child complained it hurts. The mother is expressing her anger with the father while combing the child;s hair roughly. This is an example of: A. sublimation B. displacement C. reaction formation D. projection
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 wellbeing 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
B
A client is having difficulty finding a career that is fulfilling to her. She 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 Intelligence Scale
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
B
Z has a child who was recently diagnosed with a terminal illness. Z tells the social worker that her child is not ill and will not be returning to the clinic for follow-up. Which of the following defense mechanisms is BEST represented by Z's response? A. Rationalization B. Denial C. Intellectualization D. Projective Identification
B
A hospice social 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
B
A hospital social worker interviews a couple whose 5-month-old infant has recently been diagnosed with muscular dystrophy. In the interview, the parents appear reluctant to touch the child. Based on this observation, the social worker should: A. provide the couple with written information on the disease B. explore the parents reactions and feelings in regard to the illness C. refer the couple to a support group D. consider temporary placement for the child
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 reinforcement
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
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
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. Prosopagnoisa D. Acalculia
B
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 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
B
Which of the following drugs is a stimulant? A. Heroin B. PCP C. caffeine D. sedatives
C
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 psychoeducation 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
B
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
B
A social worker is facilitating a psychotherapy group for individuals who are in recovery from substance 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 the group context D. Determine if there is an employee assistance program in the client's work setting to assist
B
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 graduation rate D. The social mobility within neighborhoods
B
A social worker is working with a client that is female and a single-parent mother with three small children. When referring this client in the community for services, the most important information for the social worker to discuss with the client is: A. the agency's reputation in the human service community B. Appropriateness of the agency service to meet the client's needs C. Fees the agency will charge the client for services D. Ease with which the client can reach the agency from home or work
B
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 a 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 educational reports
B
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 the social worker do as chair of the meeting? A. Limit the number of cases presented B. Redirect staff members who digress C. Schedule individual meetings with problem staff members D. Set time limits for the meeting
B
During what stage does 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
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
B
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?
B
Projective tests are based on which of the following theoretical approaches? A. Behavior management B. Psychoanalytic C. Cognitive Behavioral D. Self Psychology
B
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
B
What personality disorder is characterized by a restricted range of emotional experience and expression? A. Antisocial B. Schizoid C. Histrionic D. Dependent
B
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
B
When clients are at high risk for relapse after discharge, all of the following should occur after termination EXCEPT: A. Regular assessments 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
B
When referring a client in the community for service, the most important information for the social worker to discuss with the client is: A. the agency's reputation in the human service community B. Appropriateness of the agency service to meet the client's needs C. Fees the agency will charge the client for services D. Ease with which the client can reach the agency from home or work
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
B
Which of the following is NOT a physical symptom of trauma? A. Insomnia B. Feeling disconnected C. Muscle tension D. Aches and pains
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
B
Which of the following is NOT included in the DSM-5? A. World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) B. Global Assessment of Functioning (GAF) C. Cultural Formulation Interview Guide (CFI) D. ICD-10 Codes
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
B
Which substance is most likely to result in the user having blood shot eyes? A. Heroin B. Marijuana C. Cocaine D. Alcohol
B
J, a 40 year old male, reports feeling depressed. Which is least likely to be a behavioral manifestation associated with his depression? A. decreased productivity and fatigue at work B. fear or belief in having a serious illness C. difficulty falling or staying asleep D. appetite changes resulting in weight loss
B This choice is not a behavioral manifestation. (fear/belief is cognitive, not behavioral) (*note the words: "least likely")
A social worker in private practice has a first session with a teenager who was referred for recent poor school performance. He is withdrawing from friends and family and has been found hiding under his bed. The parents have found marijuana in his room. He told the social worker in the first session that he has been hearing voices. What should the social worker do first? A. Recommend substance abuse treatment B. Refer the teenager for a substance evaluation C. Refer the teenager to a psychiatrist for a mental health assessment D. Assess the teenager for depression
B Behaviors appear to be drug-related. Since marijuana is a gateway drug, a substance evaluation needs to be completed.
S, a 30 year old divorced male tells his social worker that he is going to commit suicide and clearly outlines a concrete plan to complete this. What should the social worker do first? A. complete a no harm/no risk agreement B. seek hospitalization C. complete an assessment D. maintain confidentiality
B (if ideation and intent can be clearly assessed, seek admission)
A 40 year old male reports feeling anxious and in order to leave his home each morning he checks to see if his door is locked at least 10 times. in order to avoid this overwhelming anxious feeling he often uses routines that he must follow exactly prior to leaving his home. during assessment, the social worker concluded that these symptoms are most indicative of the following condition: A. depression B. obsessive compulsions C. generalized anxiety D. phobias
B in OCD, "routine behaviors" are done to control anxiety. clients often don't know why they do them but know they do it to get around the anxiety.
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
B.
The social worker suspects that a client on her unit is having sexual intercourse with another client on her unit who is HIV positive. It is against agency policy to disclose information to clients on the unit about other clients on the unit. What should the social worker do? A. tell the client that the individual he is having sexual intercourse with is HIV positive B. Be sure the client is aware of HIV and the risk of having relations with someone who is HIV positive C. tell the agency administrator about the situation D. violate agency policy to protect your client
B. Most important way to help the client is to make sure the client knows what HIV is and what high risk behaviors can contribute to development. Always empower a client and encourage self-determination prior to direct intervention.
When a client is suspected to have Tourette's disorder, the social worker's first referral should be to: A. A psychotherapist B. A neurologist C. A pathologist D. A long-term treatment program
B. A neurologist
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)
C
A couple with two children is recently divorced. The mother is given custody of the children and the father does not visit or pay child support. When the mother tries to discipline the child, he constantly complains that his father was a better parent and would always know how to help him when needed. He complains that the mother can never understand what he is experiencing and wishes his father was still here. This is an example of: A. Rationalization B. Denial C. Idealization D. Intellectualization
C
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 non compliant 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
C
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
C
A social worker in a community agency serving clients with HIV/AIDS is responsible for coordinating a variety of services to meet the clients' 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 from the community agency
C
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
C
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
C
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 FIRST? A. Refer the child for an evaluation for AD/HD 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
C
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
C
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
C
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
C
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
C
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
C
According to social learning theory, aggressive play in children is generally related to: A.) frustration B.) genetics C.) observational learning D.) natural growth process
C
According to the Tarasoff decision, in order for a social worker to have a duty to warn, all of the following must be present EXCEPT: A. The threat of danger B. An identifiable third party C. A client history of violence against others D. Personal harm must be imminent
C
At what age does normal separation anxiety typically begin? A. 24 months B. 18 months C. 12 months D. 3 months
C
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
C
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
C
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 eh 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
C
In a routine review of case records at a mental health center, a social work supervisor discovers that case managers routinely refer all Native Americal 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 AA or Al-Anon C. Provide staff training about culturally competent social work practice D. Allow no referrals to be made without approval from the supervisor
C
In evaluating the appropriateness of social work services from a non-minority social worker to a minority client, the social worker should consider all the following variables except: A. The client's level of comfort with the worker allowing client self-disclosure to occur B. The social worker's ability to show accurate empathy and genuineness for the client's situation C. The client's access to his/her own helping networks D. That race or ethnicity may be a barrier to effective practice with the client
C
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 the 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
C
A child has a severe learning disability and is unable to speak. The child is being placed in a foster home. He was living with his parents who have now been placed in jail pending criminal charges. In order to facilitate temporary placement for this child the first step in the process is: A. Determine past behaiors completed in his previous home environment B. Determine what tasks he was able to perform for himself in his previous foster home C. Assess the current situation by examining how the child responds to verbal and non verbal cues D. Place the child with a neighbor familiar with his condition
C (Assess and try to empower the child so he/she is aware of the situation)
A family is seen in treatment, consisting of a father (45yo, long distance truck driver), a mother (43yo, housewife), a son (22yo, living at home recovering from alcohol and drug problem), and a daughter (15yo, recently failing in school). The mother has made the appointment because the daughter is refusing to try to pass her subjects in school, and the usual methods of discipline and motivation are not working. From a family systems perspective, the son's drug and alcohol addiction problem is related to: A.) the mother's over-concern for the children B.) is providing a crucial model for the daughter C.) another way in which the family system maintains homeostasis D.) is the actual problem that needs to be addressed
C (In family therapy, homeostasis is essential to understanding family functioning)
A social worker is co-leading a group for individuals that are substance addicted. Prior to the start of group she is approached by one of the members. A male participating in the group who is gay complains openly that no one else in the group is gay. He is upset about this and feels he cannot relate. What should the social worker do? A.) tell him to keep his sexual preferences private B.) Assess his anger related to the subject matter outside of the group setting C.) encourage him to voice his concerns to the group D.) tell him that the purpose of the group is treatment and he will have to adjust
C - generally, all the power from a group setting comes within the group
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
D
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 directory who is in a position to take action D. Listen to the client's account of the situation
D
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
D
A client is very worried about her financial 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 her 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
D
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
D
A family is seen in treatment consisting of a father (45yo, long distance truck driver), a mother (43yo, housewife), a son (22yo, living at home recovering from an alcohol and drug problem), and a daughter (15yo, failing in school recently). The mother has made the appointment because the daughter is refusing to try to pass her subjects in school, and the usual methods of discipline and motivation are not working. At the first session in family therapy, the worker asks the family to complete a family sculpting exercise, the primary reason for this is: A.) reduce isolation of the family members B.) hep the father see he is absent in decision-making C.) break up poor relations between mother and daughter D.) increase family awareness of communication styles and patterns
D
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 concerns, 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
D
A family with a teenage girl brings their daughter in for counseling due to suspected substance abuse. The daughter is defiant and says it is her parent who need help and she refuses any intervention. What should the social worker do first? A. Refer the daughter for substance abuse counseling B. Explain to the parents that her attitude is typical for her age C. Assist the daughter to express her anger with her parents D. Explore and clarify what the problem is that will need to be addressed.
D
A hospital social worker investigates why a patient with home health services was admitted with a 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 activitist D. Ombudsperson
D
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 Myers-Briggs Type Indicator C. The Thematic Apperception Test D. The Wechsler Intelligence Scale
D
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. Sent the records D. Meet with a supervisor
D
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 behaviors 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
D
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 resistence C. Explore the client's values D. Validate the client's concerns
D
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.
D
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 note? 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
D
A social worker at a correctional facility is providing a treatment group for substance 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 participants' reluctance to talk in the group? A. Inmates tend to exhibit much denial about substance abuse problems B. Racial tensions in prison populations inhibit communication in treatment situations C. Inmates often have adversarial views of non-inmates, which can hinder disclosure. D. Self-disclosure in group treatment contradicts behavioral expectations of prison culture.
D
A social worker is interested in seeing the extent o 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
D
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 1
D
A social worker meets with an adolescent client who wants to run away from home. The client gives several reasons for this desire. What is the BEST technique for the social worker to use? A. Confrontation B. Rationalization C. Exception exploration D. Partialization
D
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
D
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. fee splitting, ethical B. collateral contact, unethical C. collateral contact, ethical D. fee splitting, unethical
D
An adolescent who has been living with her 23-year-old boyfriend for six months calls a crisis hotline at 2:00am 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
D
J, a 10 year old child has just been told that his grandmother has died. J is most likely to believe that: A. his grandmother has just gone away and will be back shortly B. that a physician can still help his grandmother C. his grandmother can still come back some day D. grandmother's death is irreversible and she cannot come back
D
When seeing a client in therapy, from a biopsychosocial perspective, a worker would most likely: A. focus on the individual client and what is reported B. avoid taking a history as it can bias new information C. focus only on the presenting problem D. take a complete history, including information about health concerns, family, employer, etc.
D
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
D
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
D
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
D
What is the MOST likely reason that a client in an outpatient alcohol treatment program would be prescribed the drug naltrexone in conjunction with counseling? A. To treat clinical depression B. To ease alcohol withdrawal symptoms C. To induce necessary sleep D. To decrease cravings for alcohol
D
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
D
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 interests or behaviors
D
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 vs group treatment modalities C. Incorporation of alternative treatment approaches D. Need for informed consent procedures
D
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 in childhood development where a small child needs reassurance from a caregiver
D
A client is diagnosed with the eating disorder anorexia nervosa. To completely assess the client for comorbidity the social worker should also assess for the presence of: A. bulimia nervosa B. ADHD C. bipolar 1 disorder D. body dysmorphic disorder
D (body dysmorphic disorder is often present with anorexia nervosa as the individual is often extremely thin but view themselves with a perceived body flaw)
A social worker is working with a low-income family that has two young children. The children often miss school because of respiratory illness and other health-related problems. When asked about this, it appears that the mother and father also have had repeated health concerns. The family does not have health insurance but have been getting some services from a local health clinic. Upon investigation it becomes evident that the family lives in an apartment complex where the previous tenant was accused of making methamphetamine in the kitchen. The social worker should first: A. Find out what other tenants think about the building B. Arrange for the entire family to have a medical check up. C. Encourage the family to relocate. D. Contact the state health department to check the apartment
D ( to see if apt is suitable for residency. Once this is achieved, other areas can be explored) (key words: children missing school, repeated health concerns)
An 18 year old female generally of normal weight reports that she has recently lost 12 pounds. Family members report that on occasion, she eats large quantities of food and abruptly disappears after meal time is complete. As of late, this behavior has become more common and is concerning to her family and friends. The most likely diagnosis for this client is: A. atypical eating disorder B. uncontrolled dieting C. anorexia D. bulimia
D.
In the beginning of treatment for divorce adjustment, which of the following worker statements would be least effective in regard to initial problem assessment and identification? A. "Why have you come in to see me?" B. "Tell me how you responded when you decided to divorce." C. "After she told you, what did you do?" D. "How many times have you been divorced?"
D. (bc it deals with client history, not assessment)
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?
blood work
