Social Work Comp Exam Test 2

A school-age child is removed from his parents' home because of chronic physical abuse. He is placed in foster care. The child's first reaction to this is MOST likely to be which of the following? Select one: A. Distrust and fear of more abuse. B. Quick attachment to the foster parents. C. Relief and a sense of safety. D. Aggression.

A

A 20-year-old client has been meeting with a social worker for a few months now for anxiety and depressive symptoms. He comes into the next session and begins to discuss feeling hopeless that hell never find a husband. Hes never acknowledged feeling suicidal until this session. How BEST should the social worker respond? Select one: A. Complete a risk assessment and do whatever is necessary to protect the client B. Admit the client into a psychiatric hospital against his will C. Immediately call his parents to inform them of his most recent behavior D. Provide empathy and normalize his feelings in the difficulty in dating

A

A client has been required to receive therapy as a condition of her probation and tells the social worker that she is coming to therapy only to avoid jail time and doesn't think she needs help. Regarding informed consent in this situation, which of the following is true? Select one: A. The social worker must get the clients informed consent. B. The social worker does not have to get informed consent because the court ordered the treatment. C. The social worker does not have to get informed consent because people convicted of crimes do not have the right to refuse treatment. D. The social worker does not have to get informed consent because there is no way that the clients consent can be voluntary in this situation.

A

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

A

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

A

A female social worker discovers that her new client, a 35-year-old male, has a lot of difficulty trusting women. Which action should the social worker take first in this situation? Select one: A. Ask the client if he thinks her gender might affect their work together. B. Discuss the problems the client has had with women. C. Explore the clients experiences with other female health care providers. D. Refer the client to a male colleague.

A

A gay client reaches out to shake hands with his social worker at the end of a session. As a general policy, the social worker doesn't shake hands with or otherwise touch her clients, so she is caught off guard by the client's action and hesitates before shaking his hand. The next time they meet, the client accuses the social worker of being homophobic because she was reluctant to shake his hand. What is the social worker's BEST course of action? Select one: A. Apologize and explain her policy to the client. B. Invite the client to tell her why he thinks she is homophobic. C. Apologize and reassure the client that she is not homophobic. D. Suggest to the client that he has taken her behavior too personally and offer to explore this issue with him.

A

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

A

A man with narcissistic personality disorder attends a cocktail party with his wife. The man is MOST likely to be concerned about which of the following? Select one: A. How his wife reflects on him. B. Whether his wife interacts with other men. C. Keeping his wife by his side at all times. D. Finding opportunities to flirt with other women.

A

A mother is concerned about her 9-year-old daughter because the girl seems shy. She does well at school but rarely has friends over to play. Mom has encouraged her to get involved in afterschool activities but the girl has been reluctant to choose one. In conceptualizing this case, the social worker draws on his knowledge of child development including Erikson's theory of psychosocial development. Erikson's theory suggests that, in order to avoid feelings of inferiority, this school-age child needs to: Select one: A. master important social and academic skills. B. acquire the ability to set goals and carry out plans. C. establish close relationships with other people. D. develop a sense of purpose.

A

A school social worker has been meeting with a 12-year-old girl. She reports that anytime she looks in the mirror she sees an extremely large whale. The social worker observes that the girls body is of average size. The girl reports feeling isolated as she misses spending time with her friends, but refuses to engage in social events because she hates the way she looks. She becomes anxious about even having to attend school and wishes she could stop obsessing about the way she looks. Based upon the information provided, what would be the MOST likely provisional DSM diagnosis? Select one: A. Body Dysmorphic Disorder B. Obsessive Compulsive Disorder C. Anorexia Nervosa D. Bulimia Nervosa

A

A social worker begins assessment of a new client, and after one session with her, realizes that she needs long-term psychotherapy. The client has insurance that covers only 10 sessions and she can't afford to pay even social worker's lowest fee. What is the social worker's BEST course of action? Select one: A. Refer the client to a low-fee community-based clinic. B. See the client and intervene with the insurance company on her behalf. C. See the client, intervene with the insurance company on her behalf, and refer her only if the company refuses to continue paying. D. See the client for 10 sessions and then refer her to a low-fee clinic.

A

A social worker begins working with a family in which the 16-year-old daughter suffered serious injuries in a school-bus accident several months ago. The doctors have said that the girl may never regain the use of her left arm, and she's now depressed and very upset about her injury. Her parents have tried to comfort her, saying things like, "You still have one good arm" and "Let's thank God you weren't killed." They ask the social worker to help them raise their daughter's spirits. They add that they don't understand why she can't see that things could have been so much worse. The parents are displaying: Select one: A. denial. B. confusion. C. poor parenting skills. D. conditional love.

A

A social worker has noted in a client's record that the client has been diagnosed with paranoid personality disorder. Which of the following would this client be MOST likely to display, based on his diagnosis? Select one: A. Jealousy. B. A pervasive fear of being perceived as inadequate. C. Magical thinking. D. A desire to exploit others.

A

A social worker is having marital problems. If the social worker were to discuss these problems with his supervisor in an individual supervision meeting, which of the following responses by the supervisor would be LEAST appropriate? Select one: A. Helping the social worker understand his marital problems. B. Providing the social worker with relevant education. C. Providing the social worker with support. D. Letting the social worker take some time off of work.

A

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

A

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

A

A social worker is providing case management services to a client who was diagnosed with HIV disease six months ago and is having difficulty accessing and using the services he needs. The client feels overwhelmed and isolated because he worries about disclosing his serostatus to others. In her initial contact with this client, the social worker should focus on: Select one: A. establishing a safe and accepting relationship and determining whether the client is in crisis. B. reassuring the client that she will protect his rights and assessing his needs. C. establishing a comfortable rapport with the client and exploring what obstacles he encounters in acquiring and using services. D. performing a crisis assessment and finding out whether the client is receiving adequate medical care and taking antiretroviral medications.

A

A social worker is working in individual therapy with a 10-year-old boy. The guidance counselor at the boy's school calls the social worker, requesting advice on how to deal with a recent incident at school in which the boy was involved. What is the social worker's BEST course of action? Select one: A. Explain that she cannot discuss any client until she has written permission from the client or the client's parents. B. Ask the counselor to describe the school incident and then offer general suggestions for dealing with the problem. C. Provide minimal information about the client, limited to areas that are specifically relevant to the school incident. D. Offer to visit the school to talk over the incident with the client and school personnel.

A

A social worker is working in individual therapy with an American Indian teenager who was adopted by a white family when he was 5 years old. The social worker opens a discussion about the client's American Indian heritage but the client demonstrates no interest and changes the subject. What is the MOST likely reason for this? Select one: A. The clients developmental stage. B. A troubled relationship with his biological parents. C. A troubled relationship with his adoptive parents. D. Acculturation problems.

A

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

A

A social worker works on an Army base where most of his clients are military personnel. Regarding client confidentiality in this setting, which of the following is true? Select one: A. Clients should be informed of the limitations to their right of confidentiality at the outset of the delivery of services. B. Confidential client information should not be revealed to military personnel without a clients consent except in the most unusual circumstances. C. The only circumstance in which confidentiality can be breached without a client's consent is when federal law requires it. D. All legal and ethical requirements related to confidentiality are suspended, as required by military rules and policies.

A

A social worker's new clients are a father, mother, and teenage son. The parents ask for help with managing their son; they say that he is defiant and a "trouble-maker" at school. At home, he rebels against their authority, particularly his mother's. The father says that he was a "rebel" when he was a teenager; he recalls getting into a lot of trouble at school. He says, "My kid is like a carbon copy of me; I tell him that all the time." The boy smiles when his father says this. An object-relations therapist might say that the boy's symptoms are an expression of which of the following? Select one: A. Projective identification. B. Parental superego lacunae. C. Splitting. D. Acting out.

A

A supervisor asks a social worker to present one of her cases to the staff. This is an example of: Select one: A. educational supervision. B. in-service training. C. administrative supervision. D. case management.

A

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

A

Authoritarian parents tend to produce children who: Select one: A. are dependent, passive, and submissive. B. exhibit low levels of self-reliance. C. have low levels of self-control. D. are independent and self assertive.

A

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

A

During the final therapy session with a client who is a stockbroker, the social worker asks the client for advice on how to become a stockbroker. What does this illustrate? Select one: A. A dual relationship. B. Self-determination. C. Empathy. D. Empowerment.

A

For several weeks, a social worker has been sexually harassed by a male colleague at her agency. The colleague has been commenting on her body and making sexually explicit jokes in her presence. The social worker hasn't responded to this harassment so far, but she's fed up now and has decided to take action. NASW's Code of Ethics would recommend that the FIRST action the social worker take is to: Select one: A. talk to her colleague and tell him to stop. B. report the colleague to the state licensing board. C. discuss the problem with her supervisor. D. report the colleague to a professional ethics committee.

A

Generally speaking, the psychological adjustment of children with chronic illness is MOST dependent on which of the following? Select one: A. The childs level of functional impairment. B. Peer acceptance. C. Family attitudes toward the illness. D. The childs personality type.

A

In their first session, a middle-aged couple reports that their primary reason for seeking help is that they're concerned about their 20-year-old daughter: They believe that she uses drugs; she has lost weight, looks tired, and has been uncharacteristically irritable and jumpy. The daughter has admitted to them that her boyfriend uses drugs, including cocaine, but has repeatedly insisted that she is drug-free. She attends a local community college and no longer lives at home. Her parents tried to convince her to come to therapy with them but she refused. The parents tell the social worker that they have no idea how to help their daughter. What should the social worker do FIRST? Select one: A. Assist the clients to define the problem and their goals for treatment. B. Recommend a 12-step program for the daughter in order to start addressing the most pressing problem. C. Teach the clients coping skills for dealing with an addicted family member. D. Explore how the daughters addiction is affecting each parent and their relationship with each other.

A

The client is a 35-year-old Asian-American woman referred by her pastor. The client immigrated to the U.S. five years ago with her husband and son. The social worker learns that the client still adheres to the traditional values of her native culture. Given this information, the social worker would expect that this client is likely to consider which of the following to be the MOST acceptable topic for discussion with him? Select one: A. Physical symptoms. B. Elders and ancestors. C. Intergenerational family conflicts. D. Marital problems.

A

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

A

The client is a 66-year-old woman who retired several months ago and has been feeling anxious and upset. She reports feeling "at loose ends" and as though she has little to contribute to her family or community now that she's not working anymore. She feels like her sense of self depended on her job as a school principal and can't figure out how to feel whole again. Based on this information, the social worker would MOST suspect that the client is experiencing which type of social role functioning problem? Select one: A. Loss. B. Dependency. C. Ambivalence. D. Responsibility.

A

The client is a divorced mother who recently received an eviction notice from her landlord. She would like to contact a lawyer about this but can't afford to pay for legal services. The client has been arguing with her ex-husband lately because he's been late with the child support payments and she needs the money to fix her car which broke down a week ago. The client also reports concerns about her son who has been acting out ever since entering middle school and seems "kind of upset all the time." She doesn't know how to help him or why he's upset. After partializing the client's problems, what would the social worker and this client deal with FIRST? Select one: A. The problems that need immediate attention. B. The problems that the client is most interested in solving. C. The problems for which resources are readily available. D. The problems that are easiest to resolve.

A

The greatest danger associated with stereotyping is which of the following? Select one: A. Devaluation of the individual. B. Perpetuating misunderstanding. C. Feeling that one is superior to others. D. Intergroup hostility.

A

The mother of a teenage girl discovers that her daughter has stolen clothing and costume jewelry from the boutique where she works part time after school. Her father works in a tool factory; he often takes tools from the factory without permission and uses them in his home workshop. This situation is an example of which of the following? Select one: A. Parental superego lacunae. B. Parentification. C. Sublimation. D. Rationalization.

A

The parents of 12-month-old boy report that he has no vocabulary of his own. They add that he can understand some of what other people say. What should the social worker advise the parents to do about this? Select one: A. Not worry because it reflects normal development. B. Consult with a speech pathologist. C. Speak to the childs pediatrician. D. Have the child screened for autism spectrum disorder.

A

The parents of a 9-year-old boy bring him in for therapy. They tell the social worker that they have been unable to control the boy's aggressive and destructive behavior at home and at school. They say that he has been physically fighting with his 11-year-old sister and some of his classmates and that he always starts these fights himself. He has also been throwing his toys and school supplies when he gets angry. In light of the parents' report, what should the social worker do FIRST? Select one: A. Explore, and intervene to address, the boy's aggressive behavior. B. Explain developmentally expectable behaviors to normalize the boy's symptoms and reduce the parents' distress. C. Interpret the boy's behavior as a reflection of underlying dysfunction in the family system and assess the marital dyad. D. Discuss with the parents their own childhood behavior to give them a new frame of reference and then contact the boy's school for more information.

A

What are the core ethical principles that social work researchers must take into account when conducting research on human subjects? Select one: A. Obtain informed consent, minimize harm, protect confidentiality, avoid deception and give participants withdrawal rights. B. Do good, do no harm, obtain informed consent, avoid deception and inform them of their right to withdrawal. C. Obtain informed consent, protect confidentiality, minimize harm, and give participants the right to withdraw from the study. D. Do no harm, obtain informed consent, protect confidentiality and give participants the right to withdraw from the study.

A

Which of the following functions or roles is associated with both supervision and case consultation? Select one: A. Providing education. B. Recognizing when social workers have work-related problems. C. Opportunities for direct contact with the agency's clients. D. Decision-making authority.

A

Which of the following is NOT categorized as an anxiety disorder in the DSM-5? Select one: A. Obsessive-compulsive disorder. B. Separation anxiety disorder. C. Panic disorder. D. Agoraphobia.

A

Which of the following is the BEST description of live supervision? Select one: A. A supervisor observes an interview in real time and gives the social worker immediate feedback. B. A supervisor and social worker watch a video recording of an interview and discuss the worker's performance. C. A supervisor models helping skills by serving as a co-therapist during an interview. D. A supervisor observes an interview from behind a one-way mirror.

A

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

A

What is the primary purpose of quality assurance? Select one: A. To identify incompetent health care providers. B. To educate the public about patients rights. C. To determine whether patient services meet predefined standards. D. To settle malpractice suits out of court.

C

Which of the following differences between a therapist and client is generally considered to be the MOST difficult to overcome in forming a therapeutic alliance? Select one: A. Gender. B. Race. C. Socioeconomic status. D. Religious beliefs.

C

A 12-year-old boy is displaying oppositional and defiant behavior at school. Which of the following instruments would be MOST useful for evaluating this boy's behavior? Select one: A. Bender-Gestalt-II. B. Conners 3. C. Stanford-Binet-5. D. Vineland-II.

B

A 50-year-old client reports having a sexual problem that developed recently. The social worker asks for more information about the problem but the client is embarrassed and doesn't share any details. It turns out that the client is going through menopause and, therefore, experiencing reduced levels of estrogen and progesterone. This fact suggests that the client's sexual problem is MOST likely to be which of the following? Select one: A. Diminished sex drive. B. Discomfort during intercourse. C. Difficulty in achieving orgasm. D. Diminished sexual interest.

B

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

B

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

B

A client reports experiencing a great deal of stress at his job that is affecting him at home. He has had to work long hours since his company laid off some workers, and he and his wife are expecting their second child. Their first child is a toddler. The client wants to learn relaxation techniques so that he can prevent a build up of stress during the day and be more available to help his wife with things at home. His wife has insisted that he get help. Which of the following factors, if true about this client, is MOST likely to a negative effect on his response to the stress in his life? Select one: A. His self-efficacy beliefs are high. B. He has an external locus of control. C. He thinks he has good social support. D. He sometimes engages emotion-focused coping and problem-focused coping at the same time.

B

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

B

A client seeks therapy because she is feeling inadequate and unable to change her life for the better. The social worker helps her change from having an external locus of control over the circumstances in her life to having an internal locus of control. This is an example of: Select one: A. confrontation. B. empowerment. C. clarification. D. reframing.

B

A client who has been taking antipsychotic medication for years begins experiencing tightness in his jaw and involuntary arm and tongue movements. If the client has developed tardive dyskinesia (TD), what medication could be used to alleviate its symptoms? Select one: A. Haldol. B. Clonazepam. C. Prozac. D. Clozaril.

B

A client with alcohol use disorder has been very motivated to quit drinking and has not had any alcohol for three weeks. One night the client drinks several beers. What is the most likely reason for this? Select one: A. The client was not truly motivated to quit drinking. B. A stressful event upset the client. C. The client stopped attending AA meetings. D. The client was pressured by peers to drink.

B

A couple who has been married for 10 years seeks therapy from a social worker because the husband is considering a divorce. The clients report that they've grown apart, and the husband says he's feeling more and more unhappy. He thinks he still loves his wife, though, because he's so uncertain about whether to divorce her. He says that, while it's often hard to live with her, it's also hard to imagine living without her. The couple is upset by the impasse, and the husband is anxious to make a final decision. They ask the social worker to see them for three sessions so that she can help the husband decide whether to stay in the marriage or leave it. The social worker believes that this time-frame is unrealistic. What is the social worker's BEST course of action? Select one: A. Directly explain that their time-frame is unrealistic and recommend additional sessions. B. Share her concerns about the time-frame and explore alternatives with the couple. C. Follow the clients wishes at this time but attempt to recontract for additional work after three sessions. D. Agree to see the clients for only three sessions because voluntary clients must be allowed to leave therapy when they want to.

B

A first-year social work intern is working at a juvenile correction facility. Her supervisor has assigned her the task of conducting an initial assessment of the newest inmate. The inmate is a tall, heavy set African American male. He enters the interview room and upon seeing the social worker immediately glares and directs words of profanity and frustration at her. The social worker says nothing, but immediately tenses up and her eyes widen. Which of the following emotions is the social worker communicating BEST in this situation? Select one: A. Calmness B. Fear C. Frustration D. Uncertainty

B

A health social worker at a hospital conducts an evaluation to assess the psychological and social concerns of a patient who needs heart surgery. In doing so, the social worker asks the patient questions about his financial resources. What is the primary reason why the social worker would evaluate the patient's financial well-being? Select one: A. The patient might be eligible for entitlement programs. B. Socioeconomic factors impact access to services and resources and this may need to be addressed in the intervention. C. Having limited financial resources is a psychosocial stressor that would impact the patients health. D. The social worker needs information about the patients health insurance.

B

A national survey finds that, while most people are in favor of integration in the workplace, the majority also oppose affirmative action. This finding is BEST explained by which of the following? Select one: A. Group polarization. B. Symbolic racism theory. C. The contact hypothesis. D. Sociocultural risk.

B

A social worker decides to terminate treatment with a 70-year-old man because the man has seemed unwilling to become actively involved in therapy. Instead, the man has spent his sessions with her talking about the past. This information suggests which of the following? Select one: A. The man was resistant to treatment. B. The social worker didnt recognize the value of what the man was doing in his sessions. C. The social worker failed to establish a therapeutic alliance with the man. D. The man was not motivated for change.

B

A social worker has been working in individual therapy with a client for two months when he comes to realize that he is sexually attracted to her. He finds himself thinking about her outside of therapy and wondering what it would be like to go on a date with her. The social worker tells his supervisor about these feelings. What should the supervisor do FIRST? Select one: A. Explore whether the social worker has had this problem before. B. Explore this situation with the social worker. C. Educate the social worker about countertransference. D. Have the social worker refer the client to another therapist.

B

A social worker has been working with a client who was diagnosed with schizophrenia five years ago and has been taking a conventional (first-generation) antipsychotic drug on a regular basis for almost five years. The client has fairly frequent appointments with a psychiatrist who prescribed the medication and monitors his reaction to it. Although the client has been hospitalized as a result of his illness in the past, he now lives in a half-way house in the community. He recently started individual therapy with the social worker, and she is helping him cope with and manage intense feelings of anxiety that emerged a few months ago. During a session, the social worker notices that the client is displaying frequent facial tics, which he says he can't control. What is the social worker's BEST course of action? Select one: A. Reassure the client because the tics are probably a side-effect of his medication. B. Suspect that the tics are a side-effect of the client's medication and arrange for him to see his psychiatrist. C. Tell the client that the tics are symptomatic of anxiety because he has been taking his medication for years without experiencing this side-effect. D. Ask the client if he stopped taking his medication, and if so, arrange for him to see his psychiatrist.

B

A social worker is beginning family therapy with an American Indian family, including the husband, the wife, the children, and the husband's father, who lives with them. The social worker notices that the wife keeps referring to her father-in-law as "he," rather than using his name. The social worker starts to wonder why. In light of this, the social worker's BEST course of action is to: Select one: A. ask the father-in-law his name. B. ask the family about their habits regarding names and relationships. C. accept the wifes language as a cultural norm. D. invite the adult family members to start using first names in therapy sessions.

B

A social worker is meeting with a 16-year-old client with the consent of his parents. The client discloses that he wishes to transition and is considering sex reassignment surgery. To be an ethical social worker, what is the BEST response? Select one: A. Tell your client you are mandated to discuss with his parents as they consented for treatment B. Encourage your client to invite his parents into session to discuss further C. Begin helping you client research doctors to conduct the surgery D. Discuss your concerns that this option is risky and your client should reconsider

B

A social worker is meeting with a client who is a lesbian. The client says that she is thinking about having a baby. What should the social worker do FIRST? Select one: A. Explore if the client has considered how other people's prejudices might affect her child. B. Discuss with the client her decision about whether to have a baby. C. Explore with the client the difficulties of raising a child alone. D. Discuss with the client how her sexual orientation might adversely affect her child.

B

A social worker is providing individual therapy to an emancipated 17-year-old who was recently widowed after her 19-year-old husband was killed while serving in Afghanistan. The girl has lost a lot of weight and has trouble sleeping, and the social worker is helping her through her bereavement issues. One day, the social worker gets a call from the client's mother requesting to see his case records on her daughter. What is the social worker's BEST course of action? Select one: A. Release this information to the mother because the client is depressed. B. Maintain confidentiality. C. Get a signed release from the client. D. Withhold the records but give the mother general information about the client's status and progress in therapy.

B

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

B

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

B

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

B

A social worker's new clients are an African American couple who introduce themselves as "Mr. and Mrs. Peterson." To facilitate the development of a positive working relationship with the clients, the social worker should do which of the following? Select one: A. Ask them for their first names in order to personalize the relationship and increase their comfort. B. Introduce herself using her full name and address them as "Mr. Peterson" and "Mrs. Peterson" until they invite her to do otherwise. C. Invite them to use her first name and ask for their permission to call them by their first names. D. Ask them why they prefer to be called by their last names and how they would prefer to address her.

B

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

B

An 8-year-old boy has been placed in foster care because of chronic abuse and neglect by his parents who have been unwilling to take any responsibility for their abusive behavior. The boy has been referred for treatment as a result of verbal and physical aggressiveness with peers and withdrawal from adults. His grades at school have deteriorated over the last year, and his teacher says his attention span is limited. The foster parents say that he frequently self-isolates and starts fights with their other foster children. Treatment in this case is LEAST likely to include which of the following? Select one: A. Setting clear and consistent limits on the boys aggressive behavior. B. Family therapy to modify dysfunctional interactional patterns. C. Helping the boy express his feelings of loss, grief, guilt, and sadness. D. Modeling appropriate social and communication skills.

B

An African American man, age 30, comes to see a social worker to discuss ways of dealing with stress. During the first interview, the client is aloof and reluctant to talk to the social worker. The research suggests that it would be MOST appropriate for the social worker to interpret the client's behavior as reflecting which of the following? Select one: A. A generally negative view of therapy. B. An active effort to evaluate her. C. Resistance. D. Deference to or respect for an authority figure.

B

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

B

Based on the initial evaluation of a 15-year-old boy, a social worker believes that the nature and number of his symptoms suggest a DSM-5 diagnosis of attention-deficit/hyperactivity disorder (ADHD), predominantly inattentive presentation. Before assigning the diagnosis, the social worker will want to confirm that some symptoms were present before the boy was _____ years of age and that he exhibits them in at least _____ settings. Select one: A. 7; two B. 12; two C. 6; three D. 10; three

B

During a therapy session, a client asks a social worker a question about her private life. The social worker doesn't feel comfortable answering the question. What should the social worker do? Select one: A. Answer the question anyway to avoid damaging the therapeutic relationship. B. Decline to answer the question and authentically share her reasons why. C. Deflect attention from the question by shifting the focus back to the client. D. Find out why the client is asking the question before deciding what to do.

B

Which of the following is NOT a core aspect to mindfulness practice? Select one: A. Intention B. Attitude C. Harmony D. Attention

C

In the initial interview, a client claims that has been selected by God to save the planet from destruction. She insists that God talks to her and has said that he will visit her soon to give her instructions. The social worker's FIRST step in assessing this client should be which of the following? Select one: A. Use a mental status exam to learn more about the clients current mental functioning. B. Arrange to gather information from collaterals. C. Observe the clients verbal and nonverbal behavior to learn more about her symptoms. D. Identify barriers that make it difficult for the client to participate in treatment.

B

State legislators can be involved in decisions related to which of the following? Select one: A. Confidentiality. B. Privilege. C. Anonymity. D. Self-determination.

B

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

B

The client is a 16 year old who lives at home with her mom and step-dad. The client gave birth to a baby boy two months ago and is feeling overwhelmed by her responsibilities. She has applied for benefits and now is trying to decide whether to complete high school. Her mom is helping out a bit, but Step-dad has not been supportive. He thinks the girl needs to sort things out on her own since she's the one who was careless. The baby's father (age 17 and the girl's ex-boyfriend) is out of the picture for now, because Step-dad threatened to have him arrested for statutory rape. According to research, all of the following would probably contribute in a positive way to this girl's ability to succeed as a parent EXCEPT: Select one: A. completing her education. B. getting a job to support herself and her baby. C. re-involving the babys father. D. education to help her understand her babys temperament.

B

The client is a 20-year-old immigrant from Turkey who came to the U.S. with his family when he was 16. The client says he's becoming more like his American friends and is uneasy about that. He wants to fit in but doesn't want to lose his own customs and values. He acts one way when he's with his family and another way when he's with his friends. He asks the social worker what she thinks about that. Being familiar with contemporary models of acculturation, the social worker tells this client that efforts to function well within both one's culture of origin and the mainstream culture: Select one: A. may produce overwhelming levels of stress. B. may be associated with better adaptation. C. often produce confusion and identity crises. D. lead to social isolation.

B

The client is a 35-year-old woman who reports feeling anxious and unable to hold a job. In the initial phase of therapy, the social worker performs a multidimensional assessment of the client in which he gathers information from a variety of relevant sources and formulates that information into a coherent picture of the client and her circumstances. What is the social worker's primary purpose in conducting an assessment of this client? Select one: A. To provide a reliable means of measuring her treatment progress and outcome. B. To facilitate the development of appropriate treatment goals and objectives. C. To identify accurately what mental disorder she has. D. To facilitate meaningful communication with other service providers and her insurance company.

B

The husband of a social worker recently died of a heart attack. The social worker is grieving. She is having difficulty sleeping at night and finds that her concentration is sometimes impaired. During sessions with her clients, she finds that she sometimes has trouble focusing on what her clients are saying. From an ethical standpoint, what should the social worker do? Select one: A. Take time off from work and refer her clients to another therapist. B. Discuss these concerns with a supervisor to determine the best course of action. C. Maintain her current caseload, but seek personal therapy. D. Reduce her client caseload and make appropriate referrals.

B

The overall goal of social worker authenticity with a client is to: Select one: A. improve the chances that the client will like the social worker. B. facilitate client growth. C. elicit information from the client. D. facilitate rapport in the early stages of treatment.

B

Which of the following BEST describes a "functional community"? Select one: A. A collection of people coping with a shared problem. B. A category of people who share common goals, purposes, and professional interests. C. A group of people who share common values, interests, services, institutions, or geographic proximity. D. A setting that supports reliable patterns and maintains social control.

B

Which of the following is NOT an example of social work policy practice? Select one: A. Advocating for more generous family leave policies for staff at your agency B. Developing curriculum for a new sexual health education program for youth clients of your agency C. Attending a rally in support of an increased minimum wage in your city D. Describing the challenges of your immigrant clients to a local group that is working to improve immigration laws

B

Which of the following theories is primarily concerned with how individuals are influenced by their social position? Select one: A. Observational learning theory. B. Role theory. C. Systems theory. D. Field theory.

B

Which of the following usually cannot consent to mental health treatment for a child? Select one: A. A minor who is a parent. B. The foster parent. C. The adoptive parent. D. The legal guardian.

B

A 26-year-old client complains of low self-esteem and feelings of shame about behaviors he engaged in while he was a student in college. The client appears nervous in the interview, but he is able to carry on a conversation and his affect is appropriate. What does "appropriate affect" refer to? Select one: A. The ability to express a full range of emotions. B. The ability to manage strong feelings that would otherwise interfere with adaptive functioning. C. An emotional tone that matches the idea, thought, or topic that one is describing. D. A willingness to talk about feelings.

C

A client's prescription label says that the medication must be taken twice daily. Which of the following means "twice daily"? Select one: A. TID. B. QID. C. BID. D. QD.

C

A client has been diagnosed with schizophrenia. Her family asks the social worker about the client's prognosis. In response, the social worker could tell them that a better prognosis for individuals with schizophrenia is associated with which of the following? Select one: A. A family history of a mood disorder, an early onset of symptoms, and male gender. B. The presence of a mood disturbance, a later age of onset, and male gender. C. A family history of a mood disorder, a later age of onset, and female gender. D. An absence of mood symptoms, an early onset of symptoms, and female gender.

C

A client in crisis reports that her boyfriend died six months ago in a sudden accident. She says that his death "almost destroyed" her but that she has managed to get through the worst of her grief by relying on family and friends. A week ago, she learned that a good friend is moving away, and, ever since hearing this news, she's been highly anxious and sleepless. She cries everyday and can't concentrate at work. From the perspective of crisis theory, the news that her friend is moving away is an example of a/an: Select one: A. hazardous event. B. vulnerability. C. precipitating factor. D. immobilizer.

C

A client reports that she and a famous actor have fallen in love. She sends him love letters, but he doesn't respond because, according to the client, he wants to avoid the publicity that would result since he's married. The social worker ultimately determines that the client has delusional disorder. What subtype does the client have? Select one: A. Jealous. B. Persecutory. C. Erotomanic. D. Grandiose.

C

A client reports that she's having "a lot of problems" with food, including "episodes of overeating." She states that she's been on numerous diets over the years, and even when she achieves her desired weight, she always gains it back. She says that she's been evaluated for medical problems, such as hypothyroidism, but all of the tests have been negative. When determining if the client's symptoms meet the criteria for binge-eating disorder or, instead, bulimia nervosa, the social worker should keep in mind that: Select one: A. binges are more severe in binge eating disorder than in bulimia nervosa. B. a disturbance in body image is not characteristic of bulimia nervosa. C. compensatory behavior to prevent weight gain is not a requirement for binge-eating disorder. D. a sense of lacking control over eating during binges is not characteristic of binge-eating disorder.

C

A client says, "I'm not sure if I'm ready to start college yet." The social worker responds, "So, you've decided you don't really want to go to college." What type of reflection error has the social worker made? Select one: A. Timing. B. Meaning. C. Depth. D. Stereotyping.

C

A client was date-raped a week ago. When would it be MOST appropriate to refer this client to a support group? Select one: A. Right away, so that she can get needed support. B. As soon as she has expressed her feelings about the rape. C. When the acute trauma reaction has subsided. D. Not until she expresses a desire to join a support group.

C

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

C

A depressed man meets with a social worker soon after finding out from his physician that there is no physiological basis for his symptoms. The man reports that he usually feels sad and doesn't know how to feel better. He goes to work and pretends that everything is OK but just can't shake his unhappy feelings. The social worker is using cognitive-behavioral therapy with this client. Therefore, during assessment, she will be MOST interested in which of the following? Select one: A. The effects of external events on the clients mood. B. The effects of external events on the clients behavior. C. How the client perceives and interprets external events. D. How the client is affected by external contingencies.

C

A social worker begins working in individual therapy with a 16-year-old girl. At the beginning of treatment, the social worker, the girl, and her parents agree that the social worker will maintain the girl's confidentiality and not discuss with her parents anything specific that she reveals in therapy. In the second session, the social worker realizes that the girl is depressed, and, in the third session, the girl tells him that she wants to kill herself by taking an overdose of her mother's sleeping pills. What should the social worker do? Select one: A. Abide by his agreement to maintain the girl's confidentiality but have her sign a no-suicide contract before she leaves his office. B. Contact the girl's parents about this only if they don't know that she is depressed. C. Contact the girl's parents about this if doing is necessary to prevent the girl from hurting herself. D. Contact the girl's parents about this only if the girl gives him permission to do so.

C

A social worker employed at a hospital is asked by a physician to engage in a behavior that conflicts with NASW's Code of Ethics. The physician insists that the action would be in the patient's best interests. What should the social worker do? Select one: A. Refuse to comply because he should follow the hospitals policies and procedures rather than a physicians request. B. Refuse to comply with the physicians request and arrange to meet with a supervisor or administrator to explain the conflict. C. Discuss his concerns with the physician. D. Fulfill the physicians request if it will not harm the patient.

C

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

C

A social worker has been providing psychotherapy to an adult male who is on probation. The client was ordered into therapy by the court and has been cooperating. One day, his probation officer contacts you and requests information about how the client is progressing in therapy. How BEST should you handle this request? Select one: A. Release information to the probation officer with or without the clients permission because his therapy is court ordered. B. Remind the probation officer that you hold the privilege in this situation and refuse to release the information to the officer if you believe that doing so could harm the client. C. Release information to the probation officer only if you have the clients permission to do so. D. Refuse to release information to the probation officer unless there is a court order that mandates you to release it.

C

A social worker has been working for several months in individual therapy with a client and has developed a therapeutic relationship with him. The client is progressing well. The client loses his job and can't afford to pay the social worker's fee anymore. What is the social worker's BEST course of action? Select one: A. Allow the client to divert payments until he gets another job. B. Refer the client to a low-fee community-based clinic. C. Reduce her fee for this client or offer him shorter sessions. D. Provide the therapy pro bono.

C

A social worker has been working in individual therapy with a male client who was divorced six months ago. The social worker receives a phone call from a person she does not know. The person says he is a friend of the client's and that the client has recently stated that he's going to "teach his ex-wife a lesson." What should the social worker do? Select one: A. Ask the caller for more information about the clients statement. B. Refer the client for a psychiatric evaluation. C. Explore this statement with the client. D. Report this to the police and, if possible, to the ex-wife.

C

What is the primary focus of interventions made by child protective service agencies? Select one: A. Identifying maltreating families in order to protect children. B. Making sure abusive families under pressure have access to supportive services. C. Rehabilitating abusive parents. D. Protecting children from maltreatment.

C

A social worker is meeting for the first time with a family that includes the mother, father, and 11-year-old son. The mother was diagnosed with cancer a few months ago and the doctors have said that her prognosis is fair to poor. The parents report that they are concerned about their son, who has been acting out at home and in school since learning that his mother is sick. He has also been isolating himself. The social worker observes that the boy is subdued in the interview and doesn't make eye contact with either of his parents. What should the social worker do FIRST? Select one: A. Determine the familys support needs including what needs to be done to facilitate their access to adequate medical treatments for the mother. B. Gather a history of the mothers medical condition and seek permission to speak with her physician immediately. C. Evaluate how the family as a whole is coping with the mothers diagnosis. D. Discuss the boys behavior in more depth with the parents, including its nature and frequency, and seek permission to confer with the boys teacher.

C

A social worker is meeting with a couple for therapy, and their discussion quickly becomes heated. The conversation devolves to the point that they are shouting at each other and cant even hear what the other is saying. What is the BEST way for the social worker to respond? Select one: A. End the session to give them time to cool off B. Suggest you see them individually next time to give them space to talk through the issues without fear of judgment C. Defuse the situation and help the couple to converse more openly and calmly in the moment D. Begin to provide them communication skills training

C

A social worker using feminist therapy would be MOST likely to: Select one: A. focus on innate, biological differences between men and women. B. believe that there are no inherent differences in power between a therapist and a client. C. focus on social and political factors that underlie a woman's so-called psychopathology. D. argue that only highly trained professionals are capable of understanding and treating women clients.

C

During a session, a 15-year-old therapy client says, "This guy has been stalking me." She then begs the social worker to keep this information from her parents because she's afraid that they'll get mad and think she somehow provoked the behavior. What should the social worker do FIRST in this situation? Select one: A. File a child abuse report. B. File a child abuse report and call the client's parents. C. Assess the situation further to determine what the client needs. D. Maintain confidentiality and address the client's feelings about this.

C

In a family in which a father has molested his daughter, desired change is MOST likely to occur when which of the following happens? Select one: A. The mother protects the daughter. B. The mother acknowledges the abuse. C. The daughter acknowledges the abuse. D. The father acknowledges the abuse.

C

It is often difficult to distinguish between major and mild neurocognitive disorder, delirium, and major depressive disorder in older adults. However, the presence of which of the following suggests that delirium is the appropriate DSM-5 diagnosis? Select one: A. Deficits in memory. B. Fatigue or loss of energy. C. Impaired attention and awareness. D. Flight of ideas.

C

Many developing countries have established national, regional or local Institutional Review Boards (IRB). What is the primary goal of Institutional Review Boards? Select one: A. conduct risk-benefit analysis studies of proposed research projects. B. govern social workers C. protect the rights and welfare of human research subjects. D. review the conduct of institutions that do research on humans.

C

The symptoms of PTSD are grouped in the DSM-5 in terms of which of the following clusters? Select one: A. Re-experiencing, avoidance/numbness, and arousal. B. Re-experiencing, dissociation, avoidance, and arousal. C. Intrusion, avoidance, cognition and mood, and arousal and reactivity. D. Intrusion, withdrawal/avoidance, cognition, and mood.

C

Numerous researchers have investigated the effects of religion on self-esteem and self-image for adolescents. Overall, these studies have shown that: Select one: A. Religious youth appear to have lower self-esteem and less positive attitudes about life than non-religious youth. B. Participation in religious life seems to have no impact on the self-esteem of adolescents. C. Religious youth who are active in their church appear to have higher self-esteem and more positive attitudes about life than non-religious youth. D. Some highly religious youth have negative life attitudes and self-image, despite their involvement in their churchs activities.

C

Participation in peer groups becomes more important during middle childhood, and such groups tend to be homogeneous with regard to age, sex, and race. Research suggests that, when compared to popular children, less popular children tend to be all of the following EXCEPT: Select one: A. less intelligent. B. less physically attractive. C. less friendly and sociable. D. less cooperative.

C

Planned termination of therapy is usually indicated when a client: Select one: A. no longer meets the diagnostic criteria for his assigned diagnosis. B. scores in the normal range on a standardized measure of symptom severity. C. has achieved his treatment goals and objectives. D. says he doesn't think he will not benefit from additional therapy.

C

Preschoolers' autobiographical (episodic) memories are _______________ accurate. Select one: A. almost always B. never C. sometimes D. rarely

C

Right before leaving for a one-week vacation, a social worker checks her voice mail and finds that two clients have called. One claims to be feeling depressed and contemplating the possibility of suicide, and the other is a recovering alcoholic who says he is tempted to drink. Both clients want to be seen that day, and the social worker has very little time. What should the social worker do? Select one: A. Postpone her vacation. B. Call both clients and give them the phone number for the on-call therapist. C. Call both clients and assess their situations. D. Call both clients, remind them that she's about to leave for vacation, and offer to see them as soon as she returns.

C

The BEST overall focus for performance appraisals of social workers employed at an agency would be which of the following? Select one: A. Their abilities so that they can be strengthened. B. Their deficiencies so that they can be corrected. C. The quality and quantity of their output. D. Their professional skills.

C

The client is a 15-year-old boy who has been referred by the probation department. The boy, along with two friends, broke into a neighbor's house several months ago to steal a plasma TV. Last semester, the boy was expelled from school for carrying a knife and threatening to use it on a classmate who angered him. Given the boy's history of delinquent behavior, which of the following is MOST likely to be true about him and/or his family? Select one: A. His family has a low income and he has a low IQ score. B. His mother works outside the home and his father is unemployed. C. His parents dont supervise him adequately and their discipline is inconsistent. D. His mother is raising him by herself and she uses harsh discipline.

C

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

C

The clients are a mother, father, and adolescent daughter. The parents are concerned because the daughter dresses in what they consider to be an inappropriate fashion and usually wants to spend time with her friends rather than stay at home with her family. The social worker explains that the girl's behavior appears normal for her age and offers the parents information on developmental tasks and other phenomena. Specifically, the social worker explains that the girl: Select one: A. is trying to develop skills that will make her feel competent. B. is temporarily rejecting the values that are important to her parents. C. is trying to develop a sense of self. D. is striving to develop intimate relationships outside the family.

C

The core conditions of effective therapeutic relationships are empathy, personal warmth, genuineness, and: Select one: A. competence. B. self-disclosure. C. positive regard. D. self-awareness.

C

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

C

Which of the following is the BEST description of accommodation, as described by Piaget? Select one: A. Understanding that changing one dimension of an object does not necessarily change its other dimensions. B. Incorporation of new information into existing cognitive schema. C. Restructuring of cognitive schema to account for new information. D. Recognizing that objects and people continue to exist when they are out of sight.

C

A DSM-5 diagnosis of acute stress disorder requires a duration of symptoms of: Select one: A. two days to four weeks with an onset immediately after exposure to the trauma. B. three days to one month with an onset within four weeks after exposure to the trauma. C. two days to two months. D. three days to one month.

D

A client is a member of the sandwich generation. In other words: Select one: A. the client is a grandparent raising his or her grandchildren. B. the client and his or her siblings disagree on the best way to meet their elderly parents needs. C. the client is a middle-aged woman who has been forced into the job market by circumstances of divorce or widowhood. D. the client is a middle-aged adult who is caring for an elderly parent while also supporting his or her own children.

D

A client reports experiencing periods of extreme anxiety that have a sudden onset. Which of the following conditions should be considered FIRST? Select one: A. Social anxiety disorder. B. Diabetes mellitus. C. Hypothyroidism. D. Hyperthyroidism.

D

A client, age 42, has sought therapy because she wants to change a long-standing pattern of passivity and low self-esteem. The client reports being unable to stand up to other people, including her husband and co-workers, and avoiding conflict with her children. She says she can't remember the last time she expressed her own opinions or wishes, and now she feels as though her own needs are never met. The social worker and client agree that a treatment goal will be for the client to behave more assertively in her relationships with others. When evaluating the client's progress toward this goal, the social worker should emphasize which of the following? Select one: A. The extent to which the client reports feeling more assertive. B. The extent to which the client is more assertive in his presence (i.e., his own observations of the client). C. The extent to which the client is able to ask him for what she wants on a consistent basis. D. The extent to which the changes have generalized to relationships outside the treatment setting.

D

A hospital social worker meets with a patient who, one month ago, suffered a serious accident at work that left him paralyzed from the waist down. The doctors have told the patient that his chances of walking again are limited but the patient still believes that he will walk again and that everything will return to normal soon. How should the social worker conceptualize this patient's attitude? Select one: A. As unhealthy denial that is preventing the patient from problem solving. B. As unhealthy denial that may be interfering with coping. C. As a sign that the patient is in a state of shock and confused. D. As healthy denial that is helping the patient process the trauma in a more gradual way.

D

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

D

A school social worker meets regularly with a high school student who suffers from extreme test anxiety. Which of the following is a mindfulness-based approach that might help the student reduce her stress levels before her next exam? Select one: A. Teaching simple breathing exercises B. Inviting the client to attend a meditation skills training C. Encouraging the client to stretch in between classes before the next test D. All of the above

D

A social work intern informs her supervisor that she saw a client arguing with their clinic's receptionist. The client shouted at the receptionist for several minutes, became verbally abusive, and then stomped out the front door of the clinic. The receptionist tried unsuccessfully to calm the client down and avoided yelling at the client. The intern is not sure what the client was angry about, but she thinks it might have had something to do with rescheduling an appointment. The supervisor's BEST action would be to: Select one: A. terminate services to the client and refer him. B. contact the client to find out what happened. C. ask the client to apologize to the receptionist. D. have the intern talk to the client.

D

A social worker begins working in individual therapy with an adult client. In their second meeting, the social worker discovers that the client's values differ markedly from his own. What is the social worker BEST course of action ? Select one: A. Disclose his values to the client to build trust. B. Set aside the value difference and remain objective. C. Refer the client to another therapist. D. Seek consultation.

D

A social worker has been helping a client who is facing an "approach-approach" conflict to make a difficult choice: The client had been unemployed for a few months and was suddenly offered two equally attractive jobs with equally good pay. In sessions, he and the social worker have examined the pros and cons of each job, and the client has finally made a decision. Now that the client has selected one equally attractive alternative over the other (resolved his approach-approach conflict), which of the following is likely to occur as a result? Select one: A. Both jobs will seem less attractive. B. Both jobs will seem more attractive. C. The selected job will seem less attractive, and the unselected job will seem more attractive. D. The selected job will seem more attractive, and the unselected job will seem less attractive.

D

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

D

A social worker has been working with a client at an inpatient psychiatric facility, serving as part of his multidisciplinary treatment team. After several months, the client's condition improves, and it is determined that he can go home. Before being discharged, the client asks the social worker if it's OK to stop taking his medication after he leaves the facility. How should the social worker respond? Select one: A. Tell the client to take the amount of medication he is given at discharge and not to refill the prescription. B. Tell the client he can stop taking the medication but must call his psychiatrist if his symptoms reappear. C. Tell the client that he should take his medication for at least a few months following discharge and then see how he feels. D. Arrange for the client to meet with his psychiatrist to discuss this.

D

A social worker is meeting with a client who is severely hearing impaired. What would be the BEST way for the social worker to communicate with this client? Select one: A. In writing. B. By learning American Sign Language. C. Through a family member or close friend of the clients who can translate. D. By hiring a professional interpreter.

D

A social worker is meeting with a mother, father, and their 4-year-old daughter. During the interview, the girl sits on the floor a few feet away from her parents and flicks her hands repeatedly. What DSM-5 diagnosis is MOST indicated for this girl? Select one: A. Intellectual disability. B. Autism spectrum disorder. C. Social (pragmatic) communication disorder. D. Stereotypic movement disorder.

D

A social worker opens a private practice office in a community that includes both low-income residents and affluent residents. What is the BEST way for the social worker to set the fee for his services? Select one: A. According to the low-income residents ability to pay so that they are able to use his services. B. According to the affluent residents ability to pay so that his new practice has greater chance of succeeding. C. By asking other therapists in the community what they charge. D. According to each clients ability to pay.

D

A social worker is referred a client whose cultural background differs from her own. The client reports engaging in a particular behavior that, while disturbing to the social worker, is apparently approved of by members of the client's cultural group. What should the social worker do? Select one: A. Seek consultation immediately to address her loss of objectivity. B. Be genuine and tell the client how she feels about the behavior. C. Refer the client to another therapist, preferably one from his own culture. D. Further educate herself about the clients culture, including the behavior in question.

D

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

D

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

D

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

D

A social worker should be aware that client records: Select one: A. are protected by law and cannot be disclosed without the clients consent. B. are the property of the therapist and cannot be disclosed without his or her consent. C. are the joint property of the therapist and client and cannot be disclosed without the consent of both. D. are not free from disclosure all of the time, regardless of the wishes of the client.

D

A social worker using rational-emotive behavior therapy to treat a mildly depressed client would be MOST likely to do which of the following? Select one: A. Label the client's cognitive distortions. B. Use the downward arrow technique. C. Have the client question the evidence underlying his distorted cognitions. D. Identify events that activate the client's irrational beliefs.

D

A social worker would be MOST likely to suspect that a new client's motivation is low if the client: Select one: A. has unrealistic expectations about treatment. B. displays anxiety about her presenting problem. C. is very emotional. D. seems indifferent to her problem.

D

A social worker's client is angry at his neighbor for cutting down a large tree that afforded the client privacy in his backyard. The client is agitated and tense as he describes this event and says that he and the neighbor had a heated argument about it the day before, in which the neighbor called him a loser. The client has a history of poor impulse control, including stealing and excessive alcohol use. He has been arrested on several occasions for bar fights that he initiated and has spent time in jail. Which of the following factors present in this case is the BEST predictor of whether this client is likely to be violent toward his neighbor? Select one: A. The recent provocation. B. The clients poor impulse control. C. The signs of tension and agitation. D. The clients prior violent behavior.

D

A therapy group member with high denial and high somatization is likely to: Select one: A. attempt to control the focus of the group. B. share more personal information than other members. C. benefit more than other members. D. drop out early.

D

A woman diagnosed with bipolar I disorder and alcohol use disorder is scheduled to be released from an inpatient treatment facility in one day. She tells her social worker that, as soon as she leaves the facility, she will get drunk and stop taking her lithium. What should the social worker do? Select one: A. Make sure that the woman takes her medication by having medical professionals at the facility administer it against her will. B. Recruit the womans family to monitor her mood and behavior. C. Have the woman rehospitalized involuntarily. D. Explore this statement with the woman.

D

According to ego psychologists, functions such as memory, language, and perception: Select one: A. resolve conflicts. B. are conflict-laden. C. are ego defensive. D. are ego autonomous.

D

Grandiosity is NOT a characteristic symptom of which of the following disorders? Select one: A. Bipolar I disorder. B. Narcissistic personality disorder. C. Schizoaffective disorder. D. Schizoid personality disorder.

D

Jacob, age 14, is being seen by a school social worker for repeated angry outbursts at school. He is persistently irritable and negative, constantly argues with adults, has a history of behavioral referrals, and recently changed schools after being expelled for threatening a teacher. Jacob is failing in school, and his parents are thinking of sending him to a wilderness camp where he can "get some sense knocked into him." The MOST likely DSM-5 diagnosis for Jacob is which of the following? Select one: A. Intermittent explosive disorder. B. Oppositional defiant disorder. C. Bipolar II disorder. D. Disruptive mood dysregulation disorder.

D

Most infants speak their first word between the ages of 10 and 15 months. Studies investigating language development have shown that children's first words often refer to: Select one: A. objects that are related to eating. B. objects that the child can hold. C. stationary objects that are static and invariable. D. dynamic objects that move or change.

D

Research investigating high-risk situations associated with relapse for a variety of addictive and other problem behaviors has shown that which of the following account for nearly three-fourths of relapse incidents? Select one: A. Urges and temptations. B. Negative and positive emotional states and negative physical states. C. Social pressure, interpersonal conflicts, and negative physical states. D. Negative emotional states, interpersonal conflicts, and social pressure.

D

The client is a 16 year old who has been acting out at school and doesn't get along with his peers. In the course of assessing this client, the social worker determines that she needs additional information about his emotional adjustment and personality attributes. Given that the client is 16, which of the following psychological tests would be MOST useful for attaining this information? Select one: A. MCMI-III. B. MMPI-2. C. Bender-Gestalt-II. D. MACI.

D

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

D

The client is a 29-year-old woman with a history of drug use and psychosis who is currently exhibiting mild psychotic symptoms. She informs the social worker that she has been using nonprescription drugs, including speed. Her mother corroborates this and also tells the social worker that the client has been refusing to take her prescribed antipsychotic medication. The client lives with her family but, as a result of her recent behavior, the family is afraid to be around her. What is the social worker's BEST course of action? Select one: A. Address nonprescription drug use first because its affecting the clients stability. B. Begin by addressing treatment compliance issues and urging the client to resume taking her prescribed medication. C. Meet with the family to explain why its important for them to continue supporting the client and offer them assistance in doing so. D. Release the client to the care of a psychiatrist.

D

The client is a low-income, African American woman who reports having frequent severe headaches. The client, age 30, never went to college because she wanted to work to help her mom pay the bills. She now works two jobs but has great difficulty making ends meet. She has come to the social worker's agency because she's hoping that she qualifies for some kind of temporary financial assistance. The social worker discovers that the client has not seen a medical doctor about her headaches. According to research, which of the following factors is LEAST likely to be impacting this client's health and/or health-care utilization? Select one: A. Her low SES theres a good chance that she doesnt have health insurance. B. Her low SES higher levels of stress associated with lower levels of income tend to increase vulnerability to illness. C. Her race access to health care is generally better for whites than for non-whites. D. Her gender women are less likely than men to seek and use health care.

D

The client is a woman whose husband died two weeks ago. She has been brought in by her sister who is helping out during this time and feels worried about her sister's well-being. The client's sister is also concerned about her 10-year-old nephew who has been unwilling to talk about his father's death. She wonders what to expect from him as he grieves and how she can help him. In providing information on this topic, the social worker would be correct in telling the sister which of the following? Select one: A. Given his age, the boy probably believes that death is temporary and is waiting for his dad to come back. B. Given his age, the boy may be blaming himself for his fathers death. C. Given his age, its best to avoid encouraging the boy to talk about his feelings if he seems unaffected by the loss. D. Given his age, the boy probably understands the finality of death and may be worried about his own death.

D

The client is a young woman who is a recent immigrant from El Salvador. The client discovered a week ago that her mother, who is still in El Salvador, is seriously ill. Two days after getting this news, the client began crying, trembling, and shouting uncontrollably while at the grocery store. The client's behavior is MOST likely attributable to which of the following? Select one: A. Panic disorder. B. Uncomplicated bereavement. C. PTSD. D. A cultural syndrome.

D

When using the DSM-5, a social worker or other clinician would code which of the following when a client has symptoms that do not meet the diagnostic criteria for a specific disorder and the clinician does not want to specify the reason why? Select one: A. [Disorder] not otherwise specified. B. [Disorder] provisional. C. Other specified disorder. D. Unspecified disorder.

D

Which of the following is LEAST likely to result in intellectual disability in a child? Select one: A. Fetal alcohol syndrome. B. Phenylketonuria. C. Rh incompatibility. D. Maternal HIV disease during pregnancy.

D

Which of the following is NOT a principle of trauma-informed care practice? Select one: A. Safety B. Empowerment C. Trust D. Leadership

D

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

D

Which of the following is likely to be a factor affecting policy development? Select one: A. Stability of the government B. Timing of the potential policy change C. Current cultural movements D. All of the above

D

Which of the following suggests that a DSM-5 diagnosis of anorexia nervosa is more appropriate than a diagnosis of bulimia nervosa? Select one: A. The presence of episodes of binging and purging. B. A disturbance in body image. C. Menstrual irregularities. D. Persistent restriction of energy intake.

D

ugustine, age 5, is in foster care and enrolled in a therapeutic nursery school. He and his older sister were removed from their home after they were found wandering in the park asking people for food. Their parents were both found to have a drug problem. While observing Augustine at school, the social worker notices that he impulsively approaches strangers, tends to be overly familiar with people he has just met, and quickly becomes attached to any adult who pays attention to him. Before assigning a DSM-5 diagnosis of ______________ to Augustine, the social worker will want to confirm that his symptoms are attributable to ______________. Select one: A. reactive attachment disorder, disinhibited type; developmental delays B. disinhibited social engagement disorder; developmental delays C. reactive attachment disorder, disinhibited type; early neglect or deprivation D. disinhibited social engagement disorder; early neglect or deprivation

D

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

c