ASU BSW Comprehensive Exam

What are some of the alcohol use screening tools most commonly in use? A.CAGE, FAST, The Twenty Questions B.CAGE-AID, The Ten Questions, MAST C.MAST, CAGE, FAST, TWITCH D.The Twenty Questions, TWITCH, CAGE

A. CAGE, FAST, The Twenty Questions

Which of the following would be considered unethical with regard to payment for services? A.Advertising free sessions as enticements to increase caseload B.Accepting a bartering arrangement with a client C.Raising the fee for new clients but maintaining old clients with the previous rate D.Using a sliding fee scale based on client's ability to pay

A.Advertising free sessions as enticements to increase caseload

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? 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.Apologize and explain her policy to the client

A female social worker discovers that her new client, a 35-year-old male, has difficulty trusting women. Which action should the social worker take first in this situation? 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 client's experiences with other female health care providers D.Refer the client to a male colleague

A.Ask the client if he thinks her gender might affect their work together

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? A.Loss B.Dependency C.Ambivalence D.Responsibility

A.Loss

A social worker is meeting with a family that has been referred by the adolescent son's school. She observes that the parents are very warm in their interactions with their two children, but she also discovers that they almost never discipline or correct them. Children coming from homes where the parents use this parenting style ("indulgent-permissive") tend to display behavior that is: A. aggressive and dependent. B. impulsive and self-centered. C. socially withdrawn and submissive. D. moody and aggressive.

B. impulsive and self-centered.

A social worker is conducting an initial evaluation of a 15-year-old boy. She believes that he suffers from attention-deficit/hyperactivity disorder (ADHD), predominantly inattentive presentation. 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. A.7; two B.12; two C.6; three D.10; three

B.12; two

A family comes for counseling because they cannot control their 17-year-old son. He frequently steals things from other family members, and he has been expelled from school because of his thefts and bullying there. He shows no remorse for his crimes and is reckless and aggressive. The social worker knows that a diagnosis of antisocial personality disorder cannot be made until the age of 18, however-the behavior must have been occurring since age __ to meet the DSM-5 criteria. A.12 B.15 C.10 D.16

B.15

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? A.Panic disorder B.Uncomplicated bereavement C.PTSD D.A cultural syndrome

D.A cultural syndrome

Which of the following is NOT included with case management services? A.Identifying services for clients in need B.Coordinating and assisting with multiple services and providers C.Ongoing monitoring to ensure programs and services are being used appropriately D.Advising clients on medication and compliance

D.Advising clients on medication and compliance

Which of the following BEST describes a "functional community"? 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 Clear my choice

B.A category of people who share common goals, purposes, and professional interests

A child with oppositional defiant disorder is LEAST likely to exhibit which of the following? A.Frequent conflicts with his parents B.A high degree of physical aggression toward peers C.Frequently blames others for his mistakes D.Often loses temper

B.A high degree of physical aggression toward peers

The DSM-5 requires that which of the following be ruled out as the cause of an individual's symptoms before assigning a diagnosis of a sexual dysfunction? A.Other mental disorders, physiological/medical factors, and partner factors B.A nonsexual mental disorder, severe relationship distress, and the effects of a substance, medication, or other medical condition C.A nonsexual mental disorder, the effects of a substance/medication, and a lack of information about sexuality D.Other mental disorder/condition, the effects of a substance/medication, and psychosocial factors

B.A nonsexual mental disorder, severe relationship distress, and the effects of a substance, medication, or other medical condition

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? A.Use a mental status exam to learn more about the client's current mental functioning B.Arrange to gather information from collaterals C.Observe the client's verbal and nonverbal behavior to learn more about her symptoms D.Identify barriers that make it difficult for the client to participate in treatment Feedback

B.Arrange to gather information from collaterals

A social worker is referred a new client. Joyce, 24, was in an automobile accident a year ago where her best friend, who was driving the car, died. She states that since the accident she has been feeling like life is not worth living and that she doesn't deserve to be happy. She relates that before the accident, she was somewhat carefree and relatively happy, despite having a rough relationship with her family. Which of the following would MOST likely help Joyce in dealing with her low self-esteem? A.Encourage Joyce to write a letter to her dead friend; assure Joyce that her friends death was not her fault; chart Joyce's negative self-talk and have her replace it with positive messages; do grief work and build Joyce's self-esteem B.Ask Joyce to imagine that her friend was the survivor in the accident and have her relate what her friend might feel in her place; chart Joyce's negative self-talk and have her replace it with positive messages; normalize Joyce's feelings of guilt; refer her to a trauma support group C.Form a rapport with Joyce; refer her to a trauma support group; normalize her experience and do a thorough assessment, including a drug and alcohol screen D.Chart Joyce's negative self-talk and have her replace it with positive messages; tell Joyce that she has the power to change her feelings about the accident; do grief work; normalize Joyce's feelings of guilt

B.Ask Joyce to imagine that her friend was the survivor in the accident and have her relate what her friend might feel in her place; chart Joyce's negative self-talk and have her replace it with positive messages; normalize Joyce's feelings of guilt; refer her to a trauma support group

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? A.Share her reaction to this in a genuine way B.Carefully avoid any sign of disapproval or shock C.Confront the client's apparent effort to shock her D.Focus during the interview on the condition of the client's apartment

B.Carefully avoid any sign of disapproval or shock

A social worker notices that her client is exhibiting ambivalence about changing. What does ambivalence refer to? A.Low motivation to change B.Conflicting emotions C.Chronic indecisiveness D.Resistance

B.Conflicting emotions

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? A.Deal with the depression before addressing the alcohol use B.Deal with the alcohol use before addressing the depression C.Treat both disorders now D.Deal with the emotional issues underlying the disorders

B.Deal with the alcohol use before addressing the depression

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? 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.Decline to answer the question and authentically share her reasons why

The social worker sees an elderly man brought in by his adult son and his wife. He seems confused, and keeps asking, "Where am I?" and "Why am I here?" They say they came over the other day to take him to lunch and found him like this. What is the difference between dementia and delirium? A.Dementia is typically caused by anatomic changes in the brain and delirium is caused by drug toxicity. B.Delirium is a short-term acute illness that is often reversible whereas dementia has a slower onset and is generally irreversible. C.Delirium is a short-term acute illness that is often irreversible whereas dementia has a slower onset. D.Delirium affects mainly memory while dementia affects attention.

B.Delirium is a short-term acute illness that is often reversible whereas dementia has a slower onset and is generally irreversible.

Which of the following is NOT an example of social work policy practice? A.Advocating for more generous family leave policies for staff at the social workers 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 the social worker's city D.Describing the challenges of the social worker's immigrant clients to a local group that is working to improve immigration laws

B.Developing curriculum for a new sexual health education program for youth clients of your agency

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

B.is responsible for programmatic and financial operations

The client is a 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: 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. Clear my choice

B.may be associated with better adaptation.

A client has a long history of heavy alcohol use. Although he has been sober for three months, he is now exhibiting symptoms of cognitive impairment. It would be MOST important to refer this client to which of the following? A.Inpatient treatment for his addiction B.A residential program for his addiction C.A neurologist D.The Department of Rehabilitation

C.A neurologist

Which substance presents the highest risk of mortality during withdrawal? A.Heroin B.Methamphetamine C.Alcohol D.Antidepressants

C.Alcohol

A client is extremely thin, fears becoming fat, has a distorted perception of his body shape, and has been engaging in binge-eating and purging behavior. What DSM-5 diagnosis is indicated for this client? A.Avoidant/restrictive food intake disorder B.Binge-eating disorder C.Anorexia nervosa, binge-eating/purging type D.Bulimia nervosa

C.Anorexia nervosa, binge-eating/purging type

An African American female social worker meets with a new client who is an Arab American man who is mandated to receive counseling. He is very reserved in the session, and she suspects that he may not be comfortable with her gender. How should the social worker address this? A.Ask the man if he has a problem seeing a female social worker B.Refer the man to a male social worker so that he may feel comfortable bringing up personal issues C.Ask the man if he has any concerns about seeing her in therapy given that she is a woman D.Ask the man if he has any concerns about seeing her in therapy given that she is African American

C.Ask the man if he has any concerns about seeing her in therapy given that she is a woman

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? 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.Assess the situation further to determine what the client needs

Why would a social worker add a coding for a condition that is a focus of treatment that is not a mental disorder on their insurance paperwork? A.Because these conditions are required codes B.Because it can increase the billable rate if there is a condition that is not a mental disorder in addition to having a mental disorder C.Because it is useful information D.Because the condition should be coded if it is the reason for the current visit

C.Because it is useful information

A client's symptoms include uncontrollable anger, self-mutilation, and acting out. These symptoms are MOST suggestive of which of the following DSM-5 disorders? A.Antisocial personality disorder B.Conduct disorder C.Borderline personality disorder D.Intermittent explosive disorder

C.Borderline personality disorder

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? 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.Call both clients and assess their situations

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 quiet and withdrawn and his affect is restricted. What does "restricted affect" refer to? A.Diminished facial expressions, expressive gestures, and vocal expressions Incorrect B.The presence of a mood disturbance C.Constriction in range or intensity of emotion or display of feelings D.Unwillingness to talk about feeling

C.Constriction in range or intensity of emotion or display of feelings

Ted is feeling depressed because his "career has gone nowhere." He said he used to have dreams of being a horse trainer, but has not been able to accomplish "anything," and continues, after many years, working as a groomer instead. He is also divorced, and feels like a failure, and that, "Nobody can really love me - I'm just worthless as a human." What developmental crisis is Ted most likely dealing with? A. Integrity versus despair B. Identity versus confusion C. Self-esteem versus self-actualization D. Generativity versus stagnation

D. Generativity versus stagnation

Which of the following is the BEST description of live supervision? 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 supervisor observes an interview in real time and gives the social worker immediate feedback.

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 he'll never find a husband. He's never acknowledged feeling suicidal until this session. How BEST should the social worker respond? 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 dating

A. Complete a risk assessment and do whatever is necessary to protect the client

Bob has sought out therapy because his best friend told him that he looks depressed. He states that he is not sleeping well and feels restless, irritable, anxious, and depressed. Bob has been a heavy pot user for years and recently has been making an effort to "clean up" because he met a girl he really likes who does not approve of pot. Which statement is not true? A.Pot users do not experience significant withdrawal symptoms when they stop using. B.When people stop using pot, they may look like they are depressed. C.Pot users can experience significant withdrawal symptoms when they stop using. D.Pot use can sometimes mask other disorders that may emerge upon cessation

A. Pot users do not experience significant withdrawal symptoms when they stop using.

A middle-class, 35-year-old Caucasian social worker is meeting with an Asian family for the first time. The family moved from the Philippines 5 years ago, and they speak moderate English. The mother expresses feeling distressed over the thought of her eldest son beginning and moving to college in the fall. The social worker concludes that this anxiety comes from a Filipino cultural belief that children should remain close to the nuclear family in order to assist with finances and take care of their parents until old age. Did the social worker make a mistake in assessing this family? A. Yes, the social worker may be applying preconceived notions or stereotypes about the Filipino culture to this family. B .No, the social worker is most likely correct and is taking the steps to maintain a cross-cultural perspective. C. Yes, the social worker may have misunderstood due to a language barrier, and a translator should be contacted. D. Yes, the social worker is wrong in thinking that the Filipino cultural belief is to have children stay close to home for finances, as it is typically because children are expected to live at home until they are married.

A. Yes, the social worker may be applying preconceived notions or stereotypes about the Filipino culture to this family.

A 25-year-old client reports a great deal of stress in his life. He says he "drives people away" by being "overly nice" and that he may lose his job as a junior copy editor because he takes too long to complete projects. He explains that he checks everything many times to avoid making a mistake. From the perspective of Ellis's rational-emotive behavioral therapy (REBT), this client's dysfunctional behaviors are: A.the result of irrational thoughts and beliefs. B.the result of incongruence between self and experience. C.the result of automatic thoughts. D.the result of a lack of awareness.

A. the result of irrational thoughts and beliefs.

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? A.A dual relationship B.Self-determination C.Empathy D.Empowerment

A.A dual relationship

Linda has developed anxiety and depression after her husband left her a month ago. She complains of being "sick to her stomach" all of the time and having to sleep "a lot." What is the most likely diagnosis for Linda? A.Adjustment disorder B.Psychological factors affecting other medical conditions C.Functional neurological symptom disorder D.Somatic symptom disorder

A.Adjustment disorder

A couple has sought counseling because they want help improving their relationship. During the first interview, the husband is extremely critical of the wife. What is the social worker's BEST course of action? A.Ask the husband to repeat his remarks, then examine them along with the couple B.Ask the wife how she feels about the husband's destructive style of communication C.Ask the husband to be less critical D.Observe the couple for a few more sessions before broaching the topic of the husband's communication style

A.Ask the husband to repeat his remarks, then examine them along with the couple

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 services 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? 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 daughter's addiction is affecting each parent and their relationship with each other

A.Assist the clients to define the problem and their goals for treatment

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? A.Assure the client is eligible for the service 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.Assure the client is eligible for the service

The parents of 4-year-old Walter report that, even as a baby, he didn't like to be held, which they attributed to colic. They report that he still doesn't like to be touched and that he doesn't like to play with other children and "seems to be in his own world" much of the time. When not engaged in an activity (he only likes playing with cars and dominos), Walter rocks constantly and has a hard time sitting still, but he can focus for hours when he's lining up his toy cars or dominos. Walter's cognitive development and language acquisition have been normal, but he does seem to have some trouble reading social cues. Which DSM-5 diagnosis should be considered FIRST for Walter? A.Autism spectrum disorder B.Asperger's disorder C.Stereotypic movement disorder D.Pervasive developmental disorder NOS

A.Autism spectrum disorder

A social worker determines that a client who has been abusing alcohol for many years needs medical supervision in order to withdraw safely from alcohol and refers him for inpatient care. One of the reasons the social worker decides this is that, the last time the client quit drinking, he developed delirium tremens (DTs). Delirium tremens includes which of the following? A.Autonomic hyperactivity, vivid hallucinations, delusions, and agitation. B.Permanent physical damage, with major psychological impairments. C.Aphasia, amnesia, and confabulation. D.Amnesia, perceptual disturbances, and autonomic hypoactivity.

A.Autonomic hyperactivity, vivid hallucinations, delusions, and agitation.

A client reports being very upset and embarrassed about losing her hair. She checks herself in the mirror several times a day to see if more hair has fallen out and always wears a hat when she leaves the house. In fact, the client's hair loss is minor and not noticeable to other people. What DSM-5 diagnosis is MOST indicated for this client? A.Body dysmorphic disorder B.Illness anxiety disorder C.Somatic symptom disorder D.Factitious disorder

A.Body dysmorphic disorder

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? 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 client's 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.Clients should be informed of the limitations to their right of confidentiality at the outset of the delivery of services.

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

A.Devaluation of the individual

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? A.Discuss with the client how joining the group can help address his concerns, needs, and objectives B.Explain to the client that joining the group will make him feel less depressed and lonely C.Explain to the client how support groups differ from individual therapy D.Provide the client with all of the information he needs in order to contact the group leader so that he feels comfortable with the referral process

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

A social worker is meeting with a new client. The client tells the social worker that she was previously receiving services from a social worker that was showing up to their meetings clearly intoxicated. The client tells the social worker the name of the previous provider and it is someone she knows. From an ethical standpoint, what should the social worker do? A.Discuss with the client if she wants to file a complaint herself B.Take action through formal designated channels such as a state licensing board, or NASW Ethics Committee C.Attempt to seek resolution of the problem informally by discussing concerns with the colleague D.Do nothing since it is considered hearsay coming from the client

A.Discuss with the client if she wants to file a complaint herself

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? 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.Explain that she cannot discuss any client until she has written permission from the client or the client's parents

A couple with two small children comes into a social worker's office and ask for her help in finding jobs, as they are currently struggling to buy food each month. Their housing situation is uncertain, and they are very worried about whether they will become homeless. What are the social worker's goals in the initial stage of counseling? A.Gather information, form a rapport, assess for safety issues, and take care of the business aspects of therapy B.Gather information, form a rapport, make referrals, and provide psychoeducation C.Have the clients fill out intake forms, clarify informed consent, ask follow-up questions D.Have the clients fill out intake forms, form a rapport, assess for safety issues, and clarify informed consent

A.Gather information, form a rapport, assess for safety issues, and take care of the business aspects of therapy

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? 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.Helping the social worker understand his marital problems

Self-esteem and self-image are core identity issues for both men and women. Self-image is how one thinks about the self and self-esteem is the positive or negative evaluation of self, or how one feels about the self. Which of the following cross-cultural research statements is true? A.In Western culture, men generally have higher self-esteem than women, but in nations with less gender equality, men and women tend to have similar levels of self-esteem. B.In nations with less gender equality, men tend to have higher levels of self-esteem than women, but in more developed nations, men and women demonstrate similar levels of self-esteem. C.Both males and females who feel physically attractive tend to have higher self-esteem regardless of culture. D.In nations with less gender equality, men tend to have higher levels of self-esteem than women but in more developed nations, women demonstrate higher levels of self-esteem.

A.In Western culture, men generally have higher self-esteem than women, but in nations with less gender equality, men and women tend to have similar levels of self-esteem.

What are the primary features of grief versus a depressive episode? A.In grief, the predominant affect is feelings of emptiness and loss, while in a major depressive episode there is a persistent inability to anticipate happiness or pleasure. B.The thought content associates with grief may be accompanied by positive emotions and humor that are uncharacteristic of a major depressive episode. C.There are rarely any thoughts of suicide associated with grief, while there are always such thoughts with a major depressive episode. D.Grief is time-limited whereas major depression is not.

A.In grief, the predominant affect is feelings of emptiness and loss, while in a major depressive episode there is a persistent inability to anticipate happiness or pleasure.

Jim is a Japanese American man who is suffering from PTSD after a terrible car accident. He has been having trouble at work focusing, and his friends can't seem to understand why he is having such a hard time. Even though Jim's doctor has recommended medication and counseling, Jim is very resistant to following through on these recommendations. What would be a social worker's most likely understanding of this resistance? A.In the Asian American community, getting mental health treatment means you're "crazy. B.Jim seeking help would be in contrast to the "model minority" myth. C.Jim probably believes that his problems are only physical, and not psychological. D.Jim may be afraid his family will see him asking for help as an indictment against his parents and that he is broken because of them.

A.In the Asian American community, getting mental health treatment means you're "crazy.

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? A.Jealousy B.A pervasive fear of being perceived as inadequate C.Magical thinking D.A desire to exploit others

A.Jealousy

With regard to Jewish culture, which is NOT true? A.Jewish Americans suffer from a higher degree of anxiety disorders than other populations. B.Judaism follows matrilineal descent. C.Jewish culture encourages introspection, which makes people more likely to seek psychotherapy for help than in many other cultures. D.Jewish Americans are more likely to have an internal locus of control.

A.Jewish Americans suffer from a higher degree of anxiety disorders than other populations.

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? A.Let the client know that his feelings are normal B.Ask the client if he is feeling depressed C.Ask about the family's financial situation to determine if the client is able to make ends meet D.Briefly explain to the client how family systems work and how each family member and the whole system are affected by change

A.Let the client know that his feelings are normal

Who is responsible in all 50 states for advocating on behalf of residents of long-term care facilities who experience abuse, violations of their rights, or other difficulties? A.Long-Term Care Ombudsmen Program B.Elder Protective Services C.HIPAA D.Social Services

A.Long-Term Care Ombudsmen Program

A 19-year-old client who lives at home with his parents has been uncharacteristically hostile toward them and has seemed confused. The client mentions having bouts of extreme fatigue and is very thin. What diagnosis should be considered FIRST? A.Stimulant use disorder B.Major depressive disorder C.Schizophrenia D.Opioid use disorder

A.Stimulant use disorder

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? A.Mirror his feelings B.Redirect him to a more productive topic C.Allow him to continue venting his feelings D.Explore whether his defensive behavior is part of a long-term pattern

A.Mirror his feelings

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

A.Obsessive-compulsive disorder

What are the core ethical principles that social work researchers must take into account when conducting research on human subjects? A.Obtain informed consent, minimize harm, protect confidentiality, avoid deception, and give participant's 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.Obtain informed consent, minimize harm, protect confidentiality, avoid deception, and give participant's withdrawal rights

A gay man presents for services 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? A.Offer the client referral to a local church where he will find acceptance and be more comfortable B.Discuss with the client the pros and cons of disclosing his sexual orientation C.Further assess the client's religious needs and explore his beliefs with him D.Encourage the client to break away from his church and find support elsewhere

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

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? A.Parental superego lacunae B.Parentification C.Sublimation D.Rationalization

A.Parental superego lacunae

Lucas has suffered from bipolar disorder for years and is seeking counseling as he has just moved to a new city. He is just coming out of a depressive episode that has lasted 8 months. What are the differences between bipolar I and bipolar II? A.People with bipolar II don't have full-blown mania and tend to be depressed for longer periods of time than people with bipolar I. B.People with bipolar I have hypomania and tend to be depressed for shorter periods of time than people with bipolar II. C.People with bipolar I don't have full-blown mania and tend to be depressed for longer periods of time than people with bipolar II. D.People with bipolar II have hypomania and tend to be depressed for shorter periods of time than people with bipolar I.

A.People with bipolar II don't have full-blown mania and tend to be depressed for longer periods of time than people with bipolar I.

The social worker is employed at an agency that serves pregnant teenagers. She provides case management services, and facilitates a teen group focusing on parenting skills. The best predictor(s) for teen pregnancy are: A.Poverty, family history of teen pregnancy, and depression B.Race, poor parental supervision, and urban environment C.Urban environment, family history of teen pregnancy, and depression D.Lack of education, poor peer relationships, and poverty

A.Poverty, family history of teen pregnancy, and depression

Which of the following functions or roles is associated with both supervision and case consultation? 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.Providing education

A social worker's new client is a 45-year-old woman who has been divorced for 10 years. The presenting problem concerns her 21-year-old daughter who lives with her. The daughter is supposed to pay rent and help with household chores but rarely does. The client admits that she often gives her daughter "pocket money." She also says that she's worried her daughter uses drugs because she goes out at night with friends and sometimes doesn't come home until the next morning. After acknowledging what the client has shared to this point, what should the social worker do NEXT? A.Question and observe the client to gain an understanding of how she perceives and handles the presenting problem B.Find out more about the daughter's drug use, provide psychoeducation on chemical dependency, and interpret the client's behavior as codependency C.Find out more about the daughter's behavior and discuss and provide alternative strategies for managing it D.Actively shift the client's focus off of her daughter and on to herself in an effort to learn more about the client's needs and identify the actual problem

A.Question and observe the client to gain an understanding of how she perceives and handles the presenting problem

A social worker begins an 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 the social worker's lowest fee. What is the social worker's BEST course of action? 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.Refer the client to a low-fee community-based clinic

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

A.Retrospective

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? 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 problems that need immediate attention

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? A.The social worker must get the client's 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 client's consent can be voluntary in this situation.

A.The social worker must get the client's informed consent.

A Chinese American couple come in for counseling for marital problems. They are quiet and reluctant to share what the problem is at first, but they eventually begin to talk about the problems they have been having with communication. The social worker asks questions and takes a few notes but otherwise does not say very much. The couple agree to come back for a second session but do not show up. What may have been the problem? A.They may have interpreted the social worker's neutral listening attitude as not caring. B.They expected something from the first session that they did not receive. C.They felt like they shared too much and are now embarrassed. D.They would feel more comfortable with a social worker who is ethnically matched.

A.They may have interpreted the social worker's neutral listening attitude as not caring.

The parents of a 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? A.They should not worry because it reflects normal development B.Consult with a speech pathologist C.Speak to the child's pediatrician D.Have the child screened for autism spectrum disorder

A.They should not worry because it reflects normal development

During the initial interview, a client reports a loss of appetite, sleep difficulty, and spells of sadness and weeping. What should the social worker assess SECOND? A.Use of substances B.Suicide potential C.Medical history D.Level of anxiety

A.Use of substances

The client is brought in by his wife because he has been confused and acting strange. He recently went to the store for some milk and was caught for attempting to steal a barbecue tool set, even though he doesn't own a barbecue. When should a social worker suspect frontotemporal neurocognitive disorder over Alzheimer's? A.When the age of onset is relatively early B.When there is significant involvement in memory and learning C.When a brain scan reveals brain atrophy D.When the disturbance has insidious onset and gradual progression

A.When the age of onset is relatively early

The social worker is assessing a family that is asking for help for their anorexic daughter. The family consists of the parents, the daughter (10 years old), and two young brothers (5 and 3 year old). The focus of assessment in structural family therapy can be said to move from ____________ perspective to ____________ perspective. A.a linear; an interactional B.an interactional; a linear C.a family; an identified patient D.a problematic; a solution focused

A.a linear; an interactional

A 12-year-old boy has been diagnosed with conduct disorder. He has been suspended several times for bullying and has been in trouble with the law for stealing, including a car. A psychoanalytic social worker would view his problem as: A.a superego lacunae. B.guilt and self-hatred. C.the superego punishing the ego. D.transference.

A.a superego lacunae.

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

A.educational supervision.

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 ________________________. 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.establishing a safe and accepting relationship and determining whether the client is in crisis

The social worker determines that her new client, who suffers from dementia is "oriented X 3." This means he: A.is oriented to self, place and time. B.is awake, alert, and knows where he is. C.is oriented to place, time, and event. D.is oriented, alert, and is verbally appropriate.

A.is oriented to self, place and time.

The fundamental assumption of life course theory is that: A.lives are lived in a reasonably ordered manner in patterns shaped by age, social structures, and historical change. B.there is a predictable life course that most people follow spanning the time from birth to death. C.each individual progresses through their life course in a recapitulation of embryonic development. D.the stages of psychological development of the individual correspond with the stages of sociological development

A.lives are lived in a reasonably ordered manner in patterns shaped by age, social structures, and historical change.

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: 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.master important social and academic skills.

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 ____________________. A.patients who have a life expectancy of six months or less and who are referred by their personal physician B.only patients with private insurance who have a life expectancy of six months or less C.only patients with private insurance who are referred by their personal physician D.patients who have a life expectancy of six months or less and who are referred by a mental health care professional

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

A previous client owes her social worker fees from the last two sessions before she was terminated. The social worker receives a signed request from the client's current social worker wanting information from her previous records. The social worker should _________________. A.send the requested information B.withhold the records C.inform the other professional that she will send the records once payment is received D.report the previous client to a collection agency

A.send the requested information

A family is seeking services because their daughter, 13, had an accident leaving her permanently disabled. She was skateboarding, and went over a curb, and ended up hitting her head, causing a brain hemorrhage. They also have another child, an 11-year-old boy. Each family member identifies heightened anxiety since the accident and request help with effective coping strategies. In this instance, the accident was the hazardous event, what stage of crisis are they currently experiencing? A.vulnerable state B.precipitating factor C.active crisis state D.restoration of equilibrium

A.vulnerable state

An African American family comes in at the request of the social worker (who is Caucasian) for a session regarding their teenage son's run-ins with the law. He has stolen several cars, and even crashed one into the side of a store while drinking. The family consists of Jim and Laura, the parents; Clarissa, the grandmother; and three other children, ranging in age from 6 to 11. The social worker warmly welcomes them all by first name, and the session seems to go well. She constructs a genogram going back three generations, including Clarissa's parents and their siblings, and identifies several patterns that seem to be replaying themselves in the current family dynamic. Next week, the grandmother refuses to return, saying that she feels the social worker is "disrespectful." What happened? A. Clarissa took exception to examining her family of origin's part in the current problem. B. Calling Clarissa by her first name without first asking permission felt presumptive. C. Clarissa wants to distance herself from the problems of her grandson. D. Clarissa has already selected the grandson as the identified patient and feels that it is an insult to be included in something that is not of her own making.

B. Calling Clarissa by her first name without first asking permission felt presumptive.

A 25-year-old client recently immigrated to the United States from Southeast Asia. In working with this client, which of the following will be MOST important? A.Teaching him about the stages of migration B.Connecting him to community programs for immigrants and refugees that offer resources. C.Helping him deal effectively with discrimination, racism, and xenophobia D.Providing counseling to accelerate his acculturation process

B. Connecting him to community programs for immigrants and refugees that offer resources.

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 boys behavior? A. Bender-Gesalt-II B. Conners 3 C. Stanford-Binet-5 D. Vineland-II

B. Conners 3

A child with which of the following disorders is MOST likely to exhibit a cessation of symptoms by adulthood? A. Autism spectrum disorder B. Enuresis C. ADHD D. Conduct disorder

B. Enuresis

A client who has been taking antipsychotic medication for years begins experiencing tightness in his jaw and involuntary tongue movements. What is the most likely diagnosis? A.Tardive akathisia B.Tardive dyskinesia C.Neuroleptic malignant syndrome D.Medication-induced acute dystonia

B. Tardive dyskinesia

The social worker is beginning therapy with a Native American couple for issues around their failure to communicate with each other, as well as some parenting problems. Both clients are quite reticent, and the social worker has a hard time getting information about their issues in order to create a treatment plan. Halfway through the second session, she begins constructing a genogram with them. The tone of the session changes, and it ends on a very positive note. What happened? A. Doing the genogram took the pressure off of them to have to talk about intimate issues. B. The social worker demonstrated that she was interested in their extended kinship network. C. The clients finally warmed up to the social worker. D. The social worker passed some sort of test that increased their trust.

B. The social worker demonstrated that she was interested in their extended kinship network.

A 4-year-old is told that her parents have gone out of town for the weekend to visit Grandpa. Since the girl is in Piaget's preoperational stage, her response to this news is MOST likely to be: A. indifference. B. believing her parents have left for good. C. anger. D. protest.

B. believing her parents have left for good.

A 30-year-old client reports feeling self-conscious around other people and worrying that they are judging her in negative ways. She is acutely aware of other people's reactions to her behavior and tries to adapt what she says and does to other people's expectations in order to avoid their ridicule or censure. She says she's been this way for years. Erikson would predict that this problem first developed when the client was a/an: A. infant. B. toddler C. school-age child. D. teenager.

B. toddler

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? A.Encourage the client to stop driving and provide him information about local public transportation B.Discourage the client from driving and find out whether he has gotten medical attention C.Ask the client for more information about his symptoms and then explain the likely dangers involved in driving at this time D.Discourage the client from driving and discuss if friends or family members can drive him places he needs to go

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

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? 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.Discuss these concerns with a supervisor to determine the best course of action

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? 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.Discuss with the client her decision about whether to have a baby

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? A.Tell the client you are mandated to discuss with his parents as they consented for treatment B.Encourage the client to invite his parents into session to discuss further C.Begin helping the client research doctors to conduct the surgery D.Discuss the social worker's concerns that this option is risky and encourage the client to reconsider

B.Encourage the client to invite his parents into session to discuss further

A social worker is meeting with a 35-year-old woman and her 67-year-old father. The man's wife/woman's mother died about six months ago. The daughter explains that she is concerned about her father's recent "overuse of alcohol." She says that he has suddenly started drinking two or three glasses of wine with his dinner. The father tells you that his doctor has recommended that he drink wine as a way of stimulating his low appetite. The daughter confirms that this is true. Taking into account all of this information, what should the social worker do FIRST? A.Screen for alcoholism and contact the man's physician B.Explore the man's medical history, history of loss, and support system C.Screen for alcoholism and assess the man's ability to cope with loss D.Explore how the system is coping with the wife/mother's death and offer grief counseling

B.Explore the man's medical history, history of loss, and support system

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? 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.Explore this situation with the social worker

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? A.Setting clear and consistent limits on the boy's 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.Family therapy to modify dysfunctional interactional patterns

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, heavyset 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? A.Calmness B.Fear C.Frustration D.Uncertainty

B.Fear

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 have a negative effect on his response to the stress in his life? 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.He has an external locus of control.

The overall goal of social worker authenticity with a client is to: 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.facilitate client growth.

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? A.Arrange to have the child removed from his home and placed in foster care B.Interview the family to learn more about the situation that led to the report C.Identify how the parents can correct the conditions that have led to neglect of the child D.Provide services to counteract the isolation that has led to the neglect

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

A social worker'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? 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.Introduce herself using her full name and address them as "Mr. Peterson" and "Mrs. Peterson" until they invite her to do otherwise

An individual with schizoid personality disorder is MOST likely to display which of the following? A.Eccentric behavior B.Isolation C.Suspiciousness D.Excessive emotionality

B.Isolation

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

B.Keep his feelings to himself

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? 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.Maintain confidentiality

What is defined as a failure to exercise reasonable care or caution, resulting in someone either being harmed or being exposed to an unnecessary risk of harm, or a failure to fulfill a duty necessary to protect or help another person? A.Clinical judgment B.Negligence C.Personal bias D.Conflict of interest

B.Negligence

A client reports being very angry at a noisy neighbor and wanting revenge. The client is known to have a short temper and has been physically aggressive in the past. What should the social worker do during this interview to address the client's potential for violent behavior? A.Proceed with the interview as planned, but observe the client closely for verbal and nonverbal cues suggesting danger B.Pose questions to determine the client's intentions C.Allow the client to vent his anger fully and provide strategies for anger management D.Encourage the client's self-expression to defuse his anger and explore options for resolving the problem without resorting to violence

B.Pose questions to determine the client's intentions

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

B.Privilege

The parents of a 7-year-old bring him in for services because he stutters. It began when he was 3 and, for a while, seemed to be getting better. But lately, he has gone back to stuttering as badly as before. Which is LEAST likely to be etiologically linked to stuttering? A.Delayed childhood development B.Psychogenics C.Genetics D.Neurophysiology

B.Psychogenics

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

B.QID

Conditions must be met for consent to be truly informed. Which of the following is NOT considered to be a condition? A.Capacity B.Receptivity C.Comprehension D.Voluntariness

B.Receptivity

A mother brings her 6-year-old daughter in for evaluation and treatment. The girl is clingy and fearful, looks scared, and doesn't make eye contact. The mother tells the social worker that the girl has no friends at school. In light of the mother's report, what should the social worker do FIRST? A.Make a provisional diagnosis of separation anxiety disorder and get permission to contact the girl's teacher for collateral information B.Recognize the possibility that this girl has been abused and assess accordingly C.Explore how the mother copes with the girls behavior and counsel the mother about setting firm and consistent limits on excessive clinging D.Arrange for psychological testing to assess the severity of the girl's anxiety and get a better understanding of the underlying dynamics

B.Recognize the possibility that this girl has been abused and assess accordingly

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

B.Role theory

A high school senior is brought in for evaluation by his mother, who is concerned because the boy more recently is hearing voices and has withdrawn from his friends and family. He has no other symptoms. What is the MOST likely diagnosis for this boy? A.Schizoaffective disorder B.Schizophreniform disorder C.Schizophrenia D.Delusional disorde

B.Schizophreniform disorder

A social worker is beginning to see many Muslim immigrants in his practice. It is important for him to recognize the role of religion and spirituality in his clients' lives. In general, Muslims use their religious practices as coping mechanisms for dealing with mental health issues. It would be important for the social worker to understand that Muslims particularly value: A.sexual modesty, ability to support the family, religious affiliation, and practice of charity. B.faith, prayer, the practice of charity, fasting, and pilgrimage. C.prayer, ability to give back to the community, pilgrimage, and sexual chastity. D.the profession of faith, prayer, and a support system.

B.faith, prayer, the practice of charity, fasting, and pilgrimage.

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? 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 patient's health. D.The social worker needs information about the patient's health insurance.

B.Socioeconomic factors impact access to services and resources and this may need to be addressed in the intervention.

The social worker is evaluating Isabella, 25, who was referred by the court. Isabella is very thin, drawn, and haggard and looks much older than her age. She sits nervously in the session, grinding her teeth, and picks at sores on her arms while she talks. She states that she believes in the "magical world" and that she has been a "practicing witch" for some time. What diagnosis is most likely? A.Anorexia nervosa B.Stimulant use disorder C.Methamphetamine use disorder D.Schizotypal personality disorder

B.Stimulant use disorder

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? 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.Suspect that the tics are a side-effect of the client's medication and arrange for him to see his psychiatrist.

A client diagnosed with alcohol use disorder has been in recovery for some time but has recently had a relapse. In treating this client, a therapist using the relapse prevention therapy developed by Marlatt and Gordon would focus on which of the following? A.The client's feelings about the relapse B.The client's attributions for the cause of the relapse C.The negative consequences of the relapse D.Personality and psychodynamic variables related to the relapse

B.The client's attributions for the cause of the relapse

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

B.The foster parent

The social worker is Caucasian and the client is Asian American. The client is seeking counseling because of a general sense of anxiety that he experiences "all of the time." How might the "model minority" myth influence the therapeutic relationship? A.The client may feel that they cannot be his true self in the therapy. B.The social worker may expect the client to be polite, successful, and non-threatening. C.The social worker may experience the client to be "foreign." D.The client may worry that the social worker will think that he is crazy.

B.The social worker may expect the client to be polite, successful, and non-threatening.

What do hoarding disorder and trichotillomania have in common? A.They are both anxiety disorders. B.They are both categorized under obsessive-compulsive and related disorders in the DSM-5. C.They both can be managed with anti-anxiety medications. D.They are triggered by a stressful event.

B.They are both categorized under obsessive-compulsive and related disorders in the DSM-5.

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? 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.To facilitate the development of appropriate treatment goals and objectives

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

B.Tracking and mimesis

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: A.ask the father-in-law his name B.ask the family about their habits regarding names and relationships C.accept the wife's language as a cultural norm. D.invite the adult family members to start using first names in therapy sessions.

B.ask the family about their habits regarding names and relationships

Direct observation procedures used by supervisors include all of the following except ____________________. A.sitting in B.audio and video recordings C.one-way mirrors D.co-therapy supervision

B.audio and video recordings

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: A.confrontation. B.empowerment. C.clarification. D.reframing.

B.empowerment.

The Code of Ethics serves all of the following purposes except _____________________. A.identifying the fundamental values upon which the mission as a social worker is based B.serving as an optional guide of suggested actions and behaviors if more guidance is needed for social work practice C.providing ethical standards to which the general public can hold the social work profession accountable D.socializing practitioners new to the field to social work's mission, values, ethical principles, and ethical standards

B.serving as an optional guide of suggested actions and behaviors if more guidance is needed for social work practice

A client joins a grief group and tells everyone that his wife died and he "just can't get over it." He says they'd been married for 25 years and were planning on traveling around the world when she became ill. The client complains of not sleeping, eating very little, and not wanting to spend time with friends. The social worker is more likely to consider a DSM-5 diagnosis of uncomplicated bereavement for the client than a diagnosis of major depressive disorder if: A.the man's feeling of loss is accompanied by a depressed mood on most days and an inability to anticipate pleasure or happiness. B.the man's symptoms have dissipated in intensity over time and occur primarily when he thinks about his wife and their relationship. C.the man has a psychiatric comorbidity. D.the man's wife died less than six months ago and he considers his reaction to her death to be normal.

B.the man's symptoms have dissipated in intensity over time and occur primarily when he thinks about his wife and their relationship.

A diagnosis of schizoaffective disorder requires the presence of delusions and hallucinations for at least ____________ without symptoms of a depressive or manic episode. A.one week B.two weeks C.one month D.two months

B.two weeks

A 20-year-old man is diagnosed with schizophrenia and is hospitalized. After a month, he is considered to be sufficiently stabilized on medication to return home to his parents' house. According to the concept of homeostasis, which of the following is LEAST likely to happen when the man returns to his family? A.His parents will separate. B.A younger child in the family will develop behavioral symptoms. C.Family rules will change to allow the family to support the man. D.A previously functional family member will develop psychiatric symptoms.

C. Family rules will change to allow the family to support the man.

A social worker is assessing a 4-year-old who was in an automobile accident with his parents a week ago. No one suffered serious injury, but the parents are worried because the boy has been "fussy" since the accident. They wonder whether they should avoid making him ride in a car for a while. They hope that the social worker can find out what the boy remembers about the accident and whether he is afraid of being in another accident. When exploring those questions, the social worker should be aware of which of the following? A. A 4-year-old does not have the cognitive capacity to talk about an event he has experienced. B. The boy is too young to have stored information in memory about his experience. C. The boy's understanding of the concept of time, the past, and the future will be limited by his age. D. The boy will be better able to describe his memories of the accident after more time has passed.

C. The boy's understanding of the concept of time, the past, and the future will be limited by his age.

A social worker is assessing a school-age child who has been acting out in the classroom and defying her parents. She refuses to do her homework or chores. Her parents, who are second-generation immigrants from Korea, work long hours, and the girl's grandmother cares for her every day after school. The social worker is using Bronfenbrenner's ecological systems theory to examine this child's development. When evaluating the "microsystem," the social worker will study: A. The cultural values, customs, and laws affecting the girl and her family. B. The connection between the child, her family, and the school. C. The child's immediate environment and face-to-face relationships. D. The parents' work schedules and the family's access to community-based resources.

C. The child's immediate environment and face-to-face relationships.

Jacob and Ethan come to therapy for "problems with intimacy." They have been together for two years, and they recently moved in together. After a thorough interview, the social worker asks them to go home and each write the story about how they came together as a couple and bring it to the second session. This is: A.wrong because it is too soon in the therapy process to have them be doing this kind of intervention. B.not going to be useful because they are not fully committed to the therapeutic process. C.a good idea because it refocuses them on the positive aspects of their relationship and establishes a baseline for an active therapeutic experience. D.useful because they leave the first session with something they can actually do and demonstrates that the social worker is going to be an active therapist.

C. a good idea because it refocuses them on the positive aspects of their relationship and establishes a baseline for an active therapeutic experience.

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? 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 so 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.Contact the girl's parents about this if doing so is necessary to prevent the girl from hurting herself

The social worker is setting up a case management arrangement with a client who has hoarding disorder. She has been told that she may have to move out of her house into a motel because the house may be declared unsafe. She particularly hoards clothing, which has made the house a fire hazard. She has also filled a shed on the property with items that are attracting vermin and growing mold. How would the social worker intervene in this kind of case? A.Assist the client to reduce isolation and increase social involvement with meaningful activities B.Incorporate the new policy into the policy manual and make sure that all staff receive a copy C.Coordinate various professionals to provide services to the client D.Help the client to organize and categorize possessions to help her decide which ones to discard

C.Coordinate various professionals to provide services to the client

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? A.Timing B.Meaning C.Depth D.Stereotyping

C.Depth

A social worker employed at a hospital is asked by a physician to engage in 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? A.Refuse to comply because he should follow the hospital's policies and procedures rather than a physician's request B.Refuse to comply with the physician's request and arrange to meet with a supervisor or administrator to explain the conflict C.Discuss his concerns with the physician D.Fulfill the physician's request if it will not harm the patient

C.Discuss his concerns with the physician

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? A.Answer the client's question before the session B.Schedule a meeting with the client to address his reluctance to speak openly in the group C.Encourage the client to ask his question during the group session D.Remind the client that she can't answer questions outside of group sessions

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

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? 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 it is required to contact the police to report the rape

C.Establish a specific plan covering the next few days

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? A.Determine the family's 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 mother's medical condition and seek permission to speak with her physician immediately C.Evaluate how the family as a whole is coping with the mother's diagnosis D.Discuss the boy's behavior in more depth with the parents, including its nature and frequency, and seek permission to confer with the boy's teacher

C.Evaluate how the family as a whole is coping with the mother's diagnosis

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? A.Ask the caller for more information about the client's 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.Explore this statement with the client

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? A.Connect the client to needed medical services to address her disability B.Advocate on the client's behalf to remove environmental barriers and ensure that she receives the services she is entitled to C.Gather information to identify the client's needs and concerns D.Work with the client to formulate an appropriate case plan to address immediate needs stemming from her physical condition

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

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

C.Harmony

The client presents with a sense of being "outside" of himself, "looking in," and feels like he "isn't real." He denies drug use, and states that he hasn't had any "real dramatic" things happen to him lately, he says, "This feeling has just been creeping up on me." The social worker finds that he is oriented to time and place and that he doesn't show any immediate cognitive deficits when she does a mental status exam with him. What is the most likely explanation for this client's symptoms? A.He has an undiagnosed medical problem. B.He is suffering from dissociative identity disorder. C.He has depersonalization/derealization disorder. D.He has factitious disorder.

C.He has depersonalization/derealization disorder.

A social worker works in a very diverse neighborhood and finds that he has to change his therapeutic stance in regards to his approach with his clientele. If he sees a Chinese American client in the first hour, how would he respond differently than if he saw a Native American client the next hour? A.He would be professional and non-directive versus casual and directive. B.He would be non-directive and casual versus non-directive and professional. C.He would be directive and professional versus casual and non-directive. D.He would be casual and directive versus professional and non-directive.

C.He would be directive and professional versus casual and non-directive.

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 the assessment, she will be MOST interested in which of the following? A.The effects of external events on the client's mood B.The effects of external events on the client's behavior C.How the client perceives and interprets external events D.How the client is affected by external contingencies

C.How the client perceives and interprets external events

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? A.Deficits in memory B.Fatigue or loss of energy C.Impaired attention and awareness D.Flight of ideas

C.Impaired attention and awareness

Barbara, age 16, has been brought in by her mother, Rebecca, for an initial evaluation. Rebecca reports that Barbara is not working up to her potential in school. Barbara says that for the last year, she has felt "like crap" and is "not even interested in getting out of bed." She says she has "endless" questions about her life. "I am awake at night wondering if this whole thing is worthwhile." Rebecca divorced Barbara's father three years ago because she saw him as "a threat to my own and my daughter's safety, and neither of us see him now." Rebecca remarried two years ago "to a good and caring man." Barbara and her stepfather have yet to form much of a relationship. What are the diagnostic considerations for Barbara? A.Persistent depressive disorder, primary insomnia, generalized anxiety disorder B.Major depression, generalized anxiety disorder, V-Code identity problem C.Major depression, persistent depressive disorder, PTSD, generalized anxiety disorder D.Major depression, persistent depressive disorder, V-Code identity problem, V-Code parent-child relational problem Feedback

C.Major depression, persistent depressive disorder, PTSD, generalized anxiety disorder

A social worker has been working in individual therapy with a client who has a substance use disorder and has agreed to abstain from using substances. The client has also been attending 12-Step meetings. In the current session, the client presents, for the first time, with depression-like symptoms. The social worker learns that the client has been using again. The client's depression-like symptoms suggest that she may be experiencing which of the following? A.Barbiturate intoxication B.Cannabis intoxication C.Opioid withdrawal D.Alcohol withdrawal

C.Opioid withdrawal

A 48-year-old woman is admitted to the emergency room of a hospital, complaining of chest pain and shortness of breath. While being interviewed, she is very restless and often gets up to pace back and forth. She says she has had similar "attacks" in the past, but that this one is the worst. She also states that the attacks sometimes occur when she's concerned about getting bad news; but, most of the time, they don't seem to be related to anything and they make her feel like she's "going to die." Assuming that there is no medical explanation for the woman's symptoms, the MOST likely DSM-5 diagnosis is which of the following? A.Illness anxiety disorder B.Specific phobia C.Panic disorder D.Panic disorder without agoraphobia

C.Panic disorder

A client and his wife are seeking help for their relationship. The social worker notices that the wife frequently tells her husband what he should be doing, and he either acquiesces or rebels against her. Berne would state that their interpersonal style is that of: A.Adult and child B.Id and superego C.Parent and child D.Complementary, not symmetrical

C.Parent and child

According to Sigmund Freud, sexually aggressive behaviors are the result of fixation at what stage of psychosexual development? A.Oral B.Latency C.Phallic D.Anal

C.Phallic

For many Asian Americans and Pacific Islanders, mental health is strongly correlated to: A.Family status B.Interpersonal harmony C.Physical health D.Stigma

C.Physical health

Many developing countries have established national, regional or local Institutional Review Boards (IRB). What is the primary goal of Institutional Review Boards? 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.Protect the rights and welfare of human research subjects.

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

C.Reallocation of resources

A 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? 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.Reduce her fee for this client or offer him shorter sessions

What is the primary focus of interventions made by child protective service agencies? 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.Rehabilitating abusive parents

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 the social worker and requests information about how the client is progressing in therapy. How BEST should the social worker handle this request? A.Release information to the probation officer with or without the client's permission because his therapy is court ordered B.Remind the probation officer that the social worker holds the privilege in this situation and refuse to release the information to the officer if the social worker believes that doing so could harm the client C.Release information to the probation officer only if the social worker has the client's permission to do so D.Refuse to release information to the probation officer unless there is a court order that mandates the social worker to release it

C.Release information to the probation officer only if the social worker has the client's permission to do so

Numerous researchers have investigated the effects of religion on self-esteem and self-image for adolescents. Overall, these studies have shown that: 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 church's activities.

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.

Which of the following is the BEST description of accommodation, as described by Piaget? 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.Restructuring of cognitive schema to account for new information

A social worker is meeting with a mother and her 9-year-old daughter. Since the death of her father two months ago, the 9-year-old has been having great difficulty being apart from her mother. She has been begging to stay at home with her mother during the school day and having dreams about people leaving her alone. The MOST likely diagnosis for this girl is which of the following? A.Uncomplicated bereavement B.Acute stress disorder C.Separation anxiety disorder D.Reactive attachment disorder

C.Separation anxiety disorder

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? A.Gender B.Race C.Socioeconomic status D.Religious beliefs

C.Socioeconomic status

According to the DSM-5, a person intoxicated on either cannabis or cocaine is likely to exhibit which of the following signs or symptoms? A.Blurring of vision B.Psychomotor agitation C.Tachycardia D.Impaired attention

C.Tachycardia

The social worker has been seeing Robert for a year now. Robert has schizoaffective disorder, first diagnosed 10 years ago. In a conversation with the client's doctor, the doctor tells the social worker that the client is experiencing medication sequelae. What is the doctor trying to communicate? A.The client is experiencing side effects from the medication. B.The client needs to take less of the medication because the current dose is too high. C.The client has sustained permanent damage as a result of taking medication. D.The client is receiving an unexpected benefit from the medication. Feedback

C.The client has sustained permanent damage as a result of taking medication.

The BEST overall focus for performance appraisals of social workers employed at an agency would be which of the following? 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 quality and quantity of their output

A couple who have been trying to have a baby for several years, decides to try egg donation. They get pregnant on the first try and go on to deliver a healthy baby. What should they tell the child about their origin? A.They should not tell the child about the egg donation. B.They should give the child information about her conception when she reaches adolescence. C.They should begin telling the child about her conception and birth story as an infant, and keep re-telling it throughout her childhood. D.They should put a letter to the child in their will to be read upon their deaths.

C.They should begin telling the child about her conception and birth story as an infant, and keep re-telling it throughout her childhood.

A client's symptoms are markedly diminished during sleep. Based on this fact alone, which of the following is the MOST likely diagnosis for this client? A.Major depressive disorder B.Enuresis C.Tic disorder D.Restless leg syndrome

C.Tic disorder

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

C.To determine whether patient services meet predefined standards

A client was date-raped a week ago. When would it be MOST appropriate to refer this client to a support group? 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.When the acute trauma reaction has subsided

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 every day 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.a hazardous event B.vulnerability C.a precipitating factor D.an immobilizer

C.a precipitating factor

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: 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.compensatory behavior to prevent weight gain is not a requirement for binge-eating disorder.

The client, a college freshman, says she sometimes has an "out of body" experience in which she is watching what she is doing from outside herself. She describes a recent experience in which she was in her dorm room writing a paper when she realized she couldn't feel her fingers on the computer keyboard or her feet on the floor and then suddenly felt like she was watching herself from the ceiling. The client says that these episodes make her feel like she's "going crazy" and are interfering with her ability to attend class and complete course assignments. The client's symptoms are MOST suggestive of a DSM-5 diagnosis of: A.delusional disorder. B.dissociative fugue. C.depersonalization/derealization disorder. D.depersonalization disorder.

C.depersonalization/derealization disorder.

A social worker using feminist therapy would be MOST likely to: 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.focus on social and political factors that underlie a woman's so-called psychopathology.

An individual with an internal locus of control believes that his behavior is controlled by: A.fate. B.luck. C.free choice and will. D.other people.

C.free choice and will.

The Field Theory of Learning (Lewin, 1943) theorized that individual behavior is a: A.product of past events. B.product of future expectation. C.function of the interaction between the individual and their environment. D.product of conditions outside the person's control.

C.function of the interaction between the individual and their environment.

Planned termination of therapy is usually indicated when a client _________________. S 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 benefit from additional therapy

C.has achieved his treatment goals and objectives

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

C.have low levels of self-control.

The DSM-5 presents an alternative model for formulating the diagnosis of personality disorders. The elements of personality functioning that are evaluated using this model are: A.negative affectivity, detachment, antagonism, disinhibition, and psychoticism. B.identity, detachment, empathy, and self-direction. C.identity, self-direction, empathy, and intimacy. D.self-direction, stability, intimacy, and empathy.

C.identity, self-direction, empathy, and intimacy.

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: 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.is trying to develop a sense of self.

A young man has been diagnosed with schizophrenia. He is part of a large Italian American family. His mother is very upset, thinking that she did something to bring on the disorder. His father is very critical of the client and feels that if he would just "pull himself together," he would stop having symptoms. Research has found that: A.low emotionally expressive families may result in a client with schizophrenia feeling abandoned. B.highly emotionally expressive families are likely to be more involved in the client's treatment and to make them feel supported. C.low emotionally expressive families have better outcomes with schizophrenia. D.highly emotionally expressive families have better outcomes with schizophrenia.

C.low emotionally expressive families have better outcomes with schizophrenia.

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

C.positive regard.

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

C.sometimes

The ____________ nervous system is involved in the mediation of the "flight or fight" reaction. A.parasympathetic B.somatic C.sympathetic D.central

C.sympathetic

The Social Worker has been referred to a Native American family because the mother is depressed and not functioning well. She has been prescribed antidepressants, and the psychiatrist thinks it would be important for her to go to therapy, as well. It would be most important for the Social Worker to: A.include Native healers if appropriate. B.ask the entire family to participate in therapy. C.take a collaborative rather than a directive approach. D.learn something about Native American healing practices so that s/he can use them in therapy.

C.take a collaborative rather than a directive approach.

A family life cycle theorist would be MOST likely to view symptoms in a family member as expressing which of the following? A.A family member's struggle to negotiate a new developmental stage B.A family member's flight from an unresolved emotional conflict C.A family member's struggle to adapt to the demands of a new developmental stage D.The family's struggle to adapt to the demands of a new developmental stage

D .The family's struggle to adapt to the demands of a new developmental stage

The client is a 32-year-old woman who has suffered from depression since her mid-20s. The client started taking antidepressant medication two months ago and reports that her mood has improved quite a bit. When asked by the social worker to describe why she has come in, the client reports that she no longer wants to have sex, and that her husband is upset by this. Based on what is known so far about this case, what should the social worker do in response to what the client has just shared? A.Discuss medication side effects, including whether the client is experiencing other side effects, and explain that the presenting symptom is a side effect of her medication B.Explain that marital problems may have been masked by depression and discuss the possibility of couples therapy to address marital issues that may underlie the loss of sexual desire C.Explain that a loss of sexual desire is common among people who are depressed, describe the process of behavioral sex therapy, and have the client discuss this treatment option with her husband D.Confer with the prescribing physician about the client's medication

D. Confer with the prescribing physician about the client's medication

Amelia, 52, brings in Ana, 14, for counseling. She says that Ana has become very argumentative lately and has stopped eating. "She's up at all hours of the night," Amelia says. Ana has also gotten into trouble at school for talking back, and she was once suspended for calling her teacher a foul name. What would be the most likely considerations for a diagnostic formulation for Ana? A.Insomnia disorder, conduct disorder, bipolar disorder B.Oppositional defiant disorder, insomnia disorder, bipolar disorder C.Stimulant use disorder, adjustment disorder with mixed disturbance of emotions and conduct, insomnia disorder D.Oppositional defiant disorder, stimulant use disorder, bipolar disorder

D. Oppositional defiant disorder, stimulant use disorder, bipolar disorder

When Satir would assess a family, she often saw certain "roles" with characteristic styles of communication. Which of the following is NOT one of these roles? A.The blamer B.The placatory C.The leveler D.The clown

D. The Clown

A social worker is interviewing a 15-year-old boy who has been referred by the juvenile court following an arrest for vandalism. The client often skips school and says he has no plans for the future other than having fun. He doesn't think anyone should be able to tell him what to do. Based on this information and the client's age, which of the following is LEAST likely to be true? A. The client is in the midst of an identity crisis. B. The client is egocentric. C. The client thinks his own experiences are unique. D. The client is acutely aware of his own mortality.

D. The client is acutely aware of his own mortality.

The symptoms of oppositional defiant disorder are categorized in three groups in the DSM-5. These groups are: A.destruction of property, deceitfulness or theft, and serious violations of rules. B.negativistic, defiant, and hostile behavior. C.deceitfulness/dishonesty, irritability/aggressiveness, and failure to conform to social norms. D.angry/irritable mood, argumentative/defiant behavior, and vindictiveness.

D. angry/irritable mood, argumentative/defiant behavior, and vindictiveness.

A social worker is meeting with a couple for therapy, and their discussion quickly becomes heated. He blames her for the problem; she tells the social worker that he is lying and that HE is the source of the problem. What is the best way to conduct an assessment of this couple? A.End the session and ask them to come in next time with written lists of their issues with each other B.Start a genogram and have them focus on the patterns that are being repeated in their own relationship that they may have learned from previous generations C.Have them each take the position of the other and role play each other's point of view. D.After seeing them together and watching their enactment, see each of them individually and then together to formulate a treatment plan

D.After seeing them together and watching their enactment, see each of them individually and then together to formulate a treatment plan

A social worker is working 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? A.Give optimistic answers and withhold information that might upset her B.Explore what underlies her questions before answering C.Reassure her that her parents are safe and are being helped too D.Answer her as honestly as he can, with the facts as he knows them

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

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? 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.Arrange for the client to meet with his psychiatrist to discuss this

A 9-year-old boy has been referred for evaluation because he is careless, engages in risk-taking behavior, and is not achieving his potential at school. When meeting with the boy, the social worker observes that he has trouble staying focused but seems bright and is very engaging. Based on this information, what diagnosis is MOST indicated for this boy? A.Specific learning disorder B.Conduct disorder C.Oppositional defiant disorder D.Attention-deficit/hyperactivity disorder

D.Attention-deficit/hyperactivity disorder

Janet, 22, is referred to therapy by her pastor. She states that she's been having a "lot of trouble with [her] moods" since she was about 15. She once was hospitalized for a week because she "just couldn't function at all." She cries frequently during the intake session, but then inexplicably will start laughing about something she just thought of. She tells the social worker that sometimes she feels like killing herself, and then a few minutes later says that she is in the "prime of [her] life." What would a provisional diagnosis be? A.Bipolar I disorder, hypomanic episode with mixed features B.Bipolar I disorder, manic episode with rapid cycling C.Cyclothymic disorder D.Bipolar II disorder, hypomanic episode with mixed features

D.Bipolar II disorder, hypomanic episode with mixed features

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? A.In communicating 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.By hiring a professional interpreter

Which of the following is NOT a DSM-5 mental disorder? A.Restless legs syndrome B.Tobacco use disorder C.Hallucinogen persisting perception disorder D.Caffeine dependence disorder

D.Caffeine dependence disorder

A Jewish family comes in for counseling when the oldest daughter becomes pregnant out of wedlock. There are four children, ranging in age from 6 to 17. The father wants his daughter to marry the baby's father, but the mother feels that he is just a "good for nothing" and that her daughter will end up having a life of misery if she marries him. The daughter is not sure what she wants to do but states that whatever she does, it will be her decision, no matter what anybody else thinks. In Jewish American families, which is the LEAST likely to be true? A.Couples tend to marry later in life. B.Parent's tend to use rationalizing and explaining more than punishment with children. C.The mother tends to be the primary cultural educator of the children D.Children's opinions are not highly regarded.

D.Children's opinions are not highly regarded.

A physician's 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? A.Integrative methods of mental health treatment use non-traditional methods to eliminate symptoms of mental illness. B.Alternative methods of mental health treatment include traditional methods as well as non-traditional models. C.Body-based mental health treatment is within the scope of social work practice, whereas energy medicine is not. D.Complementary methods of mental health practice are given in addition to standard procedures while alternative methods are used instead of standard treatment.

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

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? A.Intermittent explosive disorder B.Oppositional defiant disorder C.Bipolar II disorder D.Disruptive mood dysregulation disorder

D.Disruptive mood dysregulation disorder

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? A.Make sure that the woman takes her medication by having medical professionals at the facility administer it against her will B.Recruit the woman's family to monitor her mood and behavior C.Have the woman rehospitalized involuntarily D.Explore this statement with the woman

D.Explore this statement with the woman

A social worker is meeting with a recently divorced man and his 7-year-old daughter. The man was granted sole custody of the girl because his ex-wife emotionally abused and neglected her. He reports that his daughter has been upset lately and seems disoriented at times. She recently stabbed herself in the leg with scissors so deeply that she needed stitches. The man thinks that the behavior was intentional. The man also reports that he lost his job two weeks ago, has few financial resources, and doesn't know what he and his daughter will do. During the interview, the social worker observes that the girl is withdrawn and doesn't respond to questions. Based on this information, what should the social worker do FIRST? A.Gather information about the girl's mother to find out if she can provide any help at this time B.Identify, through discussion with the man, what options he will have if he runs out of money C.Identify ways of helping the girl cope with exposure to abuse and her parents' divorce D.Get a better understanding of the girl's symptoms by arranging for her to undergo medical and psychiatric evaluations

D.Get a better understanding of the girl's symptoms by arranging for her to undergo medical and psychiatric evaluations

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? \ 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 father's death. C.Given his age, it's 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.Given his age, the boy probably understands the finality of death and may be worried about his own death.

A 36-year-old client was referred by his physician because of alcohol abuse. The social worker observes that the client acts very tough but seems insecure. He becomes hostile when asked about his childhood, and, although he briefly mentions that he saw violence at home as a child, he refuses to elaborate. He denies that he has a drinking problem and blames his repeated failures at work on his bosses. The client is married but refuses to let the social worker speak to his wife. Based on this information, what should the social worker MOST suspect is true about this client? A.He abuses amphetamines rather than alcohol. B.He has antisocial personality disorder. C.He has major depression, as well as alcoholism. D.He abuses his wife.

D.He abuses his wife.

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? A.He is unable to pay for medical care and has either a physical or mental disability or both B.He is unable to pay for medical care and is age 65 or older C.He is unable to pay for medical care D.He is age 65 or older

D.He is age 65 or older

A social worker using rational-emotive behavior therapy to treat a mildly depressed client would be MOST likely to do which of the following? 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.Identify events that activate the client's irrational beliefs

A married couple reports frequent arguments and difficulties in resolving problems. They say that they frequently misunderstand each other when they fight, which leads to more intense arguments. In light of the couple's report, what should the social worker do FIRST? A.Identify specific problems in the relationship by having each partner, in a separate interview, describe his or her view of the problem B.Identify successful and unsuccessful anger-management strategies used by each partner and their consequences C.Assess each partner's emotional health and stability D.Identify the couple's specific communication deficits by having them attempt to resolve a major conflict while the social worker observes them

D.Identify the couple's specific communication deficits by having them attempt to resolve a major conflict while the social worker observes them

What does "registration" mean in the context of a mental status exam? A.Attentiveness and distractibility B.The ability to evaluate alternatives C.Higher order cognitive function D.Immediate memory

D.Immediate memory

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? A.Address nonprescription drug use first because it's affecting the client's 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 it's important for them to continue supporting the client and offer them assistance in doing so D.Immediately contact the psychiatrist or provider that prescribed the medication

D.Immediately contact the psychiatrist or provider that prescribed the medication

A social worker practices structural family therapy, and is assessing a family of five, where the identified patient is the 8-year-old son, who is acting out at school. He is interested in where each person sits during the session because: A.seating order can illustrate subsystem alliances. B.the seating will help the social worker see the circular enactments between members. C.the seating order will reveal how the family is organized. D.seating order can reveal alliances, coalitions, and boundaries.

D.seating order can reveal alliances, coalitions, and boundaries.

A social worker's new client is a 40-year-old man who was referred by his physician following thorough physical evaluations. The client complained to his doctor of headaches and fatigue, and the doctor ruled out relevant medical conditions and substance use as causes of these symptoms. When the client meets with the social worker, he tells her immediately that his physician thinks he might be depressed. What should the social worker do FIRST in assessing this client? A.Identify strengths and deficiencies in the client and his environment B.Use her professional knowledge base to draw initial inferences from the physician's findings and the client's statement about possible depression C.Discuss the physician's findings with the client and ask the client if he thinks he's depressed D.Invite the client to share his ideas about his problem

D.Invite the client to share his ideas about his problem

Laura and Denise were adopted when they were 8 and 4, respectively. Laura was raised by both biological parents, but their mother abandoned them 6 months after Denise was born. Their father was bipolar and would drink excessively when manic. The children would often steal food left out for pets in their trailer park in order to keep themselves fed. They were removed after the father started shooting into other trailer park residents' trailers with his rifle. What would be the most likely outcome psychologically for these girls? A.Both children would grow up with serious attachment difficulties. B.They may develop eating disorders. C.They are at high risk for mental health problems. D.Laura would become parentified and Denise would have attachment problem

D.Laura would become parentified and Denise would have attachment problem

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

D.Leadership

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? A.MCMI-III B.MMPI-2 C.Bender-Gestalt-II D.MACI

D.MACI

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

D.Maternal HIV disease during pregnancy

Which of the following factors would rule out a diagnosis of sexual dysfunction? A.Partner/relationship factors B.Cultural/religious influences C.Psychiatric disturbances D.Medical etiology

D.Medical etiology

Research investigating high-risk situations associated with relapse for a variety of addictive and other problem behaviors has shown that which of the following accounts for nearly three-fourths of relapse incidents? 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.Negative emotional states, interpersonal conflicts, and social pressure

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

D.Overlapping roles and functions

Which of the following suggests that a DSM-5 diagnosis of anorexia nervosa is more appropriate than a diagnosis of bulimia nervosa? 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.Persistent restriction of energy intake

The client states that for two weeks out of every month she is extremely emotional, irritable, and anxious until she gets her period. She often misses a few days at school during this period because she feels so exhausted. The other two weeks of the month she is not particularly happy but is able to function relatively well. What is the social worker's diagnosis? A.Major depressive episode, recurrent B.Premenstrual syndrome C.Persistent depressive disorder D.Premenstrual dysphoric disorder

D.Premenstrual dysphoric disorder

A family's oldest boy, 16, recently developed a brain aneurism after a suicide attempt, that has left him cognitively disabled. He now requires special care, and the prognosis for his further intellectual development is poor. The parents want to know how much they should tell their younger children about their brother's condition. What would the social worker advise? A.Share only minimal information with the younger children so as not to burden them B.Tell the younger children what happened to their brother C.Tell the children about the brain aneurism in language they can understand, but leave out the part about their brother's suicide attempt D.Progressively share more information with the other children

D.Progressively share more information with the other children

A discharge summary is being prepared for a patient who is being released from a psychiatric hospital. To be consistent with the requirements of the Centers for Medicare and Medicaid Services, his discharge summary MUST include which of the following? A.Estimations of his motivation, capacity, and opportunity for change B.Impressions from providers concerning his prognosis C.Copies of all psychological tests administered to him D.Recommendations for follow-up or aftercare

D.Recommendations for follow-up or aftercare

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

D.Schizoid personality disorder

A social worker begins working individually 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's BEST course of action? 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.Seek consultation

A client with schizophrenia has been taking Prolixin. The most dangerous side effect associated with this medication is which of the following? A.Low white blood cell count B.Tardive dyskinesia C.Racing heartbeat/palpitationsIncorrect D.Seizures

D.Seizures

A social worker has been working for 11 months with an adult client. The client has met her goals and reports being very satisfied with what she accomplished with the social worker. The social worker brings up the topic of termination, and the client reacts by beginning to question whether services have 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? A.She needs additional services to address new problems B.In reality, she has not met her treatment goals. C.Her presenting symptoms have resurfaced. D.She is struggling with the sense that she is about to lose something of value.

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

Anna is a young Filipino woman who has been going through a difficult time due to an unplanned pregnancy followed by a miscarriage. She had only just admitted to her family that she was pregnant out of wedlock when the miscarriage occurred. She has been so depressed at times that she has even thought of suicide. What has Anna's family most likely said about seeking therapy in this situation? A.It is a sin to ask for help from an outsider. B.Her suffering is nothing next to what her ancestors have had to deal with and she should just "get over it." C.She will feel better about things if she could just put this "behind" her. D.She should rely on prayer and put her faith in God to help her through this time.

D.She should rely on prayer and put her faith in God to help her through this time.

A new client comes in and says that he has been feeling really down for the past week. He says that he's having trouble eating and sleeping, is anxious and worried all of the time, and has even had thoughts of killing himself. He reports that there was no precipitating stressor. Before last week, everything appeared fine. What diagnosis best fits this client? A.Major depressive episode with anxious distress B.Major depressive episode with atypical features C.Depressive episode with insufficient symptoms D.Short-duration depressive episode

D.Short-duration depressive episode

The Social Worker is running a psycho-educational group about the effects of racism on pre-teens. The group consists 10 kids, and lasts for four weeks. What is the purpose of a psycho-educational group approach? A.Disseminating information and teaching coping mechanisms B.Creating a group process where the members can explore their issues C.Teaching psychological principles and skills D.Skills can be learned and clients can receive information in a group format

D.Skills can be learned and clients can receive information in a group format

An African American woman, age 73, has been overusing her clinic visits. She suffers from depression and is recently retired. During her work history, which began when she was 22, she held just two positions. She currently attends a senior citizen center where she eats one hot meal a day. She's still involved in her church but less so than before. She says she feels as though her church work has less meaning than it used to. What diagnosis is MOST indicated for this woman? A.Mild neurocognitive disorder B.Identity crisis C.Depression and poor nutrition D.Social role dysfunction

D.Social role dysfunction

A client that has been in therapy for the past year has been telling the social worker that she is sick of the weight gain she's experienced with her antidepressant. She refused to call her psychiatrist, saying, "He'll just tell me that it's normal and nothing will change." The following week the client comes in and says that she's been anxious, nauseous, and has been seeing "flashes" of light when she turns her head quickly. What would the social worker suspect? A.The client is malingering in order to convince the social worker that the medication is harming her. B.The client has changed her dosage of medication. C.The client is experiencing an adverse effect of medication. D.The client has antidepressant discontinuation syndrome.

D.The client has antidepressant discontinuation syndrome.

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? A.The recent provocation B.The client's poor impulse control C.The signs of tension and agitation D.The client's prior violent behavior

D.The client's prior violent behavior

A client, age 42, has sought social work services 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? 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., the social worker's 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.The extent to which the changes have generalized to relationships outside the treatment setting

Alex comes to the first session with the social worker and tells him how lonely he feels. He has never had a long-term relationship, and he has very few friends. He also says he is quite anxious "all of the time." The social worker, after gathering some more information, starts talking to Alex about learning relaxation skills for his anxiety and gives Alex several worksheets to track his anxiety and cognitive distortions at home. Alex agrees to "try everything," and fails to come to the next appointment or return the social worker's calls. What is most likely the problem? A.The social worker missed some important clues about what was going on with Alex, leaving Alex feeling like there was no "connection." B.Alex was intimidated by the amount of work that therapy actually entails. C.Alex isn't really ready for therapy yet but may come around after he's had time to process things. D.The social worker did not spend enough time bonding and listening to Alex before trying to "fix the problem."

D.The social worker did not spend enough time bonding and listening to Alex before trying to "fix the problem."

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? A.To advocate for changes in the prison's policies B.To provide education to the doctor, prison warden, and others in the prison system to counteract their prejudices C.To assist the client in initiating legal action against the prison system D.To work for and with the client to ensure that he receives the medical care he is entitled to

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

A mental status examination is LEAST useful for which of the following purposes? A.Establishing a provisional diagnosis B.Evaluating a client's mental functioning C.Determining the need for more formal psychological testing D.Understanding how elements within a client's environment interact to maintain his problem

D.Understanding how elements within a client's environment interact to maintain his problem

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? A.[Disorder] not otherwise specified B.[Disorder] provisional C.Other specified disorder D.Unspecified disorder

D.Unspecified disorder

The social worker is asked to assess and develop a treatment plan for a child who was recently placed into foster care because of issues of neglect. What would be the most important factor to take into consideration while conducting the assessment? A.Identifying appropriate family resources for the child Incorrect B.Consideration of the community or larger social environment of the child and for the family C.The child's mental health issues, with diagnosis and prognosis D.Whether the current placement is a potential permanent placement or is a temporary placement with family reunification services in place

D.Whether the current placement is a potential permanent placement or is a temporary placement with family reunification services in place

When a social worker intervenes on behalf of a macro client system to secure needed resources that are currently unavailable or to change policies or regulations that negatively affect the client system, this role is called ________________. A.an educator B.an enabler C.a facilitator D.an advocate

D.an advocate

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

D.are ego autonomous.

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

A DSM-5 diagnosis of schizophrenia requires the presence of two or more active-phase symptoms during a one-month period, with at least one symptom being ____________, plus continuous signs of disturbance for at least six months. A.negative symptoms B.disorganized speech or disorganized behavior C.delusions or hallucinations D.delusions, hallucinations, or disorganized speech

D.delusions, hallucinations, or disorganized speech

Augustine, 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 considering a diagnosis of ______________ for Augustine, the social worker will want to confirm that his symptoms are attributable to ______________. 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.disinhibited social engagement disorder; early neglect or deprivation

A therapy group member with high denial and high somatization is likely to ________________. 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.drop out early

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: 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.dynamic objects that move or change.

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: 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.have the intern talk to the client.

The end goal of case management services should be: A.closing service gaps. B.helping the client meet their short-term objectives and long-term goals. C.coordinating services among various professionals to help the client. D.increasing resilience of the client.

D.increasing resilience of the client.

A client is a member of the sandwich generation. In other words, _________________. 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.the client is a middle-aged adult who is caring for an elderly parent while also supporting his or her own children

Sally, a case manager has been working with Evelyn for about a month when she makes the connection that Evelyn reminds her of her mother with whom she has an estranged relationship. This is an example of _________________. A.positive transference B.negative transference C.countertransference D.therapeutic connection

D.therapeutic connection

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

D.three days to one month.

A social worker is working in family therapy with a family of five (Mom, Dad, a 12-year-old boy, a 3-year-old boy, and an infant girl) in which the toddler son has been acting out since the birth of his sister three months ago. Mom is convinced that her toddler son is jealous of his sister. The social worker, however, is concerned with how the whole family has reorganized itself following the girl's birth and asks the clients about this. In general systems theory, this concept that any change in one part of a family system (or other system) will cause change in other parts of the system and eventually the whole system is known as: A.accommodation. B.multifinality. C.equifinality. D.wholeness.

D.wholeness.

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: 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.

talk to her colleague and tell him to stop.