General Exam- LMSW

A common symptom of cocaine withdrawal is: A. Depression B. Delusions and hallucinations C. Nasal obstruction D. Fear of addictive medications

A. Depression The key to the quation is the work "common" symptom. Depression is a common symptom of cocaine withdrawal.

Cognitive therapy has been most beneficial in treating: A. Schizophrenia B. Depression C. Paranoia D. Anorexia

B. Depression Cognitive therapy has been most beneficial in treating depression.

Which of the following is generally not a goal of crisis intervention? A. Assisting the client with immediate needs B. Providing long- term therapy when necessary C. Addressing the factors that led to the crisis D. Helping to develop coping strategies

B. Providing long- term therapy when necessary. Providing long term therapy is generally not a goal of crisis intervention.

The FIRST course of intervention with a battered woman should be: A. Reporting the case of abuse B. Providing referrals for immediate safety C. Dealing with family of origin issues D. Identifying patterns of abuse

B. Providing referrals for immediate safety. The most important first step is safety.

When addressing the needs of a Hispanic couple in counseling, a female social worker should be MOST concerned about: A. Cultural family issues that may be significant B. The husband may not relate well nor feel comfortable talking with a female therapist C. Whether the wife will feel comfortable with her D. A probable language barrier for communication

B. The husband may not relate well nor feel comfortable talking with a female therapist This is a difficult question, but often Hispanic males cannot seek help from a female. This could be a very important barrier that should be addressed immediately.

When is it acceptable for a social worker to have a sexual relationship with his/ her client? A. Only after he/ she has terminated therapy B. Only if there is no coercion by the social worker C. It is never acceptable D. Only when there is no coercion on the part of the client

C. It is never acceptable.. It is never acceptable for a social worker to have sex with a previous or a current client.

A social worker is likely to use the term "assessment", while a psychologists would probably use the term: A. Evaluation B. Methodology C. Testing D. Diagnosis

D diagnosis A social worker is likely to use the term "assessment", while a psychologists would probably use the term diagnosis. Unless he does testing he will not generally use evaluation.

The primary focus in Gestalt Therapy is on: A. The family system B. Past relationships C. Establishing complimentary relationships D. The here and now

D. The here and now The primary focus in Gestalt Therapy is on the her and now. The. Most commonly used method in this form of therapy is the "empty chair".

A family is having difficulty enforcing family rules and expectations and reports that the children in the family are not meeting parental expectations. Which of the following is an example of the family rule? A. "You must be home by 10:00 pm on school nights". B. "John and Hilda are always fighting" C. "Woman stay at home, men work" D. "Parenting is the most important role in the world"

A. "You must be home by 10:00 pm on school nights." In this question, the following is an example of a family rule "you must be home by 10:00 pm on school nights".

A man comes to a social worker to seek help with several pressing problems. His greatest concern is his desire to quit smoking and lose weight. What approach would probably be most beneficial for this client? A. A behavior modification approach B. A psycho- social approach C. A functional approach D. A psychoanalytic approach

A. A behavior modification approach The behavioral modification approach will address the specific behaviors and behavioral patterns the client is interested in changing.

The treatment of Encopresis is typically most effective when the therapist uses: A. A behavioral method B. An intrapsychic perspective C. A psychodynamic approach D. A system's orientation

A. A behavioral method Behavioral treatment is considered the most effective treatment for Encopresis.

Research dealing with family violence strongly links existing family physical violence to: A. A history of violence in the abuser's family of origin B. No history of violence is generally present C. Patterned episodes of violence surrounding anger episodes only D. A history of violence in the extended family

A. A history of violence in the abuser's family of origin. A history of being raised in an abusive environment is common.

It may be difficult to detect depression in children. Generally, the symptoms of depression in children are: A. Agitated and unpredictable B. Quiet and subdued C. Tearful and withdrawn D. Patterned and systematized

A. Agitated and unpredictable The symptoms are generally agitated and unpredictable, Agitation is very common.

A family with a teenage girl brings their daughter in for counseling due to substance abuse. The daughter is defiant and says it is her parents who need help and she refuses any intervention. She admits to abusing substances but says it does not affect her behior. What should the social worker do first? A. Assess and refer the daughter for substance abuse counseling B. Explain to the parents that her attitude is typical for her age C. Explain how she feels about the parents D. Provide clarification of the situation for the parents and the teenager.

A. Assess and refer the daughter for substance abuse counseling If the teenager has a substance abuse problem and is refusing intervention, from the choices given A is the best answer. D is a possibility but A is the better choice as addressing the active substance use is the first priority.

A young girl comes to the school counselor asking for a medication prescription. Information ascertained from the client is that she is having trouble sleeping and concentrating in school. She believes it is related to the recent separation of her parents. The counselor should first: A. Assess for depression B. Refer her to a physician C. Assess for child abuse D. Assess for substance abuse

A. Assess for depression The key to the question is the "first thing". These are classic signs of depression and this should be explored first. We do not refer before we assess.

L, a college student, sees a social worker for counseling. In the first session L states that she needs a medication prescription to help calm her. L informs the social worker that she is having trouble sleeping and concentrating in school. She believes all of her mental and physical health complaints started after the recent separation of her parents. The social worker's first consideration should be to: A. Assess whether L has recently had a physical, and whether a medical condition has influenced her behavior. B. Assess L for depression, as many times this can occur when in a new situation. C. Assess for a history of substance or medication abuse to rule out possible misuse of the medications. D. Assess for other symptoms of anxiety or stress.

A. Assess whether L has recently had a physical, and whether a medical condition has influenced her behavior. Be sure the client is not have medial problems first. The key is to remember that asking whether she has has a physical is part of the ASSESSMENT process. Once done, the social worker can then assess for depression. Assess for medical problems first that could cause mental health symptoms.

There are several different models of crisis intervention; however, they generally follow the same stages. Which of the following best describes the process of crisis intervention? A. Assessment, implementation, termination B. Formulation, assessment, problem solving C. Formulation, termination referral D. Information gathering, assessment, referral

A. Assessment, implementation, termination There are several different models of crisis interevntion'; however, they generally follow the stages of assessment, iimplementation, and termation.

After a few sessions a client requests another therapist. The client states that the social worker is aloof, unconcerned, uninterested, phony and unable to establish a rapport with him/her. This social worker is apparently lacking: A. Authenticity B. Ethics C. The proper assessment ability D. The ability to establishes proper goals

A. Authenticity The therapist appears to be lacking in authenticity.

"The therapeutic relationship is essential to the therapeutic process; open communication is fundamental to establishing rapport between the client and the worker." Which of the following approaches to social casework would place the LEAST emphasis on these statements? A. Behavioral B. Psychosocial C. Psychoanalytic D. The functional approach

A. Behavioral The behavioral approach would put the least emphasis on the relationship.

Which of the following statistical tests is a no parametric test of significance? A. Chi-square B. T-test C. Pearson's r D. Analysis of variance (ANOVA)

A. Chi-square The chi-square test, sometimes referred to a s a cross- tabulation is a simple NONPARAMETRIC test of significance.

An African American social worker is asked to meet with a Hispanic school teacher to help the teacher deal with concerns related to students within her multi- racial class. This is referred to as a: A. Consultation B. A paraprofessional consult C. Tertiary prevention D. Supervision

A. Consultation A consultation describes when a social worker is invited to meet with the school teacher to help her deal with her multi- racial class.

The acquisition of a new behavior is best achieved through the use of: A. Continuous reinforcement B. Intermittent reinforcement C. Conditioned reinforcement D. Unconditioned reinforcement

A. Continuous reinforcement The acquisition of a new behavior is best achieved through the use of continuous reinforcement.

When a social worker supervisor initiates "structure" into the supervisory experiences, she is: A. Defining, directing and outlining her own role and the role of subordinates B. Giving warmth, concern, and support toward client's C. Dealing with the "hidden agendas" of therapy D. Exercising control over the organization

A. Defining, directing and outlining her own role and the role of subordinates Initiating structure involves defending, directing and structuring his/ her ow role and the role of subordinates.

According to Kubler- Ross, the stages of adjusting to one's impending death include: A. Denial, anger, bargaining, acceptance B. Depression, denail, acceptance C. Detachment, protest, despair D. Anger, bargaining, depression, resolve

A. Denial, anger, bargaining, acceptance According to Kubler- Ross, the stages of adjusting to one's impending death include: denail, anger, (isolation, depression), bargaining and acceptance.

N talks to himself in class. To help N stop this behavior, the social worker utilizing a behavior therapy approach must FIRST: A. Determine how often the child talks to himself in class B. Meet the child and assess whom he believes he is talking to C. Remove the child each time he begins talking to himself D. Refer the child to a socialization group

A. Determine how often the child talks to himself in class. First determine the frequency (how often), intensity (how intesne), and duration (how long the behavior lasts). Since only frequency is mentioned it is the best choice.

One of the most important considerations for establishing membership in a therapy group is: A. Diagnoses B. Cohesion of group members C. Race D. Goals of the group

A. Diagnoses The diagnosis is the most important in establishing membership in a therapy group. The key word in this question is "establish". Diagnosis and race are important, yet diagnosis is considered more important than race.

What type of recording system is used in DSM-5? A. Dimensional B. Categorical C. Systematic D. No diagnosis is just severity

A. Dimensional DSM-5 is a dimensional assessment.

A social worker goes to a local church. She sees that one of her clients also is a member of the church. What should the social worker do first? A. Discuss boundaries with the client B. The social worker should find another church C. Ask the client to find another church D. Refer the client to another social worker

A. Discuss boundaries with the client Discuss boundaries first. Once done you may need to refer her to another social worker to prevent the potential for a conflict of interest.

As a client approaches the end of treatment the social worker feels an extension of several more sessions is needed. The social worker should first: A. Discuss recontracting the expected termination B. Terminate as planned C. Change the focus of therapy D. Wait for the client to ask for addition time

A. Discuss recontracting the expected termination The social worker should first discuss recontracting termination.

During a supervision session a supervisee asks his supervisor "what it is called when a client is angry with someone and takes his/ her anger out on someone else who cannot fight back and has less power in the relationship." The supervisor correctly tells the supervisee that this is referred to as: A. Displacement B. Disjointed reaction C. Introspection D. Intolerance syndrome

A. Displacement When a client is angry with someone and takes his/ her anger out on someone else, this is referred to as displacement.

The MOST important reason for social programs to be evaluated is: A. Doing so satisfies demands for accountability B. It allows for full services to be delivered to clients. C. Expenditures are accounted for in regard to function D. Assists with the implementation of new services

A. Doling so satisfies demands for accountability The main reason listed as to why it is important for social programs to be evaluated is that doing so satisfies demands for accountability.

The most common psychological cause of sexual dysfunction's are generally related to: A. Fear and anxiety B. Depression C. Impotence D. Ignorance

A. Fear and anxiety. Clearly the most common psychological cause of sexual dysfunction is fear and anxiety.

P., a five year old child is told that he will. Need an operation that involves inserting a catheter into the child's groin.. The procedure was explained to him. P. States that he is not afraid of the operation but is worried about the catheratization. From a psychodynamic point of view, his anxiety stems from: A. Fear of mutilation B. Fear of parental separation C. Fear of pain D. Fear of annihilation

A. Fear of mutilation Fear of mutilation is probably the best choose here. This child is afraid that he will be harmed by the procedure and focuses on the concrete aspects of it.

An individual that who is uncomfortable with how he feels about himself related to his gender is said to be experiencing: A. Gender dysphoria B. Ego- systonic C. Gender dystoria D. An anxiety disorder

A. Gender dysphoria

The therapeutic technique known as the "empty chair" belongs to what therapeutic modality? A. Gestalt B. Rational Emotive Therapy C. Transactional Analysis D. Social Learning

A. Gestalt The therapeutic technique known as the "empty chair" is often used in Gestalt therapy.

As a supervisor, it is important to realize that different social workers may have different theoretical backgrounds. For example, one social worker may employ a "psychoanalytic" approach, while another may use a "cognitive" approach. In dealing with these possible differences, the supervisor should: A. Get all social workers, which you supervise, to follow an established guideline to practice, regardless of their varying practice approaches. B. Only supervise social workers that practice in a manner similar to the supervisors. C. This issue is not relevant to the practice of social work. D. Assume that, regardless of their orientation, all social workers will do their best to maintain professionalism.

A. Get all social workers, which you supervise, to follow an established guideline to practice, regardless of their varying practice approaches.

B is a woman who is recently separated from her husband after repeated episodes of physical abuse. Her husband is requesting to visit her and their children. B thinks she would like to reunite with her husband. In therapy with the social worker, B asks the social worker if she would help her to plan for reunification with her husband. Is the assessment process the social worker should: A. Help B clarify her reasons for wanting to reunite B. Notify Child Protective Services C. Develop a plan for reunification D. Call B's husband and tell him of the possible legal ramifications if he does return

A. Help B clarify her reasons for wanting to reunite. It is appropriate for the social worker to help the client clarify her reasons ones for wanting to unite. The second choice would be answer C.

Once a behavior is acquired, it is best maintained through the use of: A. Intermittent reinforcement B. Unconditional reinforcement C. Conditioned reinforcement D. Continuous reinforcement

A. Intermittent reinforcement Once a behavior is acquired, it is best maintained through the use of intermittent reinforcement. Think of the example of the gambling slot machine.

In the developmental concepts, which of the following occurs first? A. Irreversibility B. Integrity vs. despair C. Concrete operations D. Abstract thinking

A. Irreversibility Out of the choices given irreversibility would occur first.

What is the primary reason for setting goals in therapy? A. It helps the worker estimate the kind and extent of reasonable help that can be provided to the client B. It enables the establishment of clearly defined helping roles C. It allows the worker to help the client identify achievements and accomplshments D. It helps to establish a therapeutic alliance

A. It help the worker estimate the kind of extent of reasonable help that can be provided to the client. The primary reason for setting goals in therapy is that it helps the worker estimate the kind and extent of help that is reasonable to offer or expect from our clients.

Which of the following statements is not accurate with regard to consultation? A. It often involves assisting staff to provide direct services to clients B. Consultants can serve as advisors in helping to suggest therapeutic goals C. It is the role of the consultant to advice the social worker on how to strengthen the client- worker relationship D. It is the role of the consultant to provide educational information as needed

A. It often involves assisting staff to provide direct services to clients This statement is not true because it generally does not involve helping staff to "directly" provide services to clients.

Individuals with hyperactivity are more likely to be: A. Male B. Female C. Retarded D. Conduct disordered

A. Male Individuals with hyperactivity are more likely to be male.

The best treatment for Schizophrenia is: A. Medication and therapy B. Tricyclic medication C. Lithium salts D. Therapy and institutionalizations

A. Medication and therapy The best treatment for Schizophrenia is phenothizine(s) antipsychotic medication and therapy.

A mother has been found to have neglected her child. Child Protective Services has decided that it is in the best interest to remove the child from the mother's care. A family friend volunteers to take the child. Upon interview it is established that this family friend has had charges pending against her for child maltreatment in the past. The social worker should FIRST: A. Place the child in an emergency foster care group home B. Immediately assess the placement situation for current problems C. Ask the child's mother which placement option she prefers D. Initiate paperwork for another more permanent foster placement

A. Place the child In an emergency foster care group home. Always try to protect the child or provide a protected environment first.

In the first session a young couple complains they are having a sexual problem. They feel that this problem is creating stress that pervades their entire relationship. The social worker explains that their problem is a very common sexual dysfunction in males. Most likely the difficulty is: A. Premature ejaculation B. Marital difficulties resulting form impotence C. Male erectile disorder D. Organismic dysfunction

A. Premature ejaculation Premature ejaculation is now considered the most common sexual difficulty and if marital problems cause the difficulty the relationship must also be addressed.

Infants that do not receive attention from their mothers may develop: A. Reactive attachment disorder B. Infantile depression C. Enhanced relationships D. No reaction is expected

A. Reactive attachment disorder Infants that do not receive attention from their mothers may develop reactive attachment problems. In these children bonding with the primary caretaker is very difficult.

Staff development techniques include all of the following except: A. Recruiting B. Continuing education C. Consultation D. Performance appraisal

A. Recruiting Staff development techniques include all of the following except recruiting.

According to Psychoanalytic theory and the work of Freud which of the following defense mechanisms is generally not involved in neurotic behavior? A. Regression B. Suppression C. Intellectualization D. Rationalization

A. Regression

A client sees himself as unproductive and lazy, and therefore never can keep a job, or tries to correct the mistakes he makes. When he is fired from a job, he says it is because he is lazy and worthless. This is an example of a: A. Self- fulfilling prophecy B. Self- serving prophecy C. Self- indulging prophecy D. Paradoxical approach

A. Self- fulfilling prophecy When a client sees himself in a certain way, he may begin to act that way, and thus be treated that way. It is an example of self- fulfilling prophecy.

A 14- y ear-old child is given an IQ test. According to the test results, her IQ is 138. If she is given the same test the following week, it is likely that her IQ will be: A. Somewhat lower than 138 B. Somewhat higher than 138 C. Either five points higher or lower D. Cannot be determined

A. Somewhat lower than 138 Statistical regression states that scores will move closer toward the mean or the average score, which is between 90 and 110.

The accepted definition of "accurate empathy" is: A. The ability to understand and communicate this understanding to the client B. Unconditional positive regard C. To feel as the client does D. To define what the client is feeling

A. The ability to understand and communicate this understanding to the client Accurate empathy is to express understanding.

The prognosis of an individual with Schizophrenia is best if: A. The individual has family support B. No family involvement C. Medications are readily available D. Onset is insidious

A. The individual has family support The prognosis for an individual with Schizophrenia is best if the individual has family support.

One MAJOR limitation of the utilization of a case study is: A. The lack of generalizability B. They can only be used with one subject C. They only show statistical data D. They are the most complicated to implement

A. The lack of generalizability It is hard to generalize from just one case.

A social worker suspects that there may be sexual abuse occurring in a family between the stepfather and his 14-year old daughter. Although there is no direct evidence, which of the following least supports the social worker's suspicions? A. The mother is dominant and assertive in the interviews B. The father abuses drugs and/ or alcohol C. The daughter is generally withdrawn and quiet D. The mother is often going as she works evenings and nights

A. The mother is dominant and assertive in the interviews

When using Short-term task-centered therapy, the following should always be included: A. The problem to the addressed is identified by the clieint B. A limit of one problem per session C. Therapy is limited to 20 to 25 sessions D. Flexible goals and objectives

A. The problem to the addressed is identified by the client Short- term task- centered therapy should alway include problem identification.

According the a "community social worker" perspective: A. There is a strong emphasis on social reform B. There is a strong emphasis on the individual family C. Involve the community except in the administration of programs D. A strong focus on pre-existing disorders

A. There is a strong emphasis on social reform According to a "community social work" perspective there is a strong emphasis on social reform.

Which of the following statements is TRUE regarding the use of paraprofessionals? A. They are most effective when used as an adjunct to treatments by clergy or mental health professionals B. They are usually ineffective when dealing with clients C. They are only effective with clients who have no insurance D. At times, they can be more effective than professionals can

A. They are most effective when used as a adjunct to treatments by clergy or mental health professionals. Paraprofessionals are most effective when used as an adjunct to treatments by clergy or mental health professionals.

J exhibits repeated muscle twitches that he reports are beyond his control. Also, when he gets excited he has a very difficult time speaking and often repeats his words over and over again. This can be very frustrating to J's family and school teachers because often times he curses repeatedly at other teachers, students, family and friends. The BEST preliminary diagnosis for J is: A. Tourette's Syndrome B. Pica C. PTSD D. Petite Mal Epilepsy

A. Tourette's Syndrome This is typical behavior for Tourette's Syndrome.

The best treatment for Depression is: A. Tricyclics and therapy B. Phenothiazines and therapy C. Anxiolytics and therapy D. Psychoanalysis

A. Tricyclics and therapy The best treatment for Depression is tricyclics and therapy.

A licensed clinical social worker discovers that her colleague another licensed clinical social worker regularly accepts split fees for having received referrals. This is: A. Unethical. B. Ethical C. Ethical, if all parties agree D. A common practice among social work professionals

A. Unethical. A licensed clinical social worker should never participate in split fees for having received referrals.

According to the concept of the "sensitive period", the development of infant bonding occurs: A. Within the first day of life B. In the first year of life C. In the early months of life D. After one year of age

A. Within the first day of life According to the concept of the "sensitive period", the development of infant bonding occurs within the first days of life.

When a social worker practices from an ecological framework, the term adaptation refers to: A. How an individual will adjust to therapy B. A continuous process whereby an individual balances personal needs with his/ her environment C. A relationship between the ego and the id D. A client's ability to merge with the environment

B. A continuous process whereby an individual balances personal needs with his/ her environment This term from an ecological approach means a continuous process whereby an individual balances personal needs with his/ her environment.

What is the correct definition of a delusion? A. Sensory perceptions that occur in the absence of stimuli B. A false belief held despite evidence to the contrary C. A false impression of non-living object D. A false impression with evidence not fully supporting it

B. A false belief held despite evidence to the contrary. The correct definition of a delusion is a false belief held despite evidence to the contrary. The correct definition of a hallucination is sensory perceptions that occur in the absence of stimuli.

Supervising generally has the following components: A. Administrative, educational, and supportive functions B. Administrative and evaluative functions C. Administrative, adaptive, and supportive functions D. Administrative, educational, and disciplinary functions

B. Administrative and evaluative functions The definition of supervision generally does not involve disciplinary action, evaluative or adaptive components.

In psychoanalytic theory the ego is related to: A. The libido B. An adult mediation principle C. Parental and societal value D. Uncontrolled urges

B. An adult mediation principle In Freud's theory of development, the ego is related to adult mediation principle, negotiations between the id and the superego.

A social worker researcher wants to assess the effects of an education program that has recently been administered to high school studients. This type of research design is known as: A. An educational evaluation B. An ex-post facto design C. Empirical evidence D. AB design

B. An ex-post facto design This is the type of design that is done after the treatment has been completed.

A social worker of a different race from the client tries to gain the confidence of the client. Which of the following approaches used during the initial session would be LEAST effective in reducing a client's hesitation to continue in therapy past this first session? A. Utilizing accurate empathy helping the client to know that the social worker understands B. Ask direct questions of the client including whether the client is willing to cooperate C. Explore the client's concerns and address issues the client identifies as important D. Acknowledge the client's discomfort and express openness to construe the discussion

B. Ask direct questions of the client inducing whether the client is willing to cooperate. The worker needs to ensure confidence in his/ her abilities. Direct questions about cooperation would not facilitate this process as much as the other options.

According to the Applied Behavioral Analysis, what is considered the essential focus of treatment? A. Cognitions B. Behaviors C. Examples D. Modeling

B. Behaviors In B.F Skinner's approach to intervention, behaviors are considered the essential focus of treatment.

The major difference between brief therapy and crisis intervention is: A. Both are the same, there is no difference B. Brief therapy is based on enhancing client change, whereas crisis intervention is based on restoring equlibrium C. Brief therapy is based on restoring client equlibrium, whereas crisis intervention is based on implementing client change toward improvement on a current situation D. Brief therapy is not a therapeutic response to panned changed, crisis intervention is

B. Brief therapy is based on enhancing client change, whereas crisis intervention is based on restoring equlibrium.

Which of the following is considered the most reliable indicator for reporting of child abuse? A. Poor school performance B. Bruises at various stages of healing C. Parental separation or divorce D. Child inattentiveness

B. Bruises at various stages of healing. Bruises at various stages of healing are considered the most reliable indicator of child abuse, based on the choices given.

A social worker find that, in relating to a client, she/ he is constantly reminded of her/ his relationship with her/ his brother. This is an example of: A. Therapeutic alliance B. Counter- transference C. Transference D. A mental block

B. Counter- transference Because it is the social worker to client, it is counter- transference.

A social service agency is currently administering a new program for spouse abuse victims. As the program begins it is evaluated on an on-going basis. This type of evaluation is referred to as: A. Summative B. Formative C. Conclusive D. Empirical

B. Formative A social service agency is currently administering a new program for spouse abuse victims. As the program beings, it is evaluated on an on-hoping basis. This type of evaluation is referred to as a formative evaluation.

A 56- year-old man complains of secondary impotence. The most probable cause is: A. Age B. Health status C. Normal aging D. Severe psychological problems

B. Health status The most probable cause is health status.

The best way to establish support for the funding of a community development program is to: A. Gain support from community leaders B. Help to establish grass- roots support C. Highlight a similar program that has been viewed as successful D. Create a well formulated plan for intervention

B. Help to establish grass- roots support It helps to establish grass- roots community support.

J is afraid to leave her home without her "lucky" locket. She received this locket from her father who is now deceased. She believes that if she leaves her home without the locket she will be harmed or something else life threatening will happen to her. In addition, she believes that the locket can prevent an event of this type from happening. The term that best described this behavior is: A. Delusional paranoia B. Ideas of reference C. Hallucinations D. Paranoid ideation

B. Ideas of reference Remember, ideas of reference are more "item or individual" related rather than general fear as in a delusion.

Super- Ego function can be described as: A. Mediating between the id, the super-ego B. In operating parental and societal values and standards into personality C. Seeking immediate gratification or instinctual drives D. Stimulation of the libido

B. In operation parental and societal values and standards into personality Super-Ego function can be described as incorporating parental and societal values and standards into personality.

Which of the following best describes the term assimilation? A. Modify responses to accommodate new information B. Incorporating new information to fit existing thought structure C. The addition of new material D. Maintaining homeostasis

B. Incorporations new information to fit existing thought structure Assimilation is adapting new thoughts to fit the existing thought structure.

According to J., the primary problem she wants to address involves her teenage son. The son refuses to listen or follow any of the house rules. However, in the course of the session, the social worker discovers that J. Comes from an abusive background and reports that her husband is currently abusing her. The social worker should first: A. Report child abuse, if the son is under eighteen B. Inform J. Of her options to maximize safety, including appropriate referrals C. Help to identify the underlying abusive causes D. Ask J. To have the entire family come in for counseling

B. Inform J of her options to maximize safety, including appropriate referrals. Although it is not mandatory to report the abuse of an adult, it is a social worker's first obligation to be sure the client has the information needed to help her.

According to the eclectic perspective of social worker practice a social worker can use many different practice approaches to deal with a client's problem. In this model of practice, the social worker generally places ___ emphases on the theoretical underpinnings of each method selected. A. No emphasis B. Little emphasis C. Extensive emphasis D. Varying emphasis

B. Little emphasis The primary emphasis on the method of practice is in using the methods that work for the client not knowing the theory that underlines the method. However, some degree of theory knowledge is expected in choosing the proper method.

Research in regard to crowding appears to indicate that: A. Females are more sensitive to crowding than males B. Males are more sensitive to crowding than females C. Crowding destroys individuality D. There is no positive effect resulting from high density crowding

B. Males are more sensitive to crowding than females Research in regard to crowding appears to indicate that males are more sensitive to crowding than females. In these situations they are much more likely to become aggressive.

The development and the importance of controlling reinforcement patterns of behavior is related directly to: A. Classical Conditioning B. Operant Conditioning C. Client- Centered Therapy D. Psycho- social Theory

B. Operant Conditioning

During the honeymoon phase of parenthood: A. The husband and wife adjust to each other B. Parent- child attachments are formed C. The husband and wife adjust to pregnancy D. The husband and wife feel ambivalence about their new roles

B. Parent- child attachments are formed During the honeymoon phase of parenthood, parent- child attachments are formed.

A social worker has been contracted to evaluate a 4-year-old boy. His teacher claims he is bullying the other children and often makes menacing or sexual gestures toward the other children. The social worker is most likely to suspect: A. Attention Deficit Hyperactivity Disorder B. Possible sexual abuse C. Parental neglect D. Conduct disorder

B. Possible sexual abuse There is not enough here to substantiate conduct disorder, but often children who act out sexually have a history of childhood sexual abuse.

In crisis intervention, the MOST important factor is: A. Providing homogeneity in the session B. Providing support for the client C. Become a firm leader for the client D. Understanding pat behavior

B. Providing support for the client. Providing support to the client is the essential characteristic. Remember, these are individuals who are just having trouble coping and their usual ways of handling a situation are not working.

"Dysfunctional behaviors are the result of irrational thoughts and beliefs." This statement is reflective of: A. Gestalt B. Rational Emotive Therapy C. Transactional Analysis D. Social Learning

B. Rational Emotive Therapy "Dysfunctional behaviors are the result of irrational thoughts and beliefs" according to Rational Emotive Therapy by Albert Ellis.

Termination may be difficult for the worker, as it is the for the client. Therefore, when terminating treatment it is not uncommon for the worker to feel all of the following except: A. Responsible for the welfare of the client B. Reluctance to give up personal gratification received from the sessions C. The desire to have accomplished more D. Empathy for the client's situation

B. Reluctance to give up personal gratification received from the sessions. The question says EXCEPT.

A husband, wife and their seven year old daughter are seeing a social worker at the request of their family physician. During the initial session, the social worker begs in to suspect that the father is physically abusing this daughter. The daughter is shy and withdrawn, and the social worker notices that her arms and legs have numerous bruises at varying stages of healing. The mother openly admits that her husband has difficulty controlling his temper. Taking the above information into account the social worker should: A. Establish a therapeutic alliance with the family. B. Report the suspected abuse appropriately C. Wait till the social worker can determine that abuse has occurred then report it D. Report the abuse only if she witnesses it.

B. Report the us expected abuse appropriately. If a case of child abuse is suepsected, it must be reported. There does not have to be confirmation of abuse.

An elderly man recently placed his ailing wife in a nursing home. The woman has been diagnosed in the middle stage of Alzheimer's disease. The children of the man are disgruntled because they do not want their mother in a nursing home and more should be done to help her stay home. What is the first thing a social worker should recommend for client/ family participation when addressing this case? A. Individual therapy for the members B. See the entire family C. See the husband and wife alone D. See the husband only

B. See the entire family The first thing the social worker should recommend when addressing this case is to see the entire family.

A social worker has been contacted to evaluate a five- year- old boy. His teacher claims that he is bullying the other children and often makes menacing or sexual gestures toward the other children. The social worker is most likely to suspect: A. Attention Deficit Hyperactivity Disorder B. Sexual abuse C. Parental neglect D. Conduct disorder

B. Sexual abuse The type of behavior is very unusual for such a young child and warrants investigation.

When the parents of a child are hostile and controlling, the child is most likely to be: A. Hostile and controlling B. Shy and withdrawn C. Retarded D. A juvenile delinquent

B. Shy and withdrawn When parents are hostile and controlling, the child is most likely to be shy and withdrawn.

A social worker's responsibility to work and practice within their competence falls on the: A. Agency B. Social worker C. Supervisor D. Administration of the agency

B. Social worker The code of ethics is clear that the responsibility to act in a competent way falls upon the social worker. If the social worker is working under the auspice of a clinical supervisor the vicarious liability may rest with the supervisor, but the social worker is ultimately responsible for his or her own behavior.

Negative reinforcement can be described as: A. Adding aversive stimulus to decrease a behavior B. Strengthening the outcome response through escape or avoidance C. Removal of positive stimuli following a negative behavior D. Application of a negative stimulus following a negative behavior

B. Strengthening the outcome response through escape or avoidance. Negative reinforcement can strengthen an outcome response (in describing reinforcement the word strengthening is used interchangeably with increase) through escape or avoidance (this is used interchangeably with taking away, running away or not completing). Negative (avoid or escape) Reinforcement (to strengthen or increase the response).

A social worker is seeing a client for the third session. The client surprises the social worker by moving into the house next door to her. What should the social worker do first? A. The social worker should move B. Talk with the client and explain boundaries C. Terminate services with the client D. Refer the client to another social worker

B. Talk with the client and explain boundaries. Talk with the client and explain boundaries. Once this is done, you may need to refer the client to another social worker because of the protein trial for a dual relationship.

A husband and wife whom are both in their early 80s live in a suburb of a large metropolitan city. The couple's son calls a social worker he finds in the phone book stating that he is concerned that his parents are at risk. He believes that the home is not sanitary, and neither parent is able to properly prepare meals. The son states that the couple refuses to leave their home and will not consider a more protective/ supportive environment. The BEST response for the social worker is: A. Call Adult Protective Services and report the case. B. Tell the son to call Adult Protective Services and discuss the case. C. Immediately report the case as we are mandated to do this by our code of ethics. D. Offer to call the parents and visit to assess the situation to help determine what is needed.

B. Tell the son to call Adult Protective Services and discuss the case. It is here- say for the social worker to do A, although if needed it could be done. It is better to get the person with direct knowledge to report the case.

A social worker receives a handmade afghan as a gift from an elderly client. The client says she wants to give the social worker the gift to say that you for all she has done for her and her family. What should the social worker do? A. Accept the gift for self on behalf of the organization B. Thank the client but explain you cannot take the gift for your own personal use C. Ask client to give the gift to another agency D. Before you respond to the client, call your supervisor and ask what the policy for accepting gifts is

B. Thank the client but explain you cannot take the gift for your own personal use Thank the client and explain that in social worker we generally do not accept gifts from clients. One exception might be if it's is important to do so for cultural reasons and another is if there is no value attached to the gift. If you do accept a gift, make sure that you do not use if for personal use at home, etc

When doing crisis intervention with families, it is important for the social worker to recognize and express to the family that: A. Time will heal this situation B. The problem is a family problem C. One member always has more trouble than the others do D. Countertransference is a real possibility that may occur

B. The problem is a family problem When doing crisis intervention with families, it is important for the social worker to recognize and express to the family that the problem is a family problem.

P is a 12- year- old male child that suffers from Autism Spectrum Disorder (ASD). While discussing with the social worker how to best manage the child's behaviors the mother reveals that the child often exhibits abnormal social play and when he feels threatened he will violently bang his head against the wall. The social worker correctly tell the mother the following: A. This behavior may be reflective of a dysfunctional family pattern of learned behavior. B. This child needs immediate attention to work on how to best control these behavioral outbursts. C. The parent should not try to stop the child when he is hitting his head because it might cause the behavior to increase. D. Unfortunately, these behaviors can be common signs and symptoms of the condition and avoidance may be difficult.

B. This child needs immediate attention to work on how to best control these behavioral outbursts. ASD is a spectrum of behaviors but this is a serious behavior that is not generally typical of the condition but clearly needs to be addressed.

During an initial session, a female client begins to scream that she is going to explode and cries uncontrollably. Although the social worker cannot be sure, she believes the anger is directed toward her boyfriend. The social workers should first: A. Call the police B. Try to calm the client and ascertain more information C. Physically restrain her D. Warn the boyfriend that he my be in danger

B. Try to calm the client and ascertain more information. The social worker should first try to calm the client and ascertain more information.

A social worker has recently terminated therapy with a client. Several weeks later she hired Pts the client as a paid social work intern who is to function under her supervision. This would be considered: A. Ethical B. Unethical C. Ethical but illegal D. Illegal and unethical

B. Unethical It is considered unethical for a social worker that has recently terminated therapy with a client to hire the client several weeks later as a paid social work intern who will function under her supervision.

Which of the following is MOST likely to be a victim of sexual abuse? A. A full-term infant B. A child over the age of six C. A female child D. A child that wets the bed on occasion after the age of 5

C. A female child The most likely victim of SEXUAL abuse occurs in female children (not male). Other victims of physical or emotional abuse include premature infants (not full term infants), children under the age of six (not child over six), and children that wet the bed after the age of five due to parent's frustration.

A couple in their mid- forties seek marital counseling after having been married for 18 years. They report recent problems with their sexual relationship. The wife reports that she feels her husband is not really interested in her anymore and is often rushed and cold in their sexual encounters. Both partners agree that they are involved and committed to their careers. To start the interventive process the social worker should: A. Identify mutual career objectives for the couple B. Discuss issues related directly to the sexual difficulties they are having C. Address current relationship issues and relationship expectations D. Help the couple consider alternatives for staying in the marriage

C. Address current relationship issues and relationship expectations. Help the couple to explore relationship issues and expeditions that can highlight the future intervention process.

If your records are subpoenaed, you should: A. No release the records under any circumstances B. Refuse to release the records C. Assert priviledge and try to obtain client consent D. Provide the information, unless the client is considered mentally unstable

C. Assert prviledge and try ot obtain client consent

An ABA design can be described as: A. Baseline and treatment B. Treatment and baseline C. Baseline, treatment, baseline D. A treatment method

C. Baseline, treatment, baseline The A always stands for baseline and the B stands for treatment. An ABA design can be described as: baseline, treatment and baseline.

According to Freud's PSYCHOSEXUAL theory at what age is a child most likely to experience sexual fantasies and feel guilt about his/ her feelings toward the opposite sex partner? A. Between 0 and 12 months B. Between ages 6-12 C. Between ages 3-6 D. Over the age of 12

C. Between the ages of 3-6 The stages of Freud's Developmental theory are the oral, anal, phalic, latency and genital. When a child is in the Phallic stage, ages 3-6 they struggle with either the Electra or Oedipus complex.

What psychiatric personality disorder best describes this client? The client is treated by others as a "manipulator"; seems to have few friends, practices self- mutilative behavior, has made numerous suicidal threats with several unsuccessful attempts. A. Schizotypal B. Paranoid C. Borderline D. Schizoid

C. Borderline This is the criteria for borderline personality disorder. Be sure you also know the different between schizoid (primary consideration is detachment) and Schizotypal (primary consideration is social or interpersonal deficits).

In dealing with a client who engages with brazen manipulative behaviors, the bet course of action for the social worker would be to: A. Ignore the behaviors B. Empathetically respond to the needs behind the behaviors C. Confront the client openly, genuinely and tactfully D. Refer the client to a worker skilled in dealing with manipulation

C. Confront the client openly, genuinely and tactfully

Which of the following is MOST closely related to brain damage that results in mild to moderate forms of intellectual disability that can be linked to chromosomal abnormality? A. Alzheimer's disease B. Vascular Dementia C. Down's Syndrome D. PKU

C. Down's Syndrome Downs Syndrome is the correct answer. PKU is close but it is not chromosomal.

According to Path Goal Theory: A. Conflicts arise when the "paths" cross B. Employees tend to be more motivated if they are involved in the process of goal- setting C. Effective leaders should carve the way of his/ her employees D. Organizations should provide predetermined paths for employees to follow

C. Effective leaders should carve the way of his/ her employees According to Path Goal Theory the leaders are crucial in leading employees.

A female client comes to see a social worker to discuss her relationship issues. According to the psycho-social perspective, the social worker should: A. Refer to a psychologist and collaboration B. Refer to a marriage family counselor, since this case is not within the scope of practice of a social worker C. Explore issues in her life that may contribute to her problems D. Teach specific relation training techniques

C. Explore issues in her life that may contribute to her problems. According to the psychosocial perspective, the social worker should explore issues in her life, which may contribute, to her problems.

The worker in this situation establishes that she/ he will focus treatment in the "here and now" and instruct the client to use "I messages". In treatment the social worker will use the "empty chair" method. What form of therapy are these characteristics most representative of? A. R.E.T B. T.A C. Gestalt D. Family systems

C. Gestalt Gestalt often uses the "empty chair" and other types of psychodrama to assist with problem exploration.

A social worker supervisor is noted to rate an employee based on things that he/she has done in his/her personal life. This criteria is used in addition to actual job performance to rate on employee. The pattern of rather bias is known as: A. The Hawthorne Effect B. Rather inconsistency C. Halo Effect D. Judgment flaw

C. Halo Effect In the Halo Effect, a social worker supervisor will rate an employee based on things that he/she has done in his/her personal life, not only job performance.

Most current research concurs those children that are bilingual: A. Are more likely to have learning problems B. Have a greater rate of vocabulary acquisition, which slows down by school age C. Have a slower rate of vocabulary acquisition, which catches up by school age D. There is no differences between children knowing one or two languages

C. Have a slower rate of vocabulary acquisition, which catches up by school age. Most current research concurs that bilingual children have a slower rate of vocabulary acquisition, which is normally overcome by school age.

When subjects are aware that they are participating in an experiment, and because of this knowledge change their behavior. This is referred to as: A. A probability bias B. A reflective bias C. Hawthorne Effect D. Experimental bias

C. Hawthorne Effect Subjects that are aware they are participating in an experiment can change their behavior, sometimes referred to a s reactivity. The Hawthorne Effect, and is based on the original Hawthorne studies done with factory workers and levels of light in regard to productivity.

In the first session with a couple, the couple tells you that they are gay and recently one of the par enters has tested HIV positive. During therapy, it becomes clear that the infected partner is having difficulty expression his feelings and appears hostile and angry toward other partner. It is reported that the infected partner is also having difficulty performing everyday tasks. As a social work practitioner, your first step should be to: A. Refer the couple to a gay therapist B. Help the infected partner deal with his expected loss of functioning. C. Help the couple deal with relationship issues, which may arise because of the illness. D. Consider your own feelings about treating homosexual before proceeding with therapy.

C. Help the couple deal with relationship issues, which. May arise because of the illness. Although, it is true that social workers must recognize their own feeling and how they feel about treating a gay couple, once in the initial session, the first thing the social worker should do is address the crisis issue at hand, which involves the relationship (communication) issues. If need be, after helping the couple to recognize and address the issue(s) the referral to another therapist can be made.

In the hospital, a team of professionals work together to address the needs of the client that they are serving. Members of the team include a physician, a nurse and a social worker. All professionals on this team share many of their duties and responsibilities for client care and service provision. For example, often times the nurse does counseling in regard to family issues, and the social worker monitors medication compliance. The term that BEST describes the type of team work Therese professionals engage is: A. Multidisciplinary team work B. Quality assurance team work C. Interdisciplinary team work D. Cooperative team work

C. Interdisciplinary team work This best explains the current use of an interdisciplinary team.

If a social worker uses a psychosocial approach to casework, she probably regards the concept of diagnosis as: A. Irrelevant to the assessment phase B. Essential to the assessment phase C. Much broader than a specific clinical diagnosis D. Unimportant to the intervention process

C. Much broader than a specific clinical diagnosis If a social worker uses a psychosocial approach to casework, she probably regard the concept of diagnosis as much broader than a specific clinical diagnosis.

J is suffering from Schizophreina. From the list below which would be considered the BEST recommended course of treatment to start the client on the Initial stages? A. Substance abuse treatment B. Psychoanalysis C. Pharmacological treatment D. Insight oriented therapy

C. Pharmacological treatment Of the choices listed, probably medication would serve as the best initial treatment.

A social worker is emotionally drawn to a client and begin to think about the possibility of dating the client. The first thing the social worker should do is: A. Terminate with the clieint B. Be honest and tell the client C. Process those thoughts D. Tell her supervisor

C. Process those thoughts Best to process with self first (C), later discuss with supervisor (D).

A social worker who does not encourage a client to be an active participant in the therapeutic process is reflecting with approach to social casework: A. Functional B. Behavioral modification C. Psychoanalytic D. Problem solving

C. Psychoanalytic A social worker that does not encourage a client to be an active participant in the therapeutic process is probably reflecting a psychoanalytic approach to social casework.

Which approach does not primarily focus on reciprocal exchanges between the individual and their environment? A. Ecological B. Systems C. Psychoanalytic D. Family systems

C. Psychoanalytic The psychoanalytic approach does not primarily focus on reciprocal exchanges between the individual and their environment.

Which of the following social work activities is LEAST LIKELY to occur during the final sessions of therapy? A. Preparation for termination B. Referrals C. Re-establishing initial treatment goals D. Recontracting

C. Re- establishing initial treatment goals. Re-establishing initial treatment goals is done in the beginning of therapy not in the final sessions.

A three- year old, which has been toilet trained for six months, begin to wet her pants following the birth of her baby sister. This is an example of: A. Primary enuresis B. Over-identification C. Regression D. Sympathy reaction

C. Regression A three-year old, which has been toilet trained for six months, begins to wet her pants following the birth of her baby sister. This is an example of regression and is a common occurrence.

Efforts by social workers to persuade clients to adopt their own personal values violate the principle of: A. Individualizing the client B. Privileged communication C. Self- determination D. Starting where the client is

C. Self- determination

The concept of "successive approximations" is related to: A. Fixation B. Extinction C. Shaping D. Stimulus control

C. Shaping The concept is "successive approximations" is related to shaping.

According to the NASW Ethical Code, which of the following is true with regard to confidentiality? A. Because they are easily misinterpreted, client's should not have access to their social work records. B. Social workers should never share confidences revealed by client's without their verbal consent. C. Social workers should obtain informed consent from client before tape recording a therapy session. D. NASW does not discuss ethics

C. Social workers should obtain informed consent from client before tape recording a therapy session.

Although there is a legal definition of intoxication, it is important to realize that when individuals are legally intoxicated: A. Some individuals show no signs of alcohol consumption B. All individuals show obvious signs of intoxication C. Some individuals become intoxicated even if they have not yet received the legal limit. D. Intoxication is not walkway alcohol related.

C. Some individuals become intoxication even if they have not yet received the legal limit. It is very important to know that metabolism, body size and weight, etc can affect how intoxicated a person gets. Some can and do become intoxicated even if they have not yet reached the legal limit.

Consultation can be beneficial to social workers that need additional information or assistance regarding a particular area of expertise. Consulting, which can occur on an as-needed-basis, should always have: A. Purpose B. A hidden agenda C. Specific- focus D. An open- ended focus

C. Specific- focus Consultation should alway have a specific focus.

In therapy, close- ended questions may be deliberately solicited from the client because: A. They can clearly define an area of concern B. They can be very revealing of additional information C. They limit the response time and explanation D. They can lead into further discussion by the client

C. The limit the response time and explanation. When a therapist does not want the client to elaborate or they are pressed for time this technique can and is used.

A social worker is seeing a family in therapy. The parents of a 16 year- old male are concerned that the son is dating an older female. The female he is dating is 19. years old and the parent's suspect they are sexually involved. The parents want to know if they can report the girlfriend for child abuse, since their son is a minor. The social worker should advise the parents that: A. The social worker has no choice and is mandated to report the situation. B. The son clearly needs further individual therapy. C. The situation does not necessarily indicate a situation that is reportable. D. Tell the parents to report the girlfriend immediatley.

C. The situation does not necessarily indicate a situation that is reportable. This is not a clear case of child abuse. It sounds like both individuals are consenting and there is no indication evidence that anything has occurred that is harmful to the male.

From a psychoanalytic perspective which statement best defines the relationship between the ego and the super- ego. A. The ego acts as the child and the superego as the adult. B. The ego acts as the adult and the superego as the child. C. The superego acts as the conscience watching over the ego D. The superego is optional in its development

C. The superego acts as the conscience watching over the ego.

A female comes into a a iris center, telling the social worker, that she is owing to kill herself because she is flunking several college courses. The client appears lucid, has a supportive family, and she does not have a plan to commit suicide. The social worker has concern for the young woman's safety, so the worker should first: A. Hospitalize her immediately B. Notify the property authorities C. Try to establish a "no sucide" agreement D. Start deep analysis of how to address this problem

C. Try to establish a "no suicide" agreement. Without a plan always try to establish a "no sucide" agreement.

N. Is an eight- year- old child who was the victim of severe physical, emotional and sexual abuse. Based on the Abuse he has been placed in therapeutic foster care. While placed in this new foster home, a 15 year old foster child has reportedly sexually and emotionally abused N. What is the FIRST thing that the social worker should do to assist N? A. Ask the foster parents to take disciplinary action against the 15-year-old B. Remove the child immediately from the home and place him in another foster home C. Visit the home immediately and assess the situation D. Initiative disciplinary action against the 15 year old removing him from the foster home

C. Visit the home immediately and assess the situation The best answer is between B and C. Immediate intervention is needed. Since the assessment will be done very quickly, and the question asks what do do to assist N, it is best to assess the situation before removing him from the home.

Which of the following best describes the goal of assessing a measurement scales's reliabilty? A. Items match each other B. Sample is homogenous C. We will get similar result on repeated trials D. We are accurately measuring what we attempted to measure

C. We will get similar result on reported trials. In reliability we should be able to get the same result over time or we will get similar or the same results on repeated trails.

Which of the following is an example of triangulation? A. The child becomes the parent B. A couple, where one of the partners is having an affair C. When one parent tries to secure the allegiance of the child to his/ her views against the other parent D. A relationship where the parents join together

C. When on parent tries to secure the allegiance of the child to his/ her views against the other parent. One parent tries to triangulate the relationship.

Fear of strangers usually begins at approximately what age? A. 18 months B. 24 months C. 12 months D. 9 months

D. 9 months Fear of strangers usually begins at approximately 8 months of age.

When working with a client of a different racial group, the social worker should: A. Immediately refer to another therapist B. Ignore the difference C. Discuss the difference only if the client mentions it D. Acknowledge an awareness of the difference

D. Acknowledge an awareness of the difference When working with a client of a different racial group, the social worker should acknowledge an awareness of the difference.

Which of the following is an example of a continuous variable? A. Gender B. Females C. Present income D. Age

D. Age. Both height and age are examples of continuous variables. Gender is a discrete variable and there are only two accepted options: Male and Female.

L the father of three children, claims that the primary problem involves his 17-year old son. He complains that the son is staying out too late, is failing in school and is never at home. He believes that the behavior of his son is disturbing the whole family. After talking to the entire family, it becomes clear that the father is a recovering alcoholic and the mother recently lost her job as a secretary. There are numerous other family problems noted. In this case, it is important to realize that the son may be viewed as all of the following EXCEPT: A. A symptom of family dysfunction B. The scapegoat of the family C. A representation of the family's overall problem D. An individual suffering from conduct disorder

D. An individual suffering from conduct disorder

A Hispanic female enters a crisis center stating that she wants to kill herself because she is flunking several college courses. In the initial interview the client states that she has attempted to harm herself in the past by taking an overdose of pills. She reports that she has the same type of pills in her medicine cabinet, although she has no plan to use them at this time. The social worker has concern for the young women's safety, so the worker should: A. Seek hospitalization for her B. Notify the proper authorities C. Try to establish a "no suicide" agreement D. Assess the situation and develop a safety plan

D. Assess the situation and develop a safety plan There is history of potential way to carry it out but at this time there is no concrete plan. If there was a plan, A would be the correct answer. Also, assessment before action is recommended.

At which of the stages listed below do children begin to understand the concept of death? A. Oral B. Preoperational C. Genital D. Concrete operational

D. Concrete operational The question involves two answer that do not apply. The first are two of Freud's stages oral and genital. Neither of which discusses death. This leaves Piaget's stages of Preoperational and concrete operational development,, in the Preoperational stage a child does not comprehend the concept of death.

A couple who have been married for six months seek family counseling. The initial complaint is that they have been continually fighting about finances. The husband states that his wife is demanding and non-supportive. The wife sates her husband does not take his marriage vows seriously and prefers to spend time with friends and his family rather than be with her. Both partners openly state that they are not sure if they should end the marriage but wonder if they should have married in the first place. The BEST intervention plan for the social worker is: A. Refer the client's to a "newlyweds" groups B. Arrange for divorce mediation C. See the wife and the husband in individual sessions D. Contract with the couple to engage in couple's therapy

D. Contract with the couple to engage in couple's therapy. Since the question asks for an intervention, contracting will help to establish if the couple is willing to continue as a team or not.

Your client is a twenty- three year old woman, who recently divorced and is seeing a social worker in order to assist her in adapting to her new life style. During one session, the woman appears particularly anxious, and states that she is suddenly feeling "out of control". The social worker should first: A. Call the police B. Refer for a medical evaluation C. Consider safety issues of others around her D. Discuss the women's definition of "out of control"

D. Discuss the women's definition of "out of control" It is unclear what the client means by "out of control" and she must be first asked to clarify it.

A social worker on a home visit meets with N, a 75-year-old female. N reports that she has no family for friends to assist her care. She also reports that she feel helpless to defend herself and believes that neighborhood children are stealing her belongings from her yard. Her home is cluttered, but the woman seems capable of finding things and noting where they were left. She appears somewhat malnoursished, although, she has food in the refrigerator. The neighbors have complained and have repeatedly called the police reporting that the woman is terrorizing the neighborhood children by screaming at them from her yard. Based on the current information what is the BEST plan for the social worker to address this situation? A. Arrange for home care B. Call Adult Protective Services C. Help the woman to develop a plan to live alone. D. Do a complete assessment of the woman's competency to complete her own ADL's and live alone

D. Do a a complete assessment of the woman's competency to complete her own ADL's and live alone. If the woman does not appear to be a danger to self or others it is not necessary to report the case to APS. Since this is not clearly established D is the best choice. Once this is done B may be the appropriate choice.

In a group therapy situation, a client with high denial that he/ she has a problem is a high risk of: A. Not benefiting greatly from the group B. Wanting to control the group's activities C. Sharing more personal information than needed D. Dropping out of the group

D. Dropping out of the group The most prevalent consequence of "high denial" is that they drop out of the group.

Establishing rapport with clients refers to: A. Rapping with client about mutual interests B. Reaching an understanding about professional roles C. Answering questions about agency function D. Engaging clients successfully

D. Engaging clients successfully

According to Freud, an unresolved psychosexual conflict results in: A. Conflict resolution B. Anxiety C. Super-ego malnutrition D. Fixation

D. Fixation According to Freud a psychosexual conflict result sin fixation.

A diagram of family relations over several generations is known as a: A. Family picture B. Psychometric graph C. Family circle D. Genogram

D. Genogram A diagram of family relations over several generations is known as a Genogram.

In the early stages of group therapy, individuals: A. Begin to develop separation anxiety B. Transference begins to occur C. Counter- transference begins to occur D. Group members identify goals and objectives.

D. Group members identify goals and objectives In the early stages of group therapy, individuals identify the goals and objectives of the group.

A teacher assigns students to class work groups to complete a project. As the teacher assesses the progress of the group's, she/ he notices that one group seems to have joined forces and feel superior to the others, as well as, insulted from outside criticisms. This is an example of: A. Joining tougher B. Polarization C. Complementary task group D. Group think

D. Group think This is an example of group think

DSM-5 is used for all of the following except: A. Stating the symptoms of a mental disorder B. Providing diagnostic criteria for a mental disorder C. Gives gender related information D. Helps in recommending a practice intervention

D. Helps in recommending a practice intervention DSM is used for all of the following except treatment.

Which statements is NOT TRUE in regard to the research regarding family characteristics of the following different cultural groups? A. In Native American families, there is an emphasis on tribal permission, regardless of particular tribal background. B. In tradition Asian families, age and gender are primary determinants of the way someone will act or be expected to behave in a family.. C African-American families generally have strong female leaders. D. Hispanic families need to individuate and separate early from the family system.

D. Hispanic families need to individuate and separate early from the family system. Hispanic families often remain close and share responsibility as part of the unit even after a member has married.

In general, the smaller the sample size the more likely the researcher will be to obtain: A. Statistical significance B. More study generalizability C. More equal populations representation D. Information related to that sample only

D. Information related to that sample only. In general, the larger the sample size the more likely the researcher will be to obtain: statistical significance, more study generalizability and more equal population representation. The smaller the size, the more limited information is gained.

L has been seeing a social worker for five session. On occasion L has stated that she doesn't want to go on living. Of the behaviors listed below, which would cause the MOST concern for the social worker in regard to the possibility that L might try to harm herself? A. L has changed employment B. L has withdrawn from therapy C. L reports continual recurring cases of the "blues" D. L reports that she has started giving away her close personal possessions to her friends

D. L reports that she has started giving away her close personal possessions to her friends. D would cause the most concern.

In the treatment of Bi-polar disorder, this is the medication that is primarily used: A. Prolixin (fluphenazine) B. Stelazine (trifluoperazine) C. Tricyclics D. Lithium Bicarbonate

D. Lithium Bicarbonate In the treatment of Bi-polar disorder, Lithium is the mediation that is primarily used.

According to systems theory, when a family enables another member of the family to maintain a dysfunctional behavior (I.e alcoholism, denial of child abuse, etc) this is an example of: A. Cognitive restructuring B. Mutual supportive syndrome C. Denial of equilibrium D. Maintaining homeostasis

D. Maintaining homeostasis In systems the goal is to bring the family to homeostasis whether it is a functional balance or not.

Which of the following best characterize the process of goals and objectives? A. Client centered B. Framed in idealistic terms C. Worker centered D. Mutually negotiated

D. Mutually negotiated

In the first therapeutic session as mother tells the social worker that her baby constantly eats dirt and other things off the floor when crawling about. She states that she knows the baby is not hungry because it also happens after the baby has been fed. In the assessment phase the social worker is most likely to suspect that the child suffers from: A. Rumination Disorder B. Atypical Eating Disorder C. Childhood Schizophrenia D. Pica

D. Pica Best answer is D. This is the criterion for Pica.

A couple is instructed in sex therapy to use the "squeeze" method that is also referred to as the "stop-start" technique. The couple is probably being treated for: A. Impotence B. Premature ejaculation C. Restarted ejaculation D. Erectile failure

D. Premature ejaculation This is a popular technique used for the treatment of premature ejaculation.

A client tells you that she has tested HIV positive. As therapy progresses, the client begins to show signs of physical deterioration. As a social worker your first step should be: A. Be sympathetic B. Explain the disease progress to her C. Talk to her family D. Refer her to a medical doctor

D. Refer her to a medical doctor Refer the client to a medical doctor.

In general, which of the following is considered the best predictor of job performance? A. Job ratings B. Initial job interview C. Professional school grades D. Sample of work completed

D. Sample of work completed In general, the samples of work that an individual has completed are considered the best predictor of job performance.

According to Maslow, the highest level that can be reached according to his "Needs Hierarchy" is: A. Financial security B. Self- esteem C. Friendships D. Self- actualization

D. Self- actualization Self- actualization is the highest level that can be reached according to his "Needs Hierarchy", and it is important to note that not all individuals reach this level.

Which of the following is an example of primary prevention? A. Sex education in college B. Sex education for pregnant teenagers C. Drug education for the families of drug addicts D. Suicide prevention hotlines

D. Suicide prevention hotlines The other choices are not examples of "primary" prevention, which generally occurs before the fact.

A woman and her husband are Muslims and see a social worker for counseling. The wife wears a face covering and the social worker cannot always see her responses to what is being communicated in the session. What should the social worker do? A. Tell her to uncover her face B. Let the spouse answer for her C. Refer her to another social worker D. Tell her you can't see her responses

D. Tell her you can't see her responses She cannot remove her veil. It is possible for the husband to answer for her but let her make that decision . From these choices it is best to tell her you cannot see her responses.

A Gay adolescent's parents want him to seek reparative therapy and want to schedule an appointment with the social worker to provide the treatment and/ or give him a referral. The social worker is not familiar with this technique. What should the social worker do? A. Agree to see the client and get a social worker skilled in Reparative therapy to coach her B. See the client and ask the client to talk about his feeling In a non-judgmental way C. Immediately refer him to someone who knows therapy D. Tell the family you are not familiar with that therapy and ask if they would like you to research it for them and give them a call back

D. Tell the family you are not familiar with that therapy and ask if they would like you to research it for them and give them a call back. If you are not familiar with a therapy you should not promise to use it or refer for its use. First you need to know what the treatment is.

In group therapy there are several stages of group development. The best indicator of the group's stage of development is: A. The therapist's level of empathy B. The amount of self- disclosing done by the therapist C. A presence of counter- transference D. The cohesion level within the group

D. The cohesion level within the group. The level of cohesion is an important indicator of over-all group progress. The other answers relate directly to the therapist (not the group) and the one dealing with counter- transference is clary not the best answer.

If, upon termination, a client states that although she/ he has some hesitancy to leave therapy, she/ he feels relieved and competent. The therapist can assume that: A. Termination should not happen B. Termination is premature C. Therapy should continue D. Therapy has been successful

D. Therapy has been successful Almost all clients have some hesitancy that is considered normal.

In interviewing a client, a social worker seeks concreteness from the client for all the following reasons except: A. To elicit the client's feelings B. Focus on the here and now rather than the past C. For clarification of what the client needs and wants D. To avoid emotionally charged topics

D. To avoid emotionally charged topics

In the process of therapy, a distraught and agitated client states that he/she is going to "shoot their ex-lover" with the gun he/she has at home. The social worker remains unsure if the client would actually do it. The social worker has an obligation to first: A. This is privileged information and nothing should be done outside the session. B. Question the seriousness of the client C. Call for medication for the client D. Warn the ex- lover and call the police

D. Warn the ex- lover and call the police. If a threat and plan are voiced the social worker is legally obligated to report it to all involved.

Which of the following best describes the goal of assessing a measurement scale's validity? A. Items match each other B. Sample is homogeneous C. We will get similar results on repeated trails D. We are accurately measuring what we attempted to measure

D. We are accurately measuring what we attempted to measure A measure of validity is obtained when we are accurately measuring what we attempted to measure.

All of the following situations require an immediate referral to another therapist EXCEPT: A. When the therapist and client are related or close friends. B. When the therapist does not feel competent to handle the problem. C. When a client cannot afford the agency's fees, even when a sliding scale is used. D. When a therapist is thinking about dating a client's relative

D. When a therapist is thinking about dating a client's relative. All the other statements are legitimate reason as for referring a person to another therapist. In D the client is "thinking" not "acting" that makes a difference on the immediacy or the need for an actual referral.