LCSW Exam #3

**Your client Dakota, an American Indian, tells you that he has been drinking a fifth of vodka daily for the last 10 years. He has trouble sleeping and tells you that he is very depressed because he lives on the reservation, does not have a job, and isn't married. He is extremely suicidal and says he is not a man. The BEST treatment plan for him would include: A. A dual diagnosis treatment facility. B. The Bureau of Indian Affairs. C. An American Indian sober living house. D. Alcoholics Anonymous.

A. A dual diagnosis treatment facility.

Your new client, Zeppelin has not worked since a motorcycle accident he experienced with his biker gang. They were out for a ride when a big rig got out of control and ran into many of his riding buddies. Zeppelin had multiple broken bones, a head injury and almost lost his leg. "I had it easier in Nam," he says. Identify the LEAST likely statement about Zeppelin's trauma and possible impact: A. A lasting trauma reaction is most likely to occur because Zeppelin has suffered a one time distressing event. B. Symptoms of lingering trauma would include Zeppelin avoiding his motorcycle. C. Zeppelin is at higher risk for PTSD because he may have suffered previous trauma in the past in Vietnam. D. Zeppelin may not sleep well due to nightmares about motorcycle accidents.

A. A lasting trauma reaction is most likely to occur because Zeppelin has suffered a one time distressing event.

**You are hired by the Mayor's office to make recommendations on how to address homelessness at the city's community park that has been a homeless encampment for 12 years. What is the LEAST important technique you should use to mobilize community participation? A. A meeting with the Mayor's office to get the input of the Mayor and Assistant Mayor on what funding is available to increase community resources available to serve the homeless. B. A big picture assessment of the community's needs, including demographics, languages spoken, mobility (ability to walk, bike, or take public transit), and underserved specialty populations that are living in the park, e.g. how many of the homeless individuals are Transitional Age Youth or older adults. C. Development of a community mobilization team, consisting of community members with expertise, knowledge, and both organizational and interpersonal skills from the local shelters, drop-in centers, libraries, religious organizations, and senior centers who serve the homeless. D. Community exploration of issues and priority setting with community leaders, students from the local university who do community services at the park, and volunteers from non-profits who serve meals at the park.

A. A meeting with the Mayor's office to get the input of the Mayor and Assistant Mayor on what funding is available to increase community resources available to serve the homeless.

A social worker at an outpatient facility has a court-mandated, 32-year-old female client, Anna. The client is court-mandated because she was arrested for her second DUI in nine months. Also, at the time of her arrest, Anna informed the police that she had left her two children, ages six and five, at home alone. The children are now in foster care. The social worker sends Anna to an Intensive Outpatient (IOP) SUDs (Substance Use Disorder) group that meets five times per week. The social worker coordinates with Child Protective Services (CPS) to arrange supervised visitations for the mother and her children. The social worker has Anna sign this type of contract that delineates all these behaviors, goals, and interventions: A. A treatment plan B. Safety contract C. Crisis plan D. Behavioral contract

A. A treatment plan

Hugo is one of four children and has been diagnosed with Autism Spectrum Disorder. As a result of having a family member with a mental illness, it would be common for his siblings to experience all of the following feelings, EXCEPT feeling: A. Abused. B. Neglected. C. Frustrated. D. Anxious.

A. Abused.

**During the intake with Geoffrey, his mood seems subdued and he tells you he hasn't been eating or sleeping well since he and his lover broke up two months ago. In assessing for depression, what would be your FIRST question? A. Are you currently enjoying your favorite activities? B. Are you using any type of drugs, alcohol or medication to help you cope? C. Have you ever tried to hurt yourself or attempt suicide in the past? D. How have you handled relationship break-ups in the past?

A. Are you currently enjoying your favorite activities?

Tax credits alone have decreased the child poverty rate by nearly one-third. Which of the following is the BEST example of a tax credit that helps children? A. Child Tax Credit B. EETC C. Retirement savings contribution credit D. Premium Tax Credit

A. Child Tax Credit

Becky, a social worker at an inpatient psychiatric facility, has a 63-year-old client, Saul, who presents with frequent complaints of headaches, stomachaches, and the flu. During a recent med pass, Saul told the nurse, "I'm coming down with diabetes. I caught it from my sister." Saul complains about feeling anxious and unable to eat breakfast because pancakes, along with syrup that contains too much sugar, were served for breakfast. He also skipped dinner the previous night because mashed potatoes were served with the meal. Becky coordinates with the nurse at the facility, and they both concur that Saul presents with somatization because the: A. Client's symptoms have interfered with daily functioning. B. Client is neurotic. C. Client is already in a psychiatric facility. D. Client feels like he's catching diabetes from his sister.

A. Client's symptoms have interfered with daily functioning.

You are an LCSW in a low-cost community mental health clinic. It is your clinic's policy to assess clients using the person-in-environment (PIE) system. The person-in-environment (PIE) model considers various aspects of a client's environment EXCEPT: A. DSM-5 diagnoses. B. Political influence. C. Spiritual issues. D. Social consequences.

A. DSM-5 diagnoses.

Jean and Pat come to see you for pre-marital counseling. Pat wants a traditional ceremony, but Jean wants to have her mother walk her down the aisle. Jean says she doesn't care about tradition, but Pat is concerned about offending family members. Jean relates that her dad already gave her away when he divorced her mother years ago. They ask you what you think they should do. What should you do NEXT? A. Empathize with the situation, but let them know that it is not your role as a social worker to give them advice. B. Explore Pat's feelings about having a traditional ceremony and his concerns about offending family members. C. Explore Jean's feelings and any unresolved issues regarding her relationship with her father. D. Invite both Jean and Pat's parents in for a family session so you can assist them in reaching a compromise.

A. Empathize with the situation, but let them know that it is not your role as a social worker to give them advice.

You are a social worker in a family reunification program. You were just referred a child who was in a domestic violence situation. She tells you that her father used to "beat up" on her mother and older brother. She tells you he was never very aggressive with her, but she is afraid of him anyway. What are the probable countertransference issues that might arise, as the social worker treating this child? A. Feelings of anger toward the abuser and feelings of sadness and wanting to protect the abused family members. B. Feelings of emotional detachment from the pathology in the family in order to effectively treat them. C. Feelings of empathy towards the abuser who was likely to have received abuse in his own past. D. Feelings of fear in the room with the abuser.

A. Feelings of anger toward the abuser and feelings of sadness and wanting to protect the abused family members.

A good practice to ensure employee retention is to provide: A. Flexible work schedules B. Ambiguous job descriptions C. Fixed compensation and benefits D. Group recognition rather than individual

A. Flexible work schedules

Peter, an 82-year-old retired architect, has been referred by his medical doctor due to sleeplessness and depression. He has been having some health problems lately and tells you that he recently joined a rod-and-gun club. He lost his wife to cancer three years ago and tells you, "all my friends are gone." He also tells you he is skeptical about coming to therapy. What is the MOST important thing you can do in the initial session? A. Gently inquire if he is feeling hopeless or has any suicidal thoughts. B. Convince Peter that therapy will help him express his feelings so that he will sleep better. C. Comment on how much loss he has experienced lately and how hard that must be on him, in order to develop a trusting therapeutic relationship. D. Refer him to a sleep clinic for immediate help.

A. Gently inquire if he is feeling hopeless or has any suicidal thoughts.

Tardive dyskinesia is a possible side effect of which psychotropic medication? A. Haldol. B. Lamictal. C. Tegretol. D. MAOI Inhibitors.

A. Haldol.

**Which of the following is NOT a strategy for organizational functioning assessment? A. Intake models B. Intervention models C. Client system assessments D. Assessment models/social worker checklist guide

A. Intake models

Which client would a social worker attend to FIRST, based on his/her presenting problem and considering urgency according to Maslow's Hierarchy of Needs: A. Link a client who was physically abused by his spouse yesterday to a domestic violence shelter. B. Link a client whose father died two weeks ago to a grief support group. C. Link a client to Legal Aid to help her advocate for her rights due to job discrimination based upon her religious beliefs. D. Link a client who is newly divorced to a single parenting group, as his children are struggling with this family transition.

A. Link a client who was physically abused by his spouse yesterday to a domestic violence shelter.

David, a clinician at a pain management clinic has a client, Jeremy, who suffered a severe knee injury during his senior year of college football that ended his football career. He had knee surgery and was prescribed oxycodone HCL (one bottle and one refill) for post-surgery pain. Three months later — his knee healed enough that he can walk with a cane — Jeremy went to a different city, and to the pain management clinic where David works, to obtain another prescription for oxycodone HCL. Jeremy's disorder is classified as: A. Malingering B. Factitious Disorder C. Feigning Illness D. Delusional Disorder

A. Malingering

**A social worker is treating a family of four. The social worker imitates the family's communication patterns in order to adjust to the family and create a stable therapeutic alliance. Which nonverbal communication technique is the social worker using? A. Mimesis B. Process comments C. Creating a safe atmosphere D. Respect

A. Mimesis

**Nadine opens the door to her waiting room and finds that her new client is of a different race than her own. In the session, Nadine mentions the differences and wonders if the client has any thoughts or feelings about this. The client says she does not. Nadine should NEXT: A. Not address the question further at this time. B. Take the client at her word and accept that that not all people are attuned to racial differences. C. Explain to the client that we live in a world where racial differences matter and have real impacts on people, and that it is important to discuss them. D. Not bring up racial, cultural, or ethnic differences unless the client brings them up first.

A. Not address the question further at this time.

**A client is describing the way they have been feeling. They describe that they have been tense, confused, unable to think with usual speed and clarity, and unable to concentrate. These problems have caused the client to feel insecure about driving and other tasks they once did with confidence. What is the client possibly describing? A. Organic brain syndrome B. Degeneration C. Symptoms D. Neurological disorder

A. Organic brain syndrome

Melissa is trying to practice mindfulness in order gain control over her mental processes to reduce her anxiety. She is starting with a beginner exercise, mindful breathing, but keeps catching her attention drifting from her breathing. She feels frustrated and defeated after this exercise. What is Melissa forgetting to do in her mindful approach? A. Practice patience B. Judge C. Strive for concentration D. Focusing on one thing in the moment

A. Practice patience

A treatment plan should contain the following: A. Presenting problem, interventions, DSM diagnosis, short-term goals B. Presenting problem, DSM diagnosis, prior violence, referrals C. Presenting problem, support network, long-term goals, medical problems D. Family history of mental illness, long-term goals, medications, current or past eating disorders.

A. Presenting problem, interventions, DSM diagnosis, short-term goals

Alan, a cognitive behavioral therapist, is counseling Judith, a second-year law student who presents with extreme anxiety when taking exams. Alan has Judy talk through various ways that approaching exams can be viewed and handled. This technique is known as: A. Previewing B. Free association C. Countertransference D. Transference

A. Previewing

**If a man is sneaking drinks, feeling guilty about his drinking, and beginning to have blackouts, he would be in which phase of Jellinek's four-phase model of the development of alcoholism? A. Prodromal. B. Pre-alcoholic. C. Chronic. D. Crucial.

A. Prodromal.

Scott, a social worker at a substance abuse rehabilitation facility, recently gets a client, Dan, who is seeking treatment for cocaine addiction. Ten years ago, in college, Scott used to date Dan's sister, Denise. Scott recalls that, even back then, Dan was wild and into drugs; Denise also turned out to be wild, which is why Scott broke up with her. Dan does not remember or recognize Scott. In the interest of observing ethical boundaries regarding disclosure and dual relationships, Scott should FIRST: A. Recuse himself as Dan's social worker and refer him to another clinician after explaining their previous relationship. B. Provide Dan with appropriate addiction treatment as Dan does not recognize him. C. Disclose to Dan that they have met before, and proceed only if Dan is comfortable with this arrangement. D. Ask whether Denise is also using drugs.

A. Recuse himself as Dan's social worker and refer him to another clinician after explaining their previous relationship.

**Lucia, who is Hispanic, is a senior in high school. She has been in treatment with you for three years due to low grades as a freshman. She now wants to apply to schools out of state. No one in her family has gone to college, let alone moved away from home before marriage. What would you do FIRST to help Lucia implement her goals? A. Role play the situation with her so she can practice telling her family, while thinking of compromises and alternatives to present to her family. B. Ask her to bring her parents in for a session where she can share her desires with your support. C. Help her find a way to tell her family. D. Discourage her from going to college out of state.

A. Role play the situation with her so she can practice telling her family, while thinking of compromises and alternatives to present to her family.

You are an LCSW who specializes in gerontology. Identify the MOST common issues that you will be addressing in treatment. A. The physical, mental, and social aspects of aging in the elder population. B. The medical conditions, diseases, and treatment of older adults. C. Physical, emotional, and cognitive deterioration. D. There are no common treatment issues with this population.

A. The physical, mental, and social aspects of aging in the elder population.

**A social worker is working at an inpatient treatment unit. She is interviewing a patient for possible inpatient treatment. The social worker suspects this patient may be under the influence of narcotics. Which of the following is NOT a sign of narcotic use? A. Slurred speech. B. Pupils constricted and fixed. C. Scratches self frequently. D. Dilated pupils during withdrawal.

A. Slurred speech.

**A social worker and client are using the problem-solving model to help the client develop their own alternative solutions, think about the possible consequences of the solutions, and implement a plan of action. There are six steps in the problem-solving model. Which of the following steps is the step that includes discussing the pros and cons of each solution? A. Step 3. Select a particular solution B. Step 4. Develop a plan of action based on the solution C. Step 1. Identify, define, and assess the problem specifically and clearly D. Step 2. Identify possible solutions to the problem

A. Step 3. Select a particular solution

**Sylvia, a social worker who facilitates conflict resolution, provides support to her clients who have had ongoing conflicts in which previous attempts at resolution have been unsuccessful. Sylvia uses methods that include reducing the time the individuals are involved with each other; structure session in an informal setting and manner; set limits and boundaries; and acts as a third-party negotiator. These are known as: A. Structuring Methods B. Development Methods C. Therapeutic Methods D. Mediation Methods

A. Structuring Methods

Sarah is trying to use active listening techniques with a client she is meeting for the first time. The client discusses her situation with Sarah. How can Sarah show her client that she is actively listening? A. Summarizing what the client said B. Asking the client questions based on Sarah's past experience with other clients in similar situations C. Interrupting the client to ask fact-based questions D. Waiting until the client is done speaking to ask specific questions

A. Summarizing what the client said

Goals of group therapy vary widely, depending on the type of group. The following are recognized types of group therapy: A. Support, psychodrama and intensive group psychotherapy B. Catastrophic, marathon and resistant C. Encounter, resilience and self-help D. Encounter, marathon and purposeful

A. Support, psychodrama and intensive group psychotherapy

Nate, a man in his mid-thirties, regularly attends his church. He conforms to religious authority without much doubt or analytical thought and ignores conflicts with his beliefs for fear of inconsistency. In which stage of Fowler's stages of spiritual development is Nate? A. Synthetic-Conventional B. Intuitive-Projective C. Individuative-Reflective D. Conjunctive-Reflective

A. Synthetic-Conventional

**Armando, a clinician in a psychiatric ward of a women's state prison, works with clients with severe psychotic disorders. Armando has a 23-year-old client, Amy, who has been diagnosed with Antisocial Personality Disorder. Amy also has a history of pyromania and had been detained after being arrested for setting her parents' house on fire. She pleaded guilty and was remanded to the state correctional facility. In providing EBPP, Armando sends copies of all his files to the prison warden, the court, and other practitioners involved in Amy's treatment. Even though Armando works outside the collaborative process with Amy, how is this part of EBPP? A. The State, not Amy, is Armando's client. B. The court authorized Armando to treat Amy. C. Amy must comply with treatment as part of her prison term requirements. D. Armando must follow the rules the warden sets.

A. The State, not Amy, is Armando's client.

**Dorina is assessing her client's coping abilities in order to determine whether or not her client will be able to use their intervention/treatment. Which of the following suggests that the client may be LESS LIKELY to be able to use treatment? A. The client is court-mandated B. Openness to treatment C. Collateral information is available D. Positive expectations of the outcome

A. The client is court-mandated

Treatment plans typically end with a termination phase in which therapy is ended. For a client receiving therapeutic services from a social worker using a Humanistic-Experiential Therapy model, which of the following statements would indicate that the termination phase is near? A. The client's self-worth, maturation and therapeutic gains have been anchored along with the expectation of continued growth. B. Client is more aware of problematic thought patterns impacting emotional/behavioral disturbances. C. A "relapse" protocol has been rehearsed. D. The "miracle question" has been answered.

A. The client's self-worth, maturation and therapeutic gains have been anchored along with the expectation of continued growth.

One of the primary rewards for social workers who effectively implement time management techniques is: A. The increase in the social worker's perceived control of time and the decrease in stress and tension. B. Their ability to teach time management classes to other mental health professionals. C. Their ability to do the "bare minimum" and then go home. D. The improved ability to manage role strain.

A. The increase in the social worker's perceived control of time and the decrease in stress and tension

**Which of the following is NOT an aspect of trauma-informed care? A. The understanding that trauma has a narrow impact in the client's overall life and requires looking for potential recovery avenues. B. Awareness of signs and symptoms of trauma. C. Proactive opposition to re-traumatization D. Incorporation of knowledge about trauma into policies, procedures, and practices

A. The understanding that trauma has a narrow impact in the client's overall life and requires looking for potential recovery avenues.

Harry, a social worker at a battered women's shelter, has a client, Sonia, who came to the shelter with her four children because her husband, Lyle, had been abusing her. Sonia reports that her husband has not ever harmed their children. However, she confided in Harry that Lyle's 77-year-old mother, Pat, lives with them, and that he has both physically and verbally abused his mother in the past. Sonia fears for Pat, but she asks Harry not to tell anyone because she doesn't want it to get back to Lyle that she said anything. Harry's NEXT step should be: A. To report elder abuse to the authorities. B. To remind Sonia that anything she says to him is confidential. C. To send the police to do a welfare check on Pat. D. To convince Sonia to get a restraining order against Lyle.

A. To report elder abuse to the authorities.

Sarah is a social worker for Dani, the client. Sarah applies a non-judgmental stance, supportiveness, overall acceptance, and helps Dani focus on her strengths. Sarah is applying: A. Unconditional positive regard. B. Use of self. C. Problem-solving. D. Conditional positive regard.

A. Unconditional positive regard.

Problem solving is important for the client to learn because problem solving: A. leads to lasting change. B. Decreases the client's need for services. C. Is goal setting. D. Problem solving is the role of the social worker.

A. leads to lasting change.

**Julie is an LCSW who has a history of trauma in her own life. Her client, Sid, has had a very traumatic history and Julie constantly provides empathy to Sid. Julie has been feeling emotionally and physically exhausted, and it is starting to take a toll on Julie's relationships with her clients. Julie is experiencing: A. Burnout B. Compassion fatigue C. Secondary trauma D. Re-traumatization

B. Compassion fatigue

**A clinician has clients that consist of a mother and a daughter, both of whom are adults. The daughter recently moved in with her mother at the mother's request to assist her with daily living needs. The mother complains that her daughter is messy; that she leaves dishes in the sink; that she leaves multiple items on surfaces throughout her home; and that her daughter's car blocks hers in the driveway. The clinician, using Solution-Focused Brief Therapy, implements "Rule 3", which states: A. "If it's not working, discuss why it is not working." B. "If it's not working, do something else." C. "If it's not working, discover which party is not holding up his/her end." D. "If it's not working, then the therapist should provide expertise."

B. "If it's not working, do something else."

Jackie, a social worker at a welfare agency, has a client, Cassandra, who is a single mother of four children. Jackie has been encouraging Cassandra to utilize job training assistance because Cassandra is nearing the end of her lifetime welfare benefits. According to the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, Cassandra can receive federal cash assistance for a total of: A. 7 years. B. 5 years. C. 3 years. D. 6 years.

B. 5 years.

**With regard to gender role expectations and stereotypes, how might a therapist assess a female client's willingness to accept a domestic violence treatment referral? A. A female may experience stronger feelings of shame and self-blame during the group. B. A female may resist the referral because engaging in activities which exclude the male partner will escalate the threat. C. A woman who is abused may agree to a referral if you can find an anonymous group. D. A woman who is abused will not have the strength to find a group that is suitable for her needs.

B. A female may resist the referral because engaging in activities which exclude the male partner will escalate the threat.

What kind of thought process would a suicidal individual MOST likely display? A. A paranoid thought process. B. A rigid thought process. C. A confused thought process. D. A histrionic thought process.

B. A rigid thought process.

Self-soothing is a skill that social workers can teach clients to promote emotional equilibrium by mindfully focusing on each of their five senses. This intervention is believed to be more effective when: A. A client is experiencing anger, delusions and impaired reality. B. Addressing feelings like sadness, fear and anxiety. C. A client is resistant to treatment. D. A client has limited education.

B. Addressing feelings like sadness, fear and anxiety.

**Roger is 29-year-old veteran with P.T.S.D., an Adjustment Disorder, Depression and Panic Disorder. Which of Roger's mental health issues is LEAST LIKELY to be genetic? A. P.T.S.D. B. An Adjustment Disorder. C. Depression. D. Panic Disorder.

B. An Adjustment Disorder.

An Asian client whose mother died of a heart attack at 49 complains of chest pain on her 49th birthday. Since her elderly father has come to live with her, she feels thrust back to the role of a child. She is depressed and listless. The FIRST referral the social worker should make is: A. Senior care support. B. An ER to evaluate the origin of the chest pains. C. A psychiatrist to assess for Panic Disorder. D. A medical doctor to rule out depression.

B. An ER to evaluate the origin of the chest pains.

**A social worker has a 31-year-old female client whose 4-year-old daughter was diagnosed with leukemia when she was two years old and is currently undergoing painful treatments. The child is not in remission, though the doctors are optimistic that continuing treatment may result in remission. Recently, the client's daughter has begun acting out. She has been bossy, demanding, outspoken, and defiant. The mother explained that she is now pregnant with a second child and is finding her daughter's behavior patterns exhausting. What is the BEST explanation for her child's behavior? A. The little girl is dying. B. Appropriate boundaries and rules were not set. C. The pregnant mother's perception is distorted by fatigue. D. The father is apparently not very helpful.

B. Appropriate boundaries and rules were not set.

**The main difference between a client receiving treatment from a medical doctor and a client receiving treatment from a social worker is: A. Social workers should expect their clients to know how to conduct themselves in treatment, while medical doctors expect to do the work for their clients. B. Clients being treated by a social worker are expected to play a more active role in the healing process, while medical doctors carry more of the responsibility through diagnosing and prescribing for the patient. C. Because social workers get to know their clients on a social basis, social workers have more patience and exhibit rescuing behaviors, while medical doctors do not. D. Social workers are expected to give referrals, while medical doctors are expected to help with all of a client's medical needs.

B. Clients being treated by a social worker are expected to play a more active role in the healing process, while medical doctors carry more of the responsibility through diagnosing and prescribing for the patient.

**Oliver, a social worker newly in practice at an outpatient clinic, is treating a 24-year-old client, Robert, who presents with a Major Depressive Disorder associated with a medical condition. Robert was bound for professional basketball when he threw out his knee during his senior year of college. For the past two years, Robert has experienced worsening depression. His hygiene is poor, his alcohol use has increased, and he is addicted to opioid painkillers. Oliver has had limited experience dealing with clients who have chemical addictions. His FIRST step to improve professional development is: A. Continuing education classes in substance use. B. Clinical supervision. C. A post-graduate educational degree. D. Attending 12-step groups.

B. Clinical supervision.

A female spouse, who is a victim of domestic violence abuse, has been seeking counseling for herself. Due to the violent nature of her spouse and the fact that he nearly killed her by setting fire to the kitchen while she was still in it, why is the family life education model NOT appropriate for the abuser (perpetrator) at this present time? The perpetrator has: A. No interest in domestic violence counseling. B. Committed a violent criminal act. C. Children, who may also be in danger, with the client. D. Job restrictions that preclude him from being able to take time off work for counseling.

B. Committed a violent criminal act.

Working with at risk youth and adults through probation and diversion programs describes one possible role of a social worker in which of the following fields? A. Military Social Work B. Criminal Justice Social Work C. Mental Health and Substance Abuse Social Work D. Child, Family, and School Social Work

B. Criminal Justice Social Work

**Eli has relocated his psychotherapy practice from a big city to a small town. In addition to seeing clients in his office, he also takes a job as a supervisor of associates at the town's only community counseling clinic. In his second week at the clinic, Eli is given a list of new associates he will be supervising, and one of the associates assigned to him is a client in his private practice. This client does not know that Eli supervises at the clinic. What should Eli do FIRST? A. Ask the client to choose between having Eli as a social worker or a supervisor. B. Decline to supervise the associate. C. Terminate the therapy since it conflicts with his role as a supervisor as well as the client's desire for training and career advancement. D. Proceed as a supervisor since this is a case of an unavoidable dual relationship.

B. Decline to supervise the associate.

People stigmatized with having "abnormal" behaviors are often viewed as: A. Intellectually disabled B. Defective C. Criminals D. Differently abled

B. Defective

Patsy fears driving freeways, but refuses to talk about it in session. Psychodynamic theory would say that when Patsy's ego cannot control anxiety by rational means, she will rely on: A. The False Self. B. Defense mechanisms. C. The Id. D. The Superego.

B. Defense mechanisms.

**Margaret is an 81-year-old woman. She was an actress of great popularity in her younger years. She then made a good life for herself investing and traveling. In session, she tells her social worker she has been feeling down lately, and she doesn't know why. Which of the following statements is NOT true about depression in the elderly population? A. Loss of concentration is a common symptom of depression in the elderly. B. Depression is a normally expected part of the aging process. C. Worthlessness and guilt may occur when an elderly person is incapable of functioning in roles that in the past have been a significant source of self-esteem. D. Instead of talking about their depression, they will present with symptoms of irritability or with somatic complaints.

B. Depression is a normally expected part of the aging process.

**A Brief Therapy clinician has a client with depression associated with a previous cerebrovascular accident (CVA). What should the practitioner do FIRST as part of the therapy? A. Make sure the client's insurance covers this form of therapy B. Develop the therapeutic alliance as quickly as possible C. Discuss the treatment plan D. Discuss the termination criteria

B. Develop the therapeutic alliance as quickly as possible

A social worker has a court-mandated client. The social worker has made a point to be consistent with the client, stick to their word, be honest, and apologize for any mistakes. Which of the following BEST describes what the social worker attempting to do? A. Assess the client's strengths and weaknesses B. Develop trust C. Engage and motivate the client D. Establish a strict treatment plan

B. Develop trust

When a physician has ordered an EEG for a patient suffering from depression, the patient should be: A. Provided a list of the risks involved and the memory loss that typically follows these controversial sessions. B. Educated about the procedure and informed of the time frame for getting the interpreted results. C. Very worried as this is a procedure deemed traumatic and antiquated by many modern psychiatrists. D. Comfortable that all other treatments have been exhausted first.

B. Educated about the procedure and informed of the time frame for getting the interpreted results.

**A client is unsure of how to improve their psychological well-being and constantly self-talks negatively and has defeatist thinking. The social worker should find a way to promote: A. Self-awareness B. Ego strength C. Responsibility D. Goal setting

B. Ego strength

Eric often feels disconnected to the work he is doing because his values are not in line with the values of the agency he works for. What does this MOST likely do for Eric's productivity? A. Eric's productivity is likely the same as his coworkers because they all work for the same agency. B. Eric's productivity is likely lower than normal because of the disconnect in values. C. Eric's productivity is likely higher than normal because he wants to get his work over with. D. Eric's productivity is likely the same as his coworkers because the agency should be applying the same standard to all employees.

B. Eric's productivity is likely lower than normal because of the disconnect in values.

Heath is a new associate under Tim, an LCSW. Heath comes to supervision and Tim asks Heath to read the documentation of the last two sessions since Tim last saw Heath. Heath is embarrassed because he failed to document the last two sessions. What should Tim do NEXT? A. Continue the supervision and have him talk about the case anyway since Heath has good recall B. Explain the need for documentation and its importance as part of treatment. Ask Heath if he has any questions about documentation. C. Skip supervision this week since he does not have documentation D. Ask Heath to read the documentation next week

B. Explain the need for documentation and its importance as part of treatment. Ask Heath if he has any questions about documentation.

A social worker just launched a new website ,and several people have called requesting appointments. The website offers a 20-minute first-time free consultation and client interview. It would be considered unprofessional conduct in seeing a client for the first time to: A. Meet in the social worker's home office. B. Fail to inform the client of the fee for future services. C. Not have all possible releases for information signed. D. Wait until the next session to determine the goals for treatment.

B. Fail to inform the client of the fee for future services.

Melissa and 5 peers meet weekly with a supervisor to discuss issues and ask questions. What kind of supervision is Melissa receiving? A. Individual supervision B. Group supervision C. Live supervision D. Peer supervision

B. Group supervision

**A client reaches congruence when self-image and the ideal self: A. Are accepted as unrealistic comparisons. B. Have significant overlap. C. Reach genuineness. D. Match up with genuineness to complete the therapeutic triad.

B. Have significant overlap.

**A social worker and her teenaged client diagnosed with Conduct Disorder are setting up treatment objectives. Which of the following is the BEST example of a treatment objective? A. Improving impulse control behaviors. B. Increasing participation in age-appropriate and safe peer activities by the end of the month. C. Helping the client identify cognitive distortions that contribute to their anger. D. Determining treatment frequency

B. Increasing participation in age-appropriate and safe peer activities by the end of the month.

**Which of the following is NOT a type of validity in social work research? A. Content validity B. Internal Consistency validity C. Construct validity D. Face validity

B. Internal Consistency validity

Beth, a psychoanalytic practitioner, is treating a Ben, a 37-year-old accountant who presents as small in stature, lacking confidence in himself, and a self-described "Mama's Boy." In fact, he lives with his mother. His mother prepares his meals, packs his lunches, does his laundry, and cleans his room. Ben is in treatment because he recently met a woman he is interested in, but he feels his mother would not approve. In fact, she has never approved of anyone he has ever brought home. His mother has told him, "You should wait to get into a relationship until you find a nice girl." This has increased his dependence upon his mother and solidified his feelings of ultimate rejection by the opposite sex. This is an example of: A. Resistance B. Introjection C. Projection D. Linking

B. Introjection

**A Strategic and Communications therapist, fluent in sign language, has clients who consist of two deaf parents and an 11-year-old hearing daughter, who also is fluent in sign language. The parents do not read lip syncing very well. The parents present with the problem that their daughter will not sign with them and will not communicate with them. At this point, the mental health provider is not overly concerned because: A. All parties know sign language, so treatment can begin. B. It is impossible not to communicate. C. The mental health provider can teach the parents to lip sync. D. The child is going through a normal phase of preadolescence.

B. It is impossible not to communicate.

Which of the following is NOT true of feedback? A. It is descriptive, or an observation, and not an interpretation of the behavior B. It is not necessary to wait for the recipient to respond C. It is specific, not a generalization D. It is given when the recipient is ready for it

B. It is not necessary to wait for the recipient to respond

**Jeremy wants to leave an inpatient program for substance abuse earlier than his social worker wants him to stay, and wants to move to a clean and sober housing placement. Which of the following BEST describes Jeremy's right to refuse service? A. Jeremy has the right to refuse some services and accept others with no consequences. B. Jeremy may refuse the inpatient treatment service, but it may affect his eligibility for other services, such as clean and sober housing. C. Jeremy is either allowed to refuse all services or accept all services. D. Jeremy is not allowed to refuse any services.

B. Jeremy may refuse the inpatient treatment service, but it may affect his eligibility for other services, such as clean and sober housing.

**A client is decreasing their symptoms of stress without addressing the causes of the stress or disorder itself. What kind of coping strategy, if any, is the client using? A. Emotion-focused B. Maladaptive coping C. Constructive coping D. the client is not using a coping strategy

B. Maladaptive coping

**A client and social worker have reached an active stage of change, are dealing with underlying relational themes and dynamics, are using theory-based interventions and techniques, and have reached detailed developmental exploration. The client is in which stage of intervention? A. Early stage B. Middle stage C. Late stage D. End stage

B. Middle stage

**Tyler is brought to therapy by his mother. She says she doesn't understand what is going on with him. The only way she can get him to clean his room is if she threatens to punish him when it's dirty. According to Kohlberg's levels of moral development, Tyler obeys rules to avoid getting punished and is in which level? A. Obedience and Relativist Orientation B. Obedience and Punishment Orientation C. Obedience and Avoidance Orientation D. Obedience and Discipline Orientation

B. Obedience and Punishment Orientation

A client was arrested for a substance related offense. Part of the sentence included court-mandated participation in a rehabilitation program. The court subpoenas records from the client's social worker regarding the rehabilitation program. The social worker is allowed to disclose: A. Records from any substance abuse related programs the client is participating in. B. Only the records from the rehabilitation program. C. All of the client's records that the social worker has access to. D. All of the client's records related to previous and current crime.

B. Only the records from the rehabilitation program.

Which of the following statements is TRUE regarding the grief process outlined by Elizabeth Kubler-Ross: A. The stages of grief follow a predictable pattern. B. People must navigate through the stages in their own time. C. A person will experience all 5 stages of grief at some point. D. Saying, "I will sacrifice everything for just a few more months" is an example of a person in the Denial stage.

B. People must navigate through the stages in their own time.

According to research about self-image throughout the life cycle, all of the following statements are true EXCEPT: A. Self-esteem declines during adolescence. B. People who have a poor self-image at some point in their lives tend to have a better self-image in the elder years. C. Self-esteem gradually increases during adulthood. D. People who have a good self-image at some point in their lives tend to have a good self-image throughout their lifetime.

B. People who have a poor self-image at some point in their lives tend to have a better self-image in the elder years.

Cara is meeting with her client who has alcohol dependency, but no previous arrest record. Cara asks her client how often she drinks, and her client responds that she has 3 drinks at night, twice a week. What can Cara do to ensure that her client is accurately representing this information? A. Randomly test her client's blood alcohol level. B. Use collaterals to obtain more information. C. Perform a urine test. D. Consult a rehabilitation counselor for their opinion.

B. Use collaterals to obtain more information.

**After being in treatment for 6 months, a client requests a copy of her records. After reviewing the records, the client calls the social worker very upset because she feels that the social worker did not portray her relationship with her ex-husband accurately. What should the social worker do NEXT? A. Provide empathy and inform the client that she has the right to change the information in her personal record. B. Provide empathy and inform the client that she has the right to add an addendum to her record. C. Provide active listening and inform the client that she will no longer have access to her record because it seems to have caused her harm. D. Provide active listening and inform the client that she can add an addendum to the psychotherapy notes but not to the psychotherapy record.

B. Provide empathy and inform the client that she has the right to add an addendum to her record.

Sarah, a 17-year-old female, comes to you visibly upset and shaken. Sarah tells you she was raped in the parking lot of her high school and is scared to tell her parents because "they'll know I ditched school." She says she is on birth control and it was fast so "I'll just get over it." What would you do FIRST in an assessment of client risk factors? A. Ask when the rape occurred to determine if a medical exam could still identify the perpetrator. B. Provide her with the local hospital or planned parenthood so a rape kit can be collected. C. Ask her if she has a doctor she sees regularly. D. Encourage Sarah to talk to her parents because they would be more concerned about her health than school.

B. Provide her with the local hospital or planned parenthood so a rape kit can be collected.

Reese, an LCSW, needs to finish his paperwork, but his county clinic closes at 8pm. Reese should: A. Assume he can stay and let himself out. B. Respect clinic policy and leave at 8pm. C. Ask the front desk if he can make arrangements to stay late. D. Take his paperwork home with him for completion.

B. Respect clinic policy and leave at 8pm.

**You are working with a family of five that emigrated from Mexico last year. Their oldest daughter, Juanita, age 19, wants to move to a different state to attend college because she received a scholarship. The parents are very angry with Juanita and have forbidden her to leave the family. What should you do NEXT? A. Educate the family about issues of individuation, separation and launching. B. Respect the right of the family to self-determination. C. Educate the family about the value of a college education in this country. D. Assist the family in accommodating to new values and beliefs.

B. Respect the right of the family to self-determination.

**A female health organization is including free mammograms and pap smears with any office visit to encourage preventative health measures. What kind of prevention strategy is the organization using? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Quaternary prevention

B. Secondary prevention

When in the conformity stage of the minority development model, what attitudes do minorities tend to have towards: themselves, other members of their minority, members of a different minority, and members of the dominant group, respectively? A. Self-appreciating, group-depreciating, group-depreciating, and discriminatory. B. Self-depreciating, group-depreciating, discriminatory, and group-appreciating. C. Self-appreciating, group-appreciating, discriminatory, and group-depreciating. D. Self-depreciating, group appreciating, group-appreciating, and discriminatory.

B. Self-depreciating, group-depreciating, discriminatory, and group-appreciating.

During your initial assessment of Mr. and Mrs. Amadeo, you ask about the kind of support they receive from extended family and about potential stressors each member of the couple has at work. Which of the following areas are you assessing? A. The couple within a larger social context. B. Social systems outside the couple. C. Communication patterns within the couple. D. Spirituality.

B. Social systems outside the couple.

**In a situation where a teenage girl is having difficulty relating to her grandmother, who is acting as her legal guardian, a social worker can initiate role play by playing the grandmother. This type of role play is known as: A. Synthetic-conventional B. Spontaneous C. Mimetic-pretend D. Pre-conventional

B. Spontaneous

You have been seeing 28-year-old Alana for three weeks. She's been complaining of lack of appetite for the past 6 weeks, although, she says she is glad she's lost 15 pounds. She also says she's been having problems concentrating and is waking up every morning at 5AM. You decide to test her to help you confirm a diagnosis and develop a treatment plan. Which test would be the MOST appropriate? A. The Eating Disorder Inventory. B. The Beck Depression Inventory. C. The Myers-Briggs Type Indicator. D. The Exercise Addiction Inventory.

B. The Beck Depression Inventory.

A social worker is asking her client to describe who they think they are, as well as who they may appear to be to other people. What may the social worker be trying to assess? A. The client's role performance. B. The client's self-concept. C. The person-in-environment (PIE) system. D. The client's social functioning.

B. The client's self-concept.

Which of the following circumstances would be predictive of the worst emotional outcome for a child whose parents divorce? A. The parents not talking enough. B. The parents frequently arguing and fighting. C. The father not being involved. D. The mother not being involved.

B. The parents frequently arguing and fighting.

After working with a rape survivor for 3 weeks, the social worker determines that the client would benefit from an adjunctive referral to a clinician who specializes in EMDR. All of the following would be clinical considerations in making such a referral EXCEPT: A. The treatment plan may need to be modified, as the trauma-related symptoms may begin to shift and lead to other issues that need processing. B. The social worker should not make this type of referral yet, as the client is still in a vulnerable condition. C. It would be necessary to obtain a release in order to work collaboratively with the EMDR clinician. D. There may be an impact on your therapeutic relationship with this client, who may compare or feel torn between two clinicians.

B. The social worker should not make this type of referral yet, as the client is still in a vulnerable condition.

**When differential value is ascribed to women just for being female members of society, the environment can heavily impact those on the receiving end of such discrimination. Feminist theory argues that when women are continually oppressed as a result of bias and unequal social hierarchies, a common result is: A. Social stigma B. Trauma exposure C. Poor coping skills D. Posttraumatic Stress Disorder

B. Trauma exposure

**Which statement BEST describes the various components of a biopsychosocial assessment? A. A biopsychosocial assessment provides information about clients' presenting issues, physical health, educational background, environmental issues and social functioning. B. A biopsychosocial assessment provides information about clients' presenting issues, past and current physical health, educational or vocational background, environmental issues and social functioning. C. A biopsychosocial assessment provides information about clients' presenting issues, past and current physical health, educational or vocational background, human diversity issues, spiritual/religious beliefs, environmental issues and social functioning. D. A biopsychosocial assessment provides information about clients' presenting issues, physical health, educational background, spiritual/religious beliefs, environmental issues and social functioning.

C. A biopsychosocial assessment provides information about clients' presenting issues, past and current physical health, educational or vocational background, human diversity issues, spiritual/religious beliefs, environmental issues and social functioning.

A social worker has a client with diabetes who wants to apply for Social Security Disability (SSD) benefits. The client has not been prevented from working the past 12 months, and is unlikely to be unable to work the next 12 months. The client has stated that he frequently feels unwell and that his symptoms interfere with daily functioning. The client is unlikely to qualify for SSD because the client has: A. A physical disability. B. A mental disability. C. A physical chronic illness. D. A mental chronic illness.

C. A physical chronic illness.

Jacob, a social worker at a community outpatient clinic, has a 33-year-old male client, Maksym, from Ukraine. Maksym has a green card permitting him to reside and work in the U.S. However, his English is rather poor, and he is having difficulty finding employment. Jacob does not speak Ukrainian or Russian. Jacob should FIRST collaborate with: A. U.S. Citizenship and Immigration Services (USCIS). B. A special populations consultant. C. A translator. D. An ESL class instructor.

C. A translator.

When assessing the effects of a client's social context in planning for service delivery, social workers are BEST advised to do the following: A. Refer to a psychiatrist to assess for the appropriateness of psychotropic medication. B. Focus on a client's intrapsychic dynamics and prior treatment history. C. Acknowledge the interaction between biological, psychological, and social dynamics and their impact on the client's behavior. D. Focus on the client's primary DSM-5 diagnosis.

C. Acknowledge the interaction between biological, psychological, and social dynamics and their impact on the client's behavior.

A social work researcher is examining some possible problems with a social service. The social work researcher is running experiments in order to determine whether or not the service is actually useful to its recipients. What kind of research is the social worker participating in? A. Qualitative research B. Basic research C. Applied research D. Quantitative research

C. Applied research

What is the best way for a social worker to maintain professional objectivity when working with his/her client? A. For a social worker in a rural community, inform the client that their relationship will not extend beyond therapy and/or case management services. The client will pay for services by harvesting the olive trees at the social worker's home. B. After the first session in which a comprehensive psychosocial assessment is completed, utilize the second session to inform the client that the professional relationship will not extend beyond therapy and/or case management. C. At the first session, inform the client that their relationship will not extend beyond therapy and/or case management services, state the limits of the social worker's availability outside regular office hours, and continuously at ongoing session keep the client focused on the professional work at hand. D. For a social worker at a Christian counseling center that provides faith-based services in a small town, inform the client that their relationship will not extend beyond therapy and/or case management. Disclose at the first session that the client's sister is a close friend of the social worker, as they have been part of a women's prayer group at the church which the client also attends. Explain confidentiality to client.

C. At the first session, inform the client that their relationship will not extend beyond therapy and/or case management services, state the limits of the social worker's availability outside regular office hours, and continuously at ongoing session keep the client focused on the professional work at hand.

Mary is assessing her client's strengths and challenges in order to develop an appropriate treatment plan. Which of the following is NOT an example of a method to assess client/client system strengths and challenges? A. Asking clients about areas in which they excel B. Observing strengths during time spent with the client C. Avoiding empathy in order for challenges to surface more easily

C. Avoiding empathy in order for challenges to surface more easily

A social worker helping a client who is involved with a variety of legal systems, such as child protective services, the criminal justice system, and mental health services, should FIRST: A. Not attempt to help these clients unless they already have legal representation. B. Refer clients to a lawyer before engaging in helping them further under these circumstances. C. Be knowledgeable about the laws that govern these systems in order to best assist their clients. D. Recognize that some clients are beyond help and only invest in clients who can demonstrate resilience under such conditions.

C. Be knowledgeable about the laws that govern these systems in order to best assist their clients.

Why is it important for social workers to attend to child welfare clients quickly and efficiently? A. Children should form close bonds with their social workers, because they lack a stable adult role model. B. Children need a permanent place to stay in order to determine which school they will go to. C. Children need consistency in order to develop normally, and should have low emotional impact from the experience. D. Child welfare cases are not time sensitive.

C. Children need consistency in order to develop normally, and should have low emotional impact from the experience.

One of the most common documentation formats is SOAP. SOAP is an acronym for Subjective Objective Assessment Plan. Which of the following BEST describes what is meant by Subjective? A. Social worker's understanding of problems and test results B. Goals, objectives, and interventions reflecting identified needs C. Client's observations or thoughts; client statements D. Social worker's observations during session

C. Client's observations or thoughts; client statements

**Which of the following describes a method to evaluate a client's progress in which the focus is on the alliance between the client and the social worker, and the client uses an Outcome Rating Scale and a Session Rating Scale? A. Outcome Questionanaire-45 (OQ-45) B. Progress Evaluation Scales (PES) C. Client-Directed Outcome-Informed Therapy (CDOI) D. Solution-Focused Therapy (SFT)

C. Client-Directed Outcome-Informed Therapy (CDOI)

**Monica, a social worker who is doing a research study on teen pregnancy and the quality of prenatal care within the local underserved Hispanic population, encounters subjects with unique needs, as many are undocumented immigrants residing illegally in this country, and many do not speak English well or at all. Monica's FIRST priority in acquiring her test subjects is: A. Immigration status B. Anonymity C. Consent D. Confidentiality

C. Consent

You are a social worker doing an in-home session with a single mom and her 3 children. The children are 13, 4 and 2. Each child is talking about their school day when you notice the 13-year-old boy's voice cracks as he speaks. You would NEXT: A. Assess for child abuse at school. B. Make a referral to his pediatrician. C. Consider it may be a sign of puberty. D. Coordinate speech therapy services.

C. Consider it may be a sign of puberty.

Sarah brings in her 7-year-old son, Chuck, because of his behavior when he returns from weekend visitations with his father. After the visits, Chuck pulls his pants down, clings to his mother's side, and complains of stomachaches. "It all goes away after a few days," she says, "but the symptoms come back after he visits his father." What do you do NEXT? A. Call Chuck's father so you can investigate what is happening in his home. B. Interview Sarah and Chuck separately because you need more information. C. Contact Child Protective Services because you have enough information for "reasonable suspicion." D. Assess Sarah's relationship with her ex-husband to determine patterns of spousal abuse.

C. Contact Child Protective Services because you have enough information for "reasonable suspicion."

Kayla, a social worker at an inpatient facility, facilitates a stress management group. When clients are in crisis, Kayla should use the following communication technique for clients who are emotionally numb, withdrawn, or whose cognitive skills have been compromised by the crisis: A. Timeout B. Environmental change C. Direct questioning D. Socratic method

C. Direct questioning

A client is exhibiting signs and symptoms of disturbances in sleeping patterns, changes in weight and eating patterns, difficulty with controlling anger and other emotions, physical symptoms such as fatigue and soreness, and obsessive thought patterns. This client is showing indicators of: A. Mental illness B. Schizophrenia C. Emotional illness D. Anxiety

C. Emotional illness

Rava is an 18-year-old client whose family came from Armenia 10 years ago. Rava tells her social worker that she wants to go to her high school Friday night football game, but Rava and her extended family eat together every Friday night. What should the social worker do NEXT? A. Ask her to imagine the consequences of going to the game. B. Tell her she can make her own decisions as a legal adult. C. Encourage her to tell her family that she wants to go. D. Ask Rava to write her parents a letter explaining how it is normal in American culture to go to Friday night football games instead of family dinners.

C. Encourage her to tell her family that she wants to go.

Sam and Callie present with an 8-year-old daughter, Elise, who is dying of leukemia. Elise has had numerous surgeries, hospital stays, and painful procedures over the past five years since she was first diagnosed. Now in the terminal stage, Callie and Sam have requested that Victor, a social worker at the children's hospital in Vermont, advocate for them to help Elise end her life. They explain that Elise has clearly requested this herself. Victor should NEXT: A. Tell Sam and Callie that he can have their doctor put a strong sedative in her IV. B. Tell Sam and Callie that they should appeal to the hospital's administrative board because Elise is a minor. C. Explain to Sam, Callie, and Elise that although Vermont does have a "right-to-die" provision in their laws, one of the requirements is that the individual must be at least 18 years old. D. Explain to Elise that her parents would miss her very much if she were taken from them too soon.

C. Explain to Sam, Callie, and Elise that although Vermont does have a "right-to-die" provision in their laws, one of the requirements is that the individual must be at least 18 years old.

**Social workers can effectively express empathy when they: A. Have appreciation for autonomy. B. Express unconditional positive regard. C. Express understanding of the issues the client is experiencing. D. Share the same or similar experiences as the client.

C. Express understanding of the issues the client is experiencing.

When conducting assessments with clients in order to perform case management duties, social workers must: A. Focus on objective information. B. Focus on subjective information. C. Focus on both subjective information and objective information. D. Focus more on objective information than subjective information.

C. Focus on both subjective information and objective information.

One key to engaging an involuntary or mandated client is to: A. Explain to the client the consequences of resistance to treatment. B. Reframing the client's former behavior as the best thing that they knew to do at the time. C. Focus on the client's current feelings and perceptions while maintaining unconditional positive regard for the client as a person. D. Refrain from addressing a client's dysfunctional or problematic behaviors.

C. Focus on the client's current feelings and perceptions while maintaining unconditional positive regard for the client as a person.

Franklin reaches toward his mother when she enters the room. According to Bowlby, an infant/child makes attempts at attachment by acting in a goal-directed manner toward the caregiver primarily: A. From birth to 6 months-old. B. While still in-vitro. C. From 6 months-old to 2 years-old. D. From 2 years-old to 3 years-old.

C. From 6 months-old to 2 years-old.

Heath, an LCSW, went for his yearly physical. His doctor, Dr. Smith, knew Heath was an LCSW. Before Health left his physical, Dr. Smith told Heath about his 17-year-old son, Jeff. Dr. Smith shared that Jeff was having a lot of difficulty during his senior year of high school. Dr. Smith asked if Heath could see his son. Heath should FIRST: A. Ask Dr. Smith to call him the next day at Heath's office B. Have Dr. Smith sign a release so Heath can see Jeff since Jeff is still a minor C. Graciously decline and give him a referral D. Thank him for the referral and ask him to bring his son to a session

C. Graciously decline and give him a referral

Clinicians often take a biopsychosocial approach to the treatment of illness and disability. Which of the following is the BEST example of a question a clinician would ask a patient to assess if any psychological factors exist that are heightening their illness, pain, or discomfort? A. Do you have any family history of disease? B. Who can help you with activities of daily living while you recover? C. Have you had any major life changes such as the death of a loved one or the loss of a job? D. How many activities do you participate in outside of work?

C. Have you had any major life changes such as the death of a loved one or the loss of a job?

Meredith is a single mother, with an twelve-year-old son, Bobbie. He has been acting out in school and has been caught stealing from other students. Meredith is quiet and tells you she has been terribly depressed. What would you speculate is the MOST likely cause of Bobbie's behavior? A. He has been physically abused. B. He has been sexually abused. C. He has been neglected. D. He is abusing substances.

C. He has been neglected.

Why are homeowners LESS likely to experience displacement following a natural disaster than renters? A. Single-family homes are less likely to be destroyed than large rental complexes. B. Renters are not motivated to repair damage to their homes after a natural disaster because they do not own the home. C. Homeowners can immediately return to their homes following a disaster, but a renter has to wait for the landlord's permission. D. Homeowners and renters are equally likely to experience displacement.

C. Homeowners can immediately return to their homes following a disaster, but a renter has to wait for the landlord's permission.

Jennifer, a client diagnosed with Schizoaffective Disorder is attending a DBT group. The clinician spends time with the group teaching them core mindfulness techniques, which are specific behavioral skills. Which of the following is NOT a core mindfulness technique? A. Observing B. Describing C. Idealizing D. Participating

C. Idealizing

A social worker arrives at a home visit with Maria and Marko, a couple in their mid- 50's. The couple has two children who are 14 and 17. Marko's mother, who is 82, recently moved in with the couple. All members of the family are present for the session when the family reports an increase in fighting among the family members with an absence of violence. A factor that could be contributing to the family conflict is: A. The couple nearing the age of mid-life. B. Increased dependence from the adolescents since the grandmother moved into the home. C. Increased responsibilities with the grandmother moving into the home. D. The impact of social work in their lives.

C. Increased responsibilities with the grandmother moving into the home.

Jessica comes to session reporting her 6-month-old likes to put his hands in his diaper. Which statement most accurately describes normal sexual development with infants? A. Infants are too immature to demonstrate sexual curiosity so this behavior would create concern. B. Infants engage in mutual sex play with peers and this may be where he learned it. C. Infants find pleasure in touching their genitals. D. Infants are inhibited about nudity and are not likely to put their hands in their diapers.

C. Infants find pleasure in touching their genitals.

**Which of the following is NOT a possible medical side-effect of self-neglect? A. Hypertension B. Obesity C. Lack of exercise D. Skin conditions

C. Lack of exercise

**An absence in sexual fantasies or desire for sexual activity that persists for 6 months or more and happens during all or most sexual activities describes which sexual dysfunction? A. Premature Ejaculation B. Erectile Disorder C. Male Hypoactive Sexual Desire Disorder D. Substance/Medication-Induced Sexual Dysfunction

C. Male Hypoactive Sexual Desire Disorder

**For a client diagnosed with Obsessive-Compulsive Disorder, outcome research has shown which recommended treatment of the choices given? A. Teach the client relaxation and deep breathing methods. B. Refer the client to an OCD group. C. Medication evaluation and Cognitive-Behavioral therapy. D. Narrative therapy.

C. Medication evaluation and Cognitive-Behavioral therapy.

Sara is in session with her client and asks an open-ended, personal question. The client then bows her head down and becomes silent, which the social worker notices and writes down. The social worker is gathering: A. Subjective data B. Qualitative data C. Objective data D. Quantitative data

C. Objective data

When conducting a program evaluation of a social services program, it is important to gather data from people participating in the program. A common limitation of gathering such data is that: A. There are rarely enough data-gathering staff to conduct the interviews. B. They have difficulty focusing on the questions they are given and tend to use the time to talk extensively about themselves. C. Oftentimes participants who agree to participate in the evaluation process are those who feel they have benefited greatly from the service, which skews the sample of people. D. Most participants are uncooperative and unappreciative of research.

C. Oftentimes participants who agree to participate in the evaluation process are those who feel they have benefited greatly from the service, which skews the sample of people.

**Juan, a first generation Latino college student, is thinking about studying abroad in India. Although Juan would like to experience Indian culture, he is concerned about leaving his traditional Mexican family. Juan is receiving services at the on-campus counseling center for support in making a decision. Juan's social worker would MOST LIKELY consider which of the following cultural factors? A. The value of independence to Juan's developmental process. B. Potential conflict between Mexican and Indian cultural values. C. Potential conflict between the values of independence and interdependence. D. The American cultural value of interdependence.

C. Potential conflict between the values of independence and interdependence.

**You are doing a biopsychosocial assessment, and your new client tells you that she is self-injuring up to 5 times a day. Your BEST referral and treatment plan would be to: A. Refer her to a psychiatrist for medication and use a Solution-Focused approach to decrease her self-injury. B. Refer her to a physician and to a 12-Step group for self-injurers. C. Refer her to a physician and use a Dialectical Behavioral approach to deal with her self-injury. D. Refer her to an inpatient program due to her multiple suicide attempts.

C. Refer her to a physician and use a Dialectical Behavioral approach to deal with her self-injury.

You have been treating Quentin and Kurt, who have been dealing with Kurt's HIV positive status. One afternoon, Quentin arrives at the session alone and says that he has also tested positive for the HIV virus and does not want Kurt to know. He says they never have unprotected sex. What action should you take NEXT? A. Break confidence and tell Kurt if Quentin refuses to do so. B. Insist that Quentin open up this secret to Kurt in their next conjoint session or you will have to terminate the couples therapy. C. Remind Quentin of your "no secrets policy," maintain confidence as requested of you and support Quentin in handling the situation until he is ready to open up more. D. Tell Quentin that you cannot support this decision, and that you will not be the holder of this secret.

C. Remind Quentin of your "no secrets policy," maintain confidence as requested of you and support Quentin in handling the situation until he is ready to open up more.

A social worker's new client, Scarlett, experienced a date rape when she was away at college. What impact might the date rape have on Scarlett's self-esteem? A. She might feel good about herself for getting through the experience and feel more capable of judging someone's character accurately. B. She might feel less confident in social interactions and stop dating. C. She might feel decreased ability to trust herself and decreased ability to judge someone's character accurately. D. She might feel more vulnerable to a future rape and isolate to feel safe.

C. She might feel decreased ability to trust herself and decreased ability to judge someone's character accurately.

**A social worker is interviewing a new client. The client expressed their wants, needs, and feelings to the social worker. The social worker restated in their own words what the client was saying throughout the interview to demonstrate that the social worker understood the client's concerns. What is this technique? A. Mirroring B. Clarifying C. Summarizing D. Reframing

C. Summarizing

**Your supervisee, Marcia, is discussing her case in supervision. She met with the parents of Ruth, her new 17-year-old client. Ruth's parents feel that they did not need to sign the parent consent form for treatment because their daughter will be an adult soon and has already graduated from high school. What should you do NEXT? A. Provide a listening ear to Marcia. B. Explain that some states consider the legal age of informed consent to be 17 and that it may be alright to proceed without parent consent. C. Tell Marcia that the client is a minor and since her parents brought her to treatment, Ruth needs at least one of her parents' signatures for treatment authorization. D. Tell Marcia to get the parents' signatures, but follow adult guidelines so that the client feels autonomous.

C. Tell Marcia that the client is a minor and since her parents brought her to treatment, Ruth needs at least one of her parents' signatures for treatment authorization.

A supervisor has informed their supervisee that an evaluation of their work will be taking place, when it will be taking place, and who will have access to the results. The supervisor forgot to inform the supervisee of: A. The supervisee's strengths and weaknesses B. The NASW Code of Ethics C. The standards to be utilized in evaluation D. The biases of the evaluators

C. The standards to be utilized in evaluation

**Natasha is a supervisee that is expressing transference in her supervisory relationship. Which of the following is a way her supervisor can resolve this issue instead of expressing countertransference? A. The supervisor can shift the focus back to the client and client-worker relationship. B. The supervisor can mirror the supervisee's actions. C. The supervisor can react to the supervisee's transference. D. The supervisor can help the client with their reflective process.

C. The supervisor can react to the supervisee's transference.

**Martin, an 8-year-old, is referred to you by his school. He is from a low socioeconomic group and his counselor tells you that Martin does not want to participate in after-school activities and does not finish his homework. Initially, the BEST assumption of what is happening is that: A. There is no discipline or supervision at home. B. Martin's schoolmates are bullying him because of his low socioeconomic status. C. There are many demands on Martin's time at home. D. Martin is exhibiting symptoms of Attention-Deficit/Hyperactivity Disorder.

C. There are many demands on Martin's time at home.

**Which of the following is a commonly held misconception about undocumented immigrants? A. Undocumented immigrants are reluctant to rely on public services for fear of deportation. B. Undocumented immigrants are exempt from many social safety nets. C. Undocumented immigrants do not pay taxes. D. It is difficult to enter the US legally.

C. Undocumented immigrants do not pay taxes.

Jennifer, a social worker in an outpatient community clinic, is treating Brian, a 35-year-old client who presents with difficulties relating to his colleagues after returning to work following a four-week inpatient rehab for substance abuse— treatment that was funded through his Employee Assistance Program (EAP). From a social institutions perspective, Jennifer, whose father was an alcoholic, must relate to Brian: A. By informing him that her father was also an alcoholic. B. By referring him to another clinician who doesn't have the same level of countertransference. C. With empathy and understanding. D. With referrals to outpatient aftercare programs.

C. With empathy and understanding.

You are performing a Mental Status Exam on a new client. You ask the client to recite the alphabet backwards. What are you testing for? A. Orientation. B. Memory. C. Language ability. D. Concentration.

D. Concentration.

Which of the following does NOT describe an example of psychoeducation? A. A patient and their family receiving therapy to learn how to communicate effectively with each other. B. A therapist explaining how a drug treatment will affect daily life. C. A patient researching their disorder online. D. A patient being told by a friend that people with their disorder have to take medication.

D. A patient being told by a friend that people with their disorder have to take medication.

A prominent aspect of strengths-based resilience theories includes postmodern therapy, which stems from the feminist movement; and which challenges assumptions not only about patriarchs, but also about everything. Postmodernists rely on which of these strategies: A. Assessing problems. B. Classifying according to the DSM. C. Diagnosing what is wrong with the client. D. A therapist uncovering hidden resources that the client already has.

D. A therapist uncovering hidden resources that the client already has.

You are a supervisor at a community mental health clinic that serves special needs adults. One of your supervisees, who is a social worker, writes the following objective as part of his client's treatment plan: "The client will attend Alcoholics Anonymous meetings." This is an example of: A. An appropriate treatment objective. B. A treatment objective that needs more detail and clarity. C. A treatment objective that does not include frequency. D. A treatment objective that does not include frequency or duration.

D. A treatment objective that does not include frequency or duration.

Amelia has sought services for food stamp assistance. She was also offered housing assistance. What is TRUE about Amelia's right to refuse service? A. Amelia cannot refuse the housing assistance because she is accepting food stamp assistance. B. Amelia can refuse the housing assistance because she already has a place to live, but would have to accept it if she did not have a place to live. C. Amelia cannot refuse services because she is low-income. D. Amelia can pick and choose which services to accept and refuse, as long as they are not court mandated or required by law.

D. Amelia can pick and choose which services to accept and refuse, as long as they are not court mandated or required by law.

Which of the following BEST describes the difference between screening and assessment? A. ASSESSMENT involves asking specific questions with the purpose of evaluating the possible presence of a particular problem or behavior, while SCREENING involves defining the nature of the client's presenting problems, identifying a diagnosis, and developing specific treatment goals and interventions for addressing the client's behavior and/or diagnosis. B. ASSESSMENT TOOLS require little training to administer and understand, while SCREENING INSTRUMENTS require advanced training to use appropriately and thoroughly. C. An example of an ASSESSMENT TOOL is the CAGE, in which the social worker asks specific questions to help determine if alcohol may be an issue with the client, such to the extent that it requires FURTHER SCREENING to determine if the client meets the criteria for a diagnosis of alcohol use disorder. D. An example of SCREENING TOOL, in which the social worker asks specific questions to help determine if alcohol may be an issue with the client, such to the extent that it requires FURTHER ASSESSMENT to determine if the client meets the criteria for a diagnosis of alcohol use disorder.

D. An example of SCREENING TOOL, in which the social worker asks specific questions to help determine if alcohol may be an issue with the client, such to the extent that it requires FURTHER ASSESSMENT to determine if the client meets the criteria for a diagnosis of alcohol use disorder.

Denise, a single African-American mother, brings in her 12-year-old son, Daryl. They have just moved from the inner city to the suburbs. Denise reports that Daryl is having a hard time at school and is not getting along with his peers. Before you diagnose Adjustment Disorder, what would you do FIRST? A. Contact the school for records. B. Assess the support system of the family. C. Assess Denise's attitudes towards Daryl's adjustment. D. Assess for depression in Daryl.

D. Assess for depression in Daryl.

A social worker is running a group for individuals with PTSD. To qualify for the group, according to DSM-5, members of the group might have experienced any of the following events EXCEPT: A. War. B. Rape. C. Serious car accident. D. Bankruptcy.

D. Bankruptcy.

Which of the following MOST accurately describes victims of sexual exploitation? Victims of sexual exploitation are: A. Female, with a male perpetrator that they do not know. These victims usually report the exploitation immediately. B. Male, with a male perpetrator that they know well. These victims often end up becoming male prostitutes and identifying as homosexual. C. Female, with a male perpetrator that they know well. These victims rarely end up in the sex industry. D. Both male and female. The exploitation is done by both female and male perpetrators who the victims know well. The victims rarely tell anyone about the exploitation.

D. Both male and female. The exploitation is done by both female and male perpetrators who the victims know well. The victims rarely tell anyone about the exploitation.

You have been treating a Tibetan client who was raised primarily in India until she moved to the United States four years ago. She is resisting discussion about her family-of-origin. In order to work through her resistance you would FIRST: A. Be patient, continue working with the client and focus on other issues. B. Directly confront the client about her resistance. C. Address transference or countertransference issues as a way of evaluating family-of-origin dynamics. D. Consider the client's cultural values regarding boundaries, privacy, and problem resolution.

D. Consider the client's cultural values regarding boundaries, privacy, and problem resolution.

Many adult children find themselves in a position of caregiver for an aging parent. Such caregivers living with all EXCEPT one of the following are at higher risk of participating in elder abuse: A. Poor stress management B. History of childhood abuse C. Overwhelming role strain D. Cultural expectations

D. Cultural expectations

According to the Holmes and Rahe Stress Scale, which of the following life events has the highest number of "Life Change Units" and accordingly increases the individual's risk of health problems due to that life event? A. Death of a close family member B. Imprisonment C. Divorce D. Death of a spouse

D. Death of a spouse

Eric is communicating with his client who has experienced severe trauma. His client appears to have difficulty speaking directly. What should Eric do FIRST to communicate with his client? A. Ask direct questions to encourage quicker and more detailed responses. B. Ask more questions when the client is taking too long to respond. C. Read the client's nonverbal cues and end session when the client is finding it too difficult to communicate. D. Develop a safe therapeutic environment that encourages the expression of underlying issues.

D. Develop a safe therapeutic environment that encourages the expression of underlying issues.

**Your client is concerned about changes in his wife's behavior which include: increased days when she feels "like she's coming down with a flu" and misses work, frequent temper outbursts aimed at their children, and loss of appetite. He says that money is frequently missing from his wallet. His wife says she is fine except feeling ill from time-to-time. A good question to ask your client is: A. What changed around the time he began noticing these symptoms in his wife? B. How do these symptoms he's described affect him, and what would he like to do about his feelings about his wife's problems? C. Could his wife be having perimenopausal symptoms or be in menopause? D. Does his wife use alcohol, drugs or prescription medications?

D. Does his wife use alcohol, drugs or prescription medications?

Whitney, a 34-year-old, African-American mother of two, is in an abusive relationship. She wants to leave but has nowhere to go. All of her family is out of state, and if she lives with them, she'll lose her job here. Whitney wants to know if she can move in with you for a few months. You would NEXT: A. Explain why this would be inappropriate and tell her she must wait until an opening comes up at a shelter. B. Allow her to move in, but avoid being home at the same time. C. Explain dual relationships and roleplay ways to ask her friends for temporary housing. D. Explain dual relationships and advocate for her needs in a family shelter.

D. Explain dual relationships and advocate for her needs in a family shelter.

**With adults and minors, the two MOST commonly reported incest occurs between: A. Father-daughter and grandfather-granddaughter. B. Father-step-daughter and grandfather-grandson. C. Father-stepdaughter and step-father-stepson. D. Father-daughter and step-father-stepdaughter.

D. Father-daughter and step-father-stepdaughter.

A client has been skipping appointments and acting aggressively. What can the social worker do to set limits for the client? A. Discuss why the client's actions make the social worker upset. B. Suggest interventions that the client will approve of. C. Point out the client's actions as inappropriate, negative, and immature. D. Firmly discussing the problem behaviors when they happen.

D. Firmly discussing the problem behaviors when they happen.

Which of the following is NOT considered to be one of the four basic aspects of globalization? A. Migration and movement of people. B. Capital and investment movements. C. Dissemination of ideas and knowledge. D. Increase in isolationist sentiments.

D. Increase in isolationist sentiments.

You are opening your first private practice and are developing forms for a written informed consent. Which of the following would NOT constitute an element of informed consent? A. Explaining the benefits of therapy. B. Discussing your office policies. C. Explaining the nature of the therapeutic relationship. D. Informing the client that you are going to make a child abuse report.

D. Informing the client that you are going to make a child abuse report.

You are a social worker in an inpatient psychiatric facility. Adam is a 34-year-old mechanic being released after 14 days. He was hospitalized for suicidal ideation and has since started medication, attended inpatient process groups and no longer displays any suicidal ideation. When Adam is discharged it is important to: A. Make sure a family member is there to pick him up and he has copies of his new prescriptions. B. Provide him a copy of his discharge summary and make sure he has a way to get home. C. Make sure a family member is there to pick him up, and that he has an appointment with an outpatient therapist with in a week. D. Make sure his pharmacy has the new prescriptions and that he has appointments with a psychiatrist and an outpatient therapist upon leaving.

D. Make sure his pharmacy has the new prescriptions and that he has appointments with a psychiatrist and an outpatient therapist upon leaving.

What is the social worker's MOST important role when dealing with clients that need out-of-home placement? A. Making sure children like their temporary placements. B. Making sure clients with incarcerated family members are dealing with the loss of the family member. C. Making sure clients find new and permanent places to live. D. Making sure that the highest quality care is shown, and that there is a high ease of transition from the client's current residence to the out-of-home placement.

D. Making sure that the highest quality care is shown, and that there is a high ease of transition from the client's current residence to the out-of-home placement.

A client is describing the way they have been feeling. They describe that they have been making involuntary movements, feeling muscle weakness, constant headaches, and double vision. What is the client possibly describing? A. Organic brain syndrome B. Degeneration C. Symptoms D. Neurological disorder

D. Neurological disorder

Peter is worried his wife is going to lose her job because she keeps calling in sick because she is groggy from her back pain medications. Her pain level is manageable during the day but she comes home in so much pain that she has to take pain medication to get through the night. Recently, Peter has started calling his wife's office and telling them she is sick in the morning. What is your FIRST clinical concern in this case? A. Peter lacks a sense of self-esteem. B. Peter is not the one who needs treatment, his wife would benefit most from treatment. C. Peter's wife is displaying the attributes of someone whose substance use has become a problem. D. Peter has become co-dependent to his wife's addiction.

D. Peter has become co-dependent to his wife's addiction.

**A child is most likely to have the belief that a stuffed animal can talk in which stage of cognitive development according to Piaget? A. Pre-concrete Operations. B. Sensorimotor. C. Formal Operations. D. Pre-operational.

D. Pre-operational.

Alicia is developing an intervention plan that minimizes risk to the intervention's intended participants. In order to do so, she has described the problem, identified the intended participants, and set goals and objectives. Which of the following would be the NEXT step? A. Evaluating the success of the intervention B. Hiring and training staff C. Involving the community D. Selecting an intervention

D. Selecting an intervention

**One of the most common documentation formats is SOAP. SOAP is an acronym for Subjective Objective Assessment Plan. Which of the following describes what is meant by Objective? A. Social worker's understanding of problems and test results. B. Goals, objectives, and interventions reflecting identified needs. C. Client's observations or thoughts; client statements. D. Social worker's observations during session.

D. Social worker's observations during session.

**Why might some clients experiencing physical violence be hostile towards their social worker? A. Personality differences B. Stress brought about by the physical violence C. Social workers often take too long to follow up on cases D. Social workers can sometimes make victims of physical abuse feel powerless

D. Social workers can sometimes make victims of physical abuse feel powerless

Reunification of a previously removed child with his or her family should only occur when: A. The parent(s) or caregivers show genuine remorse for their actions. B. There is no other permanent alternative. C. The children stop remembering the abuse or neglect that predated their removal from the home. D. The parent(s) or caregivers show an ability to provide an adequate and safe level of care.

D. The parent(s) or caregivers show an ability to provide an adequate and safe level of care.

Brittany, a social worker who treats court-mandated clients at an outpatient clinic, frequently struggles with clients' rights to self-determination. Court-mandated clients often do not have the same rights to self-determination (e.g., those mandated to supervised visitations, addiction treatment programs, or domestic violence for perpetrators groups). In order to successfully work with these populations, Brittany should FIRST focus on: A. The client's mental health history. B. Behavioral interventions for the client. C. The client's treatment plan. D. The social worker-client/client system relationship.

D. The social worker-client/client system relationship.

**Allen, a case manager at a private practice facility, is treating Carl, who is required to participate in court-ordered treatment after being arrested for a DUI. The court-ordered treatment requirements will include both inpatient rehab and outpatient aftercare. The primary focus for Allen's case formulation for Carl includes: A. Legal/ethical issues. B. The presenting problem. C. A biopsychosocial assessment. D. The treatment plan.

D. The treatment plan.

**Researchers have participants take a test in two halves. The halves are separated at random so that each question on the test ends up on a random half. Why would the researchers have the participants take the test this way? A. To test the external validity of the test. B. To test the external reliability of the test. C. To test the internal validity of the test. D. To test the internal reliability of the test.

D. To test the internal reliability of the test.

A social worker has been treating a 55-year-old man for depression for 3 months. The man has been inconsistently showing up for session and has no-showed for the last three sessions, without contacting the social worker. The social worker has tried to contact him multiple times by phone and mail, with no response. Can the social worker terminate treatment with this client? A. No, because the client has not made any progress in treatment. B. No, because the client may be suicidal if he is still depressed. C. Yes, because social workers can terminate treatment at anytime with adult clients. D. Yes, if the social worker carefully documents her follow-up with the client and the reason for termination.

D. Yes, if the social worker carefully documents her follow-up with the client and the reason for termination.