LMSW Assessment and Intervention Planning Quiz

A client experiences hallucinations while intoxicated. This symptom indicates that the client is LEAST likely to be intoxicated on which of the following substances? Select one: A. Cannabis. B. Cocaine. C. Heroin. D. Alcohol.

D. Alcohol.

A mother brings in her 15-year-old son for therapy. She reports she has found him to be hiding large amounts of food in his closet and over the past 2 months he has gained a significant amount of weight. As the social worker begins talking to the boy, she observes that he struggles to maintain eye contact and holds his head down. He does acknowledge feeling a lack of control in his eating. Which of the following would MOST likely be the social workers treatment of choice? Select one: A. Family therapy B. Individual outpatient therapy C. Nutrition counseling D. All of the above

D. All of the above

For a DSM-5 diagnosis of panic disorder, the individual must have experienced: Select one: A. recurrent unexpected panic attacks. B. recurrent unexpected or expected panic attacks. C. at least one unexpected and one expected panic attack. D. multiple panic attacks.

A. recurrent unexpected panic attacks.

The primary feature that distinguishes acute stress disorder from posttraumatic stress disorder (PTSD) is: Select one: A. the shorter duration of symptoms in acute stress disorder. B. a less severe precipitant in acute stress disorder. C. reliving of the trauma in dreams in PTSD. D. symptoms of increased arousal in PTSD.

A. the shorter duration of symptoms in acute stress disorde

A social worker has met with a client twice and formulated a provisional diagnosis which he provides to her insurance company. After he sees the client two more times, the social worker receives a phone call from the insurance company in which he is asked if he has changed his diagnosis of the client. Which of the following is MOST likely to cause a social worker to change a diagnosis after an initial assessment? Select one: A. New information about the etiology of the clients symptoms. B. An increase or escalation of the clients symptoms. C. New information from other professionals involved in the case. D. A request by the insurance company to diagnose a mental disorder.

A. New information about the etiology of the clients symptoms.

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

A. Obsessive-compulsive disorder.

What is the time-frame for achieving steady state on a benzodiazepine? Select one: A. One day to 21 days. B. Approximately two weeks. C. Three to six weeks. D. At least one month.

A. One day to 21 days.

Which of the following is NOT included as an alcohol-related disorder in the DSM-5? Select one: A. Alcohol dependence. B. Alcohol intoxication. C. Alcohol withdrawal. D. Alcohol-induced major neurocognitive disorder.

A. Alcohol dependence.

A mother and father report that they have come in because they are concerned that their 8-year-old son has a learning problem and may fall behind his classmates. The social worker asks the parents several questions about their concerns, but they are unable to give her any information to support them. To address the parents' concerns, what should the social worker do NEXT? Select one: A. Arrange a consultation with the boys teacher. B. Help the parents arrange for screening and evaluation of their son through the school system. C. Arrange for the boy to undergo intelligence testing by a psychologist. D. Discuss the boys symptoms in more depth with the parents and recommend educational therapies tailored to his needs.

A. Arrange a consultation with the boys teacher.

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

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

A 30-year-old client with a history of psychotic episodes from his mid-20s has been released into an outpatient program. Although part of this program involves finding a job, he tells the social worker that he's afraid to look for work because he has a hard time talking to employers and doesn't understand job applications. In addition, he doesn't feel capable of functioning at a job on a daily basis. How should the social worker address this concern? Select one: A. Assess the client's capacity to get a job and function as an employee. B. Discuss the client's employment history with him, emphasizing areas in which he has had success in the past. C. Evaluate whether the client should be rehospitalized so that he can be in a structured environment where he can acquire the skills he needs to live in the community. D. Explain how vocational counseling can help him and assist him to find and use this resource.

A. Assess the client's capacity to get a job and function as an employee.

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

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

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

A. Autism spectrum disorder.

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

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

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

A. Body Dysmorphic Disorder

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

A. Body dysmorphic disorder.

A client is taking medication to control the symptoms of a mental disorder. Because of the potential side-effect of a serious blood disorder, she is required to have a blood test every week. The client is MOST likely taking which of the following medications? Select one: A. Clozaril. B. Chlorpromazine. C. Clonazepam. D. Celexa.

A. Clozaril.

A recently widowed woman seeks counseling to help her deal with her son's grief. The boy seems very sad, the woman says, but they have been having difficulty talking about their feelings and memories of her husband. She doesn't know what to do and hopes that the social worker can provide her with advice so that she can help her son cope better. Based on what he learns in the interview, the social worker believes that the woman also needs assistance in dealing with her own grief. What is the social worker's BEST course of action? Select one: A. Discuss this with the woman. B. Build this help for the woman into the treatment she has asked for. C. Offer to provide family therapy. D. See the son for individual therapy and refer the woman to a support group for newly single parents.

A. Discuss this with the woman.

Which of the following is a way to implement trauma-informed care practice within a service agency? Select one: A. Engage clients in determining discussion topics for future group therapy sessions B. Open the blinds on the windows to the entrance of the building C. Decrease staff training's, to only allow for individual supervision on the effects of adverse childhood reactions D. Focus on medication management

A. Engage clients in determining discussion topics for future group therapy sessions

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

A. Explore, and intervene to address, the boy's aggressive behavior.

At the beginning of therapy, a client's motivation for change can be BEST assessed by doing which of the following? Select one: A. Exploring what led her to seek treatment. B. Asking her how she normally copes with problems. C. Attempting to establish a therapeutic contract. D. Observing her body language.

A. Exploring what led her to seek treatment.

Which of the following characteristics is LEAST relevant to consider when assessing a client's ego functioning? Select one: A. Gender. B. Age. C. Impulse control. D. Culture.

A. Gender.

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

A. How his wife reflects on him.

The results of a Rorschach test would be MOST useful for which of the following purposes? Select one: A. Identifying thinking patterns. B. Predicting behavior based on personality style. C. Formulating a relevant treatment plan. D. Identifying the location of brain damage.

A. Identifying thinking patterns.

As described in the DSM-5, the characteristic symptoms of substance use disorder can be categorized in terms of which of the following? Select one: A. Impaired control, social impairment, risky use, and pharmacological criteria. B. Functional impairment, denial of consequences, impaired control, and pharmacological criteria. C. Impaired control, tolerance, withdrawal, and functional impairment. D. Functional impairment, tolerance and withdrawal, risky use, and marked distress.

A. Impaired control, social impairment, risky use, and pharmacological criteria.

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

A. Jealousy.

A man, age 33, is brought in by his sister. She reports that, following the loss of his home in a fire two weeks ago, her brother has experienced hallucinations, is incoherent, and is uncharacteristically aggressive and sloppy in appearance. In this situation, before assigning a diagnosis of brief psychotic disorder, the social worker would want to rule out alternative explanations for the man's symptoms. Therefore, the social worker would want to determine if the man: Select one: A. has been using drugs. B. is able to answer questions coherently. C. is experiencing delusions. D. is experiencing rapid shifts in mood.

A. has been using drugs.

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

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

A 10-year-old boy reports that, lately, he's been smelling unusual odors, like burnt flesh and rotten food, but that none of those things are around him when this happens. He is also having difficulty keeping up in his classes. In assessing this boy, what should the social worker do FIRST? Select one: A. Refer him to a neurologist. B. Refer him to a psychiatrist. C. Arrange to speak to his teacher. D. Refer him to an educational psychologist.

A. Refer him to a neurologist.

Bob and Lois, an elderly couple, just discovered that their adult daughter and caregiver has been using their bank accounts to buy herself luxury goods and to provide her boyfriend, who is in prison, with items through his commissary account. At this point, Bob tells you that he thinks she has stolen up to $20,000. Bob is disabled due to severe obesity, and Lois is in the middle stages of Alzheimers disease. How BEST should the social worker respond? Select one: A. Report elder fiduciary abuse; with Bobs permission, involve other family members and friends in their daily lives; encourage a trusted friend or relative to help Bob set up automatic bill-pay with his bank; refer them both for a checkup; encourage Bob to retain the services of an attorney who specializes in elder issues, facilitate contact with respite care/caregiving arrangements. B. Encourage Bob to call the police and report what he suspects; encourage a trusted friend or relative to help Bob set up automatic bill-pay with his bank; refer Bob and Lois to their medical doctor to check for physical abuse indicators; assess for possible substance abuse, arrange for guardianship for Lois. C. Encourage a trusted friend or relative to help Bob set up automatic bill-pay with his bank; refer Bob and Lois to their medical doctor; arrange for respite care. D. Refer Bob and Lois to the local Senior Center to reduce isolation, focus on justice; safety and autonomy; refer them both for medical evaluation; encourage a trusted friend or relative to help Bob set up automatic bill-pay with his bank.

A. Report elder fiduciary abuse; with Bobs permission, involve other family members and friends in their daily lives; encourage a trusted friend or relative to help Bob set up automatic bill-pay with his bank; refer them both for a checkup; encourage Bob to retain the services of an attorney who specializes in elder issues, facilitate contact with respite care/caregiving arrangements.

Nina is an 87-year-old who has been referred for counseling services by the court. She has recently had a conservator appointed for her, due to being cheated out of much of her life savings by several scam artists. She is currently involved in a situation with a lending agency that, due to its unscrupulous practices, will probably result in the loss of her home. Which of the following factors were MORE likely to have made Nina more susceptible to financial exploitation? Select one: A. Social isolation, cultural etiquette, cognitive changes, poor physical health. B. Cognitive changes, lack of adult children, fear of loss of independence, poor physical health. C. Predatory lending, lack of financial education, theft of services, absence of financial documentation. D. Lack of computer sophistication, high financial dependence, difficulty in activities of daily living, fixed income.

A. Social isolation, cultural etiquette, cognitive changes, poor physical health.

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

A. Stimulant use disorder.

A 25-year-old client who recently immigrated to the United States from Nicaragua (and speaks English well) has been convinced by his mother to seek counseling for frequent alcohol use. During the first interview, the client acknowledges that he drinks almost daily but doesn't identify any other problems. What should the social worker do FIRST? Select one: A. Take a substance use history. B. Assess for acculturation problems. C. Get permission to speak to family members about the clients alcohol use patterns. D. Refer the client to a support group.

A. Take a substance use history.

When using the DSM-5, the diagnosis of delusional disorder requires the presence of: Select one: A. one or more delusions for at least one month. B. one or more nonbizarre delusions for at least one month. C. one or more bizarre delusions for at least one month. D. one or more bizarre or nonbizarre delusions for at least three months.

A. one or more delusions for at least one month.

What does "dual diagnosis" mean? Select one: A. The person has both a major psychiatric disorder and a substance use disorder. B. The person has a medical condition affecting his mental disorder. C. The person has a mental disorder plus a secondary condition, such as a relational problem, that requires clinical attention. D. The person has a mental disorder and one or more identifiable psychosocial or environmental problems are affecting its treatment or prognosis.

A. The person has both a major psychiatric disorder and a substance use disorder.

When working with refugee populations, it can be very useful to use refugee community members for outreach, interpretation and prevention due to the language and cultural barriers between service providers and the population begin targeted. While there are many benefits to using community members in this way, this practice can also present unique challenges. What challenges should the social worker be MOST concerned about? Select one: A. Therapeutic boundaries, interpreter distortion, confidentiality, lack of training, over-identification with clients. B. Confidentiality, communication barriers, ethical practice, stereotyping, lack of training. C. Linguistic differences, confidentiality, power differentials, failure to incorporate indigenous coping strategies, interpreter distortion. D. Lack of training, poor collaboration between providers, stigma, ad hoc interpreters, fragmentation of services.

A. Therapeutic boundaries, interpreter distortion, confidentiality, lack of training, over-identification with clients.

Empirically supported treatments (ESTs) are specific psychological treatments that have been shown to be efficacious in controlled clinical trials. The research indicates that ESTs tend to have certain characteristics. Which of the following is NOT one of these characteristics? Select one: A. They involve long-term contact, usually 20 or more sessions. B. They generally focus on skill building. C. Most include homework as a component. D. They incorporate continuous assessment of client progress.

A. They involve long-term contact, usually 20 or more sessions.

A social worker has been referred a family that fled from violence in their home country. The family consists of a father, mother and two children. A third child was killed by land-mines just before the family fled their home. All four members of the family are showing significant stress, and the father has started drinking, although he swears that he did not drink before. The mother was a doctor, but can now only find work as a janitor in a hospital. She complains of nightmares almost nightly, and says the children often wake up frightened, but cant say at what. How BEST should the social worker respond to help bridge the cultural gap? Select one: A. Use a traditional healer from the familys home culture; help the family to connect with others from their culture who have re-settled before them; encourage each of them to tell their story; assess and treat PTSD and refer to a substance abuse program. B. Connect the family with ethno-cultural community organizations and religious institutions, help the client get involved with community resources and make vocational training referrals. C. Focus on the fathers drinking initially, followed by reviewing the familys migration trajectory, use traditional healers from the familys home culture, assess and treat PTSD symptoms. D. Take an authoritative stance to increase confidence in the counseling process, normalize the familys experience, encourage story telling using narrative therapy.

A. Use a traditional healer from the familys home culture; help the family to connect with others from their culture who have re-settled before them; encourage each of them to tell their story; assess and treat PTSD and refer to a substance abuse program.

Loosening of associations can be symptomatic of schizophrenia and other psychotic disorders and involves: Select one: A. abrupt shifts from one topic to an unrelated or obliquely related topic. B. delays in answering a question due to embellishment with unnecessary details and parenthetical remarks. C. a continuous flow of rapid speech with abrupt changes from one topic to another based on understandable associations. D. thinking that contains numerous contradictions and inconsistencies.

A. abrupt shifts from one topic to an unrelated or obliquely related topic.

A client says that she sometimes feels as though she is in a dream, as though she is outside of herself observing her own thoughts, body, and actions. This sensation is referred to as: Select one: A. depersonalization. B. derealization. C. disorientation. D. dissociation.

A. depersonalization.

In DSM-5, the essential feature of hoarding disorder is persistent difficulty discarding or parting with possessions, regardless of their actual value. In addition to this, the person's difficulty discarding or parting with possessions must be due to either a perceived need to save the items or: Select one: A. distress associated with parting with them. B. a loss of energy associated with a depressed mood. C. a decline in cognitive functioning. D. obsessions that lead to the compulsive hoarding behavior.

A. distress associated with parting with them.

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

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

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

B. Conners 3.

In the DSM-5, the intentional production of symptoms for the purpose of obtaining an external reward is characteristic of which of the following? Select one: A. Factitious disorder imposed on self. B. Malingering. C. Somatic symptom disorder. D. Illness anxiety disorder.

B. Malingering.

Ordinarily termination should be discussed for the first time with a client: Select one: A. when she has met her treatment goals. B. during treatment planning. C. when she brings it up. D. when she is no longer benefitting from the services.

B. during treatment planning.

Providers of mental health services need to be aware that for successful long-term acculturation, immigrants and refugees should seek to: Select one: A. overcome marginalization in their new culture. B. integrate their culture of origin with that of their new home. C. connect with others of their own culture who have immigrated. D. strive for assimilation into the new culture.

B. integrate their culture of origin with that of their new home.

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

B. 12; two

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

B. A high degree of physical aggression toward peers.

During a session, a client says that her young son is a "category 5 hurricane." Her statement exemplifies which of the following? Select one: A. Flight of ideas. B. A metaphor. C. Hyperbole. D. Loose associations.

B. A metaphor.

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

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

A young adult client seeks help because she's received a poor performance rating at her job and is worried that she'll be fired if she doesn't shape up soon. The client says she has a lot of difficulty functioning well at work and sometimes in other settings, too. She reports that she took Cylert years ago and that a doctor recently recommended she start taking Strattera. She can't decide whether to take medication or just get therapy. The information the client has shared about these medications suggests that she may have which of the following disorders? Select one: A. Bipolar I disorder. B. ADHD. C. Depression and/or anxiety. D. A chronic psychotic disorder such as schizophrenia.

B. ADHD.

A social worker meets with a same-sex couple who wants help learning how to communicate with each other because they fight too much. In the first interview, the clients stipulate that they don't want to talk about being gay or anything else having to do with sexuality. What is the social worker's BEST course of action? Select one: A. Avoid discussing issues related to sexuality and focus on assessing the clients' communication and interaction patterns by asking them to role-play a typical fight. B. Allow the clients to present the problem as they perceive it, but let them know that she may have ideas to share about the problem once she's heard what they have to say. C. Avoid focusing on the clients' sexuality but explain that it may play a role in their problem even if they are unaware of its effects. D. Interpret the clients' request as an indicator of internalized homophobia and discuss this openly with them to facilitate trust.

B. Allow the clients to present the problem as they perceive it, but let them know that she may have ideas to share about the problem once she's heard what they have to say.

Which of the following diagnoses cannot be given to an individual who is under the age of 18 years? Select one: A. Borderline personality disorder. B. Antisocial personality disorder. C. Dissociative identity disorder. D. Erectile disorder.

B. Antisocial personality disorder.

A social worker is meeting with a 79-year-old client who has recently been experiencing memory deficits and is having trouble keeping things organized in his life. First, the social worker refers the client for medical evaluations. What should the social worker do SECOND in assessing this client? Select one: A. Assess his quality of life and explore concerns related to his need for autonomy and sense of control. B. Arrange for him to have neuropsychological testing to determine the nature and severity of his cognitive deficits. C. Monitor his cognitive status in his sessions. D. Assess how his caregivers are coping with his disorder and whether they are aware of alternatives to caring for him at home.

B. Arrange for him to have neuropsychological testing to determine the nature and severity of his cognitive deficits.

A social worker conducting a mental status exam asks a client what factors led him to decide to quit his job two weeks ago. Apparently the social worker is interested in evaluating the client's: Select one: A. concentration. B. judgment. C. abstraction. D. registration.

B. judgment.

A social worker employed at a hospital meets with a woman whose husband has been hospitalized after suffering complications from diabetes. The couple immigrated to the United States from Puerto Rico a few months ago and has four children. The woman is worried about her husband and feeling overwhelmed in her new environment. What should the social worker do FIRST? Select one: A. Address the cultural variables that contribute to the womans response to her husbands illness and the familys use of health-care resources. B. Assess the womans immediate needs and the extent of her support system. C. Arrange for the family to receive child-care assistance so that the woman can be available for her husband. D. Refer the woman to agencies that provide services to immigrants.

B. Assess the womans immediate needs and the extent of her support system

Social workers involved in an episode of macro change have analyzed the problem, developed a working hypothesis about the causes of the problem, created a working hypothesis of intervention, and selected an approach to change (they have decided to use a program approach). Their NEXT major step is MOST likely to be which of the following? Select one: A. Conducting a needs assessment. B. Building support for the program. C. Identifying what resources they need. D. Identifying objectives and activities and creating an action plan.

B. Building support for the program.

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

B. Clonazepam.

The client is a 25-year-old man with severe schizophrenia who has not been responding to the traditional antipsychotic medication he has been taking. Under the circumstances, his psychiatrist is MOST likely to recommend which of the following medications? Select one: A. Haldol. B. Clozaril. C. Parnate. D. Tegretol.

B. Clozaril.

A social worker meets with an 82-year-old woman at the request of the woman's son. The son is concerned that his mom has Alzheimer's disease because she has become forgetful. During the interview, the social worker notices that the woman sometimes gets confused when trying to describe recent events in her life. Based on this observation, what should the social worker do NEXT? Select one: A. Refer for projective testing to identify thinking patterns. B. Conduct a mental status exam. C. Get a medical history from her. D. Evaluate her activities of daily living (ADLs).

B. Conduct a mental status exam.

Refugees experience stress before, during and after their migration experience. Before leaving their home country, they may have experienced severe stress such as inability to meet their (and their childrens) physical needs, persecution, violence or war. Migration itself may involve traumatic experiences during and after escape, separation of family members, illness, refugee camps, detention, etc. Post-migration stressors can include occupational problems, discrimination and culture shock. Culturally-competent treatment takes into account that: Select one: A. The social worker may misunderstand subtle cultural cues. B. Culture can influence every aspect of illness and adaptation and what may be considered a strength in one cultural context may be perceived as undesirable in another cultural context. C. Help seeking behavior is influenced by cultural factors. D. The social worker should try to use English speaking youth in the family to serve as ad hoc communicators if language barriers exist.

B. Culture can influence every aspect of illness and adaptation and what may be considered a strength in one cultural context may be perceived as undesirable in another cultural context.

A family with two small children comes into your office asking for you to help them find a job as they are currently struggling to buy food each month. However, you soon learn that this family is undocumented and neither the mom nor dad have a legitimate social security card. What should be your first course of action? Select one: A. Explain that you cannot help them because they are illegal immigrants and would need to first gain US citizenship before you can serve them B. Demonstrate empathy for their tough situation and offer to explore their various options C. Find and print an application for a new social security card and assist the parents in filling it out D. Refer the family to another social worker

B. Demonstrate empathy for their tough situation and offer to explore their various options

A client reports that he feels depressed, hopeless, and as though it's pointless to keep going when nothing good ever happens. Based on this, the social worker suspects that the client is self-destructive. To determine the level of risk for suicide currently posed by the client, what should the social worker do FIRST? Select one: A. Get a complete psychiatric history. B. Determine if he has a specific suicide plan. C. Ask him if he has ever had these thoughts before. D. Find out if he has reliable social support.

B. Determine if he has a specific suicide plan.

A study is being conducted in Los Angeles, CA to test how informed high school aged students are about safe sex practices and HIV/AIDS treatment. The study compares high schools in a more affluent area of Los Angeles to a poorer community nearby to see if differences in the environment impact the level of knowledge. A month into the studys observations, a local celebrity comes out about his HIV-positive status and it is broadcasted on TVs, radio stations and in the newspapers of the more affluent neighborhood. At the end of the study, the affluent neighborhood showed greater knowledge about safe sex practices and likelihood of practicing safe sex. What threat to internal validity is best represented here? Select one: A. Regression to the mean B. History C. Maturation D. Instrument change

B. History

Which of the following is MOST useful for differentiating schizophrenia from schizophreniform disorder? Select one: A. Severity of symptoms. B. Duration of symptoms. C. Type of symptoms. D. Number of symptoms.

B. Duration of symptoms.

The client is a middle-aged man whose wife died five months ago. The client is showing signs of major depression and reports feeling lonely and lacking support during this difficult period. The client was diagnosed with diabetes several years ago and reports that he hasn't seen his physician in almost a year, ever since his wife first became ill. Using the four-factor PIE (Person-in-Environment) System, how would the social worker record information about this client's problem situation? Select one: A. Factor I, biological; Factor II, psychological; Factor III, social; Factor IV, cultural. B. Factor I, problems in social role functioning; Factor II, problems in the environment; Factor III, mental heath problems; Factor IV, physical health problems. C. Factor I, mental health problems; Factor II, physical health problems; Factor III, problems in the environment; Factor IV, current level of functioning. D. Factor I, problems in social role functioning; Factor II, problems in the environment; Factor III, mental and/or physical health problems; Factor IV, current level of functioning.

B. Factor I, problems in social role functioning; Factor II, problems in the environment; Factor III, mental heath problems; Factor IV, physical health problems.

A social worker works for a nonprofit agency in the community when a man who looks dazed and confused stumbles into the facility. He has ash on his face from what appears to be a fire and his clothes are dirty as well. What would be the best way to approach and engage this individual? Select one: A. Immediately rush over with a blanket and wrap him up to keep him from going into shock B. First assess for safety in the surrounding areas and ensure there is no eminent danger to yourself or others. Then approach the man and in a calm and nonjudgmental voice tone C. Offer him a cup of water and urge him to drink it right away to avoid dehydration D. Assess to see if he is having a psychotic break

B. First assess for safety in the surrounding areas and ensure there is no eminent danger to yourself or others. Then approach the man and in a calm and nonjudgmental voice tone

A social worker determines that a client, age 36, is in the midst of a major depressive episode, and the client's history suggests that he has had other such episodes in the past. The social worker refers the client to a psychiatrist for a medication evaluation, and the psychiatrist prescribes an SSRI for the client. In terms of side-effects from this class of medication, the client is MOST likely to experience which of the following? Select one: A. Blurred vision, tremor, weight loss. B. Gastrointestinal problems, insomnia, sexual dysfunction. C. Dry mouth, tachycardia, weight gain. D. Muscle spasms, confusion, irritability.

B. Gastrointestinal problems, insomnia, sexual dysfunction.

A social worker is working at a processing center for refugees, where typically, they stay a week or two and then move on. Many of the refugees come with clear PTSD symptoms, experiencing flashbacks, psychosomatic symptoms, chronic pain, guilt and insomnia. What should the social worker NOT do when conducting treatment with these clients? Select one: A. Use conventional PTSD treatments like cognitive behavioral therapy B. Help the clients to tell the story of their traumatic experiences prior to arriving. C. Specifically focus on methods to help the clients reframe the way they think about their traumatic experiences. D. Help clients differentiate between past and present realities.

B. Help the clients to tell the story of their traumatic experiences prior to arriving.

A client complains of feeling depressed and unable to function or get along with his wife. He is guarded and reluctant to describe his symptoms. The social worker uses a mental status exam (MSE) to collect information about the client's present functioning. In the course of using the MSE, the social worker asks the client questions that require him to explain certain proverbs. The social worker has asked about these proverbs in order to assess what aspect of the client's mental status? Select one: A. Sensorium. B. Higher cognitive functioning. C. Language. D. Mood and affect.

B. Higher cognitive functioning.

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

B. Isolation.

A social worker's new client is a 33-year-old man who uses cocaine every day, several times a day, and is in the midst of an episode of major depression. The BEST course of treatment for this client would include which of the following? Select one: A. Inpatient program, 12-step group. B. Medical evaluation, inpatient program, 12-step group, ongoing therapy. C. Medical evaluation, 12-step group, ongoing therapy. D. 12-step group, ongoing therapy.

B. Medical evaluation, inpatient program, 12-step group, ongoing therapy.

A 30-year-old woman is an inpatient at a psychiatric facility, admitted for evaluation and treatment after attempting suicide during an episode of major depression. As a member of the treatment team, a social worker performs a biopsychosocial assessment of the patient during which she discloses many different concerns. To determine the targets of treatment for this patient, the social worker should do which of the following? Select one: A. Meet with the treatment team to discuss the assessment results and identify which problems require treatment at this time. B. Meet with the treatment team to review the assessment findings and the patient's priorities. C. Meet with the treatment team to present the assessment results and his view of which problems require attention now and which can be set aside until later. D. Allow the patient to select the problems she wants to work on.

B. Meet with the treatment team to review the assessment findings and the patient's priorities.

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

B. Pose questions to determine the client's intentions.

A mother brings in her 14-year-old daughter for therapy. The daughter says she wants help losing weight. Her mother chimes in and tells you her daughter has been gaining weight like crazy over the past few months and refuses to buy her larger sized clothing. The girl holds her head down, diverting eye contact, and also admits to gaining a lot of weight recently. The mother bought her daughter a membership to Weight Watchers and workout DVDs. What is the social workers FIRST response? Select one: A. Create a behavior modification plan to help the girl lose weight B. Provide education to the mother on body image and its potential impact to her daughter C. Provide nutrition counseling to the daughter D. Invite the father in next session to see how he feels about his daughters weight gain

B. Provide education to the mother on body image and its potential impact to her daughter

A social worker is working with a 10-year-old girl who was recently removed from her home due to neglect. Whenever the social worker mentions the girls parents, she becomes withdrawn and stops engaging with the social worker until the subject is changed. What is the BEST way for the social worker to respond? Select one: A. Avoid talking about the traumatic subject for a few sessions B. Pursue alternative methods for confronting the trauma, like play or art therapy C. Sit in silence until the end of session D. Invite the foster parents into the next session so she feels more comfortable

B. Pursue alternative methods for confronting the trauma, like play or art therapy

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

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

The client is a homeless woman who has a history of heavy alcohol use. She has refused help from her family for many years and spends most of her time on the streets, although she sometimes sleeps at a local shelter. She has been encouraged to enter an agency's service system through the agency's outreach program. In planning and providing case management services to this client, the social worker is LEAST likely to do which of the following? Select one: A. Intervene to meet even unrealistic goals expressed by the client by breaking them down into manageable and measurable steps. B. Rely on information from outside informants to identify the client's needs because the client is unlikely to be a reliable source of information. C. Provide short-term therapy, along with information, advice giving, and linkage, in order to help the client cope with day-to-day living situations. D. Draw on the clients natural helping networks, including her family members.

B. Rely on information from outside informants to identify the client's needs because the client is unlikely to be a reliable source of information.

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

B. Schizophreniform disorder.

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

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

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

B. Suicide potential.

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

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

With regard to schizophrenia, there is some evidence that the higher rate found among African American individuals may be due to: Select one: A. genetic factors. B. misdiagnosis. C. lower recovery rates. D. a higher risk for complications during birth.

B. misdiagnosis.

As described in the DSM-5, level of severity of alcohol use disorder and other substance use disorders is based on: Select one: A. degree of functional impairment. B. number of symptoms. C. the presence of tolerance and/or withdrawal. D. the degree of distress caused by use of the substance.

B. number of symptoms.

Symptoms of __________ are similar to those associated with a moderate to severe case of the flu (e.g., muscle pain and cramps, diarrhea, chills, sneezing, lethargy). Select one: A. opioid intoxication B. opioid withdrawal C. cocaine intoxication D. cocaine withdrawal

B. opioid withdrawal

Family therapy is MOST likely to be contraindicated (inappropriate) in which of the following cases? Select one: A. The mother and father are thinking about getting a divorce. B. The father has a history of physically abusing the mother. C. The 15-year-old son has a substance use disorder. D. The 12-year-old daughter is the family scapegoat.

B. The father has a history of physically abusing the mother.

During a home visit, a client says that she would like her sister, who is visiting from across town, to be present during the interview. The social worker's BEST course of action is to: Select one: A. urge the client to have a private interview because sensitive information may be discussed. B. respect the clients preference and allow the sister to attend the interview. C. reschedule the interview for another day. D. explain the need for privacy during the interview and remind the client of the interviews purpose.

B. respect the clients preference and allow the sister to attend the interview.

The social worker is employed in an agency with a large immigrant population. She is most familiar with immigrants from Latin American countries. Lately, she has taken on a female client who immigrated from the middle east and is Muslim. The client complains of depression and anxiety, and feels alienated from Allah since moving to the United States. The social worker has researched Islamic culture and its views on mental health, and knows that there is an emphasis in Islam of the value and cohesion of the community. She runs a group for people with depression and anxiety and recommends that the client attend. The client agrees, and never returns. Which of the following BEST represents the error the social worker made? Select one: A. The social worker should have inquired as to whether this client would feel comfortable in a mixed-gender group. B. The social worker did not take into account that some Muslims, although comfortable with groups within their own culture, may feel uncomfortable in group settings with people from different cultures. C. The social worker should have assessed the place that Islam has in the life of this client. D. The social worker should have realized that her suggestion would be in violation of the clients belief system.

B. The social worker did not take into account that some Muslims, although comfortable with groups within their own culture, may feel uncomfortable in group settings with people from different cultures.

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

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

A client who is currently experiencing domestic violence comes into your agency for support. A clinician who is well trained in trauma-informed care practice conducts an initial safety planning session with the client. Which of the following questions will the practitioner NOT ask the client during her session? Select one: A. What are some of the things that have helped you stay safe in the past? B. What happened the last time your partner hit you? C. Who are some of the people in your life who could help you find a safe place to go? D. What are some of the risks you might face if you choose to leave your current living situation?

B. What happened the last time your partner hit you?

A 40-year-old man is referred for case management services. Six months ago, the client was fired from a construction job he had held for many years due to poor performance and frequent absences that started shortly after he was injured at work. He has been unable to find new work and is in danger of losing his apartment. The client appears distracted during the interview and answers many of the social worker's questions by saying "I'm not sure," or "I don't remember." Given all of this information, what should the social worker explore FIRST? Select one: A. Whether the clients rights were violated when he was fired. B. Whether the client has had access to medical care. C. Whether the client needs financial benefits immediately. D. How the client has gone about looking for work and what assistance he needs in this area.

B. Whether the client has had access to medical care.

The client is a 20-year-old college student who says she's failing her classes because of her anxiety. She states that she has to force herself to leave her dorm room to go to class, and when she does, she avoids the "quad" and other large open spaces because she's afraid she'll have a panic attack. The client reports that, when in large open spaces, she can't breathe and her heart races, she feels like she's going to die, and she's afraid that no one will help her if she has an attack. She says that she experiences the same problem when she's part of a crowd and avoids going anywhere where there's likely to be a lot of people, which has made it hard for her to have a social life. Based on this information, the MOST likely DSM-5 diagnosis for this client is: Select one: A. panic disorder with agoraphobia. B. agoraphobia. C. agoraphobia without history of panic disorder. D. specific phobia, situational type.

B. agoraphobia.

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

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

For many years, a 26-year-old has had intense and unstable relationships and exhibited reckless driving, drug use, repeated suicide attempts, and uncertainty about her career goals. The MOST likely diagnosis is: Select one: A. histrionic personality disorder. B. borderline personality disorder. C. schizotypal personality disorder. D. narcissistic personality disorder.

B. borderline personality disorder

When using the DSM-5, a diagnosis of major neurocognitive disorder requires the presence of a significant decline in: Select one: A. social and occupational functioning from premorbid functioning. B. cognitive functioning that interferes with independence in everyday activities. C. at least three areas of cognitive functioning. D. the ability to perform activities of daily living.

B. cognitive functioning that interferes with independence in everyday activities.

Group therapy might be appropriate for the client in all of the following circumstances EXCEPT: Select one: A. the clients primary problem involves difficulties with intimacy. B. the client is unmotivated to change. C. the client is psychologically sophisticated. D. the client wants to overcome her shyness.

B. the client is unmotivated to change.

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

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

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

B. two weeks

The core component of the DSM-5 diagnosis of gender dysphoria is which of the following? Select one: A. Persistent preference for cross-gender roles. B. Strong desire to be treated as the opposite gender. C. Incongruence between assigned and experienced/expressed gender. D. Cross-gender identification.

C. Incongruence between assigned and experienced/expressed gende

If left untreated, diabetes mellitus can result in which of the following symptoms? Select one: A. Emotional lability, obesity, memory loss, depression. B. Accelerated heart rate, nervousness, agitation, fatigue, insomnia. C. Increased appetite with weight loss, apathy, confusion, mental dullness. D. Lethargy, slowed heart rate, depression, impaired concentration and memory.

C. Increased appetite with weight loss, apathy, confusion, mental dullness.

A social worker is working in individual therapy with a client who is known to use alcohol and several other drugs. The client arrives at a session one day exhibiting manic-like symptoms. These symptoms indicate that the client is MOST likely experiencing which of the following? Select one: A. Hallucinogen intoxication. B. Alcohol withdrawal. C. Inhalant intoxication. D. Inhalant withdrawal.

C. Inhalant intoxication.

When using the DSM-5, an individual's functioning in conceptual, social, and practical domains is evaluated to determine the appropriate severity level for which of the following diagnoses? Select one: A. Autism spectrum disorder. B. Specific learning disorder. C. Intellectual disability. D. PTSD.

C. Intellectual disability.

A 15-year-old high-school student firmly believes that he is a police officer. What does this illustrate? Select one: A. Grandiosity. B. An hallucination. C. A delusion. D. An obsession.

C. A delusion.

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

C. A family history of a mood disorder, a later age of onset, and female gender.

Unlike bipolar I disorder, bipolar II disorder MUST include which of the following? Select one: A. A manic episode. B. More than one manic episode. C. A major depressive episode. D. Both major depression and mania.

C. A major depressive episode.

A 40-year-old client has been unemployed since he started having seizures about a year ago. His wife works and the family has been getting by on her income. When asked by the social worker why he has come in, the client says he wants help figuring out how to get a job. With which of the following should the social worker consult FIRST? Select one: A. The clients past and potential employers. B. The clients family members. C. A medical specialist. D. A career counselor.

C. A medical specialist.

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

C. A neurologist.

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

C. Intrusion, avoidance, cognition and mood, and arousal and reactivity.

Which of the following is a way to implement trauma-informed care practice within a service agency? Select one: A. Install blinds on the windows to the entrance of the building to ensure client privacy B. Conduct a staff training on the effects of adverse childhood experiences C. Engage clients in determining discussion topics for group therapy sessions D. All of the above

D. All of the above

A social worker is meeting with a 69-year-old woman who sought help because she was feeling increasingly lonely. The client says that she has been crying often while watching her favorite TV shows. She also says that her adult son has been taking her money and spending it on himself. The woman has difficulty getting around due to severe arthritis, and her son grocery shops for her. When she asks him to stop taking her money, he gets angry and threatens to stop shopping for her. He stops visiting for days at a time when he thinks she's nagging him too much. She misses him when he does this. What diagnosis is MOST indicated for this client? Select one: A. Major depressive disorder. B. Major neurocognitive disorder. C. Adult abuse by nonspouse or nonpartner. D. Persistent depressive disorder.

C. Adult abuse by nonspouse or nonpartner.

A client presented for therapy complaining of anxiety and recurrent thoughts about being contaminated by touching other people. He says he can't control these thoughts and "hates them" because he knows they're "ridiculous and unreasonable." After completing an assessment of this client, the social worker determines that he has obsessive-compulsive disorder. As part of the treatment plan, she refers the client to a psychiatrist for a medication evaluation. Which of the following kinds of medication would be MOST useful for reducing this client's obsessions? Select one: A. Lithium. B. An anxiolytic. C. An antidepressant. D. An antipsychotic.

C. An antidepressant.

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

C. An emotional tone that matches the idea, thought, or topic that one is describing.

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

C. Anorexia nervosa, binge-eating/purging type.

A 30-year-old woman meets with a social worker for the first session. She tells her that she has been having trouble getting a job in the business world and doesnt understand. The social worker notices the woman has an arm full of tattoos and a few body piercings. What is the social workers FIRST response? Select one: A. Tell the client to investigate into possible discrimination from the companies B. Begin to provide career skills counseling C. Assess how the client portrays herself in the interviews D. Ask her directly if shes covering up her arms during the interviews

C. Assess how the client portrays herself in the interviews

During the first session, a client expresses a tremendous amount of anger. What should the social worker do FIRST? Select one: A. Call the police. B. Defuse the anger and provide an alternative outlet. C. Assess if the client is dangerous. D. Initiate involuntary hospitalization.

C. Assess if the client is dangerous.

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

C. BID.

A client, age 22, recently graduated from college and landed a job at a company in her hometown. She lived at home while in school and has just moved into her own apartment. She's feeling anxious and worried that she'll fail at her job; she's already made a couple of mistakes that her supervisor chalked up to inexperience. Her parents call her every day wanting updates on her life, and she's feeling like they don't want her to grow up. The client says she feels like crying all the time and doesn't know if she can cope with being an adult. She also reported she has engaged in self-mutilating behaviors at times. This information suggests that the client is MOST likely experiencing which of the following? Select one: A. Antisocial personality disorder. B. Conduct disorder. C. Borderline personality disorder. D. Intermittent explosive disorder.

C. Borderline personality disorder.

The client is a 70-year-old man who has been experiencing cognitive symptoms. The onset of his symptoms was abrupt and his condition has followed a stepwise, fluctuating course. It is determined that the man has vascular neurocognitive disorder. Vascular neurocognitive disorder is caused by which of the following? Select one: A. Aging. B. Chronic alcoholism. C. Cerebrovascular disease. D. Brain damage.

C. Cerebrovascular disease.

A social worker meets with a mother, father, and 6-year-old son. For the past three weeks, the son has been wetting the bed nearly every night. The parents say that they are surprised and concerned by this problem because the boy has been fully toilet trained for several years. They add that they haven't observed other emotional or behavioral changes in their son. What should the social worker do FIRST? Select one: A. Facilitate the parents understanding of the problem and treatments for the problem through psychoeducation. B. Clarify the problem by identifying its underlying causes through assessing family dynamics and/or referring the boy to a psychologist for psychological testing. C. Clarify the problem by arranging for the boy to be seen by a physician for a medical evaluation to determine if the problem has a physical cause. D. Gather information to complete a family history to determine whether other family members have had this disorder and how it was handled.

C. Clarify the problem by arranging for the boy to be seen by a physician for a medical evaluation to determine if the problem has a physical cause

The client is a 25-year-old transgender person who recently started hormone therapy. The client has sought help because he has been feeling very anxious lately. What should be the social worker's FIRST step in approaching this case? Select one: A. Assess the clients understanding of hormone therapy and provide him literature about this medical treatment and its potential side-effects. B. Discuss the clients feelings about undergoing hormone therapy and normalize his anxiety symptoms under the circumstances. C. Clarify the source of the presenting problem by consulting with the clients doctor. D. Assess the intensity of the clients symptoms of anxiety and provide coping skills that he can use immediately.

C. Clarify the source of the presenting problem by consulting with the clients doctor.

An individual undergoing cocaine withdrawal is MOST likely to experience which of the following? Select one: A. Ideas of reference. B. Pupillary dilation. C. Depression. D. Tachycardia

C. Depression.

A middle-aged man comes to a community mental health clinic and is displaying slurred speech, unsteady gait, and impaired attention. A social worker who meets with him smells alcohol on his breath, and, when she questions him about this, he admits to drinking "now and then" but denies being intoxicated at the time of the interview. Of the following findings about this man, which one is LEAST likely to contribute to a decision that he should be referred for acute hospital care (inpatient detoxification)? Select one: A. He lacks social support. B. Several previous attempts at outpatient treatment for his alcoholism have failed. C. Despite clear evidence to the contrary, he has denied being intoxicated during the interview. D. In addition to severe alcohol use disorder, he has significant depression.

C. Despite clear evidence to the contrary, he has denied being intoxicated during the interview.

A client has been in therapy since the break-up of his marriage several months ago. He arrives for a session looking disheveled. After a few minutes, he tells the social worker that he can't eat or sleep. As he speaks, his voice quivers and he appears to be in significant emotional distress. In terms of assessing these changes in the client's functioning, what should the social worker do FIRST? Select one: A. Assess for major depressive disorder and refer the client for physical evaluations. B. Evaluate the degree of disequilibrium and immobility to determine whether the client is in crisis. C. Determine threat to life by asking direct questions. D. Identify stressful events that have occurred since the last session and explore the clients perceptions of them.

C. Determine threat to life by asking direct questions.

A social worker who specializes in child development has decided to start a therapy group for adolescents. Which of the following client factors is MOST important to consider in selecting members for this group? Select one: A. Age. B. Experience in group therapy. C. Developmental level. D. Gender.

C. Developmental level.

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

C. Erotomanic.

You work in a school with elementary aged children. A teacher has come to you because she is having trouble with a student in her class. She describes the 6 year-old students behaviors stating that he is extremely withdrawn, does not interact well with his peers, and has recently begun having accidents in class. She also mentioned that the one time this student was paired for group work with another peer, he attempted to inappropriately touch the other student. What hypotheses might you formulate about this child based on this information? Select one: A. The student is not good with peer interaction and may be a good candidate for a social skills group to help him build self-esteem and confidence B. This is developmentally appropriate for his age and the teacher just needs some psycho-education around this C. Explain to the teacher that you would like to meet with the student to assess further any potential for sexual trauma history D. This student may be suffering from a personality disorder

C. Explain to the teacher that you would like to meet with the student to assess further any potential for sexual trauma history

A social worker has been working in individual therapy with a client who has schizophrenia. The client lives in the community, is on medication, and is progressing well in therapy. During the current session, the client tells the social worker that he has some new problems. What should the social worker do FIRST? Select one: A. Check for medication side-effects. B. Refer the client to his psychiatrist. C. Explore the new problems. D. Provide crisis intervention.

C. Explore the new problems

While meeting for the first time with a family, a social worker observes that the 3-year-old son is exhibiting behaviors that may be consistent with a diagnosis of autism spectrum disorder. To learn more about the boy's behaviors, what should the social worker do FIRST? Select one: A. Refer to a psychiatrist. B. Refer to a psychologist. C. Explore the onset and severity of the behaviors. D. Explain the nature of autism spectrum disorder to the parents and ask for their observations.

C. Explore the onset and severity of the behaviors.

In the first interview, a client who works as a city bus driver reports that he drinks alcohol every day. What should the social worker do FIRST? Select one: A. Get an abstinence contract. B. Refer the client to AA. C. Find out more about the clients drinking. D. Confront the client about the dangers of drinking and driving.

C. Find out more about the clients drinking.

The client is a 41-year-old married man who reports feeling tired a lot of the time and having tremendous difficulty concentrating at his job. He no longer enjoys his work and finds that he is easily annoyed by his family and friends. He adds that he thinks he's depressed but doesn't know what to do to "pick himself up." In an effort to understand the client's needs, the social worker assesses him for suicidal risk; gathers information about his health history, medication use, and health and lifestyle behaviors; and performs a mental status exam to assess his psychological status. What should the social worker do NEXT? Select one: A. Use the mental status exam findings to formulate an accurate diagnosis of the clients mental health condition. B. Identify the extent to which medical factors are affecting the clients psychological functioning and vice versa. C. Gather information on the clients cultural background, social relations, and environmental connections. D. Gather information on the clients family by using a genogram to map family patterns.

C. Gather information on the clients cultural background, social relations, and environmental connections.

An individual diagnosed with narcissistic personality disorder is MOST likely to display which of the following? Select one: A. Rapidly changing and shallow expression of emotions. B. Instability in self-image, interpersonal relationships, and mood. C. Grandiose behavior and a lack of empathy. D. Excessive emotionality and attention seeking.

C. Grandiose behavior and a lack of empathy.

A client has been diagnosed with pedophilic disorder. Which of the following is MOST likely to be true about this client? Select one: A. He has been willing to disclose his pedophilic impulses or behaviors. B. He denies his pedophilic impulses or behaviors. C. He sometimes experiences depression about his pedophilic impulses or behaviors. D. He is not sexually attracted to adults.

C. He sometimes experiences depression about his pedophilic impulses or behaviors.

Which of the following is the strongest indicator of suicide risk? Select one: A. Depression. B. Family history of suicide. C. Hopelessness. D. Alcoholism.

C. Hopelessness.

A social worker diagnoses a client with bulimia nervosa and refers her to a medical doctor for physical evaluations. When the social worker later confers with the doctor, the doctor tells him that the client has developed a serious complication as a result of binge eating and purging. Medical tests found that the client is suffering from a severe potassium deficiency and is at risk for kidney failure and cardiac arrest. The client appears to have developed which of the following medical complications as a result of her eating disorder? Select one: A. Hypercapnia. B. Hypoglycemia. C. Hypokalemia. D. Hyponatremia.

C. Hypokalemia.

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

C. Impaired attention and awareness.

During the first interview, a client reports feeling extremely guilty about taking supplies from his office to use at home. After she has acknowledged the client's feelings about this, what should the social worker do FIRST? Select one: A. Identify whether the clients poor judgment is pervasive or related to only this area of functioning by assessing impulse control in other areas. B. Recognize that pervasive feelings of guilt may indicate a depressed mood and ask the client about other symptoms he has been experiencing. C. Invite the client to continue expressing himself and respond to him without judgment. D. Let the client know that people usually feel guilty about stealing in order to normalize his guilt and reduce his distress.

C. Invite the client to continue expressing himself and respond to him without judgment.

A social worker is working in a center that provides services for homeless youth and runaways. A 15-year-old boy who was kicked out of his home for being gay has come in asking for help getting food. He has been living on the streets for about 3 months and acknowledges he has been providing sexual favors in order to get his needs met. Which statement would be the MOST helpful in helping an adolescent who is involved with sex trafficking to begin to share? Select one: A. Have you ever had sex for money? B. It wouldnt be unusual for someone in your position to feel desperate enough to trade sex for money. C. Many kids living on the street feel scared and feel like they need to find someone to protect them. I wonder if youve ever felt this way? D. I wonder if youve ever considered doing things you wouldnt ordinarily do to get by?

C. Many kids living on the street feel scared and feel like they need to find someone to protect them. I wonder if youve ever felt this way?

At the beginning of the planning and contracting phase, a social worker asks her client to identify and list what he sees as the problems he wants to change. The client lists four problems that he wants to address during treatment. The social worker believes that the client should also address one other problem. What is the social worker's BEST course of action? Select one: A. Accept the clients list and help him sort the four problems into related groupings. B. Add the problem to the clients list and then help him examine the list to determine his priorities. C. Offer her recommendation and explain it to the client. D. Explain to the client that treatment is optimally effective when it focuses on no more than three problems at a time and help him revise his list.

C. Offer her recommendation and explain it to the client.

A new client has been referred by his psychiatrist. The client complains of depression. He says he's been feeling sluggish and unhappy for months and can't sleep well at night. He adds that he's been spending a lot of time alone because he doesn't feel like being around other people. When the social worker questions him, he denies having any suicidal thoughts, though he does say that he's tired of feeling "so down." What is the BEST way to provide treatment in this case? Select one: A. Advise the client to just take medication for now. B. Arrange for inpatient treatment. C. Offer individual therapy. D. Refer to a support group.

C. Offer individual therapy.

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

C. Opioid withdrawal.

A client reports that her elderly father has seemed rather confused lately. A physician recently evaluated the man, and all neuropsychiatric tests for a neurocognitive disorder have been negative. The physician found no major medical problems. The client says that she has decided to move her father (whose wife died 10 years ago) to an independent living facility. What is the social worker's BEST course of action? Select one: A. Review the doctors findings with the client and discourage her from taking rash action concerning her father. B. Find out why, given the medical findings, the client wants to place her father. C. Seek permission from the client to conduct an in-home assessment of her father. D. Begin helping the client locate an acceptable independent living facility.

C. Seek permission from the client to conduct an in-home assessment of her father.

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

C. Separation anxiety disorder.

The client is a 12-year-old boy who has been diagnosed with a tic disorder. His parents are concerned and ask the social worker how they can help their son control his symptoms. They ask her whether stress plays any part in their son's tic disorder. What should the social worker tell them? Select one: A. There is no relationship between tic disorders and stress. B. Stressful events tend to attenuate (lessen) the symptoms of a tic disorder. C. Stressful events can exacerbate (worsen) the symptoms of a tic disorder. D. Prolonged stress often precedes the development of a tic disorder.

C. Stressful events can exacerbate (worsen) the symptoms of a tic disorder.

A client arrives for her first interview while in the midst of a manic episode. The client says that she has decided to get a divorce and asks the social worker to assist her. What should the social worker do FIRST? Select one: A. Confront the client with the fact that she is not stable now and may change her mind about the divorce when the manic episode is over and arrange for her to see her psychiatrist. B. Refer the client to an attorney because a social worker is not qualified to assist a client with divorce proceedings. C. Summarize the clients wishes and arrange for her to undergo a psychiatric medication evaluation. D. Narrow the focus of the interview by asking questions that assist the client to describe her concerns about her marriage.

C. Summarize the clients wishes and arrange for her to undergo a psychiatric medication evaluation.

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

C. Tachycardia.

The label "primary" when applied to a sexual dysfunction means which of the following? Select one: A. The person is extremely distressed by his or her sexual dysfunction. B. The persons sexual dysfunction began following a psychosocial stressor. C. The person's sexual problem has been present since his or her first sexual experiences. D. The persons symptoms of sexual dysfunction are attributable to the effects of a substance, medication, or medical condition.

C. The person's sexual problem has been present since his or her first sexual experiences.

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

C. When the acute trauma reaction has subsided.

A social worker is meeting with a 30-year-old woman who reports having difficulty sustaining meaningful relationships. In the first interview, the client expresses a strong desire to change and says she hopes that therapy will enable her to connect better with others. During the next two sessions, the client talks at length about her former relationships and theorizes about why they ended. She tells many detailed stories about old friends and boyfriends. When the social worker tries to redirect the client to an exploration of how she might improve her interpersonal skills, the client resists this and continues telling stories about her past. What strategy should the social worker use to redirect the client's energy toward efforts at therapeutic change? Select one: A. Point out her successes and strengths as she describes her relationships. B. Empathize as she talks about her relationship difficulties. C. Work with her to establish clear short-term objectives with time-frames for completion. D. Confront her resistance to change.

C. Work with her to establish clear short-term objectives with time-frames for completion.

A client becomes very fearful when a therapist closes the door of the treatment room, explaining that the session will be more private for the client. The closed door makes her nervous, and she wants to leave the room and end the therapy session entirely. Which is the BEST response by the social worker? Select one: A. Explain that as a policy of the agency, all therapists close their office doors during sessions to preserve client confidentiality, and continue the session B. Escort the client out of the office, ensuring that she schedules a follow-up appointment a few days later C. Work with the client to find an appropriately private location in the building that feels safe to her. Once the session is resumed, ask the client to explain why the closed door makes her so nervous D. Open the office door and change the subject of discussion to something more comfortable for the client

C. Work with the client to find an appropriately private location in the building that feels safe to her. Once the session is resumed, ask the client to explain why the closed door makes her so nervous

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

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

Sex traffickers often use a process called grooming to gain control over their victims. Social workers who work with at risk populations like runaways, undocumented immigrants and LGBT youth rejected by their families need to be aware of the signs of grooming so that they can intervene in the process. The progression of gaining power through this process involves: Select one: A. grooming, trauma bonding and dominance. B. creating dependence, separating the victim from their family, threats and drugs. C. ensnaring, creating dependence, taking control and total dominance. D. using favors and gifts, instilling a sense of fear, creating dependence and taking control.

C. ensnaring, creating dependence, taking control and total dominance.

As described in the DSM-5, the five core symptoms of the schizophrenia spectrum disorders are: Select one: A. delusions, hallucinations, negative symptoms, impaired cognition, and disorganized speech. B. disorganized thinking, delusions, hallucinations, negative symptoms, and depersonalization or derealization. C. hallucinations, negative symptoms, grossly disorganized or abnormal motor behavior, delusions, and disorganized thinking. D. grossly disorganized or abnormal motor behavior, hallucinations, negative symptoms, affective instability, and delusions.

C. hallucinations, negative symptoms, grossly disorganized or abnormal motor behavior, delusions, and disorganized thinking.

Immigrants face many stressors before, during and after resettlement. The immigration process can involve separation from family members, physical stressors, exposure to unfamiliar customs and physical environments, and possibly trauma. The stresses involved in immigration can exacerbate or cause mental health and family difficulties. Immigrant families most often seek mental health treatment for: Select one: A. employment problems. B. discrimination and racism. C. intergenerational acculturative conflicts. D. trauma reactions.

C. intergenerational acculturative conflicts.

As described in the DSM-5, _______________ is the likely diagnosis for an adult who has experienced a depressed mood for most of the day on most days for over two years. Select one: A. dysthymic disorder B. mood disorder NOS C. persistent depressive disorder D. unspecified depressive disorder

C. persistent depressive disorder

All of the following are generally appropriate when setting goals with a client EXCEPT: Select one: A. redirecting the client when his goals are unrealistic. B. discussing the potential risks associated with each goal. C. rank ordering goals according to the social worker's problem-solving priorities. D. allowing the client to have the final say in selecting the goals.

C. rank ordering goals according to the social worker's problem-solving priorities

A social worker is conducting an initial interview with a client who complains of episodes of aggressive behavior that first happened about six months ago and are increasing in frequency and severity. The client is not aware of any particular situations that trigger these episodes. The social worker's BEST course of action is to: Select one: A. take more history in order to assess the risk potential. B. teach the client to use behavioral self-control strategies known to be helpful in controlling impulsive actions. C. suggest that the client consult a competent neurologist or internist before therapy is decided upon. D. refer the client to a psychiatrist for medication to reduce the aggressive impulses, and then begin therapy.

C. suggest that the client consult a competent neurologist or internist before therapy is decided upon.

An adolescent client has been experiencing frequent tics for many years and was recently diagnosed with Tourette's disorder. In providing this client with psychoeducation about his condition, a social worker would be correct if she told him all of the following EXCEPT: Select one: A. many adults with tic disorders experience diminished symptoms. B. treatment may involve administration of an antipsychotic medication. C. the symptoms cannot be voluntarily suppressed. D. the symptoms may wax and wane in frequency.

C. the symptoms cannot be voluntarily suppressed.

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

D. A cultural syndrome.

he client is an 80-year-old man who was recently discharged from a hospital after suffering a mild stroke. His cognitive abilities have begun to decline and his physical condition will make it difficult for him to drive himself to his physician's office for follow-up care. The client is a widower who has managed well on his own for many years but has recently become more dependent on his son for help with activities of daily living. His son lives close by but works full time and worries that he won't be around when his father needs him. As the client's case manager, what should the social worker do FIRST? Select one: A. Provide the client and his son with information about local long-term care facilities and arrange for them to tour the facilities. B. Assess the father's and son's willingness to transfer the father to a long-term care facility, including family belief systems and cultural and ethnic influences. C. Arrange for the client to obtain home health services so that he can receive follow-up medical care. D. Assess the client's physical, mental, and psychological functioning and informal support system to determine his care needs.

D. Assess the client's physical, mental, and psychological functioning and informal support system to determine his care needs.

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

D. Attention-deficit/hyperactivity disorder.

An 11 year old with autism spectrum disorder is irritable and has been behaving aggressively. A physician is LEAST likely to prescribe which of the following medications to manage these symptoms? Select one: A. Risperidone. B. Fluoxetine. C. Clomipramine. D. Carbamazepine.

D. Carbamazepine.

The MMPI-2 can be used to measure which of the following? Select one: A. Intelligence. B. Premorbid functioning. C. Family dynamics. D. Characteristic behavior.

D. Characteristic behavior.

A client reports experiencing fatigue and excessive nervousness. She says she has a history of periodic depression but has never felt so nervous or anxious before. She was treated for depression two years ago and says that her mood has improved since then. Now, she's just a "nervous wreck" and feels like she can never calm down. What should the social worker do FIRST in assessing this client? Select one: A. Collect a detailed history of the onset, development, frequency, and nature of the clients anxiety symptoms. B. Ask the client about other symptoms she's experiencing to determine whether her depression has returned. C. Ask the client about recent events, stressors, and transitions in her life and explore her responses to them. D. Collect a medical history, including a review of medications, and refer the client for a physical exam.

D. Collect a medical history, including a review of medications, and refer the client for a physical exam.

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

D. Confer with the prescribing physician about the clients medication.

The DSM-5 diagnosis of social (pragmatic) communication disorder is characterized by: Select one: A. intense anxiety about social situations in which the individual may be exposed to scrutiny by others. B. a disturbance in the normal fluency and time patterning of speech. C. deficits in social communication and interaction and restricted, repetitive patterns of behavior, interests, and activities. D. difficulties in the social use of verbal and nonverbal communication.

D. difficulties in the social use of verbal and nonverbal communication.

A client reports that her 81-year-old father, a widower, has been having difficultly dressing himself appropriately and no longer cleans his apartment. He was recently ticketed by the police for driving the wrong way on a one-way street. The next day, he drove to his local market and got lost on the way home. The client says she is worried that her father has Alzheimer's disease. After acknowledging the client's feelings about this, what should the social worker do FIRST? Select one: A. Arrange to see the clients father and perform a mental status exam. B. Recommend that the client take her father to a physician for physical examination and lab tests. C. Ask the client for more information about her fathers daily functioning and determine whether he should be moved to a long-term care facility. D. Discuss safety issues and options with the client, such as preventing her father from driving by taking away his car keys.

D. Discuss safety issues and options with the client, such as preventing her father from driving by taking away his car keys.

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

D. Disruptive mood dysregulation disorder.

The client is a 31-year-old man who sought therapy for help in dealing with recent feelings of sadness and lethargy. The social worker has completed a multidimensional assessment and determined that the client has major depressive disorder. How should the social worker present this clinical diagnosis to the client? Select one: A. Without specific labels or details so that he doesn't become upset. B. Have him read about the disorder in the DSM-5 or a summary of the disorder. C. Explain each diagnostic criterion to him and indicate those that apply to him. D. Explain how his behavior meets the diagnostic criteria for this disorder.

D. Explain how his behavior meets the diagnostic criteria for this disorder.

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

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

A woman comes to see a social worker after finding out that her boyfriend has been sexually abusing her young daughter. A child abuse report has been filed. During the assessment interview, the woman cries often and keeps saying that she has failed her daughter and doesn't know what to do next. The boyfriend had been supporting them financially, and she has nowhere to turn for money. She asks for referrals for vocational counseling and for a low-fee social worker for her daughter. She also asks for the name of a lawyer so that she can immediately press charges against her boyfriend. What should the social worker do FIRST? Select one: A. Arrange individual therapy for the daughter. B. Refer to income maintenance programs. C. Refer to a legal aid office. D. Help the client determine her priorities.

D. Help the client determine her priorities.

Rick, 19, is diagnosed with autism spectrum disorder. He works as a stocker at a large grocery chain. His careful attention to detail and follow-through have allowed him to be successful at his job, although he continues to live with his parents. What factors might increase Ricks risk of exploitation? Select one: A. Low independence from his parents, deficits in emotional recognition, social exposure and intellectual disability. B. Deficits in emotion recognition, restricted activities and interest, low independence from his parents and aversion to social contact. C. Low sociability, communication deficits, intellectual disability, and restricted activities and interests. D. High social desire, lower intellectual ability, absence of friends, and higher independence from his parents.

D. High social desire, lower intellectual ability, absence of friends, and higher independence from his parents.

A client reports that he has been having difficulties with concentration and decision making, feels worthless, and has frequent crying spells. He also reports feeling depressed on some days. The social worker asks the client a few questions to find out whether he has been experiencing any vegetative symptoms associated with depression. Asking the client about vegetative symptoms allows the social worker to explore for the presence of which of the following indicators of depression? Select one: A. Fatigue, social withdrawal, loss of interest in sex. B. Mental dullness or confusion, psychomotor retardation or agitation, hypersomnia or insomnia. C. Anhedonia, hypersomnia or insomnia, appetite changes. D. Hypersomnia or insomnia, appetite changes, psychomotor retardation.

D. Hypersomnia or insomnia, appetite changes, psychomotor retardation.

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

D. Hyperthyroidism.

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

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

A social worker employed at a clinic sees clients for outpatient psychotherapy. When determining appropriate problem formulations for her clients, this social worker would be MOST likely to rely primarily on which of the following? Select one: A. Mental status exams. B. DSM-5. C. Interviews with clients family members. D. In-depth interviews with clients.

D. In-depth interviews with clients.

A social worker is working with a newly married couple that just had a baby. The mother is currently unemployed as she used to work at an elementary school, but since having the baby has not been able to return due to extensive recovery from her cesarean section surgery. The father works in construction and is often gone for long hours of the day. The family is at risk of not being able to pay rent if both the husband and wife do not bring in an income. What is the FIRST step in assisting this family? Select one: A. Suggest that the mother return to work despite still needing to recover B. Assist the woman in helping her husband apply for a second job C. Offer to assist the family in signing up for TANF D. Inquire about the familys extended family support network to see who might be available to care for the newborn while the mom finds manageable work

D. Inquire about the familys extended family support network to see who might be available to care for the newborn while the mom finds manageable work

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

D. Leadership

The client is a 6-year-old child who has become withdrawn at home and school, and as part of the assessment, the social worker interviews the child and observes her while she plays with toys. Which of the following would be MOST effective for facilitating the interview with this child? Select one: A. Asking broad open-ended questions to encourage the child to express herself freely. B. Asking the child questions that begin with why to demonstrate interest in her perception of things. C. Asking if-then questions to provide the child with a structure for formulating her answers. D. Offering the child a concrete set of answers to choose from to elicit a greater amount of information.

D. Offering the child a concrete set of answers to choose from to elicit a greater amount of information.

Use of which of the following substances is NOT likely to produce a substance/medication-induced psychotic disorder? Select one: A. Alcohol. B. Cannabis. C. Cocaine. D. Opioids.

D. Opioids.

People with disabilities are four to ten times more likely to experience exploitation than their peers without disabilities. People with disabilities are often dependent on a small circle of friends or caregivers for support, including assistance with basic physical needs. Some may have limited communication or cognitive skills, affecting their ability to report abuse or exploitation, or they may be afraid they will not be believed it they report abuse. How would living in a segregated environment, such as a group home, MOST likely affect the likelihood of exploitation or abuse? Select one: A. People with disabilities who live in mixed environments are more likely to be abused or exploited because they are spending time with people who have a greater ability to take advantage of them. B. People with disabilities who have a personal care assistant might be refused essential assistance versus if the caregiver is a relative. C. Both situations are equally likely to lead to abuse or exploitation. D. People with disabilities who live in segregated environments such as group homes are more likely to experience exploitation or abuse by caregivers.

D. People with disabilities who live in segregated environments such as group homes are more likely to experience exploitation or abuse by caregivers.

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

D. Persistent restriction of energy intake.

A client reports that he has been feeling depressed and having difficulty sleeping through the night. He adds that he has lost interest in his job and hobbies. The social worker administers the Beck Depression Inventory-II to assess the depth of the client's depression and finds that his score is fairly high. With regard to telling the client about the results of this test, the social worker should do which of the following? Select one: A. Avoid telling him the results at this time because she can't draw meaningful conclusions from the results of a single test. B. Avoid telling him the results because he may misunderstand them and become upset. C. Readminister the test after providing therapy and give him the results of the second test. D. Tell him the results of the test but use language that is meaningful to him.

D. Tell him the results of the test but use language that is meaningful to him.

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

D. Recommendations for follow-up or aftercare.

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

D. Release the client to the care of a psychiatrist.

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

D. Schizoid personality disorder.

In the first interview, the parents of a 7-year-old boy report having difficulty dealing with the boy's recent behavior. He was caught stealing money from his mother's purse a week ago and has collected an array of pencils, crayons, and other school items from his class that don't belong to him. In light of the parents' report, what should the social worker do FIRST? Select one: A. Discuss the role of inconsistent discipline in the development of behaviors like stealing. B. Tell the parents that this behavior is age appropriate because children at this age do not understand causality. C. Refer the child for psychological testing to clarify factors underlying the problem. D. Seek permission from the parents to consult with the boys teacher.

D. Seek permission from the parents to consult with the boys teacher.

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

D. Seizures.

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

D. Stereotypic movement disorder.

Julie, 16, is referred to a social worker for counseling after she was arrested for prostitution for the third time. She ran away from home at 13 and has been working in the sex industry since that time. She is very resistant to talking, and says she just wants to get back to her boyfriend, who is also her pimp. Her loyalty to her boyfriend, despite the fact that he has abused her and sets her up for prostitution, is called, Trauma Bonding. What makes this kind of bonding so powerful? Select one: A. Julie finds the life of a prostitute rewarding. B. He offers her protection as a pimp. C. There is continuous positive reinforcement in the relationship. D. The boyfriend unwittingly uses an intermittent reinforcement of reward and punishment.

D. The boyfriend unwittingly uses an intermittent reinforcement of reward and punishment.

A social worker needs to perform a suicide evaluation of a client who reports feeling depressed and having thoughts about death. What should the social worker assess FIRST? Select one: A. The clients level of impulse control and whether his judgment is impaired at this time. B. The clients level of depression and social support. C. The clients coping skills and whether they are adequate for handling the current situation. D. The clients plan for committing suicide.

D. The clients plan for committing suicide.

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

D. The clients prior violent behavior.

A social worker providing case management services is attempting to determine the needs of a client who has been unemployed for more than a year. The client is married and has two children. To gather information about the client's financial needs and need for other social provisions, the social worker should rely the MOST on which of the following sources? Select one: A. The clients family members. B. Records and other documents concerning the client. C. The clients past employers. D. The clients report.

D. The clients report.

In what ways has the Internet affected the psychology of child sexual offenders? Select one: A. The increased access afforded by the Internet has a distancing and desensitizing effect and decreases the sense of shame that the abuser feels, due to a sense of emotional support by virtue of belonging to a like-minded community. B. Victims suffer from feelings of helplessness, fear, humiliation, and a sense of low-control since their images are available for others to view in perpetuity on the Internet. C. The continuous production and access of child pornography via the Internet has led to increasing demand for more egregious images, feeding the psychological needs of the end user. D. The increased sense of connection child sexual abusers or child pornography aficionados have with each other has the effect of eroding a sense of shame. Abusers do not have to confront their victims emotional devastation on a personal level, and increased access afforded by the Internet has a distancing and desensitizing effect.

D. The increased sense of connection child sexual abusers or child pornography aficionados have with each other has the effect of eroding a sense of shame. Abusers do not have to confront their victims emotional devastation on a personal level, and increased access afforded by the Internet has a distancing and desensitizing effect.

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

D. Unspecified disorder.

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

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

"Ego-syntonic" traits: Select one: A. are used to ward off anxiety. B. conflict with the person's self-perception. C. are similar to defense mechanisms. D. are consistent with a person's self-perception.

D. are consistent with a person's self-perception.

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

D. delusions, hallucinations, or disorganized speech

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

D. disinhibited social engagement disorder; early neglect or deprivation

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

D. drop out early.

The client is a middle-aged woman who has been feeling anxious and overwhelmed since her recent divorce. She says she doesn't know how to start rebuilding her life. She reports feeling intense anger toward her ex-husband who filed for divorce after falling in love with a co-worker. Partializing the treatment goals in this case is MOST likely to: Select one: A. confuse the client because she is already overwhelmed. B. discourage the client from verbalizing her true feelings. C. engage the client by demonstrating your skill. D. help the client regain a sense of focus and direction.

D. help the client regain a sense of focus and direction.

A client, age 79, has come in alone for treatment. He is exhibiting some signs of depression. To clarify the nature of the problem in this case, the social worker should FIRST: Select one: A. ask the client how he spends his time. B. explore ways for the client to expand his support system. C. evaluate what losses the client has experienced in this stage of his life. D. refer the client to a neurologist for testing.

D. refer the client to a neurologist for testing.

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

D. seems indifferent to her problem.

When using the DSM-5, a child with dyslexia who has not responded to interventions that target his reading problems would receive a diagnosis of: Select one: A. academic skills disorder with impaired reading. B. reading disorder. C. learning disorder NOS. D. specific learning disorder with impairment in reading.

D. specific learning disorder with impairment in reading.

It would be MOST appropriate for a social worker to refer a client for psychological testing when: Select one: A. the client is not motivated to change. B. the client turns out to be resistant and unwilling to self-disclose. C. the client is anxious as she begins treatment and has a hard time describing her problem. D. the other means used to assess the client have failed to clarify her level of functioning.

D. the other means used to assess the client have failed to clarify her level of functioning.

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

D. three days to one month.