LCSW Study Exam #4

Rapprochement is the fourth stage of couples development and represents: A. A balance between individuality and intimacy B. Self-discovery C. A shift towards focus on the self D. Practicing

A. A balance between individuality and intimacy

A social worker sees the following clients for their initial sessions. Which of the following clients is MOST likely to be motivated and ready for change: A. A self-referred client who is having adjustment issues and is concerned about the impact of these issues on her relationships. B. A court-mandated client who tells you that he does not want to go back to jail. C. A self-referred client who is very anxious to resolve his relationship issues right away. D. A client who wants to explore getting long-term psychoanalysis.

A. A self-referred client who is having adjustment issues and is concerned about the impact of these issues on her relationships.

Which of the following choices BEST exemplifies a social worker purposefully empowering the client? A. A social worker provides an anxious client with a list of local counseling agencies and offers to help the client rehearse the phone calls before sitting next to the client when he calls to schedule an appointment. B. A social worker delivers food to a blind client who is enrolled in classes at a Braille Institute. C. A social worker sets up an appointment for the single mother of a toddler to begin home-based family therapy. D. A social worker drives his 25-year old-client to his job interview.

A. A social worker provides an anxious client with a list of local counseling agencies and offers to help the client rehearse the phone calls before sitting next to the client when he calls to schedule an appointment.

**You are working with a client who was physically disabled in the Iraq war. She has been back in the United States for five years and continues to receive treatment for PTSD and substance abuse. Struggling to maintain sobriety is a sign that you should refer to: A. A specialist in veterans' issues. B. The VA for veterans disability benefits. C. A psychiatrist for PTSD medication that will not create negative drug interactions with the substances she is using. D. A 12-step group.

A. A specialist in veterans' issues.

A school social worker has a 42-year-old male client whose 7-year-old son was recently diagnosed with Autism Spectrum Disorder. The son has a twin sister who does not have a Neurodevelopmental Disorder. The father wants to keep his children in the same class. The school social worker nonetheless recommends the following for his son: A. An individualized education program (IEP). B. Private afterschool tutors. C. Homeschooling. D. Private school.

A. An individualized education program (IEP).

**Your client is a 50-year-old woman who was diagnosed with Multiple Sclerosis fifteen years ago. Recently discharged from a hospital after suffering a fall, she now must use a wheelchair. Her physical condition has significantly declined over the last six months, and it is unsafe for her to drive to her physician's office for continued care. Her ability to speak has also begun to decline. Until now, she has been able to perform the activities of daily living with the help of her adult daughter. Her daughter works full-time and has three children under age ten. The daughter recently found out that she is pregnant with her fourth child. As this client's case manager, your FIRST step would be to: A. Assess the client's physical, cognitive and psychological functioning to determine her care needs and available social supports. B. Arrange for the client to obtain home health services so that she can be transported to her doctor's appointments. C. Provide the client and her daughter with information about Adult Day Health Care (ADHC) services. D. Educate the client and her daughter about the services of long-term care facilities.

A. Assess the client's physical, cognitive and psychological functioning to determine her care needs and available social supports.

Two patients present simultaneously to an inpatient recovery center for substance abuse treatment. The male patient is shaking and reports he is detoxing from alcohol. The female patient is fidgety and states she needs to detox from heroin. As the clinician, who should be treated FIRST and what is likely happening? A. Both are likely going through drug withdrawal, and both need medical evaluation, but the male needs immediate medical attention as alcohol withdrawal can be life-threatening. B. The male is withdrawing, but the female has probably overdosed and should therefore be prioritized medically. C. The male's shaking is probably psychosomatic. Begin assessing the woman because heroin is the more serious drug. Check on the male afterwards. D. Send the male patient for medical evaluation and begin conducting a psychosocial assessment on the woman using motivational interviewing.

A. Both are likely going through drug withdrawal, and both need medical evaluation, but the male needs immediate medical attention as alcohol withdrawal can be life-threatening.

**Silvia has been in treatment for 6 months when you become concerned she is not telling her psychiatrist everything. You have a release to speak to the psychiatrist, that is still valid, to discuss the patient's symptoms and treatment plan. You would NEXT: A. Call the psychiatrist and discuss Silvia's symptoms and treatment plan. B. Ask Silvia to sign a new release to discuss her resistance to open up with the psychiatrist. C. Confront Silvia because she is hiding things from the psychiatrist. D. Wait for Silvia to bring up the truth with her psychiatrist.

A. Call the psychiatrist and discuss Silvia's symptoms and treatment plan.

**Which of the following BEST describes professional service delivery methods? A. Case managers coordinating services in a fragmented service delivery system. B. Business owners and community members volunteering to provide services. C. Family members running support groups. D. Individuals with lived experience leading self-help organizations.

A. Case managers coordinating services in a fragmented service delivery system.

Sonya, a social worker, has a client, Sophie, who is a recovering alcoholic. Sophie has completed her court-ordered treatment and now seeks to be reunited with her children, who had been placed in foster care. Sonya FIRST networks with: A. Child Protective Services (CPS) B. Court C. Legal Aid D. Addition aftercare program

A. Child Protective Services (CPS)

A female client presents with a history of recent trauma to a social worker's office. Once a treatment plan has been developed with the client, the progress notes should contain which core elements: A. Client name, date of service, observations, interventions B. Client name, date of service, the social worker's opinions about solutions for client problem. C. Client name, date of service, the social worker's observations about resistance to goals of therapist. D. Client name, religious affiliation, long and short-term goals.

A. Client name, date of service, observations, interventions

Kevin tells you his wife is furious with him because he frequently goes to the casinos and has lost the money they need to pay for rent and food. He says that tonight he'll make up for it by winning back all he's lost and more. The primary defense mechanism used by someone who has a gambling addiction is: A. Denial. B. Compensation. C. Displacement. D. Castastrophizing.

A. Denial.

A 41-year-old female social worker has a 22-year-old transgender FtM client who was born as the only child of a state senator. The senator and his wife have refused to accept their daughter's preference to undergo the transitioning process from female to male, and have discontinued paying for her college education and housing. Because the case is high profile, the social worker feels she must tread carefully, as this senator has previously voted against additional funding for community mental health. What is the social worker's FIRST priority in this case? A. Empathizing with the client. B. Keeping a low profile in order not to upset the senator who may vote more harshly against funding for mental health programs in the future. C. Seeking supervisory support immediately. D. Encouraging the client to stand up to her parents to show she will not be bullied.

A. Empathizing with the client.

Jared is experiencing difficulty in maintaining an erection until the completion of sexual activity that has persisted for 7 months during almost all sexual interactions. What sexual dysfunction is Jared experiencing? A. Erectile Disorder B. Premature Ejaculation C. Delayed Ejaculation D. Male Hypoactive Sexual Desire Disorder

A. Erectile Disorder

Penelope, a social worker at a community clinic, recently lost her teenage daughter in an accident caused by drunk driver. She met Jack, who lost his teenage son to a drunk driver, at a support group for bereaved parents. The two have connected and have gone out for coffee a few times. Penelope has been providing job training and housing services to Joanne, a battered partner and a single mother of four, for the past 15 months. After her last appointment, Joanne's brother came to pick her up because her car was in the shop yet again; her brother turns out to be Jack. With regards to dual relationships, Penelope should NEXT: A. Extricate herself from her new friendship with Jack. B. Refer Penelope to another social worker. C. Consult with her supervisor. D. Find a new support group to attend.

A. Extricate herself from her new friendship with Jack.

**Erick, a clinician at a pain management clinic, has a 25-year-old client, Steve, who suffers from severe abdominal pain. He has been seen by many doctors, who all say that they can't find an explanation for his pain. Steve has a robust knowledge of medical terms and diseases, and expresses strong interest in continuing going through testing and procedures. Erick should FIRST assess for: A. Factitious Disorder B. Malingering C. Somatic Symptom Disorder D. An eating disorder

A. Factitious Disorder

**Amaya, an American social worker who emigrated from Somalia, has a Caucasian female client, Jessica, who is experiencing power differentials in her corporate workplace. Jessica's boss, an African-American man named Samuel, frequently requires Jessica to stay after work and to put in extra hours on the weekend. Although she is salaried, and Samuel technically has the right to require Jessica to put in the extra hours, she feels she is being unfairly targeted due to missing too many days of work when her 3-year-old child was home from daycare for two weeks with chickenpox a few months ago. From a social institutions perspective, Amaya must FIRST consider the power differential as it relates to: A. Genders in different cultures. B. Male and female. C. A male boss and female employee. D. Mothers in the workplace.

A. Genders in different cultures.

**You are working with Jeremy, age 12. He is in your office because the teacher at his school says, "he can't keep his hands off the little girls". What would you do FIRST? A. Get a written release to speak with Jeremy's teacher. B. Arrange for a play therapy session with Jeremy. C. Call CPS and report child abuse. D. Educate Jeremy's mother and tell her that he acting in a developmentally appropriate way.

A. Get a written release to speak with Jeremy's teacher.

Patty, a 29-year-old mother of twin boys, is concerned about her sons. They are 3-years-old and do not speak very much. She tells you they have their own language between them and often don't respond to others. In your initial interviews you would FIRST: A. Get on the floor and observe how the boys interact in session. B. Ask the boys if they want to talk with you. C. Educate Patty on the differences in twin development. D. Interview the twins separately.

A. Get on the floor and observe how the boys interact in session.

**Sophie, a hospital social worker, has a client, Maggie, who was diagnosed with Alzheimer's disease three years ago. As her disease has progressed, her husband Elliott became her primary caregiver. Two months ago, Elliott died unexpectedly of a heart attack. Maggie reports to her primary care physician that she is now experiencing symptoms of dysphagia every time she tries to eat. Since Elliott's funeral, Maggie has lost 15 lbs. Why does Sophie believe that Maggie may have somatization, even though she has physical evidence of weight loss? A. Grief over the loss of her husband. B. Maggie can control the dysphagia. C. Maggie's primary care physician cannot find anything wrong with her outside of the Alzheimer's. D. Maggie is alone.

A. Grief over the loss of her husband.

**Katlyn is in treatment to maintain sobriety. To sustain this client's motivation to work with the therapeutic issues involved during the middle stage of treatment, a social worker would MOST likely: A. Increase the client's anxiety by identifying the consequences of refusing to participate in treatment. B. Decrease the client's anxiety by identifying the consequences of refusing to participate in treatment. C. Refer for a psychiatric evaluation to assess for medication, as the client may need medical support to continue the process of treatment. D. Use psychoeducation about the casework process to clarify treatment goals and interventions.

A. Increase the client's anxiety by identifying the consequences of refusing to participate in treatment.

A social worker employed at a residential placement for adults with developmental disabilities is assigned to work with a new client, who is feeling very lonely and afraid because he is separated from friends and family. The FIRST goal with this client should be to: A. Increase the client's knowledge about the placement's social activities by reviewing a calendar of events with him. B. Promote client autonomy based upon the client's capabilities. C. Inform the client about the placement's rules and regulations. D. Develop his treatment plan by using self-determination.

A. Increase the client's knowledge about the placement's social activities by reviewing a calendar of events with him.

Jeremy is a supervisee at an agency. Jeremy and his supervisor go over client sessions by listening to recordings of his sessions in full or selected sections. What kind of supervision is Jeremy receiving? A. Individual supervision B. Group supervision C. Live supervision D. Peer supervision

A. Individual supervision

Roberta, an LCSW, has a new couple coming in for their first visit. From the intake form, she knows the couple has been involved in domestic violence. There is no emergency buzzer set up in Roberta's treatment center. Roberta should FIRST: A. Inform the security guard and set up a direct call in case of an emergency. B. Keep her door open during the session in the event of a problem. C. Alert her colleague across the hall. D. Since it is their first session, assume it will be safe.

A. Inform the security guard and set up a direct call in case of an emergency.

**Stoltenberg's Integrated Development Model of supervision suggests that there are multiple supervisee levels of development that are determined by varying degrees of motivation, autonomy, and awareness. A supervisee who tends to be anxious and uncertain, but motivated to learn describes a supervisee in which level of development? A. Level-one supervisee B. Level-two supervisee C. Level-three supervisee D. Level-four supervisee

A. Level-one supervisee

Louis forgot to write a report about a client in a timely manner. In order to complete the entire report, Louis filled out some of the information he did not remember using reports from other clients in a similar situation. What BEST describes the ethics of this scenario? A. Louis' actions were unethical because it is a violation to falsify the information on a report. B. Louis' actions were ethical because he filled out the information to the best of his ability, considering the circumstances. C. Louis' actions were unethical because he reviewed other clients' information at a time when he was not supposed to. D. Louis' actions were ethical because the clients were in similar situations.

A. Louis' actions were unethical because it is a violation to falsify the information on a report.

Your client, Liz, is a 17-year-old female who is leaving for college in another state at the end of the month. She was molested by her uncle as a young child and is working through these issues with you. She has developed a close working relationship with you and wants to continue to work only with you. You would NEXT: A. Make three referrals for your client in her new location. B. Consult with a colleague about transference/countertransference issues. C. Plan for weekly, hourly phone sessions with you. D. See her on school breaks.

A. Make three referrals for your client in her new location.

**A client is exhibiting signs and symptoms such as social isolation, scattered ideas and memories, shifts in mood and increased nervousness, and changes in sleeping and eating habits. This client is showing indicators of: A. Mental illness B. Schizophrenia C. Emotional illness D. Anxiety

A. Mental illness

A male adult, who was sexually abused as a child by an older adult male relative, seeks social services and counseling in order to free himself emotionally from his past. He requests a female social worker because he fears males and does not relate to them well. The social worker provides services that include a counselor who helps clients see their problems as related to the stories they have constructed about themselves. This construct of strengths-based and resilience theory relates to: A. Narrative Therapy B. Postmodern Therapy C. Solution-Focused Therapy D. Cognitive Behavioral Therapy

A. Narrative Therapy

Sean is referred to you by the agency in which you work and comes in for his first session. You recognize him from somewhere. You realize after a few moments you were set up on a blind date with him twenty years ago and had a one-night stand. Sean does not recognize you, but you are sure he is the same person you went out with twenty years ago. Ethically, what would you do NEXT? A. Refer Sean to another mental health provider. B. Proceed with his treatment, given that he does not remember you, and you only dated him once. C. It has been twenty years since you went out on a date with Sean, so it is past the 2-year period you need to be worried about. D. Ask Sean if he would like to proceed with treatment. If Sean says yes, then it is okay.

A. Refer Sean to another mental health provider.

A social worker's observations can be helpful in determining the level of motivation in a client. The following are behaviors of a motivated client: A. Regular attendance to sessions, follow-through with homework assignments and compliant with referrals to other professionals. B. Consistent payment for sessions and engaging in individual therapy with multiple social workers in different locations. C. Regular attendance to sessions and referring friends and family to the social worker's practice to help the social worker's business. D. Withdrawals from recommended support group and is late paying for sessions.

A. Regular attendance to sessions, follow-through with homework assignments and compliant with referrals to other professionals.

**Melinda, a social worker at a residential psychiatric facility, is working with Noel, a social worker at a state mental hospital, in order to facilitate the transfer of Jackson, who has completed his court-mandated mental health term in the lockdown facility. Melinda's residential facility serves as a halfway house before the convicted mental health client can return to society; clients transferring there must be stable. Jackson stabbed both his father and sister a decade earlier during a psychotic episode. Melinda's FIRST focus of case formulation should be: A. Relevant medical history of the client and current functioning. B. Family history. C. Treatment plan. D. Diagnoses.

A. Relevant medical history of the client and current functioning.

Harm reduction as an approach, provides nonjudgmental and non-coercive services to people who use drugs and alcohol. This supports some of the most fundamental precepts of social work practice, which are: A. Respecting a person's identity and helping clients recognize their inner strengths. B. Recognizing a person's flaws, rejecting them, but not rejecting the person. C. Allowing the burden of society's criminals to fall on the shoulders of a community to solve. D. Practicing outside of the social work scope of practice.

A. Respecting a person's identity and helping clients recognize their inner strengths.

One approach to measuring program objectives and outcomes is a logic model. The logic model consists of a five-step process: inputs, outputs, outcomes-impact, assumptions, and environment. What does the outcomes-impact step include? A. Short-term, medium-term, and long-term results B. What we invest C. Activities and participation D. Influential factors

A. Short-term, medium-term, and long-term results

What is a reason that social workers have traditionally kept professional distance in their relationships with clients, which is contrary to Salzberger-Wittenberg's and Kadushin's definitions of the social worker-client relationship? The belief that: A. Social workers must limit the amount of personal disclosure; their expectations; and the extent, duration, and focus of their relationship with their clients. B. Professional distance will emphasize social control over clients. C. Social workers should maintain power over their marginalized and oppressed clients. D. A psychosocial separation will create bias.

A. Social workers must limit the amount of personal disclosure; their expectations; and the extent, duration, and focus of their relationship with their clients.

A military veteran living in a psychiatric residential facility is undergoing a transgender transition of MTF (Male-to-Female) that includes sexual reassignment surgery, while simultaneously going through a divorce from his wife. He is in the psychiatric residential facility because he has been diagnosed with schizoaffective disorder. The client is seeking social services to help facilitate multiple individual transitions. In order to provide best practices based on a family education model, the social worker, a staunch Catholic, must FIRST: A. Suspend individual beliefs regarding transgender clients. B. Refer his client to a social worker who specializes in dealing with transgender clients. C. Find a good group therapy for transgender clients who are going through a divorce. D. Convince his client to try marriage counseling.

A. Suspend individual beliefs regarding transgender clients.

A social worker is treating a 38-year-old, court-mandated, male client who is participating in counseling services as a perpetrator in domestic violence. Unsurprisingly, this client was also abused as a child. The fact that he is an adult abuser is likely due to: A. The dysfunctional family dynamics of the family-of-origin have negatively impacted current family dynamics. B. A person abused as a child will always abuse as an adult. C. Men who are abused as children are more likely to become abusers. D. The dysfunctional family dynamics of his current family are due to his wife being unfaithful, so the client feels that she deserved to be abused.

A. The dysfunctional family dynamics of the family-of-origin have negatively impacted current family dynamics.

The BEST treatment plan for a batterer would be: A. The identification of feelings, education about the Cycle of Violence, and imparting knowledge of anger management skills. B. To educate about the Cycle of Violence, and teach parenting and anger management skills. C. To teach anger management and relaxation exercises. D. To teach parenting skills, to identify the stages of violence, and to teach relaxation exercises.

A. The identification of feelings, education about the Cycle of Violence, and imparting knowledge of anger management skills.

Once a social worker has finished placing a child in foster care: A. The social worker may have to re-place the child or handle an adoption process. B. The social worker can terminate the relationship with the child. C. The social worker hands the case back to Child Protective Services. D. The child is allowed to terminate the relationship with the social worker.

A. The social worker may have to re-place the child or handle an adoption process.

**A supervisee has been consistent with their case notes. During one session, the supervisee forgot to write down some relevant client information. Based on this incident, the supervisee's performance appraisal should be based on: A. The supervisee's recurrent patterns B. Adherence to the NASW Code of Ethics C. The mistake during the session indicated D. The supervisee's ability to comply with guidelines

A. The supervisee's recurrent patterns

**The Carter family comes to therapy with their 4 children who are all engaged in different activities. Ed sits on his mother's lap sucking on a toy. Tricia wants to show the social worker how good she is at cartwheels. Jackson announces his sister doesn't have a penis. And Philip sits on the floor stating that he doesn't need to go to the bathroom. Identify which child is in the latency stage of psychosexual development. A. Tricia. B. Jackson. C. Ed. D. Philip.

A. Tricia.

Recently there has been a national debate over whether transgender individuals should be allowed to use public restrooms based on the gender with which they identify, rather than the gender assigned at birth. Individuals opposed to laws that would allow this are MOST likely influenced by: A. Unwritten rules that define acceptable and unacceptable behavior in society. B. Written laws that define acceptable and unacceptable behavior in society. C. Unwritten rules regarding sexual behavior. D. Written laws regarding sexual behavior.

A. Unwritten rules that define acceptable and unacceptable behavior in society.

**You are running a group for individuals with Gender Dysphoria. Which of the following statements BEST describes a client who would qualify for the therapy group? A. A male child who has discomfort with with other boys at school for more than 1 month. B. An individual who has completed gender reassignment surgery and is happy with the outcome. C. An adult female who asserts her equal rights and resents male privilege. D. A female teenager who insists on wearing only attire that is stereotypically associated with the male gender.

D. A female teenager who insists on wearing only attire that is stereotypically associated with the male gender.

A social worker's client has been sleeping in class and is not doing well in school. The social worker tries to help the client herself, but notices the client is still extremely fatigued. The social worker should FIRST collaborate with: A. The school's principle B. A therapy agency C. A legal expert D. A medical professional

D. A medical professional

**A family systems clinician is treating a family comprised of mother and father, both in their 50s, and two adult sons, ages 34 and 31. The family indicates that the father is an alcoholic, and that his drinking is destroying their family. The father has refused substance abuse treatment and is in denial that he has a drinking problem. The younger brother states that the older brother also "knocks off quite a few beers every night after work with his buddies." The younger son blames the father for his brother's drinking. At this point the family systems practitioner: A. Reminds the non-drinking brother not to judge. B. Asks the father if he has had a DUI or any criminal charges. C. Asks the son if he would like a referral to a SUDs group. D. Asks whether the father's dad also drank.

D. Asks whether the father's dad also drank.

**You are seeing a family consisting of a single mother and her two sons, ages 18 and 16. The 18-year-old son was diagnosed with Schizophrenia a year ago, and the mother says that she has been overwhelmed with taking care of her ill son, who is unstable with his psychotic symptoms. She says, "Ever since his older brother was sick, the young one has been quiet and withdrawn. I hope that he does not have the same thing his brother has!" How should the social worker address this family's concerns FIRST? A. Obtain a release to talk to the psychiatrist and assess the mental status of the younger brother. B. Assess the older brother for compliance with his anti-psychotic medication and refer the younger brother for individual therapy. C. Obtain a release to talk to the psychiatrist and refer the family to a NAMI group. D. Assess the older brother for compliance with his anti-psychotic medication and assess the mental status of the younger brother.

D. Assess the older brother for compliance with his anti-psychotic medication and assess the mental status of the younger brother.

A 50 year old male client tells his social worker that he has completed the homework assignment given to him during the previous session. He reads a list of pros and cons that he has come up with regarding the possibility of him leaving his very stressful job to embark on a new career. The social worker notices that the client has some reservations about making the change but says he feels some more hope about "possibilities" and is starting to consider what the change would feel like. Which stage of change is the client MOST likely in? A. Precontemplation B. Action. C. Evaluation. D. Contemplation.

D. Contemplation.

An evaluation method that assesses whether a particular program provides the results that warrant the cost associated with the program is BEST described as: A. Formative evaluation B. Needs assessment C. Summative evaluation D. Cost-benefit analysis

D. Cost-benefit analysis

**A social worker has a client who is having issues with her 6-month-old son. Her son, who previously had no issues about going to daycare, now screams and cries each time either parent drops him off. The social worker focuses on a separation-individuation, a process that is part of the personality theory developed by Margaret Mahler that includes: A. Normal autism B. Rapprochement C. Practicing D. Differentiation or hatching

D. Differentiation or hatching

During supervision Roberta, an LCSW, asked everyone to look at their documentation and to get ready to share their cases. David, an associate realized he had left his briefcase with the documentation in his car. He raised his hand and asked to go to his car to get them. What should Roberta do NEXT? A. Take a break and let David go to his car to get the documentation. B. Let him pass this time and ask him to bring them next week. C. Do nothing and go on with the session. D. Explain clinic policy and that documentation may not be taken out of the clinic at any time.

D. Explain clinic policy and that documentation may not be taken out of the clinic at any time.

The Progress Evaluation Scales (PES) are made up of seven scales that determine pathology and functioning. The seven scales are family interaction, occupation, getting along with others, feelings and mood, use of free time, problems, and attitude toward the self. Which of the following scales describes the client's dimension of dependence-independence-interdependence in their home environment? A. Occupation B. Getting along with others C. Attitude toward the self D. Family interaction

D. Family interaction

**Mr. Jones is afraid to leave the house. He reports fears of terrorist attacks in public places. He feels much safer at home. When assessing the effects of social context on Mr. Jones behavior, his social worker should consider all of the following factors EXCEPT: A. Political beliefs and attitudes. B. The impact of media. C. Ageism. D. Genetic factors.

D. Genetic factors.

**Olivia, a grad student in social work, is conducting comparative research on the validity and reliability of various medications used to treat adults with Attention Deficit Hyperactivity Disorder (ADHD). One important aspect she must convey to her research subjects that involves the drugs themselves is the effects for participants: A. Who have only recently been diagnosed with this disorder. B. In the cohort group. C. In the experimental group. D. In the control group.

D. In the control group.

What should be included in a social worker's conflict theory based community assessment? A. The needs of the wealthiest members of the community. B. The validity of mainstream media. C. The gender and ethnic diversity of the workforce. D. Inequality in workplace rights, access to services, salary, housing, and education.

D. Inequality in workplace rights, access to services, salary, housing, and education.

The biopsychosocial assessment that is routinely conducted at your facility includes a brief assessment of the effects of a client's social context. Which statement BEST describes a person's social context and its possible impact on behavior? A. Social context is not as broad of a concept as social class. B. It includes one's culture where a person is currently residing, but not the culture in which a person was exposed to as a child. C. The social context includes only face-to-face contact with people and institutions. D. It includes one's culture in which a person is currently residing, and the culture in which a person was exposed to as a child.

D. It includes one's culture in which a person is currently residing, and the culture in which a person was exposed to as a child.

Mari, an LCSW, is treating a couple, John and Linda, for premarital counseling. Linda calls Mari between sessions to inform her that her mother passed away. Linda wants to make an appointment with Mari individually to help her deal with this loss and to not burden John. Mari should respond that: A. She does not have experience treating grief. B. She would be setting up an appointment. C. She understands that Linda already knows her and she will set up the appointment so that Linda feels comfortable. D. Linda and John should come in together to discuss the loss, and that Mari can give Linda a referral to deal with her loss.

D. Linda and John should come in together to discuss the loss, and that Mari can give Linda a referral to deal with her loss.

**Rosanne is an 87-year-old woman in the early stages of dementia living by herself. She currently is able to do her hair, cook, wash dishes, and shower. She often misplaces her keys, but installed a key hook near her front entrance. What kind of housing situation should the social worker suggest to Rosanne, considering her current situation? A. Assisted living. B. At-home care. C. Nursing home. D. No change in living situation.

D. No change in living situation.

**A family has been referred to you for therapy by the 5-year-old daughter's pre-school teacher. The girl was recently diagnosed with Encopresis by her pediatrician, who gave them your number as a family therapy reference. After deciding that the family is the unit of treatment and obtaining the necessary release with the doctor, what would be your NEXT intervention? A. Have the parents sign a release to speak with the pre-school teacher. B. Find out if there are any other children in the family. C. Determine if the father is a substance abuser. D. Observe family interactions for signs of sexual abuse.

D. Observe family interactions for signs of sexual abuse.

An agency is hiring to fill a social worker position. A potential employee is applying that needs training. What can this potential employee expect as compensation from the agency for training? A. The employee is unpaid during the training process. B. The employee and employer divide the training costs equally. C. The employer pays for the full training costs. D. Payment depends upon the policy of the agency.

D. Payment depends upon the policy of the agency.

Which of the following factors has the biggest influence on how an undocumented immigrant or refugee will assimilate, feel welcome, maintain mental health, and even be at risk of physical danger? A. Immigration status B. Social service availability C. Social ties D. Political climate

D. Political climate

If a social worker has a client diagnosed with Borderline Personality Disorder, which of the following factors would MOST likely lead to a successful suicide attempt? A. Previous suicide attempts and family history of affective disorders. B. Chronic health problems and family history of affective disorders. C. Chronic health problems and recent loss of a loved one. D. Previous suicide attempts and chronic health problems.

D. Previous suicide attempts and chronic health problems.

**A male client comes to see you for the first time. As he talks, you begin to realize that he is definitely going to harm someone. He has a plan and is going to act, but he has not identified his intended victim to you yet. Just as he is about to tell you the identity of the name of the intended victim, you realize that you have not explained to him the limits of confidentiality. You would NEXT: A. Tell him to stop and refer him to someone else. B. Wait until he identifies the intended victim and then explain the limits of confidentiality, as you must do as part of obtaining informed consent. C. Ask him to stop and explain to him the limits of confidentiality as part of informed consent. D. Proceed with the session and carry out your duty to protect if he identifies the potential victim.

D. Proceed with the session and carry out your duty to protect if he identifies the potential victim.

A client has stated that she has a plan to commit suicide. She has been stockpiling her pain medications prescribed after a recent surgery. The social worker has done an assessment and has determined that the client is in crisis. Which of the following should the social worker include as one of the FIRST goals of intervention? A. Notifying the client's family members. B. Providing referral services. C. Exploring the client's feelings. D. Reducing lethality and acute symptoms.

D. Reducing lethality and acute symptoms.

Betty comes to you complaining of severe stomach pains that apparently have no physical cause. Her doctor has suggested she seek therapy, and she says she is "desperate enough to try anything." During your assessment, you learn she was molested from ages 7 to 10 by an older brother who recently died of stomach cancer. She insists the two aren't related, as she had developed a good relationship with her brother in the past few years. She asks you if family members can have the same type of cancer. A thorough assessment would include all EXCEPT which of the following? A. Referral to another MD for a medical evaluation. B. Burns Anxiety Scale. C. Beck Depression Inventory. D. Referral to a bereavement support group.

D. Referral to a bereavement support group.

**Jack, a new associate social worker at an inpatient rehab facility, dreads meeting with his supervisor, Bob, each week. Bob tends to point out all the things Jack is doing wrong and rarely commends him for doing things right. Bob recently told Jack that he needs to be more conscientious when completing his chart notes — that he must use third-person phrases such as "this writer", "this clinician", "this practitioner", or "this social worker"; and avoid using "me", "myself", or "I." Jack avoids his supervisor as much as possible because he feels like Bob is too critical. Jack should: A. Find a new supervisor. B. Send Bob an email in which he delineates all of his success with individual clients for the previous week. C. Open a dialogue with his supervisor and assure him that he has successfully completed clinical applications during his internship. D. Request and adhere to feedback from his supervisor.

D. Request and adhere to feedback from his supervisor.

Melissa is a social worker who often does favors for her coworker, Linda. Melissa ends up having to stay late a few days a week to finish her own work even though Linda leaves on time. This leaves Melissa feeling anger and guilt. What should Melissa do the NEXT time Linda asks for a favor? A. Ask for another coworker to help with her work so that she can help with Linda's work. B. Ask Linda to split the work C. Say "no" aggressively D. Say "no" assertively

D. Say "no" assertively

**A social worker and client are using the problem-solving model to help the client develop their own alternative solutions, think about the possible consequences of the solutions, and implement a plan of action. There are six steps of the problem-solving model. Which of the following steps is the step which can also be called "brain-storming?" A. Step 5. Implement the action plan B. Step 4. Develop a plan of action based on the solution C. Step 3. Select a particular solution D. Step 2. Identify possible solutions to the problem

D. Step 2. Identify possible solutions to the problem

Julia, a social worker for a youth organization, has been helping a group of teens with conflict resolution. The group involves six youths who were appointed to decorate a gym for homecoming. They have been arguing over themes for several weeks and now must gain resolution so that they can move forward with their project. Julia helps the group to reach mutually acceptable agreement between individual members by suggesting alternative solutions and available resources. This is based on which model? A. The Therapeutic Model B. The Feminist Model C. The Justice Model D. The Problem-Solving Model

D. The Problem-Solving Model

A social worker is working with a child with learning disabilities. The social worker finds research supporting the use of background music while the child studies as a way to improve performance in children with learning disabilities. The child is not responding to the methods the social worker is using. What error might the social worker have made when applying the research to practice? A. Learning disabilities do not have reliable research findings because each child is different. B. The social worker is not licensed to use research in this manner. C. The child may have already been exposed to the research and, therefore, not be a valid subject. D. The social worker may have generalized the research as valid with all learning disabilities.

D. The social worker may have generalized the research as valid with all learning disabilities.

You are a social worker at a large community mental health clinic. You are assigned a new case of a single mother with four children. When you read the biopsychosocial assessment that was conducted by the intake staff at your clinic, you notice that diversity issues were not mentioned in the assessment. Which statement MOST accurately describes your observation about this assessment? A. Your new client most likely does not have relevant diversity issues that would impact her assessment or treatment. B. Diversity issues, such as a person's culture, race and ethnicity, are included in the biopsychosocial assessment only if they are relevant to the evaluation process. C. Diversity issues should only be documented in the biopsychosocial assessment if the client comes from a different diversity group than the social worker, and it would negatively impact services. D. The social worker overlooked an important component of the biopsychosocial assessment, as diversity issues always impact assessment and treatment.

D. The social worker overlooked an important component of the biopsychosocial assessment, as diversity issues always impact assessment and treatment.

**Steve and Alice, who adopted a 3-year-old girl last year, are referred to you for couples counseling. They recently returned from vacation to Portugal, their first trip alone together since adopting their daughter. They argued frequently during their vacation, and came home to find that Alice's parents did not follow the sleep schedule that Steve and Alice worked hard to establish with their daughter. They are concerned about the future of their marriage. What is the LAST psychosocial stressor you should ask about in your assessment? A. The frequency and content of their arguments. B. Their adjustment to having a new member in their family. C. Their relationships with their respective in-laws. D. Their vacation to Portugal.

D. Their vacation to Portugal.

Which of the following BEST describes the purpose of community organizing and social planning in social work? A. To engage local leaders and well-respected, influential community members B. To facilitate individual and group therapy in the community C. To work with federal and local government agencies to collect data D. To use problem-solving techniques and data-driven approaches with a community to help it self- identify, determine, and coordinate services for its own members

D. To use problem-solving techniques and data-driven approaches with a community to help it self- identify, determine, and coordinate services for its own members

Grace works at a homeless shelter that is run by the local church that she belongs to. She looks out for the homeless, regardless of their personal faith in God or their religious beliefs that are often different from her own. According to Fowler's six stages of spiritual/faith development, which stage of development is MOST descriptive of Grace? A. Mythic-Literal. B. Individuative-Reflective. C. Conjunctive. D. Universalizing.

D. Universalizing.

**Brenda, a social worker at the State Department of Social and Health Services (SDSHS), helps clients with resumes, interview coaching, and job placement. Jenny, a 44-year-old client who has been trying to get a job with the phone company doing repair jobs, told Brenda that she found out that her wage was going to be $15.41/hr. Her friend, Dave, who also got the same position through SDSHS, is earning $17.83/hr. doing the exact same job. Does Brenda have recourse to advocate for Jenny? A. No, according to the Equal Pay Act of 1963. B. Yes, according to the Older Americans Act (OAA) of 1965. C. No, according to the Older Americans Act (OAA) of 1965. D. Yes, according to the Equal Pay Act of 1963.

D. Yes, according to the Equal Pay Act of 1963.

**A 37-year-old female social worker at an outpatient private practice facility has a 33-year-old male client who is court-mandated as a result of a second drug possession conviction on his record. The client also has a history of domestic violence, and anger management therapy is part of his court-mandated requirements. He has reluctantly come to his appointments, frequently showing up late. His cooperation with practitioners is minimal. On the fourth visit, he confides to his social worker that he got so mad that morning that he hit his wife and grabbed his 4-year-old son hard. He states that he does not think his son has any broken bones; that his son is "okay"; that only his wrist seems sprained. He maintains that it wasn't serious enough for either his wife or son to obtain medical attention. He then inquires whether his anger management group is at 1 p.m. or 2 p.m. The NEXT step in the partialization process is for the social worker to excuse herself to another office to call: A. Child Protective Services (CPS). B. 911 C. Her supervisor. D. Building security.

B. 911

Which of the following is NOT an example of a social worker following the core value of integrity, as described in the 2018 NASW Code of Ethics? A. A social worker who specializes in EMDR contributing to the profession's literature by publishing an article on trauma in the British Journal of Social Work and sharing his knowledge at an EMDR conference. B. A social worker discovering that her colleague, who is licensed in Texas but unlicensed in California, is starting a private practice in San Francisco, but does not say anything to her colleague or the California Board of Behavioral Sciences about this. C. A bilingual/bicultural Latina social worker who serves on the board of directors for Instituto Familiar in San Francisco's predominantly Latino Mission District, so that she can promote respect for the value, integrity, and competence of the social work profession in the Latino community. D. A bilingual/bicultural Vietnamese social worker who does research on the social work needs of Asian immigrant communities, and upholds and advance the values, ethics, knowledge, and mission of the profession. This social worker participates in active online discussion, and responsible criticism of the profession's role in meeting the needs of Asian immigrant communities.

B. A social worker discovering that her colleague, who is licensed in Texas but unlicensed in California, is starting a private practice in San Francisco, but does not say anything to her colleague or the California Board of Behavioral Sciences about this.

Which of the following is an example of a negotiable ethical boundary in the social worker - client relationship according to the revised 2018 NASW Code of Ethics? A. A social worker engaging in an online romantic relationship with the son of a former client that she worked with 10 years ago. B. A social worker sharing with his client during an online session on an approved telemedicine site (in which he reviewed informed consent at the first session) about how meditation has helped him personally in times of stress. C. A client giving a hand-knitted scarf as a token of appreciation to her social worker on the social worker's last day of employment, then following the social worker on Instagram so they can exchange photos of their shared love of knitting. D. A client doing online consulting for his social worker's mother.

B. A social worker sharing with his client during an online session on an approved telemedicine site (in which he reviewed informed consent at the first session) about how meditation has helped him personally in times of stress.

Cynthia is assessing her client's ego strengths in order to help the client set appropriate goals. Which of the following is NOT an example of an indicator of ego strength? A. Ability to feel negative feelings without dwelling on them B. Ability to help others see their problem as slight compared to other people's problems C. Having a strong sense of self D. Acknowledging the temporary nature of their feelings

B. Ability to help others see their problem as slight compared to other people's problems

Quality control and quality assurance give clients recourse when errors are made or violations to client's rights are committed. Quality control and quality assurance ensure that there is ____________ in social work. A. Fairness B. Accountability C. Ethics D. International consensus

B. Accountability

Alicia expressed suicidal ideation to her parents. Her parents were worried and reported Alicia. She is now being monitored at an inpatient facility. What is TRUE about Alicia's right to refuse service? A. Alicia has a right to refuse service because she has only expressed suicidal ideation rather than a suicide attempt. B. Alicia does not have a right to refuse service because she expressed suicidal ideation. C. Alicia can refuse treatment because it is not court-mandated. D. Alicia cannot refuse treatment under any circumstances.

B. Alicia does not have a right to refuse service because she expressed suicidal ideation.

**Eric needs advice about how to handle a situation. He is thinking about asking his manager, Derek, or a coworker, Alicia, with 10 years of experience at the agency for advice. Based on the power structures at the agency, which of the following BEST describes who is Eric more likely to ask advice from and why? A. Derek, because he has a higher position at the agency. B. Alicia, because her tenure at the agency has given her expertise in problem-solving and decision-making. C. Derek, because Eric must follow the appropriate chain of command. D. Alicia, because she is less intimidating as a formal power structure.

B. Alicia, because her tenure at the agency has given her expertise in problem-solving and decision-making.

Which statement BEST describes heterosexual privilege in the workplace? A. An individual may be promoted because he is gay. B. An individual may not be promoted because he is gay. C. An individual may be promoted because she is lesbian. D. An individual may not be promoted because she is heterosexual.

B. An individual may not be promoted because he is gay.

A 49-year-old hispanic male, Armando, comes to session with his wife and 5 children. They have come to therapy after witnessing an armed robbery at a local bank. You suspect Armando is having panic attacks even though he does not disclose it directly. If Armando is in fact having panic attacks, what might prevent him from disclosing the attacks? A. Armando may be letting his children speak first. B. Armando comes from a society that expects him to be strong. C. Armando has witnessed multiple bank robberies. D. He may have had panic attacks prior to the bank robbery.

B. Armando comes from a society that expects him to be strong.

Harvey is court-ordered for therapy because of a history of barroom brawling and repeated probation violations. He tells you that he gets into fights when drinking "because other guys pick on me!" He appears agitated and scowls as he speaks and tells you that he is willing to try therapy if it means he will never have to go back to jail. The BEST way to interview Harvey is to: A. Ask him direct closed-ended questions in order to confront him. B. Ask him open-ended questions about about his goal to stay out of jail. C. Give him information about Alcoholics Anonymous and tell him to attend. D. Ask him when other people first began picking on him.

B. Ask him open-ended questions about about his goal to stay out of jail.

**Francis is a 66-year-old widow who has been seeing you for grief counseling since her husband passed away. Many of her sessions have centered around how angry she is that he died and left her alone. In the current session, she says to you, "Maybe if I hadn't cooked him liver so often, he'd still be alive." How would Elizabeth Kubler-Ross describe Francis's current stage of healing? A. Denial. B. Bargaining. C. Anger. D. Depression.

B. Bargaining

A client complains to their social worker about back pain. The social worker experienced similar pain in the past, and decides to give the client advice for the back pain. What is TRUE about what the social worker's responsibility is in this situation? A. Because of the biological aspect of the Biopsychosocial Model, it is acceptable for a social worker to give a client medical advice. B. Because of a social worker's legal scope of practice, the social worker should refer the client to a doctor for the back problem. C. The social worker does not have a responsibility to the client in this situation, but is being helpful because of the social worker's past experience. D. The social worker can give any advice s/he deems appropriate as long as the client agrees and signs the informed consent form.

B. Because of a social worker's legal scope of practice, the social worker should refer the client to a doctor for the back problem.

**A social worker is treating a 14-year-old, female obese client, who has said she wants "to be thin like a model." Through psychoeducation, the social worker has taught the client that body image is classified into two distinct categories. A. Body-image evaluation and body-image deficit. B. Body-image evaluation and body-image investment. C. Body-image deficit and body-image investment. D. Body-image evaluation and body-image identity.

B. Body-image evaluation and body-image investment.

**A social worker in a hospital setting is meeting with a patient after surgery. The patient is talking about her new "port" that has been surgically installed about 3 inches below her collar bone. Which referral would be MOST helpful to this patient at this time? A. Dialysis support group. B. Cancer support group. C. Diabetes support group. D. Infertility support group.

B. Cancer support group.

Charles is a 16-year-old high school student who is being bullied at school for being gay. Which statement is NOT true about the possible impact of discrimination and bullying on Charles? A. Charles' school attendance and grades may fall. B. Charles has an increased risk of becoming homeless as a result of being bullied. C. Charles has an increased risk of suicide. D. Charles has an increased risk of lifelong depression.

B. Charles has an increased risk of becoming homeless as a result of being bullied.

The DSM-5 makes a distinction between PTSD in people older than 6 years old and PTSD in people 6 years old and younger. Which of the following describes one of the differences in diagnostic criteria? A. People older than 6 years old do not show the symptoms "sense of foreshortened future" and "inability to recall an important aspect of the event." B. Children 6 years old or younger only require one symptom in either the "avoidance symptoms" or "negative changes in cognitions and mood" categories. C. Two symptoms are required in the "negative changes in cognitions and mood" category for children 6 years old and younger. D. The "decreased interest in significant activities" symptom does not show up in children 6 years and younger.

B. Children 6 years old or younger only require one symptom in either the "avoidance symptoms" or "negative changes in cognitions and mood" categories.

Haleh is a 38-year-old woman who has lived in the U.S. since coming here from Iran to go to college 20 years ago. Her mother and her 3 older brothers, their wives and families, all live within a few miles of Haleh. Haleh is single and is on medication to treat Bipolar II Disorder. She comes to therapy with questions about how to handle her mother and sisters-in-law, who are critical and judgmental of Haleh's lifestyle. How would you develop a treatment plan for Haleh? A. Create a treatment plan that considers Haleh's need to be more differentiated and autonomous from her extended family. B. Collaborate with Haleh on a treatment plan, taking into consideration her level of acculturation and assimilation. C. Include the family in the therapy in respect to the Iranian culture's emphasis on family cohesion and cooperation. D. Get a release from Haleh to gather information from her mother and brothers to better understand the family dynamics and out of respect to her family.

B. Collaborate with Haleh on a treatment plan, taking into consideration her level of acculturation and assimilation.

**Cynthia is a social worker who is having recurring dreams of being physically assaulted. She wakes up startled and in a sweat. She realizes that what happens to her in her dream is similar to something that happened to one of her clients. What is Cynthia MOST likely experiencing? A. Burnout B. Compassion fatigue C. Lowered tolerance of others D. Fear

B. Compassion fatigue

**Lenny says he can't stop gambling. Lenny says his wife has left him as a result of the gambling, that he got fired for stealing money he needed for gambling, and that when he isn't gambling, all he thinks about is gambling. Your NEXT consideration would be: A. Evaluating the severity of his financial crisis. B. Determining if any pending legal problems such as prosecution for embezzlement is part of the presenting crisis. C. Referring him to 12-step groups or other forms of support or abstinence in his community. D. Administering a test to differentiate between OCD and Gambling Addiction.

B. Determining if any pending legal problems such as prosecution for embezzlement is part of the presenting crisis.

Cara, a social worker at a nonprofit residential facility, mostly works with clients who receive disability benefits and Medicaid. The Social Security Administration (SSA) has informed Cara that her client, Ben, who is receiving Social Security Disability Insurance (SSDI), has a bank account with $4,000. In order to provide best services to Ben, as well as collaborate with the SSA, Cara should NEXT: A. Tell Ben to withdraw the money and put the cash in a safety deposit box. B. Direct Ben to spend down his assets. C. Ask the SSA if they can use half the amount towards the following year's spend down. D. Tell Ben to put the money in another family member's account.

B. Direct Ben to spend down his assets.

**Walter is referred by his EAP. When he comes in, he speaks slowly and his eyes are glassy. He tells you that his supervisor is "a bastard" and that he is having trouble with him. Then in session, he appears more upbeat and tells you, with a smile, that he plans to take his short guns and go duck hunting and fishing with his buddies. How would you assess? A. Explore his hobbies in duck hunting and fishing. B. Discuss a no-harm contract. C. Refer him to a substance abuse treatment facility. D. Consult with the EAP regarding Walter's escalating risk at the workplace.

B. Discuss a no-harm contract.

Some of the key techniques a leader in a social services agency uses can strengthen individual employees, thus contributing to the team as a whole. Which is the following is NOT an example one of these techniques? A. Engaging in active listening B. Documenting all conversations clearly and retaining records C. Being genuine D. Using mistakes as growth opportunities

B. Documenting all conversations clearly and retaining records

A clinician has two male, married clients who have come for counseling regarding their spending habits. Both men claim to be spenders, rather than savers, which has caused relational conflicts. After meeting with both men, the clinician determined that one of them had the stronger, dominant personality; and that this man made the majority of their financial decisions. The clinician also determined that both men worked full-time and contributed roughly equal salaries to their joint checking account. The man with the recessive personality desires more input in their financial decision-making. Throughout treatment, the clinician helped the clients learn how to access financial information and resources in order to assist the spouse with the recessive personality to make appropriate decisions and obtain support. This intervention is known as: A. Solution-Focused Therapy B. Empowerment C. Identifying faulty schemas D. Mindfulness

B. Empowerment

Samaira, a Muslim social worker in an outpatient clinic in Washington State, has a 24-year-old African-American client, Jeff, who is dying as a result from injuries from a car accident that occurred several months earlier. Jeff has requested that Samaira help him take legal measures to end his life. Samaira explains to Jeff, that as a Muslim who adheres to Islamic practices, she is unable to assist him because it is forbidden. Samaira should FIRST: A. Refer Jeff to another social worker. B. Ensure that her religious values and beliefs regarding end-of-life choices do not interfere with those of her client. C. Consult with her supervisor. D. Adhere to her personal convictions.

B. Ensure that her religious values and beliefs regarding end-of-life choices do not interfere with those of her client.

Erica is a social worker whose client, Cindy, is experiencing domestic violence. Cindy does not work and lives with her husband and daughter. Erica has warned Cindy that failure to leave her husband will result in CPS taking her daughter. Cindy has met Erica with resistance throughout their interactions. Why might this be so? A. Cindy is taking out her aggression on Erica because her husband is aggressive towards her. B. Erica's threats and use of power make Cindy feel uncomfortable, similarly to how her husband makes her feel. C. Cindy is opposed to leaving her husband for financial reasons. D. Erica and Cindy have personality differences.

B. Erica's threats and use of power make Cindy feel uncomfortable, similarly to how her husband makes her feel.

A 20-year-old girl is about to be discharged from the hospital after being stabilized from a psychotic episode. This is her third hospitalization this past year. In coordinating resources, as you write your discharge plan, you would: A. Explore if she needs to apply for a disability allowance so that she can afford her medications. B. Explore if she is eligible for an intensive community mental health program for transitional age youths. C. Explore if she may benefit from moving into a board and care home. D. Find out if there is an outpatient psychiatric clinic to follow up her case.

B. Explore if she is eligible for an intensive community mental health program for transitional age youths.

**You have made an appointment with Stanley, age 27, who was court-referred. You know he was convicted of wife battering. In his past, Stanley MOST likely experienced what type of family dynamic? A. He lived in an alcoholic home. B. He was the victim of physical abuse. C. He was a victim of sexual abuse. D. He was raised in a dysfunctional home.

B. He was the victim of physical abuse.

**A social worker is in a session with a couple for couples treatment. The man is describing his frustration with his wife's repeated nagging to apply for online graduate school programs. He includes that he knows his wife does this because she cares so much, at which point the social worker pauses the session to address that the man has complimented his wife's capacity to care. The social worker then lets the man continue. What kind of intervention was the social worker using? A. Conflict resolution B. Identifying repair attempts C. Personal narratives D. Cognitive restructuring

B. Identifying repair attempts

**Kaitlyn, a social worker student, is studying for her ASWB exam. Kaitlyn currently resides in Ohio, but she is moving to California in two months. Kaitlyn should seek to obtain her licensure: A. Federally, so that her license is valid in all states. B. In California. C. In Ohio. D. In both Ohio and California.

B. In California.

The Casey Twins refused to do their homework so their authoritative parents give them the choice of doing their homework now or giving up their play date tomorrow to catch up. The twins, who are reared by parents with an authoritative parenting style, are likely to become: A. Resentful and angry. B. Independent, successful, and well adjusted. C. Unhappy, experiencing problems with authority. D. Obedient and independent.

B. Independent, successful, and well adjusted.

A client tells his social worker that he is determined to harm himself. The social worker, with respect to self-determination, should FIRST: A. Notify his family so that they can be vigilant B. Intervene with appropriate crisis management techniques C. Explain that the social worker must respect the client's self-determination D. Explain that the social worker must respect confidentiality

B. Intervene with appropriate crisis management techniques

John is teaching a seminar and uses a client's information and name to discuss an example of proper procedure. Which of the following BEST describes the ethics of John's actions? A. It is unethical of John to use his client's name. B. It is ethical of John to use his client's name if the client has granted full disclosure. C. It is ethical of John to use his client's first name only. D. It is unethical of John to use his client's name if the client has an uncommon name.

B. It is ethical of John to use his client's name if the client has granted full disclosure.

A social worker and her client have a crisis plan with information such as the client's address, emergency contact, case manager, history of harm to self, and history of substance use. The client has just had a suicide attempt. What should happen to the crisis plan NEXT? A. A crisis plan is no longer necessary now that the client is in crisis. B. It should be updated immediately. C. A review of the crisis plan should be scheduled. D. It should be reviewed and updated at the end of the quarter.

B. It should be updated immediately.

Marcia is an employee in a negative work environment. She often is not sure of her responsibilities and feels confused about her purpose at the agency. What is the number one thing Marcia has the power to do in order to improve the work environment? A. Maintain efficiency B. Maintain a positive psychological framework C. Write formal complaints to the agency D. Establish her own responsibilities

B. Maintain a positive psychological framework

**A 6-year-old boy is referred to you for counseling by his teacher. In session with you, he throws things and runs all over the room. You observe that he uses his body continuously in destructive and aggressive ways. What would concern you MOST about this child? A. Suicidality B. Mild brain damage C. Depression D. Motor Skills Disorder

B. Mild brain damage

One of the tools a mental health worker has to do a rapid assessment on a client is the Mental Status Exam. The Mental Status Exam includes which of the following? A. Monitoring the client's ability to handle problems while maintaining clear thinking, evaluating the client's level of education and socially appropriate interactions. B. Observing the client's nonverbal behaviors, assessing the client's thinking and memory, and evaluating the client's mood and judgment. C. Testing the client's ability to solve simple riddles or puzzles and assessing the client's socioeconomic functioning. D. Assessing the client's perceptions and insight into the behavior of others.

B. Observing the client's nonverbal behaviors, assessing the client's thinking and memory, and evaluating the client's mood and judgment.

When a needs assessment is conducted as a part of conducting a program evaluation, it is highly important to: A. Speak only with the board members as the needs of a program should be kept confidential from the population being served. B. Obtain the opinions of the people who are supposed to be benefiting from the services as well as those who work with the program participants. C. Focus on what is going well and maintain a solution-focused approach. D. Evaluate the level of education of the client population before obtaining their opinions about the value of the services provided.

B. Obtain the opinions of the people who are supposed to be benefiting from the services as well as those who work with the program participants.

Mrs. Jones, a foster parent, makes an appointment for 12-year-old Mary, her newest foster child. Mrs. Jones reports that Mary seems to be sad all of the time. She whines and cries a lot and sucks her thumb when she is alone. She is very friendly with strangers, yet doesn't have any friends. Her teachers report that she frequently falls asleep in school. Mary's symptoms would MOST strongly suggest which of the following types of abuse? A. Emotional abuse. B. Physical neglect. C. Physical abuse. D. Sexual abuse.

B. Physical neglect.

A social worker has a 16-year-old female client who is a cheerleader at her high school. She recently broke up with her boyfriend, who is the football quarterback. She is now dating one of the other female cheerleaders on her team, though she has never dated a female prior to this time. She has expressed that she may like to get her old boyfriend back. This client is MOST likely: A. Bisexual B. Questioning C. Lesbian D. Transgender

B. Questioning

Globalization, the term used to describe the increasing economic, social, and political interdependency and interaction across international lines, has become an ever-faster process as technological advancements make it easier for ideas and messages to be relayed across the world. Globalization is broken down into four primary categories. Which of the following is NOT one of these categories? A. Trade and transactions B. Real estate C. Migration and movement of people D. Dissemination of knowledge

B. Real estate

Cherilyn, your client of six months, tells you that she's recently begun having an affair with Tony. As she discusses their affair, you realize that Tony is another one of your clients, whom you've been seeing for the past year with his wife and two teenage children. In order not to contaminate the therapeutic relationship with Cherilyn or Tony, what would you do? A. Gently terminate with Cherilyn without telling her why. This preserves confidentiality, and since you've been seeing Tony and his family longer you owe them more professional allegiance. B. Say nothing and continue seeing both clients while you monitor your countertransference and ask colleagues for assistance with the case. C. Call an attorney and discuss legal issues around dual relationships so you can determine the best action to take. D. Continue seeing Cherilyn as usual. Ask Tony in for a private conference so you can ask about his commitment to his marriage and family, being careful not to break any confidences.

B. Say nothing and continue seeing both clients while you monitor your countertransference and ask colleagues for assistance with the case.

County Mental Health invites you to speak at a support group for family members who have a loved one diagnosed with Schizophrenia. Your topic is about the biological, social, and psychological aspects of Schizophrenia and emotional functioning. Identify the correct information regarding Schizophrenia: A. Schizophrenia is a progressive brain disease that is characterized by impairments in judgment, planning and abstract thinking. Brain scans of Schizophrenics typically show a build-up of amyloid plaques in addition to neurofibrillary tangles of brain cells. Symptoms of aggression, anxiety, depression, and paranoia are common. B. Schizophrenia is categorized as a thought disorder resulting from abnormal activity in two neurotransmitters, serotonin and dopamine. Symptoms typically include hallucinations, bizarre delusions, emotional unresponsiveness, social withdrawal and agitation. C. Schizophrenia is categorized as an affective disorder resulting from abnormal activity in two neurotransmitters, serotonin and dopamine. Symptoms typically include hallucinations, bizarre delusions, emotional unresponsiveness, social withdrawal and agitation. D. Schizophrenia is categorized as a mood disorder resulting from a chemical imbalance in the brain. Symptoms typically include hallucinations, bizarre delusions, emotional unresponsiveness, social withdrawal and agitation.

B. Schizophrenia is categorized as a thought disorder resulting from abnormal activity in two neurotransmitters, serotonin and dopamine. Symptoms typically include hallucinations, bizarre delusions, emotional unresponsiveness, social withdrawal and agitation.

Albert is a new Associate Social Worker. Linda, an LCSW, is his individual and group supervisor. Linda has a weekly supervision group. She has noticed that Albert has been late almost every session the last month. As the supervisor, Linda should NEXT: A. Wait until the evaluation period is over to write a note in Albert's file. B. Share the issues with Albert in his next individual supervision session. C. Consult with Albert about the situation when the quarter ends. D. Let is pass since several of the associates are also late.

B. Share the issues with Albert in his next individual supervision session.

A client is grieving the loss of her husband. The social worker feels sorry for her misfortune, and lends support in the form of shared feelings and opinions. What is the social worker expressing toward the client? A. Unconditional positive regard B. Sympathy C. Affirmation D. Empathy

B. Sympathy

Maury, a 43-year-old construction worker, is referred to you by his employer. Maury witnessed a co-worker die after falling from a rooftop, where he and Maury were working on a chimney. The employer is requiring Maury to come to therapy to "deal with the trauma." At his first session with you, Maury is angry and says that he does not need therapy. What should you do NEXT? A. Explore Maury's reactions and feelings since the accident. B. Tell Maury you understand why he would be angry about being forced to come to therapy. C. Ask Maury if there have been any other traumatic events in his life. D. Ask Maury why he thinks his employer is requiring him to come to therapy.

B. Tell Maury you understand why he would be angry about being forced to come to therapy

You are a social worker in private practice. During a biopsychosocial assessment, you find out that your middle-aged client is struggling to cope with caregiving for his elderly father who has end-stage renal disease. Which statement BEST describes the most likely dynamics that your client is experiencing? A. The client is struggling with his own health issues, as he is middle-aged. B. The client is struggling with issues of his own mortality. C. The client is struggling with fears of divorce because of the stress created by caregiving for his elderly father. D. The client is engaging in good self-care.

B. The client is struggling with issues of his own mortality.

**Mark's job has been causing him a lot of stress. He has been experiencing fatigue and soreness in his shoulders. His relationship with his wife has been strained due to his stress and short temper. Which of the following is the environmental subsystem that BEST describes the interactions in Mark's situation? A. The microsystem B. The mesosystem C. The exosystem D. The macrosystem

B. The mesosystem

A social worker has a 47-year-old female widowed client with five young adult children. The second and third of her children — a male and a female — were both diagnosed with schizophrenia as older teens/young adults. The son's symptoms were exacerbated when their family experienced the trauma of losing their husband and father, who was a fisherman lost at sea. The son's increased audio hallucinations, noncompliance with taking psychotropic medications, and increased combativeness with his mother and siblings are forcing the mother, who is her son's guardian, to consider involuntary hospitalization for him because outpatient services have not helped. The mother presents with extreme guilt because her husband's death is recent. It is important that the social worker help the mother understand: A. That her son with schizophrenia should not have been told about his father's death because it could increase his symptoms. B. The nature of some psychiatric conditions may interfere with the compliance of mental health treatment and the use of prescribed psychotropic medications. C. She should enlist the assistance of the other siblings who are not affected by mental illness to help during this difficult time. D. That the right psychotropic medications will alleviate her son's symptoms to where he is almost asymptomatic and their family can then resume their normal activities. It is merely a matter of changing his medications.

B. The nature of some psychiatric conditions may interfere with the compliance of mental health treatment and the use of prescribed psychotropic medications.

A social worker is approaching a session with their client by maintaining that the client is an individual human being who comprehends and processes traumatic events differently. Which of the following practices is the social worker using? A. Ego strength assessment B. Trauma-informed care C. Trauma care D. Person-in-environment (PIE) system

B. Trauma-informed care

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

B. Who can help you with activities of daily living while you recover?

You work at a community clinic with a 28-year-old female client with a history of Major Depression and Persistent Depressive Disorder. According to her records, she has been diagnosed with Borderline Intellectual Functioning. She has been living in transient housing or on the streets since she was a teenager after her father died, and her mother abandoned her. She is tired of struggling so hard just to get enough food to eat and a place to stay, but she wants to help herself because she has always been independent. Is this client appropriate for case management services at this time? A. No, the client's case is not appropriate for case management services at this time. She has multiple problems that require the assistance of various service providers, and she has a history of problems obtaining assistance on a consistent basis. B. Yes, the client's case is appropriate for case management services at this time. She has multiple problems that need to be addressed concurrently, and she has a history of problems obtaining assistance on a consistent basis. C. No, the client's case is not appropriate for case management services at this time. She has multiple problems that require the assistance of various service providers concurrently. D. Yes, the client's case is appropriate for case management services at this time. She has multiple problems that need to be addressed individually and she has a history of problems obtaining assistance on a consistent basis.

B. Yes, the client's case is appropriate for case management services at this time. She has multiple problems that need to be addressed concurrently, and she has a history of problems obtaining assistance on a consistent basis.

After dropping out of high school, Diego Marquez moved out of his house and began hanging out with some local gang members. He started smoking pot and going to bars. Last week, he got picked up by the police for stealing some stereo equipment. What would Robert Beavers say that the Marquez family exemplifies? A. A centripetal family system that has produced behavioral problems. B. A centrifugal family system that has produced neurotic problems. C. A centrifugal family system that has produced behavioral problems. D. An alcoholic family system that has produced behavioral problems.

C. A centrifugal family system that has produced behavioral problems.

**Aaron is meeting with a new client. Aaron knows that his client has had problems with drug use in the past due to his client's arrest record. Aaron is planning on gaining sensitive information during his session with the client in order to move toward an effective intervention in a timely manner. Which of the following is the BEST explanation for why this might not work for Aaron? A. Aaron's client may be offended that he looked up his client's arrest record prior to the meeting. B. Aaron should let the client self-report using the SASSI-3. C. Aaron first needs to build rapport with his client. D. Because of client tendency to express denial and resistance, Aaron has no control over the client's motivation to give sensitive information.

C. Aaron first needs to build rapport with his client.

Social workers have an ethical responsibility to discuss the nature and limits of confidentiality with their clients. When would you discuss this during treatment? A. Only when you need to break confidentiality. B. No later than the end of the first session. C. As soon as possible and as needed throughout treatment. D. As needed throughout treatment.

C. As soon as possible and as needed throughout treatment.

Erica is assessing her client's strengths and challenges in order to develop an appropriate treatment plan. Which of the following is NOT an example of a method to assess client/client system strengths and challenges? A. Expressing empathy that is embedded in the social worker-client relationship B. Asking clients about areas in which they excel. C. Avoiding the PIE model D. Observing strengths that appear couched within weaknesses.

C. Avoiding the PIE model

The person-in-environment (PIE) theory differentiates social work from other disciplines because: A. Psychology is more structurally focused. B. Sociology is more intra-psychically focused. C. Behavioral approaches focus more on changing external actions. D. Solution-Focused therapy is focused on solutions.

C. Behavioral approaches focus more on changing external actions.

A social worker has been providing treatment to clients through an organization for the last five years. Recently, the social worker has been feeling overwhelmed by her large caseload, has experienced irritability with clients and colleagues, and has called out sick multiple days. How could the organization BEST address the social worker's stress? A. By demoting the social worker to the less clinical position. B. By asking the social worker to take a leave of absence. C. By offering increased supervision and education about self-care. D. By practicing self-care such as meditation and seeking support from colleagues.

C. By offering increased supervision and education about self-care.

**An agency is assessing their organizational functioning using a technique in which self-determination of the client; collaborative effort between the social worker and client; strengths, obstacles, environment, and precipitating factors; and sensitivity to diversity are assessed. Which organizational functioning assessment is the agency using? A. Intake models B. Intervention models C. Client system assessments D. Assessment models/social worker checklist guide

C. Client system assessments

Neal, a social worker at an addiction treatment facility, has a client, John, who is required to do court-ordered treatment after being charged and convicted of cocaine possession. John told Neal that he also has scheduled supervised visits with his two young children, and that he is separated from his wife. Additionally, Neal learns from previous mental health records that John has a diagnosis of Schizoaffective Disorder. The FIRST action for Neal should be to: A. Contact the client's court-appointed attorney. B. Request to observe a scheduled visitation between the client and his children. C. Conduct a biopsychosocial assessment. D. Refer Neal to anger management group in addition to his addiction treatment program.

C. Conduct a biopsychosocial assessment.

Victor, a social worker that works with registered sex offenders who are out on parole, has a court-mandated client, Dwayne, who has admitted during a session that he downloaded child porn onto his iPad. As a mandated reporter, Victor must report this to the authorities. Dwayne is angry, as he tells Victor he was just trying to cooperate by being transparent, and that this violation could put him back in jail. Dwayne should not be surprised because Victor: A. Reminded Dwayne that sex offenders who commit further offenses can also be tried and convicted for those offenses. B. Is a mandated reporter. C. Covered incidents when confidentiality must be breached during the informed consent, which was given during the first session. D. Really did not believe that Dwayne, a sex offender, could be rehabilitated.

C. Covered incidents when confidentiality must be breached during the informed consent, which was given during the first session.

Diversion program managers, probation and parole officers, Guardian Ad Litems, and transitional case managers are possible positions in what field of social work? A. Military Social Work B. Gerontological Social Work C. Criminal Justice Social Work D. Mental Health and Substance Abuse Social Worker

C. Criminal Justice Social Work

**Clara is a social worker who is documenting information about her client. In a portion of her chart notes, she is including information about her client's thoughts and observations, her observations about the client, the general content of the session, and any homework they reviewed. Clara is either using the documentation format SOAP or DAP, and the information she is listing belongs under one letter in the acronym of the format she chose. Which letter of the acronym (SOAP or DAP) does Clara's information fall under? A. S (from the SOAP format) for Subjective B. P (from the DAP format) for Plan C. D (from the DAP format) for Data D. O (from the SOAP format) for Objective

C. D (from the DAP format) for Data

**Participants take the SAT and the Stanford-Binet Intelligence Scales (IQ test), and end up with different results on the tests. This is an example of what kind of validity? A. Criterion validity B. Face validity C. Discriminant validity D. There is no validity because of the differing results.

C. Discriminant validity

Shirah came to treatment and reported severe communication problems in her marriage. Her LCSW, Roberta, wanted to understand Shirah's situation more thoroughly. Roberta asked if Shirah wanted to work on the marriage or get a divorce. Shirah was very shocked at the question and said "I am from Iran and I am not allowed to get divorced." What should Roberta do NEXT? A. Ask about her cultural teachings. B. Explain that the reason she asked the question comes from her training as a Western psychotherapist. C. Explain her training as a Western psychotherapist and ask Shirah to tell her more about her marriage, cultural beliefs, and traditions. D. Suggest that Shirah see an Iranian mental health specialist who might understand her background more clearly.

C. Explain her training as a Western psychotherapist and ask Shirah to tell her more about her marriage, cultural beliefs, and traditions.

Maya, a 47-year-old social worker at government employment agency, has a client, Brent, a 35-year-old who lost his mother to cancer when he was just seven. Brent went into nursing because his mother had been a nurse. Maya reminds Brent of his mother; she has a similar body build, as well as a kind demeanor. As the social worker-client relationship continued, Brent began bringing Maya coffee, bagels, and other treats to their meetings. Maya has a responsibility toward Brent to: A. Explore and discuss Maya's feelings of transference. B. Explore and discuss Brent's feelings of countertransference. C. Explore and discuss Brent's feelings of transference. D. Explore and discuss Maya's feelings of countertransference.

C. Explore and discuss Brent's feelings of transference.

A social worker has a new 34-year-old female client with major depressive disorder. The client had been taking amoxapine, a tricyclic drug, for a number of years. Recently the client has been forgetful and missing her medication and/or taking it twice. Her psychiatrist proceeds to switch her medication to citalopram, which is a common SSRI. The psychiatrist MOST likely made this switch to avoid: A. Involuntary muscle movements. B. Migraines. C. Fatal overdose. D. Difficulty passing urine.

C. Fatal overdose.

**Bridget, a social work student in a Master's program, is participating an internship at a nonprofit agency. Part of this internship includes practicum supervision that is provided by a licensed supervisor. Bridget was recently informed by the agency that she is going to be let go at the end of December due to lack of funding and budget cuts. Bridget had initially been interviewed and accepted in this 10-month internship. Leaving at the end of December could jeopardize her graduation date if she is unable to find another internship site from January through May. Bridget's recourse is to: A. Remind the agency that she has a written agreement for a 10-month internship. B. Complain to her practicum advisor at her school. C. Find another internship site as quickly as possible. D. Complain to the Institutional Review Board (IRB).

C. Find another internship site as quickly as possible.

An agency is collecting and analyzing information from a group of human services consumers regarding a service. Which technique BEST describes the agency's method of assessment? A. Analyzing social policy implications. B. Community decision-making analysis. C. Focus groups. D. Force field analysis.

C. Focus groups.

**Erica is meeting with a 10-year-old client. Which of the following may be the BEST strategy to involve the client in identifying the presenting problem? A. Using an Intake Form. B. Scaling the seriousness of a problem. C. Gathering collateral information. D. Solution-focused therapy.

C. Gathering collateral information.

**What does HIPAA address regarding the amount of time client records should be kept? A. Client records should be kept for 7 years. B. Client records should be kept at the discretion of the agency. C. HIPAA does not address a specific amount of time client records should be kept. D. Client records should be kept for 10 years.

C. HIPAA does not address a specific amount of time client records should be kept.

**Colton is a gay teenager in therapy. He has been struggling with his parents' lack of acceptance regarding his sexual orientation. In working with Colton, which statement might be a TRUE statement about him compared with his heterosexual counterparts his age? A. He is not at higher risk for experiencing mental health issues when compared with peers of the same age. B. His developmental stages may be impacted. C. He has fewer role models to base his identity upon. D. He has better self-images, as he must build resiliency due to discrimination and prejudice.

C. He has fewer role models to base his identity upon.

**Ray, a 23-year-old, Korean-American, seeks treatment for depression. He tells you that he has given up his dream of becoming a teacher and has instead, applied to go to medical school as his father, a Korean immigrant, insisted he do. How would you conceptualize Ray's dilemma? A. The eldest child of an Asian family must do as the father says. B. Ray is enmeshed in his family-of-origin and has come to therapy for help in differentiating. C. He has one foot in the Asian culture of his family and one foot in the American culture in which he was raised. D. Ray is codependent.

C. He has one foot in the Asian culture of his family and one foot in the American culture in which he was raised.

Linette has been referred to you for treatment by the local Chinese Community Center. You are an English speaking social worker. As you meet Linette in your waiting room, you notice that she is finishing a phone conversation in Mandarin and is carrying a Chinese-English dictionary. During the session, Linette asks you to repeat yourself many times so that she can understand. Linette then explains that her primary language is Mandarin, but that she is taking English language classes at the Chinese Community Center. What are your ethical considerations regarding informed consent? A. Avoid a conflict of interest with the Chinese Community Center. B. Ask Linette if the person she was talking to on the phone can translate your sessions. C. If possible, coordinate with a qualified interpreter. D. Begin studying Mandarin to improve communication with Linette.

C. If possible, coordinate with a qualified interpreter.

A social worker and client are in the termination stage of treatment. The social worker needs to implement a follow-up plan in order to ensure that the projected outcomes of the services and treatments are still serving the client. The social worker decides to use a third-party agency for follow-up. What does the social worker need to do NEXT? A. Terminate the treatment. B. Inform the third-party agency that treatment has been terminated. C. Inform the client that another individual(s) from another agency will be following up with them. D. Give them a satisfaction survey.

C. Inform the client that another individual(s) from another agency will be following up with them.

Throughout the stages of the Family Life Cycle, problems or unexpected events (e.g., unpredictable death, divorce, illness, etc.) may: A. Impact the Family with Adolescents more than other stages of development. B. Impact the Family with Young Children more than other stages of development. C. Interrupt the family life cycle and create difficulty transitioning to the next stage. D. Impact the family life cycle and facilitate the transition to the next stage.

C. Interrupt the family life cycle and create difficulty transitioning to the next stage.

A supervisor needs to assess a supervisee's learning needs. The supervisor inquires about the supervisee's personal commitments, experiences, or events that may have an influence on the supervisee's work performance. The supervisor is assessing the supervisee's: A. Organizational understanding B. Intervention skills C. Learning impediments D. Previous experience

C. Learning impediments

A social worker and client are in session. The social worker asks the client a sensitive question and the social worker observes the client bowing his head down and getting quiet. The social worker is gathering: A. Subjective data B. Applied research C. Objective data D. Basic research

C. Objective data

Erica is worried she will not complete her work on time, and is finding it difficult to complete her work effectively because of scarce resources. Erica is transferring her negativity and frustration by getting mad at her supervisor for not having something done on time. Which work environment difficulty is Erica dealing with? A. Issues of power and authority B. Issues of accountability and responsibility C. Organizational defenses D. Ethical concerns

C. Organizational defenses

The diagnoses in the following clusters are related to each other EXCEPT: A. Panic Disorder, Specific Phobia, Generalized Anxiety Disorder. B. Agoraphobia, Separation Anxiety Disorder, Specific Phobia. C. Panic Disorder, Agoraphobia, Obsessive-Compulsive Disorder. D. Specific Phobia, Social Anxiety Disorder, Panic Disorder.

C. Panic Disorder, Agoraphobia, Obsessive-Compulsive Disorder.

Trauma symptoms (e.g. heightened startle response, dissociation and flashbacks) are generally considered to be normal and are expected to be part of the experience following a trauma. The BEST way to convey to a client that his/her behaviors are normal (as opposed to abnormal) under a certain set of circumstances is through: A. Cognitive behavioral therapy B. Solution-focused therapy C. Psychoeducation D. Hypnosis

C. Psychoeducation

**Basic research is often called: A. Qualitative research B. Policy or action research C. Pure or experimental research D. Quantitative research

C. Pure or experimental research

**If a client and a social worker are having too many pauses and silences during their conversation, which active listening technique would be MOST helpful to the conversation? A. Informing the client that pauses and silences are inappropriate in the worker-client setting because of the limited amount of time available. B. Starting statements with "I" in order to make the client more comfortable with speaking. C. Redirecting the conversation as it is no longer productive. D. Nagging the client to speak during their allotted time.

C. Redirecting the conversation as it is no longer productive.

**Rebecca begins therapy after taking an intensive self-defense class. She became depressed for three weeks after the class. She now wants to explore and resolve her feelings regarding a rape that happened 10 years ago, which she has never discussed. What phase of Rape Trauma Syndrome is Rebecca experiencing? A. Rescue and recovery phase. B. Acute phase. C. Reorganization phase. D. Reintegration phase.

C. Reorganization phase.

**Muhammad, a hospital social worker, is coordinating aftercare for Mike, a military vet, who is being released from the hospital after a suicide attempt via drug and alcohol overdose. As part of the EBP treatment, Muhammad collaborates with Mike to be admitted to clean-and-sober housing, as well as aftercare SUDs groups (Substance Use Disorder) and individual therapy. Muhammad has found housing for veterans with addictions that insurance will fully cover. Muhammad collaborates with Mike because EBP: A. Purports that clients recovering from suicide attempts must engage in their treatment plans for them to be effective. B. Purports that clients recovering from addictions must engage in their treatment plans, or they are likely to relapse. C. Requires that clinical decisions be made collaboratively with the client. D. Requires that the client authorize all treatment plans, or else the insurance provider is not required to cover the treatment.

C. Requires that clinical decisions be made collaboratively with the client.

A client joins a social worker's church congregation. The social worker is on the church's board of directors and has information about the client's family life that was not shared in session. The client introduces himself to the social worker at a social event as though they don't know each other. In session, he tells you he was trying to keep things confidential. The social worker should NEXT: A. Leave the congregation. B. Tell the client s/he needs to join a different congregation. C. Review dual relationships with your client and healthy client-social worker boundaries. D. Stay in the congregation, but avoid direct social interactions.

C. Review dual relationships with your client and healthy client-social worker boundaries.

You begin to see a couple for marital problems. Eugene is African-American and Maria is Mexican-American. During the joining stage, you realize that you are familiar with only basic stereotypes of each cultural group. You are also in a bi-racial relationship and know the impact that this can have on a relationship. Which of the following could be LEAST relevant? A. Join a consultation group. B. Read a book on African-Americans in the 21st century. C. Review treatment files of clients who are African-American or Mexican-American. D. Explore with them their experience of being in a mixed ethnic marriage.

C. Review treatment files of clients who are African-American or Mexican-American.

Social workers provide services across multiple disciplines, in various settings, and with diverse clients. Creating methods, as well as policies and procedures, that minimize risk to both service providers and clients also will vary within different settings. Some basic principles to minimize risk have been formed that apply to diverse settings. Which of the following does NOT qualify as one of these basic principles? A. Identify intended participants B. Describe the problem C. Select the most affordable intervention D. Involve the community with the effort

C. Select the most affordable intervention

Felicity, a social worker in a hospice care center in Oregon that provides palliative care, has an 81-year-old, female Asian client, Lan, who is in the final stages of Alzheimer's disease presenting with severe cognitive decline. Lan does not have any family and does not have an advanced directive. Lan has asked Samaira to help her end her life with dignity. Samaira should tell Lan that: A. She can assist her since they reside in Oregon and because she is so close to death. B. She can assist her since they reside in Oregon, which has "right-to-die" laws that protect individuals and their choices to expedite their deaths with dignity. C. She is unable to help her end her life and continue to provide palliative care. D. She is unable to end her life because she does not have an advanced directive.

C. She is unable to help her end her life and continue to provide palliative care.

**A social worker's client has been acting out. She has been responding to his behaviors immediately and firmly when they happen, and letting go once she has discussed it with him. The client seems to be acting out more. What should the social worker do NEXT? A. The social worker should inform her client of the possible consequences of his behavior, such as dropping him as a client. B. She should increase the authority in her response style. C. She should have confidence and patience in her approach and remain consistent. D. She should drop this client, as his behavior is unacceptable.

C. She should have confidence and patience in her approach and remain consistent.

Annabella is 16-years-old and tells her social worker, "I felt better about myself last year." Research supports Annabella's feeling showing self-image and self-esteem continue to decline during adolescence due to all of the following reasons EXCEPT: A. Teens now have the cognitive ability to recognize opportunities they have missed in elementary school and expectations that have not been met. B. Teens develop insight about the complexities, both academically and socially, of junior high school and high school. C. Teens lack the cognitive ability to think more abstractly about themselves and their future. D. Physical, emotional, and societal challenges related to experiencing the process of puberty negatively impact self-image and self-esteem during adolescence.

C. Teens lack the cognitive ability to think more abstractly about themselves and their future.

One of the earliest formal efforts to address poverty in England and Wales was the "Act for the Relief of the Poor in 1601," also known as the "Elizabethan Poor Law." Which of the following was NOT a component of the "Elizabethan Poor Law?" A. "Setting the poor on work" B. The creation of "overseers" of relief C. The collection crops from farmers to distribute to the poor D. The collection crops from farmers to distribute to the poor

C. The collection crops from farmers to distribute to the poor

A social worker billing for services through an insurance company might choose to use handwritten notes in his/her session with clients and build in time to type the case notes later for submission to the insurance company. The primary reason for NOT typing notes during the session is likely to be that: A. Writing and then typing the notes helps solidify the social worker's memory of the session because of the repetition. B. The social worker has perfectionist tendencies and does not want the insurance company to see his/her writing. C. The social worker is mindful of the computer being a social barrier or perceived distraction during the session with a client and wants to minimize this in the goal to be fully present with clients. D. The social worker will be tempted to check social media sites during the treatment session.

C. The social worker is mindful of the computer being a social barrier or perceived distraction during the session with a client and wants to minimize this in the goal to be fully present with clients.

How can a social worker address the possibility of past trauma in any client seeking services? A. At the beginning of the first appointment, the social worker should ask a series of questions regarding past trauma. The social worker can then help the client connect their current issues to the past trauma, and focus on solving the client's problems. B. If a client shares that she has past trauma, the social worker can share about his/her own trauma to help normalize and de-stigmatize the trauma. The social worker can then share about his/her own issues and how they resulted from the trauma. C. The social worker should acknowledge that a previous traumatic history may exist and respond empathetically and refrain from pushing too hard for information. The social worker should keep the past trauma in mind when finding solutions to the client's current problems, while being careful not to attribute all new issues on the past trauma. The social worker should help the client feel capable of managing her own life and emotions by not getting too involved in trying to solve the client's problems. D. If a client shares that he has past trauma, the social worker should put aside the past trauma's possible effect on the client in the present, address the trauma later, and refocus the client's attention on what he can do in the here and now.

C. The social worker should acknowledge that a previous traumatic history may exist and respond empathetically and refrain from pushing too hard for information. The social worker should keep the past trauma in mind when finding solutions to the client's current problems, while being careful not to attribute all new issues on the past trauma. The social worker should help the client feel capable of managing her own life and emotions by not getting too involved in trying to solve the client's problems.

**Lyman and Violet bring in their 5-year-old daughter, Chelsea, to see you. They have been constantly fighting, which is one of the reasons they divorced 6 months ago. Which of the following statements would MOST apply to Chelsea? A. Given her developmental stage, Chelsea would have an easier time if her father had primary custody. B. Given her age, Chelsea would demonstrate easy acceptance if her mother decided to remarry at this time. C. There will be an increased likelihood of early sexual activity and marriage. D. Six years after the divorce, Chelsea's behavior will be significantly different from girls from intact families.

C. There will be an increased likelihood of early sexual activity and marriage.

Following a disaster, low-income clients are more heavily impacted because: A. Lacking education, they are less likely to be resilient to adversity. B. They are less likely to accept living conditions in a new environment. C. They are less likely to own their home and the monetary resources to "start over" in their community or another community. D. They tend not to have good family support systems.

C. They are less likely to own their home and the monetary resources to "start over" in their community or another community.

A clinician's clients are a divorced couple who present with difficulty in executing their parenting plan. The couple have been divorced for three years, and their current difficulties arose when their three children — now ages 11, 10, and 8 — began extracurricular activities. The father complains that, now that the children all have different schedules, it is cutting into his time with his children. The clinician is practicing solution-focused therapy with the clients and asks the couple how they juggled differing schedules prior to the added changes. Why does the clinician ask this? A. To troubleshoot current and future conflicts. B. To determine whether the father is being unreasonable. C. To find existing solutions. D. To determine whether the mother is being unreasonable.

C. To find existing solutions.