LMSW HBSE Quiz

A teenage girl is reprimanded at school by her chemistry teacher for failing to do her homework the night before. The girl is upset by this because she is a good student who has never misbehaved, but she accepts the criticism without responding to it. Later that day, she yells at her younger brother when he enters her bedroom while she is doing her homework. She rarely yells at her brother. Her behavior illustrates which of the following? Select one: A. Projection. B. Displacement. C. Sublimation. D. Reaction formation.

B. Displacement.

The client is a 66-year-old woman who retired several months ago and has been feeling anxious and upset. She reports feeling "at loose ends" and as though she has little to contribute to her family or community now that she's not working anymore. She feels like her sense of self depended on her job as a school principal and can't figure out how to feel whole again. Based on this information, the social worker would MOST suspect that the client is experiencing which type of social role functioning problem? Select one: A. Loss. B. Dependency. C. Ambivalence. D. Responsibility.

A. Loss.

Which of the following is true about evaluations of individuals who wish to adopt a child? Select one: A. Evaluations emphasize education more than investigation. B. The primary focus of evaluations is the ability to financially support a child. C. Only married couples are accepted as applicants. D. Infertility is a precondition for acceptance.

A. Evaluations emphasize education more than investigation.

An Asian American client, age 26, expresses a desire to become more assertive, self-directed, and focused on her own needs. The social worker and client contract to work on this goal. In the next session, the client says she has changed her mind - she doesn't want to focus on her own needs after all because doing so contradicts her parents' traditional values. What is the social worker's BEST course of action? Select one: A. Help the client reformulate the treatment goals by discussing a range of options that better reflect her needs and situation and the impact of each option on her and her family and community. B. Help the client reformulate the treatment goals, focusing on how she can become more acculturated. C. Encourage the client to work on the goal of identifying why she feels as though she has to conform to her parents values even when they conflict with her own personal needs. D. Alter the treatment goals so that they are more in line with the parents values and, therefore, more acceptable to the client.

A. Help the client reformulate the treatment goals by discussing a range of options that better reflect her needs and situation and the impact of each option on her and her family and community.

An 78-year-old woman reports that she's been feeling unsettled and disconnected. She moved to an independent-living senior apartment about five years ago after her husband died. She retired 10 years ago and has been active in her community since then tutoring children and volunteering at the local library. She reports slowing down a bit during the past year because of worsening physical pain associated with her arthritis. The research suggests that which of the following factors MOST increases this woman's risk for depression? Select one: A. Her medical disorder and its effects. B. Being an older adult. C. Being a widow. D. Being retired.

A. Her medical disorder and its effects.

A client's father dies from complications related to an untreated ulcer. The client, who doesn't have an ulcer, begins experiencing medical symptoms similar to those his father had. Which of the following defense mechanisms describes this situation? Select one: A. Introjection. B. Reaction formation. C. Regression. D. Repression.

A. Introjection.

A social worker visits an 80-year-old woman at home and discovers that she lives with her son who is unemployed. The son moved in with his mother when he divorced his wife a year ago. During the interview, the social worker notices that the woman repeats herself. The son says she "forgets stuff" a lot and this irritates him because he's got other things to worry about. What should the social worker be MOST concerned about in this case? Select one: A. Neglect of the woman by her son. B. Physical abuse of the woman by her son. C. Sundowning and wandering by the woman. D. Pseudodementia.

A. Neglect of the woman by her son.

A client reports that he's worried because his 4-year-old son has an imaginary playmate. What should the social worker do FIRST? Select one: A. Normalize the boys behavior. B. Recommend play therapy. C. Observe parent-child interactions. D. Refer the client to a parenting class and offer him literature on child development.

A. Normalize the boys behavior.

The parents of 12-month-old boy report that he has no vocabulary of his own. They add that he can understand some of what other people say. What should the social worker advise the parents to do about this? Select one: A. Not worry because it reflects normal development. B. Consult with a speech pathologist. C. Speak to the childs pediatrician. D. Have the child screened for autism spectrum disorder.

A. Not worry because it reflects normal development.

The mother of a teenage girl discovers that her daughter has stolen clothing and costume jewelry from the boutique where she works part time after school. Her father works in a tool factory; he often takes tools from the factory without permission and uses them in his home workshop. This situation is an example of which of the following? Select one: A. Parental superego lacunae. B. Parentification. C. Sublimation. D. Rationalization.

A. Parental superego lacunae.

The client is a 35-year-old Asian American woman referred by her pastor. The client immigrated to the U.S. five years ago with her husband and son. The social worker learns that the client still adheres to the traditional values of her native culture. Given this information, the social worker would expect that this client is likely to consider which of the following to be the MOST acceptable topic for discussion with him? Select one: A. Physical symptoms. B. Elders and ancestors. C. Intergenerational family conflicts. D. Marital problems.

A. Physical symptoms.

The majority of cases of intellectual disability with a known cause are attributable to which of the following? Select one: A. Prenatal factors. B. Birth complications. C. Predisposing mental disorders. D. Environmental factors.

A. Prenatal factors.

A social worker's new clients are a father, mother, and teenage son. The parents ask for help with managing their son; they say that he is defiant and a "trouble-maker" at school. At home, he rebels against their authority, particularly his mother's. The father says that he was a "rebel" when he was a teenager; he recalls getting into a lot of trouble at school. He says, "My kid is like a carbon copy of me; I tell him that all the time." The boy smiles when his father says this. An object-relations therapist might say that the boy's symptoms are an expression of which of the following? Select one: A. Projective identification. B. Parental superego lacunae. C. Splitting. D. Acting out.

A. Projective identification.

While assessing a client who immigrated to the United States from India three years ago, a social worker identifies the client's degree of acculturation into the mainstream culture in this country. According to contemporary models, "acculturation" is BEST defined as: Select one: A. a process of adopting the traits of the dominant culture with or without abandoning the traits of ones native culture. B. a process of adopting the traits of the dominant culture without abandoning the traits of ones native culture. C. a process of adopting the traits of the dominant culture and rejecting the traits of ones native culture. D. a process of psychosocial and biological adjustment to living in a new cultural environment.

A. a process of adopting the traits of the dominant culture with or without abandoning the traits of ones native culture.

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

A. the result of irrational thoughts and beliefs.

Which of the following is NOT considered to be a risk factor for dropping out of high school? Select one: A. A lack of parental involvement in the childs school and schoolwork. B. Having a part-time job during the school year. C. Academic difficulties as the result of a lower-than-average IQ. D. Poor attendance and a lack of interest in school.

C. Academic difficulties as the result of a lower-than-average IQ.

Tiffany began meeting with a social worker a month ago following the end of her marriage. Initially Tiffany felt shocked, confused, and overwhelmed. She came into the most recent session with the social worker, and started to question why all of this happened to her? She began blaming her ex-husband and discussed how shes thrown away all the pictures of the two of them together. According to Kubler-Ross, which stage of grief would Tiffany be exhibiting? Select one: A. Depression B. Blaming C. Anger D. Denial and isolation

C. Anger

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

A. Devaluation of the individual.

In individuals diagnosed with borderline personality disorder, which ego function is MOST likely to be disturbed? Select one: A. The ability to focus attention. B. Object relations. C. Stimulus barrier. D. The ability to balance abstract and concrete thinking.

B. Object relations.

A social worker who is interviewing a husband and wife who want to become foster parents learns that they have a biological child who has HIV disease. What should the social worker do? Select one: A. Continue the interview. B. Explain to the parents that they cannot be foster parents under these circumstances. C. Require that the parents get tested for HIV before proceeding with the interview. D. Explore the parents motivation to foster a child in light of this situation.

A. Continue the interview.

A conflict between trust and mistrust is MOST likely to be apparent in which of the following? Select one: A. A 6 month old who is fearful of a new babysitter. B. A 5 year old who doesnt want to go to kindergarten. C. An 11 year old who is afraid of the school bully. D. An adolescent who is afraid of dating.

A. A 6 month old who is fearful of a new babysitter.

Which of the following children is MOST likely to have been sexually abused? Select one: A. A 7 year old who frequently masturbates at school. B. A 7 year old who is fearful and has severe behavioral problems. C. A 7 year old who performed oral sex on a 9 year old. D. A 7 year old who wears clothing in a manner that hides her body as much as possible.

A. A 7 year old who frequently masturbates at school.

The client is a teenage boy who has been experimenting with drugs and sexual behavior. The boy recently tied a plastic bag over his head. Based on this information, the social worker's PRIMARY impression would be which of the following? Select one: A. Autoerotic asphyxia. B. A maladaptive pattern of inhalant use. C. Huffing. D. Suicidal behavior.

A. Autoerotic asphyxia.

A mother seeks help because her 6-year-old son resists when she tries to get him ready for school. He claims that he feels sick and cries when she leaves him at school. The social worker suspects that the boy may have school phobia. Which of the following MOST likely underlies this? Select one: A. Being separated from his mother. B. Academic difficulties. C. Anaclitic depression. D. Stranger anxiety.

A. Being separated from his mother.

A social worker begins working with a family in which the 16-year-old daughter suffered serious injuries in a school-bus accident several months ago. The doctors have said that the girl may never regain the use of her left arm, and the girl has become depressed. Her parents have tried to comfort her, saying things like, "You still have one good arm." They ask the social worker to help them raise their daughter's spirits. They add that they don't understand why she can't see that things could have been so much worse. The parents are MOST likely displaying which of the following? Select one: A. Denial. B. Confusion. C. Poor parenting skills. D. Conditional love.

A. Denial.

A school-age child is removed from his parents' home because of chronic physical abuse. He is placed in foster care. The child's first reaction to this is MOST likely to be which of the following? Select one: A. Distrust and fear of more abuse. B. Quick attachment to the foster parents. C. Relief and a sense of safety. D. Aggression.

A. Distrust and fear of more abuse.

A social worker is conducting a womens group for codependency issues. A client who identifies as transgender would like to join the group. What is the BEST response by the social worker? Select one: A. Screen the client for appropriateness of fit within the group based upon the group requirements B. Ask the other group members if they are comfortable with the client joining the group C. Let her sit in for one group session before making your decision D. Refer her to a group for transgender individuals

A. Screen the client for appropriateness of fit within the group based upon the group requirements

A 70-year-old man is concerned because he doesn't feel much desire to have sex with his wife. The man married his wife a year ago after being a widower for 25 years. The man's physician has determined that the man is healthy and he's not on any medications. When assessing this case, it would be useful to know that which of the following has been found to be a very good predictor of sexual activity in late adulthood, especially for men? Select one: A. Sexual activity earlier in life. B. Attitudes toward sex and sexuality. C. Marital status. D. Overall life satisfaction.

A. Sexual activity earlier in life.

Generally speaking, the psychological adjustment of children with chronic illness is MOST dependent on which of the following? Select one: A. The childs level of functional impairment. B. Peer acceptance. C. Family attitudes toward the illness. D. The childs personality type.

A. The childs level of functional impairment.

A social worker is working in individual therapy with an American Indian teenager who was adopted by a white family when he was 5 years old. The social worker opens a discussion about the client's American Indian heritage but the client demonstrates no interest and changes the subject. What is the MOST likely reason for this? Select one: A. The clients developmental stage. B. A troubled relationship with his biological parents. C. A troubled relationship with his adoptive parents. D. Acculturation problems.

A. The clients developmental stage.

A social worker is working with a Chinese-American family in family therapy. The middle-aged couple has three children, ranging in age from 10 to 17, and the wife's father and mother also live with the family. The family adheres to the traditional values of their culture of origin. Who is MOST likely to make decisions for the family? Select one: A. The grandfather. B. The husband. C. The parents as a team. D. The family as a team.

A. The grandfather.

Which of the following alcohol-related diseases is the MOST serious or life threatening? Select one: A. Wernicke-Korsakoffs syndrome. B. Cirrhosis. C. Hepatitis. D. Peptic ulcer.

A. Wernicke-Korsakoffs syndrome.

Which of the following BEST describes a "functional community"? Select one: A. A collection of people coping with a shared problem. B. A category of people who share common goals, purposes, and professional interests. C. A group of people who share common values, interests, services, institutions, or geographic proximity. D. A setting that supports reliable patterns and maintains social control.

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

A client with alcohol use disorder has been very motivated to quit drinking and has not had any alcohol for three weeks. One night the client drinks several beers. What is the MOST likely reason for this? Select one: A. The client was not truly motivated to quit drinking. B. A stressful event upset the client. C. The client stopped attending AA meetings. D. The client was pressured by peers to drink.

B. A stressful event upset the client.

Which of the following combinations of drugs, taken at the same time, is considered the MOST lethal? Select one: A. Tranquilizers and antidepressants. B. Alcohol and barbiturates. C. Cocaine and alcohol. D. Tranquilizers and anticonvulsants.

B. Alcohol and barbiturates.

A 50-year-old client reports having a sexual problem that developed recently. The social worker asks for more information about the problem, but the client is embarrassed and doesn't share any details. It turns out that the client is going through menopause and, therefore, experiencing reduced levels of estrogen and progesterone. This fact suggests that the client's sexual problem is MOST likely to be which of the following? Select one: A. Diminished sex drive. B. Discomfort during intercourse. C. Difficulty in achieving orgasm. D. Diminished sexual interest.

B. Discomfort during intercourse.

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

B. Enuresis.

A social worker is meeting with a single mother whose 10-year-old daughter was just diagnosed with leukemia. The mother doesn't know how much to tell the girl about her illness. If the social worker is familiar with the research in this area, he is MOST likely to recommend that the mother do which of the following? Select one: A. Do not give the girl any information about her illness. B. Give the girl accurate and developmentally appropriate information about her illness. C. Do not volunteer information, but provide honest answers if the girl asks about her illness. D. Give the girl developmentally appropriate information about her illness, but withhold all information that could upset her.

B. Give the girl accurate and developmentally appropriate information about her illness.

A mother brings in her 3-year-old son because he's been having frequent tantrums. The social worker notices that the boy doesn't respond when he is spoken to. What should the social worker investigate FIRST? Select one: A. Autism spectrum disorder. B. Hearing deficits. C. Reactive attachment disorder. D. Intellectual disability.

B. Hearing deficits

A client seeks therapy two weeks after being fired from a job that she held for five years. The client says she's "stressed out" and having difficulty dealing with this event, in part, because it was completely unexpected. Of the following factors, which one is MOST likely to affect the client's response to the stress she is under? Select one: A. Her capacity to cope with stress. B. Her beliefs regarding her ability to cope with stress. C. Whether she experiences a second stressful event. D. The availability of reliable social support, as confirmed by the social worker's assessment.

B. Her beliefs regarding her ability to cope with stress.

The unavailability of preventive health services in minority communities, a lack of quality health care in close proximity to these communities, and the delivery of substandard health care services to members of these communities is BEST attributed to which of the following? Select one: A. Subtle racism. B. Institutional racism. C. Personally mediated racism. D. Internalized racism.

B. Institutional racism

A social worker is working with a client who had a breakup with his longtime romantic partner a year ago, though he has never discussed the breakup before. Today he becomes very angry talking about the breakup and begins listing all of the former partners character flaws, talking at length about how much he was hurt by his partner; becoming more and more upset. What is the BEST response by the social worker? Select one: A. Gently redirect the conversation to a more productive topic rather than dwelling on the past B. Let the client continue to share and release his anger C. End the session so your client can cool off D. Ask the client why he never talked about the breakup before

B. Let the client continue to share and release his anger

Typically, the first stage of a grief reaction to the death of a loved person is characterized by shock, confusion, a sense of being overwhelmed, and physical symptoms. After a few days or weeks, this is usually followed by a stage that is marked primarily by which of the following? Select one: A. Disorganization. B. Longing. C. Helplessness and despair. D. Denial.

B. Longing.

What are three significant forms of nonverbal communication to assess when working with clients from cultures that differ from one's own? Select one: A. Handshake, physical distance, dress. B. Physical distance, facial expression, volume of speech. C. Smile, eye contact, grooming. D. Posture, eye contact, vocal cues.

B. Physical distance, facial expression, volume of speech

A 33-year-old woman comes into therapy to discuss her concerns with her marriage. She is currently struggling to maintain her own identity and pursue her own dreams while having to manage caring for her husband who is back from serving in the military. Her husband has been having a difficult time with PTSD symptoms and controlling his anger. She finds herself sometimes feeling resentful that taking care of him has stopped her from pursuing what she really wants. What would be the BEST way to respond empathetically to this client? Select one: A. Explain that as a wife she has made a vow to be there for him and should consider if she still feels she can uphold that commitment B. Reflect her feelings of frustration and resentment and validate the idea that she is doing her best to be a good wife, but that it can be hard when hes angry C. Normalize having tension with a partner and ensure her that it will resolve itself in time D. Ask her to bring her husband in to the next session to hopefully gain both perspectives and help build more effective communication strategies between them

B. Reflect her feelings of frustration and resentment and validate the idea that she is doing her best to be a good wife, but that it can be hard when hes angry

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

B. Role theory.

A woman calls a battered women's shelter hotline saying she's afraid for her life. Her husband has beaten her many times over the years, and earlier that evening, he hit her repeatedly with his fists and threw things at her. He then left the house, and the woman is alone when she calls. She says she has a car, wants to come to the shelter, and asks how to get there. The shelter staff member directs her to drive immediately to a public place and call the shelter back, at which time she will be given directions to the shelter. The woman calls back two hours later and says she has changed her mind and won't be coming to the shelter after all. The woman's change of mind is MOST likely attributable to which of the following? Select one: A. Since the initial phone call, there has been an increase in tension in her relationship with her husband, which she is now trying to defuse. B. Since the initial phone call, the womans husband has apologized and expressed remorse for his behavior. C. Since the initial phone call, it has dawned on the woman that she won't be able to support herself if she leaves her husband. D. During the initial phone call, the shelter worker should have been more directive, either giving the woman the directions or offering to come to her home and bring her to the shelter.

B. Since the initial phone call, the womans husband has apologized and expressed remorse for his behavior.

A national survey finds that, while most people are in favor of integration in the workplace, the majority also oppose affirmative action. This finding is BEST explained by which of the following? Select one: A. Group polarization. B. Symbolic racism theory. C. The contact hypothesis. D. Sociocultural risk.

B. Symbolic racism theory.

A client comes into your social service agency to seek help from a social worker for her 10-year-old son, who has been experiencing behavioral problems at school. She is a single mother of three children and is struggling to pay all of her expenses each month. She sometimes receives financial help from her mother, who also provides childcare when the client is at work. The sons father has been incarcerated for two years. Which of the following is a protective factor that may increase the 10-year-old childs likelihood of resiliency? Select one: A. The childs father is incarcerated, which means the child is less likely to witness criminal activity B. The childs mother is willing to seek therapy for the child C. The child makes friends easily D. The child has two siblings

B. The childs mother is willing to seek therapy for the child

Why is six to eight weeks considered the optimal time-frame for crisis intervention? Select one: A. Provider agencies have found this time-frame to be the most cost effective. B. The life-span of a crisis is about that long. C. Long-term therapy has been found to be ineffective for resolving crises. D. The focus of crisis intervention is on limited goals.

B. The life-span of a crisis is about that long.

A social worker decides to terminate treatment with a 70-year-old man because the man has seemed unwilling to become actively involved in therapy. Instead, the man has spent his sessions with her talking about the past. Which of the following is MOST likely to be true about this situation? Select one: A. The man was resistant to treatment. B. The social worker didnt recognize the value of what the man was doing in his sessions. C. The social worker failed to establish a therapeutic alliance with the man. D. The man was not motivated for change.

B. The social worker didnt recognize the value of what the man was doing in his sessions.

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

B. believing her parents have left for good.

Of the psychiatric disorders, genetic factors have been MOST consistently linked to: Select one: A. personality disorders. B. bipolar disorders. C. psychotic disorders. D. anxiety disorders.

B. bipolar disorders.

A client seeks therapy because she is feeling inadequate and unable to change her life for the better. The social worker helps her change from having an external locus of control over the circumstances in her life to having an internal locus of control. This is an example of: Select one: A. confrontation. B. empowerment. C. clarification. D. reframing.

B. empowerment.

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

B. impulsive and self-centered.

The clients are a newly married couple who complain of a sexual problem. Their physicians have ruled out medical conditions and neither client uses any substances on a regular basis. While interviewing the couple, the social worker discovers that each blames the other for the problem, and he decides to offer them some information about potential causes of sexual problems. In doing so, the social worker would be correct if he told them that, according to Masters and Johnson, the primary causes of sexual dysfunctions are: Select one: A. inadequate knowledge about sexuality and rigid values. B. inadequate knowledge about sexuality and performance anxiety. C. previous learning and conditioning. D. unrealistic expectations and performance anxiety.

B. inadequate knowledge about sexuality and performance anxiety.

A low-income client is seven months pregnant and has not had any prenatal care. The client, who lives alone, reports that she's been feeling tired from all of the changes in her body and because she has trouble affording to buy good food once she's paid her rent and the utility bills. Her social worker arranges for the client to see a doctor and helps her to apply for the WIC program. In terms of potential complications for the baby in this case, the social worker should be aware that severe maternal malnutrition in the third trimester is MOST harmful to: Select one: A. the fetal heart. B. the fetal brain. C. the fetal immune system. D. the fetal respiratory system.

B. the fetal brain.

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

B. toddler.

Ego psychology emphasizes all of the following EXCEPT: Select one: A. the development of ego functions and processes. B. unconscious forces. C. development during adulthood. D. the social environment.

B. unconscious forces

A 10-year-old boy is referred to a social worker because he has been disruptive in the classroom. When meeting with the boy's parents, the social worker learns that the boy is also disruptive at home. The father says that, whenever the boy acts out at home, he and his wife respond with understanding and love, rather than anger, and they talk with him about why he misbehaved. If the social worker adopted a behavioral perspective, he would be MOST likely to conclude which of the following about this situation? Select one: A. Time-out would be the best way to manage the boys behavior. B. The teacher also should reason with the boy when he is disruptive. C. Attention from the parents may be positively reinforcing the boys disruptive behavior. D. Attention from the parents may be negatively reinforcing the boys behavior.

C. Attention from the parents may be positively reinforcing the boys disruptive behavior.

Which of the following is associated with a higher risk of osteoporosis following menopause? Select one: A. Obesity. B. African American race. C. Cigarette smoking. D. A late onset of menopause.

C. Cigarette smoking.

A social worker is meeting with a couple for therapy, and their discussion quickly becomes heated. The conversation devolves to the point that they are shouting at each other and cant even hear what the other is saying. What is the BEST way for the social worker to respond? Select one: A. End the session to give them time to cool off B. Suggest you see them individually next time to give them space to talk through the issues without fear of judgment C. Defuse the situation and help the couple to converse more openly and calmly in the moment D. Begin to provide them communication skills training

C. Defuse the situation and help the couple to converse more openly and calmly in the moment

A 13-year-old girl comes into the social workers office with her mother. Her mother explains that she has no idea what to do to help her daughter. She describes her as being out of control stating that she refuses to tell her mom anything anymore and is constantly talking back to teachers at school. When meeting individually with the girl later she shares with the social worker her feelings of shame regarding her body image as well as details that hint that she may be struggling with an eating disorder. Considering the impact body image can have on self-esteem, what would be the FIRST step in working with this client? Select one: A. Encourage her to consider her mothers perspective. She just wants her to be healthy and do well in school. B. Utilize problem solving therapy (PST) strategies to define a goal that is important and relevant to her. C. Employ motivational interviewing techniques such as reflection of feelings and open-ended questions to build rapport with the client and learn more about her view of herself and her body. D. Refer her out to a program that deals specifically with eating disorders

C. Employ motivational interviewing techniques such as reflection of feelings and open-ended questions to build rapport with the client and learn more about her view of herself and her body.

The client is a 35-year-old man who was laid off from his job at a supermarket where he was a manager. The client reports that there are no jobs available in his community and his money is running out fast. Although he's receiving unemployment insurance, he's barely getting by because he has to help his sister who's a single mom with a low-paying job. A social worker who relies on an ecological approach would assume that this client's problems result from which of the following? Select one: A. Inadequate coping skills. B. Either his personality or his environment. C. Exchanges between the client and his environment. D. Occupying a niche that is inconsistent with his needs and aspirations.

C. Exchanges between the client and his environment.

The client is a 30-year-old man who tends to be passive in his relationships and worries a lot. He says that he's never been very ambitious at work and that this annoys his wife. The man reports feeling inadequate and depressed. Based on this information, it appears that the man is experiencing which of the following? Select one: A. Heterosexism. B. Sexual prejudice. C. Gender role conflict. D. Role strain.

C. Gender role conflict.

A mother reports that her young child has difficulty sleeping at night and she wants to give him the antihistamine Benadryl before he goes to bed. A parent who does this should be made aware of which of the following? Select one: A. Benadryl has few side-effects and can be used as often as needed to help a child fall asleep. B. Benadryl is effective for preventing children from waking up during the night but does not help them fall asleep. C. In some children, Benadryl produces symptoms of hyperactivity. D. Nightmares are a common side-effect of taking Benadryl before bed.

C. In some children, Benadryl produces symptoms of hyperactivity.

A client is in the developmental stage of integrity vs. despair. The statement that would be MOST characteristic of someone with a favorable outcome in this stage would be: Select one: A. I regret so many of my choices. B. For those who come after me, I hope Ive done a good job. C. Overall, I feel like Ive made the right choices. D. Generally, I feel that Ive been a productive human being.

C. Overall, I feel like Ive made the right choices.

A caseworker has been working with a 13-year-old child in the foster care system. She has struggled to adjust after several disruptions in foster care, and her teachers report behavioral problems and truancy at school. She has recently become combative and disruptive with her new foster family. How should the caseworker support the child and her foster family? Select one: A. Recommend that the child be moved to another foster home with a better family fit B. Recommend that the child be moved to a more structured environment, like a group home that can provide more support C. Refer the child to a social worker who can provide more one-on-one counseling D. Give it time - she needs to adjust to her new environment

C. Refer the child to a social worker who can provide more one-on-one counseling

Which of the following is the BEST description of accommodation, as described by Piaget? Select one: A. Understanding that changing one dimension of an object does not necessarily change its other dimensions. B. Incorporation of new information into existing cognitive schema. C. Restructuring of cognitive schema to account for new information. D. Recognizing that objects and people continue to exist when they are out of sight.

C. Restructuring of cognitive schema to account for new information.

The client is a 24-year-old woman who gave birth to a premature boy four months ago. She reports getting little prenatal care while pregnant with her son and smoking cigarettes during her pregnancy. Her son weighed about 4 pounds when he was born and had fairly low Apgar scores. He remained in the hospital for two months but now lives at home with the client and her boyfriend. The client is feeling anxious about motherhood because her first child, who was fussy but seemed healthy, died at age 5 months. This information suggests that the new baby is MOST at risk for which of the following? Select one: A. Nonorganic failure to thrive. B. Colic. C. SIDS. D. Down syndrome.

C. SIDS.

A social worker is assessing a 4-year-old who was brought in by her parents following a recommendation by the pediatrician. The parents are worried that their child is developing too slowly. Which of the following findings, if true about this child, would reflect something that is considered developmentally appropriate for a 4 year old? Select one: A. She is toilet training during the day but not at night. B. She has yet to develop the object concept. C. She still engages in magical thinking. D. She has yet to label herself as a girl.

C. She still engages in magical thinking.

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

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

An Arab American male, age 22, has been referred by his physician who examined the client after he complained of feeling "dark and jumpy inside." The physician found no medical basis for the client's reported symptoms. The client immigrated to the United States with his parents and siblings six years ago. Based solely on the client's cultural background, the social worker would LEAST expect which of the following to be true in this case? Select one: A. The client will expect to be diagnosed and treated without having to reveal much information about his personal life. B. The client will not volunteer much information and, when he does share information, he may complain about physical symptoms rather than emotional distress. C. The client will blame himself for his problems, attributing them an "internal" cause. D. The client will be reluctant to discuss his personal difficulties because he doesn't want to embarrass himself or shame his family.

C. The client will blame himself for his problems, attributing them an "internal" cause.

The parents of an 11-year-old girl are going through a divorce and are worried about how she will react to this. The father meets with a social worker to get information and advice. He asks about typical reactions to divorce by children in his daughter's age group. What should the social worker tell him? Select one: A. The girl is likely to feel responsible for the divorce. B. The girl is likely to believe that the parent who left home no longer loves her. C. The girl probably wont feel responsible for the divorce but may feel that her parents marriage can be fixed. D. The girl may feel abandoned by both parents.

C. The girl probably wont feel responsible for the divorce but may feel that her parents marriage can be fixed.

According to Freud's psychoanalytic theory, which of the following influences the infant at around 4 months of age? Select one: A. The reality principle. B. The dynamic principle. C. The pleasure principle. D. The genetic principle.

C. The pleasure principle.

A family has been referred by their pediatrician because the 9-month-old daughter is underweight and doesn't eat adequately. The pediatrician has ruled out a medical condition that could account for the problem, and the child has been diagnosed with nonorganic failure to thrive. Given this diagnosis, which of the following is the social worker LEAST likely to find when he evaluates this family? Select one: A. The mother experienced deprivation in childhood. B. Parent-child interaction problems. C. Unsanitary living conditions and high levels of lead in the home. D. High levels of stress and parental depression.

C. Unsanitary living conditions and high levels of lead in the home.

A child has just entered Kohlberg's "conventional morality" level of moral development. She is MOST likely to follow rules in order to: Select one: A. satisfy her own needs. B. avoid censure by a legitimate authority. C. avoid disapproval or dislike by others. D. avoid punishment.

C. avoid disapproval or dislike by others.

A social worker is meeting with a mother, father, and adolescent daughter. The parents are concerned because the daughter dresses in what they consider to be an inappropriate fashion and usually wants to spend time with her friends rather than stay at home with the family. The social worker explains that the girl's behavior appears normal for her age and offers the parents information on developmental tasks and other phenomena. Specifically, the social worker explains that the girl: Select one: A. is trying to develop skills that will make her feel competent. B. is temporarily rejecting the values that are important to her parents. C. is trying to develop a sense of self. D. is striving to develop intimate relationships outside the family.

C. is trying to develop a sense of self.

Participation in peer groups becomes more important during middle childhood, and such groups tend to be homogeneous with regard to age, sex, and race. Research suggests that, when compared to popular children, less popular children tend to be all of the following EXCEPT: Select one: A. less intelligent. B. less physically attractive. C. less friendly and sociable. D. less cooperative.

C. less friendly and sociable.

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

C. sympathetic

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

C. the childs immediate environment and face-to-face relationships

A social worker notices that many of her low-income therapy clients are late for their appointments. Because she is familiar with the impact of class values on the therapeutic process, the social worker is MOST likely to interpret this as a manifestation of which of the following? Select one: A. Hostility. B. Resistance. C. A weak client-therapist alliance. D. A different orientation to time.

D. A different orientation to time.

Which of the following hardships could be attributed in part to globalization? Select one: A. A clients foreclosure after the U.S. housing crisis B. Integrating into American society as a new immigrant C. Losing your home after a natural disaster D. All of the above

D. All of the above

Which of the following is NOT a true statement regarding alcohol use among older adults? Select one: A. Older adults may experience the effects of alcohol more readily than when they were younger. B. Health professionals are likely to confuse their symptoms with other medical problems. C. There is a better prognosis for recovery than for people who began abusing alcohol at a younger age. D. Because they are older, they have a higher tolerance to alcohol.

D. Because they are older, they have a higher tolerance to alcohol.

Which of the following is NOT a reason a child would be removed from their home and given an out-of-home placement? Select one: A. Caregivers suffer from substance abuse disorders and have become neglectful B. The child has experienced emotional abuse C. The child has a severe disability in which the caregivers cannot attend to at home D. Caregivers are extremely low income

D. Caregivers are extremely low income

A social worker meets with a couple whose adult daughter is gay and has recently decided to adopt a child with her long-time partner. The clients ask the social worker what he knows about the effects of being raised by lesbian parents. Based on his familiarity with research investigating this subject, the social worker would be MOST likely to tell the clients which of the following? Select one: A. Children of lesbian or gay parents often differ developmentally in significant ways from children of heterosexual parents. B. Children of lesbian parents show no negative consequences, but children of gay parents may display maladjustment. C. Children of lesbian parents show no negative consequences, but children of gay parents are often confused about their own sexual orientation. D. Children of lesbian or gay parents do not show significant developmental differences from children of heterosexual parents.

D. Children of lesbian or gay parents do not show significant developmental differences from children of heterosexual parents.

A social worker is meeting with a client who sought help because she is worried about her 4-year-old son who's been wetting the bed and having tantrums lately. The client gave birth to her second child six months ago. What should the social worker do FIRST? Select one: A. Provide literature about parenting techniques appropriate for preschoolers. B. Acknowledge the stress the client in under and recommend day-care for the boy. C. Take baseline measurements to develop a behavioral therapy program for the bed-wetting and tantrums. D. Explain that the bedwetting and tantrums are typical behavior when a new sibling is born.

D. Explain that the bedwetting and tantrums are typical behavior when a new sibling is born.

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

D. Family therapy, individual outpatient therapy, and referral to a support group

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

D. He abuses his wife.

An Hispanic man with major depressive disorder is MOST likely to say that his symptoms include which of the following? Select one: A. A problem of the heart. B. Weakness, tiredness, and "an imbalance." C. Confusion, agitation, and a sense of disorientation. D. Headaches, sleep problems, and nervousness.

D. Headaches, sleep problems, and nervousness.

Which of the following is NOT an example of a question that a social worker who is using a strengths-based approach might ask her client in a goal-setting session? Select one: A. Who are some of the people in your life who may have helped you in tough situations? B. How have you been able to develop your skills so far? C. How have you overcome the challenges that youve experienced? D. How has that traumatic experience contributed to the challenges that youve experienced?

D. How has that traumatic experience contributed to the challenges that youve experienced?

The clients are a family of four, including Dad, Mom, and two adolescent daughters. Dad and Mom immigrated to the U.S. shortly after marrying and have always worried about the effects of American culture on their daughters. They don't allow the girls to have friends over and they closely screen and limit the girls' access to media on TV, radio, and the Internet. Dad says he's suspicious of "outsiders," including the social worker. He says family should depend on family for support and must hang on to their own traditions and values. From the perspective of systems theory, which of the following appears to be true about this family? Select one: A. It is a relatively open system that is vulnerable to negentropy. B. It is a relatively open system that is vulnerable to entropy. C. It is a relatively closed system that is vulnerable to negentropy. D. It is a relatively closed system that is vulnerable to entropy.

D. It is a relatively closed system that is vulnerable to entropy.

A client diagnosed with obsessive-compulsive disorder is MOST likely to rely heavily on which of the following defense mechanisms? Select one: A. Projection, displacement, denial. B. Isolation, denial, repression. C. Somatization, introjection, reaction formation. D. Reaction formation, isolation of affect, undoing.

D. Reaction formation, isolation of affect, undoing.

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

D. Social role dysfunction.

The presence of extinction for an operant behavior means which of the following? Select one: A. The behavior has increased or decreased, depending on the goal of treatment. B. There is no significant change in the behavior. C. The behavior has increased. D. The behavior has ceased.

D. The behavior has ceased.

A social worker suggests that her client keep track of his negative self-statements during the week. The client, who is American Indian, doesn't think that this homework will be useful but doesn't tell the social worker this. Instead, he says it sounds like a good idea. The client doesn't do the homework. What is the BEST interpretation of this situation? Select one: A. The client sees the social worker as an authority figure who should not be challenged. B. The client is not committed to change. C. The client does not trust the social worker. D. The client wants to prevent discord.

D. The client wants to prevent discord.

A social worker begins working in family therapy with a mother, father, and 13-year-old daughter. The family immigrated to the United States from Mexico two years ago. The parents report that they have been arguing with their daughter more often than usual. They say that the girl is less obedient than she used to be. What is the MOST likely explanation for this situation? Select one: A. Inadequate parenting skills. B. Conduct disturbance in the daughter. C. Isolation of the family from the larger community. D. The daughter is more acculturated than her parents.

D. The daughter is more acculturated than her parents.

A person experiences a highly stressful event. Which of the following factors is LEAST likely to play a role in determining whether this event will activate a crisis? Select one: A. The persons problem-solving ability. B. The persons culturally derived beliefs about the event. C. The persons current levels of social, material, and other support. D. The specific nature of the event itself.

D. The specific nature of the event itself.

A young child has learned that objects that fly in the sky are called "birds." The first time the child sees a plane in the sky, she points to it and says "bird." From a Piagetian perspective, this child's response illustrates: Select one: A. equilibration. B. adaptation. C. accommodation. D. assimilation.

D. assimilation.

When an individual rejects her cultural background in favor of the dominant culture in society, she is displaying: Select one: A. acculturation. B. denial. C. reaction formation. D. assimilation.

D. assimilation.