Clinical Level Final Mock Exam I

A social worker is approached by a mother regarding her 2 ½ year-old daughter. The mother is distressed by the fact that her daughter frequently says "NO" when asked to clean up after herself, has occasional temper tantrums and wants to do "everything" independently. The social worker's BEST response would be to: A. Educate the mother about child development. B. Schedule a biopsychosocial evaluation of the child. C. Review possible behavior modification techniques. D. Engage the mother and daughter in family therapy.

A. Educate the mother about child development.

A new client comes for her initial session to a private practice. She is currently going through a divorce, which involves a custody battle of her 5-year-old son. She just moved to a new house, started a new job and is having relationship issues with her mother. The social worker should: A. Help the client prioritize needs. B. Meet with the husband to assist with the custody agreement. C. Assess the safety of the child. D. Obtain a release to talk with the husband.

A. Help the client prioritize needs.

While working with a 14-year-old girl in a group foster home, she tells the social worker that she reminds her of her mother. The girl had a long history of abuse and neglect by the mother. What is the best way for the social worker to deal with this transference issue? A. Use the transference to assist the client in working through unresolved issues with her mother. B. Immediately assign her to a different social worker. C. Seek consultation to avoid boundary issues. D. Talk to the staff at the foster home to make sure everyone is on the same page.

A. Use the transference to assist the client in working through unresolved issues with her mother.

A 55 year-old Native American woman seeks treatment following the death of her son. When working with Native American clients, in order to be culturally sensitive and develop a good therapeutic relationship it is important to observe all of the following in order to be culturally sensitive and develop a good therapeutic relationship, EXCEPT: A. Be directive B. Use active listening and reflective responses. C. Avoid interrupting D. Allow for periods of silence

A. Be directive

A 12-year-old African-American boy has been meeting with a social worker for 2 months for feelings of depression. He recently discovered that one of his ancestors was a slave who led a rebellion during the Civil War. He previously felt ashamed of his background, but in sessions, starts speaking about his ancestor as being a "brave leader." In terms of racial identity development, the client's experience could be best described as: A. Conformity B. Dissonance C. Resistance D. Introversion

B. Dissonance

A social worker and client have been working together for 2 months. The client, a 27-year-old woman, initially presented due to concerns about her alcohol use and its effect on her relationships and ability to perform her job duties. After the initial session, the client began minimizing her alcohol use and typically comes to session with another topic she wants to discuss. The social worker has attempted to confront the client about her avoidance of the topic, but the client is adamant that her drinking is not a problem at this time. The social worker should: A. Continue to confront the client about her alcohol use B. Consult with a colleague about the client's resistance to change C. Convey acceptance and monitor the client's readiness for change D. Discuss termination due to lack of client engagement

C. Convey acceptance and monitor the client's readiness for change

A social worker receives a letter from a personal injury lawyer requesting information about one of the social worker's client's' diagnosis and treatment. The letter indicates that the client is the defendant in an upcoming court case. What should the social worker do FIRST? A. Contact the lawyer and explain that a subpoena will be needed to release information. B. Contact the lawyer and release selected information from the client's record. C. Do not respond to the letter and contact the client to inform them of the request. D. Send a letter to the lawyer refusing the request.

C. Do not respond to the letter and contact the client to inform them of the request.

A client with a history of severe depression reports hypersomnolence and decreased appetite. The client reports having discontinued his prescribed medication because he didn't think he needed it anymore. The social worker should FIRST: A. Question the client as to the other reasons for discontinuing the medication B. Instruct the client to resume the medication C. Encourage to the client to speak to his psychiatrist D. Discuss alternative treatment options

C. Encourage to the client to speak to his psychiatris

A client is referred for therapy by his wife. He shares during the assessment that his wife has threatened to divorce him if he doesn't address his drinking problem. The client states that he doesn't think he has a problem with alcohol but doesn't want to lose his wife. The social worker should FIRST: A. Refer the client to detox. B. Obtain a release to speak to the wife. C. Explore the specific events that precipitated his entry into therapy. D. Confront the client's denial of his drinking problem.

C. Explore the specific events that precipitated his entry into therapy.

A baby born with spina bifida has no use of her lower limbs and appears to have visual and hearing deficits as well. The hospital pediatrician refers the 16 year-old mother and her parents to the social worker. The social worker should FIRST explore the: A. Family's financial stability. B. Daughter's lack of prenatal care during early pregnancy. C. Family's attitude to caring for a child with special needs. D. Family's access to community resources.

C. Family's attitude to caring for a child with special needs.

Which of the following factors should a social worker routinely consider when assessing for the risk of child abuse? A. Caretaker characteristics, socioeconomic background, and disciplinary style. B. Caretaker characteristics, behavioral signs, and parenting style. C. Physical symptoms, behavioral signs, and disciplinary style. D. Physical symptoms, socioeconomic background, and parenting style.

C. Physical symptoms, behavioral signs, and disciplinary style.

A social worker in a community agency receives a referral for her friend's preschool-age son. The social worker should: A. Involve the friend in a comprehensive assessment and treatment plan B. Conduct an initial assessment and make treatment recommendations C. Refer the son to a different therapist D. Treat the son after getting consultation regarding confidentiality and boundaries

C. Refer the son to a different therapist

A social worker in private practice has been treating a family for 2 years when the father is unexpectedly laid off from his job. The parents come to the social worker explaining that they can no longer afford to pay the full fee for sessions; the social worker believes the family is in need of further treatment, especially now. What should the social worker do? A. Provide free services to the family. B. Provide the parents with job postings and interview techniques. C. Refer the family to an agency that low-fee community counseling center. D. Provide a sliding scale based fee for the family.

D. Provide a sliding scale based fee for the family.

A company hires a social work consultant after experiencing a noticeable shift in employee morale that the administration believes is impacting productivity. The consultant should FIRST: A. Provide training to administration on ways to improve employee morale B. Identify other reasons for decreased productivity C. Encourage the company to lay off individuals who are having a negative impact on work culture D. Provide space for employees to express their concerns and experiences

D. Provide space for employees to express their concerns and experiences

A social worker facilitates an interdisciplinary team that is holding an emergency meeting to discuss a 27-year-old man with mental retardation. The majority of the team feels that the client is in need of some type of psychotropic medication because of seriously escalating aggressive and impulsive behaviors. The physician member of the team refuses to consider that suggestion and states that team members are "outside of their scope of practice." The social worker's BEST course of action is to: A. Remind team members that decisions involving medication must be made by a physician. B. Arrange to meet with the physician individually to address his concerns. C. Reexamine the need for psychotropic medications. D. Refocus the team's discussion on the client's behaviors.

D. Refocus the team's discussion on the client's behaviors.

A client diagnosed with an aggressive and painful cancer discloses his wish to end his life because of his terminal illness. How should a social worker with strong beliefs and opinions on this issue manage ethical responsibilities toward this client? A. Refer the client to a social worker who has expertise working with terminal illness. B. Encourage the client to discover a new commitment to living with illness. C. Discuss the different moral values between the social worker and the client. D. Seek consultation to provide treatment within the client's value system.

D. Seek consultation to provide treatment within the client's value system.

A school social worker has been assigned to work with an 8-year-old girl referred by her teacher for profanity with peers. What should the social worker to FIRST? A. Schedule a family conference. B. Request a medical evaluation. C. Report child abuse. D. Confer with the teacher about the behavior.

D. Confer with the teacher about the behavior.

An 8-year old child with developmental delays is currently in a regular classroom setting. He is struggling to keep up with the work and he is noticing he is not being assigned the same work material as his classmates. The social worker should first: A. Advocate for him to receive an aid in the classroom. B. Transfer him to a special education classroom. C. Assess him using the mental status exam. D. Speak to his classmates about his situation.

A. Advocate for him to receive an aid in the classroom.

An emergency room social worker is asked to evaluate an 18 year-old pregnant female who was admitted after an accident at her job. The woman reports to the social worker that she hasn't seen a doctor "in a year or so," gets most of her meals at the fast-food restaurant where she works, gets very little sleep and enjoys "partying" with her friends on the weekends. The social worker should FIRST: A. Assess the client's knowledge of the effects of her behavior on the fetus. B. Refer the client to support services for teen mothers. C. Provide psychoeducation about the effects of alcohol on fetal development. D. Immediately report the client for suspected abuse of her unborn child.

A. Assess the client's knowledge of the effects of her behavior on the fetus.

A social worker meets with an immigrant couple because of increasing frustration and fighting. Before the couple immigrated a year ago, the husband worked and his wife stayed home. Since moving, the husband has had difficulty finding work due to limited English skills. The wife speaks English fluently and has been able to find full-time work. The wife describes her husband as increasingly irritable and always wants her to stay home to take care of the house. The social worker should FIRST consider: A. Address how the change in roles is affecting their relationship. B. Explore the reasons for the couples immigration. C. Referring the couple to a group for immigrant families. D. Referring the husband for vocational counseling.

A. Address how the change in roles is affecting their relationship.

A social worker at a mental health clinic has started to notice changes in a colleague's behavior. Once a pleasant and thoughtful therapist, this colleague has become irritable and argumentative. At a recent case consultation, the colleague fell asleep in front of the medical director and appeared disheveled. What should the social worker do FIRST? A. Address the concerns privately with the colleague. B. Meet with a supervisor to address the concerns. C. Schedule a meeting to address the concerns with the colleague and a supervisor. D. Address the concerns with other co-workers before bringing it up with the colleague in question.

A. Address the concerns privately with the colleague.

A school principal told parents of an autism spectrum child that the school does not have special services needed for their child. What is the school social worker's BEST action? A. Advocate for more services B. Find another school which has special services C. Assist the family in calling the board of education to file a complaint D. Recommend home school for the child

A. Advocate for more services

A social worker meets with a veteran who has been diagnosed with PTSD. During a session, the client's eyes glaze over while he is talking about an experience in which several members of his platoon were killed. He sits forward in the chair, staring over the social worker's shoulder, and talks in a calm, monotonous voice. The social worker should: A. Employ a grounding technique to reconnect the client with the present moment B. Allow the flashback to continue so the client can express his feelings C. Assess the client for suicidal ideation D. Empathize with the client's feelings of fear and loss of control

A. Employ a grounding technique to reconnect the client with the present moment

A school social worker is meeting with a 17-year-old Latino student as part of her post-graduation assessment/planning. During the conversation, the student expresses a desire to go to college and then begins weeping and explains that as an undocumented student, most colleges will be out of reach. The social worker should FIRST: A. Assist the student in identifying colleges that will accept undocumented students B. Explain that the social worker cannot help since the student is technically breaking the law C. Refer the student to an immigration attorney D. Help the student process her feelings about being undocumented

A. Assist the student in identifying colleges that will accept undocumented students

A newly licensed social worker is providing outreach to a community that recently experienced a major hurricane. The social worker goes door-to-door, asking families if they need mental health services and outlining opportunities to receive these services. At the end of her first week, the social worker realizes that no families have expressed interest in receiving mental health services. The social worker should next: A. Attend upcoming community events to join with the community and understand their needs. B. Provide informational flyers in community centers to reach people in a less threatening way. C. Terminate the intervention since no one is interested. D. Continue the intervention as planned.

A. Attend upcoming community events to join with the community and understand their needs.

A family comes in with high expectations of their 10-year-old child. The child excels in school and the teacher states that he has never had an infraction although he appears to be unhappy and has a hard time socially. The parents are likely using what kind of parenting style? A. Authoritarian B. Authoritative C. Permissive D. Uninvolved

A. Authoritarian

A 55-year-old female client is in therapy with a male social worker for help with her relationships with her grown sons. The social worker perceives that a good working relationship has been established, but in the eighth session, the client announces that she wants a new social worker. She states that the social worker is too young and inexperienced to help with her particular problem. The social worker should FIRST: A. Encourage the client to discuss her feelings about their relationship. B. Review his professional experience to reassure the client. C. Help the client to differentiate the social worker from her grown sons. D. Offer a list of older social workers and facilitate a referral.

A. Encourage the client to discuss her feelings about their relationship.

A white social worker at a hospital is asked to evaluate a black woman who was recently brought in by the paramedics. When the social worker approaches the client, she refuses to tell the social worker what happened and states repeatedly that she fears anything she says to the social worker will be used against her. The woman requests to instead speak with the Latina nurse who has been caring for her since arrival. What is the MOST likely explanation for the woman's behavior? A. Cultural paranoia, which represents a healthy reaction to racism. B. An episode of acting out of Borderline Personality dynamics. C. Pathological paranoia regarding all social workers. D. Resistance to assessment and treatment.

A. Cultural paranoia, which represents a healthy reaction to racism.

A social worker in a small community is contacted by a prospective client regarding therapy for conflicts she is experiencing at her job. The social worker knows that the client works at the agency where the social worker was previously a supervisor, although the social worker did not supervise the client. The prospective client insists that the social worker's knowledge of the agency environment and culture will benefit treatment because of increased understanding. What is the social worker's MOST appropriate response? A. Decline to provide therapy due to knowledge of the previous business relationship. B. Assure the client of confidentiality before beginning treatment. C. Provide treatment while maintaining self-awareness regarding boundary issues. D. Explore the meaning of dual relationships before beginning treatment.

A. Decline to provide therapy due to knowledge of the previous business relationship.

A social worker receives a referral from parents regarding their 9 year-old daughter. A social history reveals symptoms consistent with a diagnosis of Major Depressive Disorder. What should the social worker do FIRST? A. Determine if the child has had a recent physical examination to rule out possible physical causes for her symptoms B. Under the diagnosis of Major Depressive Disorder, refer the child to a psychiatrist for medication. C. Have the parents fill out a questionnaire to confirm the diagnosis of Major Depressive Disorder. D. Begin cognitive behavioral therapy with the child to decrease symptoms.

A. Determine if the child has had a recent physical examination to rule out possible physical causes for her symptoms

A 45-year-old social worker on an adult inpatient unit has developed a pattern of increasing tardiness and incomplete paperwork over the past 6 months. In addition, in team meetings and in group supervision, the social worker makes statements such as, "this place is like a revolving door...no one ever gets better. How can we be expected to keep helping people who clearly aren't helping themselves?" The supervisor should FIRST: A. Discuss with the social worker how these behaviors interfere with job performance. B. Advise the social worker of the necessity to change this attitude. C. Reflect the social worker's job performance in an annual performance review. D. Suggest that the social worker consider a career change.

A. Discuss with the social worker how these behaviors interfere with job performance.

A woman is in school to be a nurse and is currently studying about stomach cancer. She starts getting severe pains in her stomach and goes to the ER who medically clears her. She keeps experiencing the same pains and sees 5 other specialists who all medically clear her. She goes to a social worker and complains that the Doctors aren't 'doing their job'. What should be the first intervention the social worker should take: A. Empathize how frustrating it must feel. B. Confront her about her denial. C. Help her to find another Doctor who will be more sympathetic to her ailments. D. Provide psychoeducation about what she is experiencing.

A. Empathize how frustrating it must feel.

A client is being treated by a social worker. She has a history of relationship problems and suicidal gestures. In the first session, the client tells the social worker how great she thinks the social worker is. What is the MOST important element of a treatment plan for this client? A. Establishment of clear therapeutic boundaries with the client. B. Short-term cognitive therapy to work with distorted self-image. C. Long-term psychoanalytic therapy to process painful memories of the past. D. Adjunctive group treatment to address relationship problems.

A. Establishment of clear therapeutic boundaries with the client.

A 29 year old is in treatment for Schizophrenia. She complains to her social worker about experiencing involuntary facial tics and twitches in her arms and legs. What should the social worker do? A. Explain to her that she could be experiencing side effects from her antipsychotic medication and refer her to speak to her Doctor. B. Assess her to see if she is using illegal drugs. C. Explain that this can be a symptom of Schizophrenia. D. Talk to her Doctor about increasing her medication since she is experiencing greater symptoms.

A. Explain to her that she could be experiencing side effects from her antipsychotic medication and refer her to speak to her Doctor.

A new client reports a feeling that people are "running her over" and notices she has trouble getting her husband to listen to her and eventually gives up. The client and social worker have started to work on treatment goals, but have made little progress. When bringing this up, the client reports that she is worried about being "too masculine" in front of her husband when she tries to assert herself, saying that her husband's culture really embraces femininity. What should the social worker do FIRST? A. Explore the client's beliefs around the cultural dissonance B. Encourage the client to refocus on her initial goals when she came to therapy in order to encourage self-determination C. Rework the goals with the client to make them more achievable D. Encourage the client to bring in her husband in for the next session

A. Explore the client's beliefs around the cultural dissonance

A therapist working at a community agency is meeting with a 16-year-old girl. The client reports that her parents have been arguing a lot lately and last week during a fight she tried to protect her mother, but instead was punched by her father. Agency protocol states that the social worker must consult with another therapist before making a report, but the social worker is unable to find an available colleague. What should the social worker do NEXT? A. Make a report to the appropriate authorities B. Hold off on reporting until a colleague can be consulted C. Call the client's mother to create an appropriate safety plan D. Assess further to determine the severity of abuse

A. Make a report to the appropriate authorities

A social worker meets with a couple who are both in their 60's. The couple reports that they are constantly getting in arguments and finding it difficult to agree with one another. Their relationship had been good until recently and the couple isn't sure what has changed. The husband is preparing to retire after working for the same company for 25 years and has been scaling back his hours and spending more time at home. The social worker should FIRST: A. Explore the meaning of the husband's retirement and the impact it has on their relationship. B. Assign the couple homework of communication exercises. C. Address any trust issues between the husband and wife. D. Recommend individual therapy for the husband.

A. Explore the meaning of the husband's retirement and the impact it has on their relationship.

After eight sessions with a teenage girl who suffers from anxiety and depression, her mother calls and informs the social worker that they won't be bringing the daughter for therapy because they don't think it's helping. The social worker believes that the daughter is benefiting from therapy. The social worker should NEXT: A. Explore the mother's views that therapy isn't working. B. Provide referral to another social worker. C. Encourage the mother to allow the daughter to come for a termination session. D. Discuss the ways the social worker believes the client has improved.

A. Explore the mother's views that therapy isn't working.

A social worker is conducting a study on the effectiveness of group therapy in decreasing depression in teenagers recently diagnosed with diabetes. Which of the follow refers to the extent to which the results of a study can be generalized to other situations and people? A. External Validity B. Internal Validity C. Reliability D. Statistical Significance

A. External Validity

A client who is addicted to heroin is trying to quit on her own. She comes into your office and complains of nausea, sweating profusely, anxiety and severe muscle cramps. The next step should be to: A. Get the client medical assistance. B. Tell her to just wait and few days and the symptoms will subside. C. Refer her to the nearest Narcotics Anonymous group. D. Tell her to slowly cut back on her heroin use so she doesn't experience strong withdrawal symptoms.

A. Get the client medical assistance.

The parents of a 7-year-old boy meet with a social worker due to concerns about their son's behavior. The parents report that the boy cannot sit still, does not follow directions, interrupts family members at the dinner table and does not have friends in the neighborhood. When asked about how the child behaves at school, the mother reports that she isn't sure. What should the social worker do NEXT? A. Have the parents give the social worker permission to speak with the boy's teacher. B. Schedule a session with the parents and the boy. C. Encourage the parents to have their son evaluated for a learning disability. D. Refer the parents to an educational parenting group.

A. Have the parents give the social worker permission to speak with the boy's teacher.

A social worker receives a referral for family therapy. The family consists of mother, father, a 14-year-old girl, and an 8-year-old boy. The parents report they want the family to spend "quality time" together, but whenever they try, everyone ends of up fighting. The daughter rolls her eyes and reports that her parents try to talk to her "like they are my friends." The 8-year-old says he wants to play with kids in the neighborhood and go to sleepovers, but the parents refuse, saying he can have "all of that fun right here at home." The social worker should focus treatment on: A. Helping the family establish appropriate roles and boundaries B. Assisting the family in healthy communication strategies C. Facilitating activity-based family interactions to build on relational strengths D. Creating connection through conflict resolution

A. Helping the family establish appropriate roles and boundaries

A social worker is treating a client who recently came out at work. The client was recently let go from employment due to "personnel conflicts." What should the social worker encourage the client to do? A. Meet with a lawyer regarding the termination. B. Apply for unemployment. C. Find a job at a company that is more accepting. D. Address the termination with the supervisor.

A. Meet with a lawyer regarding the termination.

A social worker wants to start a sexually transmitted infection primary prevention program for residents in a retirement and assisted living community. The social worker should FIRST: A. Meet with the residents to engage them in the process of designing the program. B. Have informational meetings on safe sex with residents. C. Screen all patients for STI's. D. Develop informational pamphlets on the risks of unsafe sex.

A. Meet with the residents to engage them in the process of designing the program.

A social worker meets with a client who is diagnosed with Major Depressive Disorder and is also dealing with an addiction to prescription painkillers. The client is fearful of relapsing on pills during periods of stress and anxiety. To help this client cope with the urge to use drugs, the social worker should FIRST focus on: A. The client's coping patterns to deal with stress and other uncomfortable feelings. B. The client's social supports. C. Professional consequences of drug use. D. The client's motivation to change behaviors.

A. The client's coping patterns to deal with stress and other uncomfortable feelings.

A social worker assesses an adult client during readmission to an inpatient psychiatric unit. The client is floridly manic, talking rapidly and loudly about his recent trip to Las Vegas, his most recent business venture and several other topics without pause. To complete a psychosocial assessment the social worker should FIRST: A. Look up previous hospital records to obtain information until the client is able to accurately respond to questions. B. Continue asking questions until the client responds appropriately. C. Contact the client's family and friends for information regarding his health. D. Contact previous treatment providers.

A. Look up previous hospital records to obtain information until the client is able to accurately respond to questions.

A therapist has been seeing a client for 6 months when the client reports that she lost her job due to funding. The client reports that her partner recently took a pay cut to start working at a non-profit whose mission she is passionate about. The client expresses worry around supporting their children now that they are only on one income. Which of the following should the social worker do FIRST? A. Prompt the client to explore how this is affecting their family B. Refer the client to an agency that assists people in finding jobs C. Assist the client in looking at her budget to see what areas can be cut D. Provide the client with referrals to financial aid resources

A. Prompt the client to explore how this is affecting their family

A 21-year-old male with a substance abuse disorder drops out of treatment after acknowledging that he has relapsed in a significant way. The client's mother contacts the social worker and begs the social worker to contact her son and try to convince him to come back to treatment. The social worker does not have a consent form to release information. What is the social worker's MOST appropriate response? A. Provide no information to the mother. B. State that the client has the right to refuse treatment since he is an adult. C. Encourage the mother to address her concerns with her son. D. State that the social worker is worried about her son as well.

A. Provide no information to the mother.

A new client comes to treatment after losing his job of 15 years. He reports that "nothing in his life is going right," and goes on to note that his marriage is failing, recent investments are not paying off, and that he has "no real friends." In addition to a risk assessment, the social worker should focus on: A. The client's strengths and resources B. A possible medical issue C. Referring the client for employment assistance D. A referral for couples therapy

A. The client's strengths and resources

In an initial session of family therapy, parents of two teenagers begin complaining about their children's attitudes, reporting that the two have no respect for their authority. The teenagers respond by reporting that "there isn't anything there to respect" and blame their bad attitudes on the parents. The social worker should FIRST: A. Take a neutral stance by acknowledging everyone's feelings. B. Have individual meetings with the parents and the teenagers. C. Use circular questioning. D. Empathize with the teenagers.

A. Take a neutral stance by acknowledging everyone's feelings.

A social worker at a local community mental health agency started a group for adults who grew up in the Foster care system. Each week fewer group members show up. In order to keep the group strong and ensure reasonable attendance, the social worker should: A. Talk to the group members to assess why attendance is dwindling and have them assist with the group structure and future topics. B. Cancel the group since it is not needed. C. Change the day and time of the group to hopefully make it more convenient. D. Have a different social worker take over the group.

A. Talk to the group members to assess why attendance is dwindling and have them assist with the group structure and future topics.

A mother brings her 3-year-old daughter to therapy. The mother shares that she recently divorced her spouse and that she shares custody of her two kids with her ex-husband. The children stay with the mother during the week and are with their father on the weekends. Recently, her 3-year old daughter has started wetting her bed even though she was toilet trained before. She also cries when she needs to go to her father's house. What is the social worker MOST appropriate response? A. Tell mother that this is a normal response when dealing with parent's divorce. B. Find out if there are any child abuse issues going on. C. Ask mother about her relationship with ex-spouse. D. Take developmental history of the child.

A. Tell mother that this is a normal response when dealing with parent's divorce.

In establishing a therapeutic alliance with a client from a different racial or ethnic background, the FIRST issue for the social worker to address is: A. The racial or ethnic difference and how it may impact treatment. B. Transference issues with the therapist. C. The therapist's countertransference. D. The client's history of encounters with people of different racial or ethnic backgrounds.

A. The racial or ethnic difference and how it may impact treatment.

A group of non-profit agencies are concerned about recent violence in the neighborhoods they serve. During a conference call, one of the program managers suggests forming a coalition. Which of the following statements is MOST true about coalitions?: A. They draw together representatives of a number of groups who have common interests or concerns regarding a particular issue B. They are made up of individuals in disagreement about a particular policy C. The effectiveness of a coalition is determined by the number of individuals in that coalition D. Members of coalitions come from similar backgrounds, allowing them to be in agreement on all issues surrounding a particular policy issue.

A. They draw together representatives of a number of groups who have common interests or concerns regarding a particular issue

A 25-year-old client begins to cry in session while disclosing that her male gynecologist made several inappropriate comments about her body and genitals during a recent exam. She believes this was wrong, but asks the social worker not to disclose this information. What should the social worker do FIRST: A. Validate the client's feelings and explore the impact of this experience on the client. B. Report the doctor to the medical board. C. Point out how other women may be victimized by this doctor. D. Encourage the client to report the doctor.

A. Validate the client's feelings and explore the impact of this experience on the client.

Social workers from a community counseling center are providing crisis intervention at a local middle school. A recent earthquake killed two students and a teacher while they were on school grounds. The students report feeling scared to come to school and anxious that another earthquake will occur at any moment. When meeting with students, the social workers should FIRST: A. Validate the client's feelings and reassure them that their feelings are normal. B. Create a support group for the students. C. Develop a safety/evacuation plan with the students in the event of another earthquake. D. Provide the students with local mental health resources.

A. Validate the client's feelings and reassure them that their feelings are normal.

A social worker is hired by a non-profit foundation to complete a process evaluation on three agencies that received grants from the foundation. Each of the following is an example of a process evaluation question EXCEPT: A. Was the program more successful with certain groups of people than with others? B. Was the program well managed? C. Was there adequate agency support for the program? D. What specific interventions were put into place by the program?

A. Was the program more successful with certain groups of people than with others?

A couple starts seeing a social worker after the death of their two children in a car accident. The social worker's supervisor notices that the social worker is spending many hours on the phone with the couple and is seeing them more often than her other clients. The supervisor should: A. Work with the social worker to assess if the level of intervention is necessary. B. Advise the social worker that her behavior is unethical. C. Transfer the clients immediately to a different social worker. D. Have the social worker tell the clients that they can't contact her after hours.

A. Work with the social worker to assess if the level of intervention is necessary.

A gay couple who say they are both in long-term recovery for cocaine addictions request couples' therapy. The couple reports frequent arguments and an increased sense of distance in their relationship. The social worker should FIRST: A. Teach the couple communication skills. B. Assess for a drug relapse in either partner.. C. Assign the couple intimacy exercises as homework. D. Teach the couple anger management skills.

B. Assess for a drug relapse in either partner.

Parents of a two-year-old boy seek help from a social worker because they are having difficulties with their son. They report that he has become defiant and says "no" to everything and refuses to let them get him dressed. The social worker is not concerned about the behavior because the child is in what stage of development? A. Ego Integrity vs. Despair B. Autonomy vs. Shame and Doubt C. Generativity vs. Stagnation D. Trust vs. Mistrust

B. Autonomy vs. Shame and Doubt

A couple in their 60's meet with a social worker and state that they are upset that they have had no sexual relationship during the past year. The social worker should FIRST: A. Address other stressors in their marriage. B. Address underlying reasons for the lack of sexual activity. C. Explain that most couples stop being sexually active as they get older. D. Encourage the couple to see a sex therapist.

B. Address underlying reasons for the lack of sexual activity.

A 50-year-old woman in the commercial real-estate business is referred to her EAP due to interpersonal conflicts with female co-workers. During the assessment, the social worker learns that the woman frequently minimizes her colleagues concerns regarding sexism and sexual harassment in the workplace and during work functions. The woman says, "They need to get over it. This is just part of the business. They're being too sensitive." The social worker should view this response as: A. Expected, given the employment setting and cultural standards. B. An internalization of the sexism the client has experienced during her career. C. Evidence of a personality disorder. D. An indication that long-term therapy is needed.

B. An internalization of the sexism the client has experienced during her career.

A mother brings her 10-year-old daughter to therapy after an unfounded abuse investigation on the girl's father. Since the investigation, the child has been afraid to sleep in her own room, is demanding of her parents, and has nightmares that her dad is being taken. What should be the immediate, short term objective of therapy with this client? A. Encourage the client to forget the incident because it was unfounded. B. Assist the client to explore her emotions and fears about the incident. C. Instruct the parents to set firm limits on child's bedtime behavior. D. Refer the client to a psychiatrist for a medication evaluation.

B. Assist the client to explore her emotions and fears about the incident.

A woman brings her 30-year-old daughter to meet with her social worker. The daughter is diagnosed with depression and lives with her mother. The mother reports that the other night, the daughter made a suicidal threat and then locked herself in the bathroom for 2 hours; the mother is now afraid that the daughter is ready to make a suicide attempt. The daughter has two previous suicide attempts and has stopped taking her antidepressants. In the interview, the social worker finds that the client is withdrawn, but calm, and unwilling to contract for safety. What should the social worker do FIRST? A. Help the mother contact the daughter's psychiatrist. B. Begin to take steps towards an emergency psychiatric commitment. C. Attempt to convince the daughter to take her medication. D. Explore the daughter's recent increase in suicidal thoughts.

B. Begin to take steps towards an emergency psychiatric commitment.

A toddler is referred to a social worker because he is difficult to soothe and aggressive towards his other siblings. The mother reports that both her and her husband are gone a lot due to work commitments, but have hired multiple caregivers to watch their toddler when they are not home. What should the social worker do FIRST? A. Encourage the parents develop a more regular work schedule. B. Provide psychoeducation to parents on the importance of their involvement with the child. C. Provide referral to a preschool. D. Refer child to a psychiatrist.

B. Provide psychoeducation to parents on the importance of their involvement with the child.

A client with a history of interpersonal problems with co-workers has recently been fired for getting into repeated arguments with colleagues and supervisors. The client arrives at the next session late and becomes very angry when the social worker inquires about the client being late. The client yells, "Why are you monitoring my every move? Can't you just trust me and leave me alone?" The social worker should interpret the client's behavior as: A. Resulting from a feeling of judgment by the social worker. B. Displaying problems that occur in workplace relationships. C. Indicating a need for medication to stabilize the behavior. D. Signaling a desire to terminate treatment.

B. Displaying problems that occur in workplace relationships.

A social worker has been meeting with a 14-year-old boy for the past month after he came out as gay to his classmates. During a recent session, the client and therapist process his desire to start dating and identify steps he can take that feel comfortable for him. At the end of the session, the client gets up to leave and blurts out, "I went to a party last week and had sex with someone I've never met." This statement is BEST described as: A. Developmentally typical behavior B. Doorknob communication C. Manipulation to extend the session D. An expression of distress around his sexual identity

B. Doorknob communication

A 72-year-old man seeks services from a social worker at the suggestion of his physician. His wife of 50 years died of cancer three months ago. He reports that his wife did all of the cooking, cleaning and maintenance in the home. He has children and grandchildren, but says that he doesn't want to ask them for help and feels like he can't live without his wife. What should the social worker do FIRST? A. Encourage the client to join a grief support group. B. Evaluate the client for suicide risk. C. Help the client identify ways to approach his children for help. D. Discuss the possibility of the client moving to an assisted living facility.

B. Evaluate the client for suicide risk.

A 23-year-old client with Down Syndrome receives monthly home visits from a case manager after a previous suicide attempt and hospitalization. The client lives in a group home and has a roommate. During the most recent visit, the case manager notes that the client appears depressed and can't provide information about recent psychiatric appointments, though the apartment appears relatively clean. The client's roommate enters the room as the social worker is leaving. The social worker should: A. Ask the roommate about the client's recent behavior and symptoms B. Exit the room without engaging the roommate in conversation C. Say hello and ask the roommate how things have been going D. Request that the roommate call the social worker if the client's symptoms worsen

B. Exit the room without engaging the roommate in conversation

A social worker has been working with a 24-year-old client who has recently lost his job and is depressed; the client has had to move back in with his parents as a result of lost income. One day, the client's mother calls the social worker and expresses concern about her son's inability to find a new job. The mother presses the social worker to learn whether or not her son has discussed plans to contact a staffing agency for an interview. The social worker should FIRST: A. Validate the mother's concern about her son. B. Explain that information cannot be disclosed without a client's consent. C. Discuss the mother's concerns with the client at the next session. D. Set up a family session with the mother and son to discuss their issues.

B. Explain that information cannot be disclosed without a client's consent.

A 45-year-old man meets with a social worker for an initial appointment. He reports that his wife is an alcoholic and becomes verbally abusive when she is intoxicated. He indicates that his wife refuses to go to treatment, insisting that they can resolve this problem on their own. The therapist should FIRST: A. Provide the man with psychoeducation around substance abuse and the stages of change. B. Explore the man's issues and work collaboratively to develop treatment goals. C. Explore the man's commitment to the relationship. D. Help the man identify the reasons behind his wife's behavior.

B. Explore the man's issues and work collaboratively to develop treatment goals.

When a potential client inquires about services, the MOST important reason for addressing the various functions and services of the agency is to: A. Address the limitations of agency services. B. Explore if the client's needs can be addressed by the agency's services. C. Explore whether they fit with the client's expectations. D. Determine whether the client is eligible for services at the agency.

B. Explore if the client's needs can be addressed by the agency's services.

An adult with Down Syndrome and diabetes is in an emergency room for treatment due to noncompliance with insulin shots. Before releasing her, the physician asks the social worker to interview the client and her parents, with whom she lives, about the situation. The social worker learns that the noncompliance with insulin has been an issue at home and at the client's place of employment. What should the social worker do FIRST? A. Provide the parents with information about how to apply for conservatorship. B. Explore the client's understanding of her illness and the significance of medical treatment. C. Discuss the effects and benefits of medication with the whole family. D. Reframe the client's noncompliance as an example of her seeking independence.

B. Explore the client's understanding of her illness and the significance of medical treatment.

A social worker is meeting with the parents of a 7-year-old boy who was recently diagnosed with ADHD. The parents met with a psychiatrist who recommended medication and behavioral management therapy. The parents are resistant to medication. What should the therapist do first? A. Refer them back to the psychiatrist. B. Explore their concerns about medication. C. Begin behavioral modification training. D. Encourage them to try out medication before they judge it.

B. Explore their concerns about medication.

A 23-year-old woman seeks treatment from a social worker through her university following a dramatic breakup with her girlfriend. During the assessment, the social worker notes that the client seems to have abandonment issues that stem from a long history of fragmented relationships. If the social worker operates from a client-centered therapy model, all of the following interventions apply EXCEPT: A. Empathizing with the client's experience B. Exploring the client's cultural background and expectations in relationships C. Matching the tone and pacing of the client's verbal communication D. Maintaining a positive stance toward the client

B. Exploring the client's cultural background and expectations in relationships

A young mother brings her 2-year-old son to the emergency room for treatment of burns to the hands and face. The mother states that the injury occurred when the child pulled a cup of hot coffee off of a table when the she was not looking. The medical report shows third degree burns to the hands and face, as well as several bruises on the child's buttocks and back that are in various stages of healing. After hospitalizing the child, the medical staff makes a report of suspected child abuse. The child welfare social worker should FIRST: A. Remove the child from his home and arrange for alternative care. B. Follow through with the report of suspected abuse and conduct an investigation. C. Refer the mother to a parenting class. D. Encourage continued hospitalization for the child.

B. Follow through with the report of suspected abuse and conduct an investigation.

A social worker in private practice meets with a client who is working through issues related to his father's recent death. During one session, the client talks of feeling overwhelmed by his feelings of grief and unable to deal with his own son's crying and sadness about the loss. The client reveals becoming so frustrated with his son over the weekend that he grabbed the child forcefully and left bruises on the child's arm. The social worker should NEXT: A. Assess the child. B. Let the client know that the child protection agency must be notified about the incident. C. Educate the client on the stages of grief and provide him with relaxation skills. D. Refer the client to a grief support group.

B. Let the client know that the child protection agency must be notified about the incident.

A social worker in a community mental health agency begins working with parents and their 12-year-old son. The family has been referred because the son's grades are deteriorating and he's been getting into fights at school. During the first few sessions, the social worker notices that the parents repeatedly express anger toward their son for lying, but when the son tells the truth, they yell at him for his "poor choices." The social worker should NEXT: A. Separate the child and the parents to help them each express frustration in a safe space B. Point out this double bind to the parents C. Ask the son to respond to the parents' anger D. Point out how unproductive being dishonest it

B. Point out this double bind to the parents

A 30-year-old client meets with a social worker and states, "I feel like I'm driving myself insane." The client reports a fear of germs to the point where she won't allow others to visit her home because she is afraid they will bring germs into the home. She says she rarely leaves her home and spends a lot of the day cleaning. The client also states that she scrubs her body to the point where she is bleeding. The social worker should FIRST: A. Suggest client keep log of what triggers her behaviors. B. Provide the client with a referral for a medical evaluation. C. Help the client determine hand washing alternatives. D. Identify the cause of the phobia.

B. Provide the client with a referral for a medical evaluation.

A social worker is providing therapy for a woman just out of rehab and her 12-year-old daughter. At a session with the daughter, the daughter reveals that she is having a hard time sleeping because her mother is abusing drugs again and states that her mother sleeps at her boyfriend's house and leaves her and her 4-year-old brother home alone. The social worker should FIRST: A. Clarify what types of drugs the mom is using. B. Report the child neglect situation to the appropriate agency. C. Schedule a joint session with the mother and daughter. D. Find out where the boyfriend lives.

B. Report the child neglect situation to the appropriate agency.

A social worker is attending a neighborhood block party. While speaking with her neighbor, the neighbor discloses that she was so frustrated with her child the other day that she hit her with a belt. While the neighbor is not a client of the social worker, the social worker should first: A. Make a suspected child abuse report B. Report the incident according to state law. C. Refer the neighbor to a different social worker so there is no dual relationship. D. Contact the school to discuss the child.

B. Report the incident according to state law.

A social worker meets with a couple who have been married for five years. The wife reports that she recently discovered that her husband has been having an affair with another woman. She says that she is angry and is considering filing for divorce. The husband states that he is sorry and wants to do what he can to save their marriage. After the session, the social worker feels some anger towards the husband since she went through a similar experience in her own marriage. What should the social worker do NEXT: A. Explore the events leading up to the affair. B. Schedule a meeting with a supervisor to address possible countertransference issues. C. Encourage the couple to each receive individual counseling. D. Disclose the personal experience to show a sense of shared experience.

B. Schedule a meeting with a supervisor to address possible countertransference issues.

A social worker meets with a mother who has two young children with severe asthma. One of her concerns is the mold in their apartment unit that has become increasingly worse. In order to advocate for the client, the social worker should: A. Obtain a release to speak to their pediatrician. B. Support the mother in speaking with her landlord regarding her concerns. C. Determine if other neighbors share their concern. D. Provide psychoeducation about mold removal.

B. Support the mother in speaking with her landlord regarding her concerns.

The parents of a 6-year-old boy who was diagnosed with Autism Spectrum Disorder meet with a social worker. During the session, the parents complain that the school does not provide a classroom that caters to their child's needs. The social worker should: A. Advocate for the child by speaking with the school administration. B. Support the parents in scheduling a meeting with the school administration. C. Schedule a meeting with the child's teacher to discuss a behavioral plan. D. Provide the parents with behavioral suggestions that can be implemented at home and shared with the teacher.

B. Support the parents in scheduling a meeting with the school administration.

A social worker in a community service organization receives a referral for a 17-year-old girl who was recently kicked out of school due to poor attendance. When the girl and her mother arrive, the mother tells the social worker that the girl recently immigrated from Venezuela and does not speak English. The mother immigrated several years ago and can communicate clearly. The social worker should NEXT: A. Use her limited Spanish to assess the client B. Tell the mother that the appointment will be rescheduled with an appropriate interpreter present C. Ask a Spanish speaking staff member to interpret the session D. Allow the mother to interpret during this session and schedule an interpreter for follow up appointments

B. Tell the mother that the appointment will be rescheduled with an appropriate interpreter present

A patient admitted into ER has his partner listed as the emergency contact. The social worker learns that the nursing staff contacted his family instead of the partner. The social worker should NEXT: A. Call the partner. B. Tell the patient that his family was notified. C. Wait until the family arrives and find out what they think is best. D. Discuss the situation with the doctor.

B. Tell the patient that his family was notified.

A woman has been going to therapy for the past two months. Whenever the therapist brings up emotional material the woman dismisses it and says she isn't interested in talking about those subjects. She talks a lot about her day to day life and says she thinks she is ready to terminate. What should the therapist do next: A. The client seems like she is doing fine and feels she is ready to terminate so the therapist should start the termination process. B. The therapist should address the client's resistance in discussing the emotional material. C. The therapist should give the client two more sessions to see if she still feels ready for termination. D. The therapist should inform the client that she needs to talk about this material or else the therapy sessions will be over.

B. The therapist should address the client's resistance in discussing the emotional material.

A client meets with a social worker and states that she has a medically frail child who is 3-years-old. The client states that she feels hopeless that things will change, and is angry at how it's affecting her family. The client feels that the needs of this child are impacting the client's other children who are oppositional and having problems in school. What should the social worker do FIRST? A. Refer the client to a support group for parents of children with medical problems. B. Work with the family as a unit. C. Coordinate with school social worker to address problems with other children. D. Work with the client around ways to reduce her stress.

B. Work with the family as a unit.

A social worker meets with a lesbian couple seeking help with the decision of getting married and starting a family. After two sessions, the social worker asks questions regarding their sexual relationship. The clients appear uncomfortable and ask why the social worker wants to know. The social worker should first explain that: A. It is common for couples to experience sexual problems. B. Exploring their sexual history is an important aspect of addressing underlying issues. C. Beliefs surrounding sex are an important part of the relationship to address. D. It is important to address any sexual problems now before they escalate.

C. Beliefs surrounding sex are an important part of the relationship to address.

After a session in which a client shared frustration about the social worker's approach, the social worker fears having made a mistake by dismissing the client's feedback. What should the social worker do during the next session? A. Admit that it could have been handled better. B. Focus on the positive aspects of the therapeutic relationship. C. Bring up the incident and explore client's feelings about it. D. Wait and see if the client seems bothered by it.

C. Bring up the incident and explore client's feelings about it.

A social worker meets with a client who has a history of DUI and reckless endangerment of his two small children. The client has followed his court-ordered service plan including regular attendance at individual and group treatment sessions, as well as regular drug testing and mandatory employment. In an individual session, he tells his social worker that he wants to see his two children, who are currently in custody with his ex-wife. The social worker should NEXT: A. Speak with the ex-wife regarding the father's wishes. B. Ask the client if the two children want to spend more time with him. C. Address any legal barriers to visitation. D. Schedule a supervised visit for the father.

C. Address any legal barriers to visitation.

A client tells her social worker in session that she is planning to join a local gardening club. The social worker is the club leader, but the client does not know this. What should the social worker do? A. Step down as club leader. B. Allow the client to join the club but ask her not to disclose to other club members the nature of their relationship. C. Address the conflict with the client. D. Provide the client with other gardening clubs in the area.

C. Address the conflict with the client.

A 19-year-old meets with a social worker for an intake assessment. The client lives with her parents still. The following day, the social worker receives a voicemail from the client's father who asks to be updated on how the therapy is going. What should the social worker do? A. Schedule a family session. B. Encourage the father speak with his daughter regarding the session. C. Address the requirements for disclosure with the father. D. Only disclose minimal details about the session to the father.

C. Address the requirements for disclosure with the father.

A married couple meet with a social worker in private practice for an initial session. Afterwards, the wife calls the social worker and states, "I have something I want to talk to you about, but my husband can't find out." The social worker's MOST appropriate response would be to: A. Reassure the wife that what she says will be kept confidential. B. Recommend that both husband and wife meet individually before the next couple's session. C. Advise the wife of the therapist's "no secrets" policy and suggest disclosure at a future couple's session. D. Refer the husband and wife to separate individual therapists.

C. Advise the wife of the therapist's "no secrets" policy and suggest disclosure at a future couple's session.

A social worker has been facilitating a support group for mothers with postpartum depression for nearly a year when she receives a training opportunity that will require her to be gone for several months. The social worker should NEXT: A. Notify the group of her training opportunity and explain why she will be gone B. Meet with each group member individually to process what her absence will mean for them C. Arrange for another social worker to take over the group to ensure the client's needs are met D. Consult with a supervisor about how to terminate with group members

C. Arrange for another social worker to take over the group to ensure the client's needs are met

A school counselor refers a family to a social worker after finding their 7-year- old child pretending to have sexual intercourse with another child at recess. The mother states, "I'm so embarrassed about this happening at school, and not sure what to do." What should the social worker do FIRST: A. Report suspected child abuse to the proper authority. B. Provide psychoeducation on normal child development. C. Assess for further signs for sexual abuse. D. Consult with the school counselor to obtain further details about the incident.

C. Assess for further signs for sexual abuse.

A woman comes into session angry because she found out that her boyfriend is cheating on her. She gets enraged and screams 'I'm going to kill him' and runs out. What should the social worker do first? A. Notify the authorities B. Notify the boyfriend C. Call the client D. Wait to talk to her during their next scheduled session

C. Call the client

A white social worker receives a referral from a school counselor for a 5 year-old black male. The counselor reports that the child refuses to stay in his seat, is disruptive to his peers and is oppositional with the teacher. When the social worker meets with the boy's parents, they offer one-word answers to questions and the father sits with his arms folded across his chest. He states, "You people are always targeting us. I bet you don't see any white kids getting referred!" What should the social worker do FIRST? A. Refer the parents to a black social worker. B. Suggest behavioral modification techniques to address the behaviors. C. Clarify the parents' understanding of the reasons for the referral. D. Explore the parents' perceptions of their child's behavior.

C. Clarify the parents' understanding of the reasons for the referral.

A 44-year-old man seeks treatment from a social worker after separating from his husband, who has a gambling addiction. During the 5th session, the client reports that the couple have been separated for nearly a month and that his husband has "done a complete 180" and states that he plans to move back into the home in the coming weeks. He says, "can you believe it? I'm so happy we are getting back together." The social worker should FIRST: A. Ask the client if his husband will attend a joint session B. Provide psychoeducation around the stages of change and the possibility of relapse C. Clarify what about his husband's behavior has changed D. Provide a referral for the husband's individual treatment

C. Clarify what about his husband's behavior has changed

A social worker is meeting with a client involved in a bitter custody dispute with her ex-boyfriend. The client shares that her six-year-old daughter doesn't like her dad's new girlfriend. The client adds, "If I ever hear that his girlfriend does something to my daughter, I'll make sure she pays." What should be the social worker's immediate concern? A. Warn the former girlfriend of the threat. B. Acknowledge the client's feelings about this situation. C. Clarify what the client means by "I'll make sure she pays." D. Focus on the six-year-old daughter's need for peaceful parenting.

C. Clarify what the client means by "I'll make sure she pays."

A social worker at a non-profit organization is preparing a proposal for a community education program around voter registration and rights. Which of the following activities is the social worker likely to engage in FIRST: A. Determine potential positive/negative outcomes of the program B. Identify educators to implement the intervention C. Conduct a needs assessment in the community D. Set goals and objectives

C. Conduct a needs assessment in the community

A mother brings her adolescent son to therapy following the recent death of his grandmother. During the initial session, the boy tells the social worker "I was close to my grandmother, but I am doing fine. I don't know why my mother brought me here." What is the BEST course of action for the social worker to take? A. Ask the boy about his relationship with his mother. B. Ask the boy about his relationship with grandmother. C. Conduct a psychosocial assessment. D. Refer the boy to a grief support group.

C. Conduct a psychosocial assessment.

A social services agency wants to expand their services to meet the needs of the local Muslim community. The Director of Social Services is assigned the task of identifying the most appropriate services. During the initial phase of planning what is the BEST thing for the director to do? A. Convene a focus group with members of the local community. B. Contact the local mosque and request a meeting. C. Consult with experts in the field of Muslim mental health. D. Survey current Muslim clients to find out what services they need.

C. Consult with experts in the field of Muslim mental health.

A 16-year-old is brought to treatment for an eating disorder. How would a social worker using Feminist Theory Therapy view this issue? A. Unresolved issues of early childhood can manifest as eating disorders. B. Her automatic thoughts cause unhealthy body-image. C. Cultural expectations of women negatively affect their sense of self. D. Denial of food is a defense mechanism to manage anxiety.

C. Cultural expectations of women negatively affect their sense of self.

SSRI's are commonly used to treat the following disorders: A. Depression and Schizophrenia B. Depression and Bipolar Disorder C. Depression and Anxiety D. Depression and ADHD

C. Depression and Anxiety

A 35-year-old accountant seeks therapy because she has a hard time in social settings. She presents with a depressed mood and shares that sometimes she stays home and drinks rather than going out with her friends. The social worker should FIRST: A. Refer the client to substance abuse treatment for an assessment. B. Provide psychoeducation about how her substance abuse could be affecting her mood. C. Determine the frequency and amount of client's substance use. D. Ask if client experiences any symptoms of tolerance or withdrawal.

C. Determine the frequency and amount of client's substance use.

A 41-year-old woman has been in therapy for two years for anxiety attacks and depression. She is no longer taking medication and is currently symptom free. During recent therapy sessions she frequently laughs and enjoys herself. Which of the following actions should the social worker take? A. Interpret the client's behavior as a flight into good health. B. Confront the client regarding avoidance of underlying issues. C. Develop a termination plan with the client to maintain progress made. D. Identify precipitating events leading to the new symptom development.

C. Develop a termination plan with the client to maintain progress made.

A social worker meets with a new client who describes feelings of anxiety and depression that began soon after she got married. The client's affect is flat and she keeps her eyes averted for much of the session. When asked about recent pleasurable experiences, the client states offhandedly that she is "not allowed to go out much." The client becomes more visibly anxious toward the end of the session and keeps touching a bruise on the side of her face. The social worker should NEXT: A. Encourage the client to attend marital counseling with her partner. B. Encourage the partner to meet with the social worker for an individual session. C. Educate the client about the cycle of violence. D. Refer the client to a psychiatrist.

C. Educate the client about the cycle of violence.

A 72-year-old woman has been in treatment with a social worker for 6 months for depression and anxiety. One day, she arrives thirty minutes late for a regularly scheduled appointment. She reports that she got confused on the bus and couldn't remember which stop to get off at. The social worker should FIRST: A. Call the client's family and inform them of the incident. B. Call the client a taxi for the ride home. C. Encourage the client to get a physical examination. D. Recommend immediate hospitalization for further evaluation.

C. Encourage the client to get a physical examination.

An unlicensed social worker is meeting with an older woman for their first therapy session. The older woman reminds the social worker a lot of her mother who she does not have a good relationship with. The social worker finds herself becoming easily frustrated with the older woman and is having a hard time remaining calm. What should the social worker do first: A. She should bring up the situation with the client and explain why she is becoming agitated. B. Since it is only the first session, she should transfer her to another therapist. C. She should talk to a supervisor about her countertransference issues. D. She should journal about her feelings after the sessions.

C. She should talk to a supervisor about her countertransference issues.

A single father seeks the assistance of a social worker in a family service agency. He reports increasing stress and difficulty sleeping, which have increased due to financial difficulties related to his mortgage. In the initial session, the client asks the social worker who will have access to what he talks about in session. The social worker's MOST appropriate response to him is: A. Request that he sign a release of information. B. Reassure him that confidentiality will be maintained. C. Explain the agency policies about confidentiality. D. Elicit information about why this issue has been identified.

C. Explain the agency policies about confidentiality.

A family seeks therapy for help with their teenage children. The parents recently got married and moved in together. The husband's children are ages 7 and 13. The wife's children are 9 and 14. The parents report that the teenagers are not listening and acting out. The social worker's initial intervention should be: A. Determine when the problematic behavior started. B. Obtain a release to speak to the school about their behavior. C. Explore how each of the family members are adjusting to the new living arrangements. D. Provide psychoeducation about normal adolescent development and behavior.

C. Explore how each of the family members are adjusting to the new living arrangements.

A social worker is about to meet with a woman who is experiencing difficulties in relationships. The woman is a single mother with a 5-year-old and has recently started to date a man that she met through AA. When meeting with the woman, what should the social worker do FIRST? A. Address the impact that being a single mother has on her relationships. B. Explore the woman's substance abuse history. C. Explore the woman's reason for entering therapy now. D. Schedule a session with her partner.

C. Explore the woman's reason for entering therapy now.

A social worker at a day treatment facility for teens with mood disorders is asked to provide crisis intervention following the suicide of a program participant. The social worker should FIRST: A. Refrain from sharing information due to confidentiality. B. Contact the residents' parents to inform them of the situation. C. Facilitate a group session to discuss the incident with the other participants. D. Have individual meetings with each participant to discuss the incident.

C. Facilitate a group session to discuss the incident with the other participants.

A mother brings her six-year-old in to see a social worker after a teacher expressed concern regarding an incident at school. The teacher stated that the child has been taking dolls and mashing their faces and bodies together, saying "they're doing it so they can make a baby." This child is MOST likely: A. Being abused. B. Expressing developmentally-appropriate sexual impulses. C. Illustrating sexual behaviors that have been observed. D. Struggling to accomplish the psychosocial tasks of the identity vs. role confusion stage.

C. Illustrating sexual behaviors that have been observed.

A family seeks therapy for their 16-year-old son. He was diagnosed with Bipolar disorder six-months ago. The parents report that when he takes his medications he is able to function and attend school. Unfortunately, he frequently forgets to take his medication and has a manic episode. They are concerned that he won't be able to graduate and function as an adult. The social worker should initially focus on? A. His school performance. B. Creating healthy boundaries between the parents and son. C. Increasing compliance with medication. D. Identifying an alternate high school.

C. Increasing compliance with medication.

A clinical social worker is evaluating a friendly, 5-year-old child who has difficulty making friends in school. He is very verbal, but has a hard time answering questions about his feelings. He is eager to talk about all the different types of reptiles and knows all about them. What should be the social worker's next step: A. Diagnose him with Autism Spectrum Disorder. B. Use play therapy to try to connect with him on different topics. C. Refer him to a social skills group. D. Suggest that he is transferred to a different school.

C. Refer him to a social skills group.

The mother of an eight-year-old boy calls the school social worker and says that her son has been refusing to come to school because he is teased about being overweight. The mother demands that the school punish the students who have been teasing her son. What should the social worker do FIRST? A. Encourage the mother not to overreact to the child's report. B. Get a list of the names of the bullies from the mom. C. Meet with the child to assess and develop problem-solving strategies. D. Refer the mom to a parenting support group.

C. Meet with the child to assess and develop problem-solving strategies.

A social worker is facilitating a group for survivors of childhood sexual abuse. During the most recent session, one of the group members reports drinking excessive amounts of alcohol and taking pain pills to sleep through the night. The social worker should NEXT: A. Provide the group with psychoeducation around substance use and trauma B. Encourage group members to share their reaction about this disclosure C. Meet with the group member individually to discuss a referral for substance use treatment D. Refer the group member for a medical evaluation

C. Meet with the group member individually to discuss a referral for substance use treatment

A social worker in private practice receives a referral for a five-year-old child who is having behavior problems at school and home. During the initial interview with the parents, they disclose that the child has a different biological father than his 3 older siblings and that everyone in the family knows about this except the five-year-old. The parents request that the social worker disclose this to the child. The social worker should FIRST: A. Meet with the child individually to assess his behavior problems. B. Tell the child the truth during an individual session. C. Meets with the parents to understand why they want to tell their child the truth now. D. Encourage the parents to disclose the truth.

C. Meets with the parents to understand why they want to tell their child the truth now.

A client expresses concern about his 80-year-old mother's excessive drinking to a social worker. The client wants to set up an intervention to confront his mother about the problem. The social worker's BEST response is that the intervention: A. Will be ineffective due to his mother's age. B. Needs to include extended family members to be most effective. C. Needs to include a few individuals who are close to the client's mother D. Will only be successful if the social worker is present to facilitate the intervention.

C. Needs to include a few individuals who are close to the client's mother

A social worker is working with a family with three children, the oldest of whom, age 14, is in a wheelchair because of cerebral palsy. The parents describe the child's lack of interest in family activities and believe that he is depressed. The child remarks that his mother hovers over him, and they never let him go anywhere alone. He expresses an interest in going to special needs summer camp, but his parents shake their heads. What should the social worker do FIRST? A. Support the parents' understandable need to be protective. B. Refer the 14-year-old for a medication evaluation. C. Provide psychoeducation about normal adolescent development. D. Encourage parents to support their son's independence.

C. Provide psychoeducation about normal adolescent development.

A social worker in a community clinic meets with a 27-year-old woman who was referred after experiencing domestic violence. The woman shares that she is pregnant and plans to return home after staying with her sister while her boyfriend "cools down." The social worker should FIRST: A. Convey acceptance of the client's decision to return home B. Report the client to CPS for child endangerment C. Provide psychoeducation around the potential escalation of domestic violence during pregnancy D. Express concern about the client's plan to return home

C. Provide psychoeducation around the potential escalation of domestic violence during pregnancy

A high school student has been killed in a gang-related shooting. A social worker is assigned to help students deal with the sudden death of their classmate. What should the social worker do FIRST? A. Identify other at-risk students in the school who may be involved in gangs. B. Develop a gang prevention program within the school. C. Provide students with the space to express how they feel. D. Empathize with the student's feelings.

C. Provide students with the space to express how they feel.

The drug Antabuse uses which behavioral modification principal to keep people from drinking alcohol? A. Positive Reinforcement B. Negative Reinforcement C. Punishment D. Classical Conditioning

C. Punishment

A 72-year-old was brought into the ER by his daughter. The daughter reports that recently her father has started to leave the oven on, refuses to leave the house, and frequently has loud outbursts. She reports that today he became increasingly agitated and threw a knife at the wall while she was making dinner for him. What should the social worker do NEXT? A. Gain an understanding of the client's personality before the change occurred B. Explore the daughter's feelings around her father's decline C. Refer the client for a medical and psychiatric evaluation D. Explore assisted living home options with the client and his daughter

C. Refer the client for a medical and psychiatric evaluation

A social worker in a community mental health agency meets with a 14-year-old boy and his parents after 3 months of treatment. The family first presented for treatment because the boy was experiencing feelings of anxiety and had several panic attacks. The goal of the session is to review the client's progress and reevaluate the treatment plan. All of the following are examples of objective data EXCEPT: A. The number of panic attacks the client reports in the past 2 weeks B. The client's score on the Beck Anxiety Inventory C. The client's ability to express feelings to the social worker D. The parents' report on how often the child avoids anxiety-provoking situations

C. The client's ability to express feelings to the social worker

A social worker in a family service agency is working with an 8-year-old girl who discloses in session that she is being sexually molested by an older boy at school. As she is talking, the social worker realizes that the boy is in a therapy group that she facilitates at the school. The social worker should NEXT: A. Obtain more specific details about the abuse. B. Question the other client about the allegation after the next group. C. Report the abuse to the appropriate authorities. D. Contact the school principal to report the abuse.

C. Report the abuse to the appropriate authorities.

A 38-year-old woman with Borderline Personality Disorder continually engages in scapegoating during a weekly treatment group. After consultation, the social worker facilitating the group decides to dismiss the client from the group due to the destructive nature of her in-group behaviors. What should the social worker to FIRST in order to facilitate termination? A. Inform the client during a group session that she will be leaving the group in 2 weeks. B. Ask the group whether the client should be dismissed from the group. C. Schedule an individual appointment with the client to discuss the decision. D. Refer the client for individual treatment before termination is discussed.

C. Schedule an individual appointment with the client to discuss the decision.

A woman seeks therapy 2 months after miscarrying for the second time. The client reports recurring dreams about losing the baby and feelings of anger when she sees women with healthy babies in public. Her husband is refusing to attend therapy, saying that "everything happens for a reason." The social worker's primary task is to: A. Provide psychoeducation on the grieving process. B. Explore the client's sadness. C. Support the client through her grieving. D. Explore the client's relationship with her husband.

C. Support the client through her grieving.

A man has been hospitalized for a month following a car accident that has resulted in him needing a wheelchair while he relearns to walk. The patient's elderly parents would like the client to move in with him so they can help him while he regains his mobility to which the client agrees. In developing discharge plans, the social worker should FIRST evaluate which of the following factors? A. Financial stability. B. Access to physical therapy and community resources. C. The parent's ability to provide adequate care to their son. D. The accessibility of the parents' home for a wheelchair.

C. The parent's ability to provide adequate care to their son.

All of the following are common traits of child sexual abuse perpetrators EXCEPT: A. They are generally someone that is known and trusted by the child. B. They have a history of abuse themselves. C. They are usually strangers and unknown to the child. D. They are generally male.

C. They are usually strangers and unknown to the child.

A social worker is an instructor at a local social work program. One of her students is also an intern at the social worker's agency. The social worker knows that the student recently had a client die in a random accident. The student approaches the instructor and requests an extension on a paper that is due. The instructor should: A. Deny the request. B. Grant the request. C. Treat her like any other student. D. Suggest she drop the class until she can focus.

C. Treat her like any other student.

A social worker for the police department is assigned to a new supervisor, who is a lead detective. The detective asks the social worker to try and coerce a victim to participate in the identification of her assailant, even though the victim has already stated that she does not want to do this. What should the social worker do? A. Follow the detective's orders and attempt to convince the victim to comply. B. Rely on police department policy regarding victims and witnesses. C. Ask to be reassigned to another supervisor. D. Base professional action on social work ethical standards.

D. Base professional action on social work ethical standards.

A 30-year-old man meets with a social worker for the first time and describes himself as a failure. He recently lost his job and his girlfriend of two years broke up with him. He feels hopeless about his life and is beginning to believe his family's criticism and rejection of him are justified. As the interview progresses, his discouragement and feelings of worthlessness become more apparent. The social worker should FIRST: A. Refer the client to a psychiatrist for a medication evaluation. B. Help the client identify why his relationship with his girlfriend ended. C. Schedule a family session. D. Ask the client if he's had any thoughts about hurting himself.

D. Ask the client if he's had any thoughts about hurting himself.

A 42-year-old woman meets with a social worker after being laid off from her job of 15 years. The woman reports that in addition to being let go from her job, she recently discovered that her husband has been cheating on her. The woman reports that she hasn't been able to eat or sleep and that "images of him keep running through my mind." She reports being unable to get out of bed most days and states, "why should I get up? I don't have anything going for me anymore anyway." The social worker should: A. Refer the client to a divorce support group B. Refer the client for a medication evaluation C. Help the client focus on her strengths D. Ask the client if she's been having thoughts of suicide

D. Ask the client if she's been having thoughts of suicide

A school social worker has received a referral for a 6-year-old boy who is having behavior issues in the class. As part of the assessment, the social worker asks the parents to sign a consent for a classroom observation, but the parents refuse, stating they are uncomfortable with this. What should the social worker do NEXT: A. ​​​​​​Point out the benefits the observation could have on the situation B. Inquire about the parents' resistance to the observation C. Facilitate a meeting with the parents and school administration regarding the boy's behavior D. Acknowledge the parents' right to make the decision

D. Acknowledge the parents' right to make the decision

The 9-year-old daughter of a social worker receives an invitation to go to the zoo with a friend she met at school. The social worker realizes that the mother of this child is a client of the social worker, but the social worker does not think that either child is aware of the fact. The social worker's BEST response is to: A. Explain to the child the situation and why she can't attend. B. Allow the child to go to the zoo, but have someone else drop off the child so the client isn't aware of the conflict. C. Refer the client to a different therapist. D. Address the situation with the client.

D. Address the situation with the client.

A 69-year-old diabetic client is referred by her doctor. She recently had her leg amputated because she hasn't been following her insulin and diet plan. The client cries in session and tells you "I just can't manage all this and I don't see it getting better." What should the social worker do FIRST? A. Strengthen the client's social support network. B. Get a release to consult with the doctor about her treatment. C. Develop a plan for medical compliance. D. Assess client for potential suicide.

D. Assess client for potential suicide.

A social worker is worker with a client who recently came out as transgender to his parents. The client has expressed fear around transitioning because he is afraid of disappointing his family. The social worker is transgender and feels strongly about the client owning his transition, but is also aware that this countertransference may affect the development of a treatment plan. Which of the following is the MOST important component to keep in mind while developing a treatment plan? A. Ensuring the client is aware of the countertransference B. Keeping the family's perspective in mind C. Making sure an outside supervisor has consulted on the treatment plan D. Ensuring the professional code of ethics is followed

D. Ensuring the professional code of ethics is followed

A social worker meets with a young adult who is considering looking for her biological parents. The client struggles with the fear that her adoptive parents would reject her if she reunites with her birth parents. What should the social worker do FIRST? A. Explore resources for adopted adults with the client. B. Facilitate a family session to help the client disclose the plan. C. Assist the client in identifying ways to talk about this plan within the family. D. Clarify the client's own issues and feelings related to being adopted.

D. Clarify the client's own issues and feelings related to being adopted.

A social worker is facilitating a group for single adults with depression. During a session, one group member shares that he recently started dating a woman but is unsure if he should keep seeing her. He reports that the woman has taken him shopping, changed his wardrobe, and has insisted that he cut his hair and start reading certain books. What should the social worker do NEXT: A. Meet with the client individually to discuss this relationship B. Explore why the client is allowing his new girlfriend to exert so much influence on him C. Encourage group members to share their reactions to his new relationship D. Encourage the client to identify how he wants to respond to his girlfriend

D. Encourage the client to identify how he wants to respond to his girlfriend

A hospital-based social worker receives outcome data that indicates a large percentage of geriatric patients with knee replacements are functioning at lower levels one year after surgery. As part of the medical team's response, the social worker is asked to develop a psychosocial program that will enhance functioning. The social worker's BEST approach is to: A. Provide pre-operation workshops to highlight challenges. B. Coordinate the group with the medical director. C. Recommend additional physical rehabilitation. D. Create a drop-in support group.

D. Create a drop-in support group.

A social worker at a women's shelter is asked to see a woman in crisis who has been abused by her husband. The woman enters the social worker's office stating that she plans to return home in the morning and "just needed to spend the night somewhere else and talk to someone about this." The MOST appropriate intervention the social worker can make is to: A. Explore the woman's reasons for wanting to return home. B. Encourage the woman to address her feelings about her husband. C. Provide psychoeducation on the cycle of violence. D. Develop a safety plan with the woman.

D. Develop a safety plan with the woman.

A social worker in a community mental health agency meets with a 16-year-old client for the first time. During the session, the social worker asks open-ended questions about the client's history and the presenting problem; the social worker clarifies certain statements but also allows the client to talk uninterrupted. This approach serves all of the following purposes EXCEPT: A. Building therapeutic rapport B. Obtaining diagnostic information C. Assessing for insight D. Developing a treatment plan

D. Developing a treatment plan

A social worker in a community clinic meets with a woman who presents with issues related to her job. She discusses a recent incident in which she was gone from work for several days without notifying her boss or coworkers, although she has no memory of this. The client has found a pamphlet and tickets from a Broadway show in her home, although she states that she's never been to New York. The client is describing which of the following conditions? A. Depersonalization B. Derealization C. Delirium D. Dissociation

D. Dissociation

A bilingual social worker is hired by a charter school to provide clinical services and support to the Spanish-speaking students and families. After a few months, the social worker realizes that the Latino students receive detentions and in-school suspensions more frequently than other students with similar offenses. What should the social worker do FIRST? A. Contact the parents of the suspended Latino students and encourage them to file a complaint. B. Meet with the principal and share your hypothesis. C. Determine which members of the administration target Latino students. D. Document the comparable incidents to support the hypothesis of institutional racism.

D. Document the comparable incidents to support the hypothesis of institutional racism.

A social work intern is presenting a case to a multidisciplinary diagnostic team for review. During the presentation, the social worker identifies social, cultural, physiological, economic, and environmental factors that interconnect and impact her client's current problem. The intern is using: A. Biological Perspective B. Ethical Perspective C. Policy Perspective D. Ecological Perspective

D. Ecological Perspective

A social worker meets with a 22-year-old client who recently immigrated from Iran to attend college. The client is uncomfortable in social situations and is having difficulty finding friends. In one session, the social worker reflects the client's stated feelings about disconnection and missing home. The client becomes offended at the social worker's comments and says, "You have no idea what I'm talking about." The social worker should NEXT: A. Restate the reflection so the client feels understood. B. Explore any cultural issues that are coming up. C. Refer the client to a Persian social worker. D. Encourage the client to further clarify his statement.

D. Encourage the client to further clarify his statement.

A 13-year-old girl meets with a social worker after being discharged from a psychiatric hospital. During the assessment, the social worker learns that the child has a history of suicidal ideation and aggressive behavior at school and home. These behaviors have become worse over the past year. The family also has a history of mental illness, and the client's father is in jail. After conducting a risk assessment, the social worker should NEXT: A. Explore the child's aggressive behaviors. B. Encourage the mother to place her daughter in a residential treatment home. C. Evaluate the child's behaviors that occur at school. D. Evaluate the overall functioning of the family and the child.

D. Evaluate the overall functioning of the family and the child.

A social worker has been working with a client who abuses alcohol. After a month, the client begins to acknowledge that his drinking is having a negative impact on his life and wants to make his life better. During the preparation stage of change, all of the following are possible interventions EXCEPT: A. Clarify client's goals and strategies. B. Mobilize support systems. C. Discuss treatment options. D. Explore family history of abuse.

D. Explore family history of abuse.

A client who is gay tells his social worker that he wants to have a baby. He reports that his plan is to contact an adoption agency to begin the process. What should the social worker do FIRST: A. Assess the client's ability to manage the potential negative response from family members. B. Refer the client to a parenting class for single fathers. C. Assess the client's understanding of the steps needed to adopt a child. D. Explore the client's desire to become a parent.

D. Explore the client's desire to become a parent.

A school social worker meets with an 18-year-old high school senior whose teacher referred them. The teacher reported the client seemed distracted in school, was turning in assignments late, and had a noticeable drop in grades despite having previously been a good student. When meeting with the student, she reports that she doesn't want to be seen for counseling and says that, "only crazies go to therapy." She says she just wants to get out of school and is ready to go away to college. What should the social worker do FIRST? A. Explore the client's strong desire to leave school and go to college B. Explore any psychosocial stressors that are occuring in school or at home C. Complete a comprehensive assessment D. Explore the client's negative connotations around being in therapy

D. Explore the client's negative connotations around being in therapy

A young couple tells their social worker that they are afraid to enroll their 5 year-old in Kindergarten and that they most likely will not do so, but plan to homeschool the child instead. What should the social worker do FIRST? A. Encourage the parents to visit local schools. B. Provide the parents with psychoeducation about the benefits of Kindergarten. C. Explore the parents' own schooling experience. D. Explore the parents' feelings about sending their child to school.

D. Explore the parents' feelings about sending their child to school.

A community mental health agency recently hired several new social work graduates for their outpatient treatment program. The social work supervisor is facilitating an orientation for the new hires, which will be MOST effective if the supervisor: A. Provides the new hires with a manual of policies and procedure B. Has several staff members present on their own experiences as employees C. Encourages each new hire to present on their areas of specialization D. Gives an overview of the agency's mission and values

D. Gives an overview of the agency's mission and values

A 10-year-old boy is placed with a foster family that has different religious beliefs than the child. The foster parents want the foster child to follow their religious practices. What is the social worker's BEST course of action in this situation? A. Tell the family to follow the child's religion. B. Instruct the child to follow the family's religion. C. Tell the child not to practice any religion to avoid conflict. D. Identify alternate placement for the child.

D. Identify alternate placement for the child.

A social worker at a community agency wants to conduct a needs assessment to determine areas for program development. All of the following activities might be included in a needs assessment EXCEPT: A. Conducting a survey in the community. B. Holding a community forum. C. Collecting service statistics regarding use of current programs. D. Identify individuals or groups with influence to fund programs.

D. Identify individuals or groups with influence to fund programs.

A social worker is part of an evaluation team assessing the effectiveness of a neighborhood outreach program targeting families with children ages 0-5. The social worker is in charge of collecting qualitative data. Which of the following is the BEST example of a qualitative measure? A. Looking at the way variables such as age and income level impact the utilization of client services. B. Tracking the number of clients served in a year through a specific program C. Comparing the number of clients using a new service compared to an old service D. Interviewing clients about their level of satisfaction with the changes in program delivery

D. Interviewing clients about their level of satisfaction with the changes in program delivery

An eight year old boy is brought to therapy by his foster parents. He was removed from his mother's care after it was determined that her boyfriend was physically abusive to him. The social worker offers a game to play but he doesn't respond. The social worker should NEXT: A. Inform the foster parents that he isn't ready for therapy. B. Tell him the game is really fun. C. Talk to him about the abuse he's experienced. D. Invite him to look around the room and point to a toy he likes.

D. Invite him to look around the room and point to a toy he likes.

A social worker begins to notice a pattern of interaction between the client and the social worker. The social worker offers specific suggestions to help the client achieve personal goals and the client thanks the social worker and then identifies the reasons why each suggestion will not work. To promote progress, the social work should FIRST: A. Help the client identify this self-defeating attitude. B. Remind the client of the treatment goals. C. Focus conversations on the client's strengths and motivation. D. Point out this pattern to the client.

D. Point out this pattern to the client.

An 85-year-old World War II veteran is referred by his primary care physician due to somatic complaints for which no physiological basis could be found. The man is in relatively good health except for age-related hearing and vision loss. The client complains of insomnia, fatigue, and stomach aches. When asked about recent activities, the client discusses having attended the funeral of one of his fellow soldiers and the fact that he had to have a neighbor drive him there due to recently losing his driver's license because of his deteriorating vision. The client states that this was his last friend from the war and states, "I guess I'll probably go soon, too." When setting treatment goals, the social worker should FIRST assess the: A. Client's need for a referral to the Veteran's Administration. B. Likelihood that medication will help relieve his symptoms. C. Availability of support groups for older veterans. D. Possibility that the client is depressed due to multiple losses.

D. Possibility that the client is depressed due to multiple losses.

When discussing the fee with a potential new client the social worker learns that the client recently lost her job and is living off her savings. Even after sliding the fee to the lowest amount, the client states that she only thinks she can afford four or five sessions. The social worker should: A. Agree to see her at the reduced rate. B. Lower the rate to accommodate her situation. C. Find out what issues the client hopes to deal with in therapy. D. Refer the client to a low-fee mental health services.

D. Refer the client to a low-fee mental health services.

A mother seeks treatment for her 16-year-old daughter. The mother is concerned that until now the daughter was a good student and enjoyed involvement with their family, church and school. They rarely disagreed. For the past three months, however, the daughter has wanted to spend all her time with her friends. The daughter has kept her grades up, but arguments have occurred around when she has to spend time with the family and how often she can talk on the phone with her friends. What should the social worker do FIRST? A. Suggest family therapy to find compromises. B. Support the mother's efforts to maintain structure and discipline. C. Refer the daughter for individual therapy. D. Provide the parents with education about normal adolescent behavior.

D. Provide the parents with education about normal adolescent behavior.

The 66-year-old wife of a man with a Mild Neurocognitive Disorder seeks counseling from a social worker due to increasingly stressful caregiving responsibilities. The wife is well-integrated into the mental health and medical care delivery systems since her husband has been receiving a range of treatments since age 55. In order to reduce the wife's sense of burden, the social worker should FIRST help her: A. Provide her with psychoeducation regarding the illness and available treatments. B. Utilize a life review to help her identify her husband's positive contributions. C. Improve her response accuracy to decrease crises. D. Re-evaluate her system of caregiving resources outside the family.

D. Re-evaluate her system of caregiving resources outside the family.

A 53-year-old man comes to a social work agency for help regarding a loss of interest in sexual relations with his wife of 20 years. In the intake interview, the client further describes decreased energy, achiness all over his body and depressed mood. The social worker should FIRST: A. Evaluate the client for sexual dysfunction. B. Assess the client for depression. C. Refer for a psychiatric evaluation. D. Refer for a physical evaluation.

D. Refer for a physical evaluation.

A social worker in community agency has been working with a client with Borderline Personality Disorder for 2 years; the social worker has begun to feel that the client needs involvement in a Dialectical Behavioral Treatment (DBT) program in order to improve. The client is hospitalized for a suicide attempt before the social worker can discuss this treatment option. The social worker should: A. Suggest that the hospital refer the client to a local DBT program. B. Contact the DBT program and refer the client upon discharge. C. Call the client in the hospital to discuss termination and referral. D. Resume work with the client after discharge.

D. Resume work with the client after discharge.

A client who has recently immigrated to the United States seeks therapy to adjust to the client's culturally different spouse. To assess the client's level of acculturation, which of the following factors should the social worker take into consideration FIRST? A. Newly immigrated individuals are often hesitant to challenge cultural traditions in their marital relationships. B. Newly immigrated individuals are resistant to learning the rules of a new country. C. Gender differences cause more discomfort than acculturation issues. D. The pace of acculturation may vary from group to group.

D. The pace of acculturation may vary from group to group.

A social worker meets with a woman who is concerned about her marriage. During the intake, the mother reports that she divorced her daughter's "good for nothing" father five years ago and has since married a man who is always doting on her daughter. The woman works second shift at a local factory and leaves her daughter with her husband. The woman worries that her husband does not seem interested in her sexually anymore; she goes on to complain that her daughter has started putting on an alarming amount of weight and is not taking care of her personal hygiene. What is the MOST likely explanation? A. The stepfather is adjusting to his role as a primary caregiver. B. The couple is experiencing a typical decrease in intimacy as they adjust to married life. C. The couple's age difference has put the woman in a parental roll with her husband. D. The stepfather is sexually abusing the daughter.

D. The stepfather is sexually abusing the daughter.

A social worker is meeting with a pregnant client who shares that she plans to have an abortion because the father of the baby is a married man who does not want to the baby. The social worker disagrees with the client's plan to have an abortion, but does not express her disagreement and instead showed active listening and interest. What quality is the social worker exhibiting? A. Sublimation B. Acceptance C. Reaction formation D. Unconditional positive regard

D. Unconditional positive regard

A social worker in a community clinic meets with a 8-year-old. He is argumentative, quick to anger and shows signs of being vindictive. What would be the best approach to take in trying to gain his trust: A. Give him warnings and follow through with consequences. B. Diagnose him with Oppositional Defiant Disorder. C. Refer him for medication evaluation. D. Use active listening to understand his situation.

D. Use active listening to understand his situation.