LMSW exam prep Practice test questions 1

B

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

A new client shares that he has started attending a 12-step peer support group to help him deal with his problems with alcohol. This treatment approach falls into what model of substance abuse? A. Temperance Model B. Moral Model C. Disease Model

D

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.

B

All of the following are associated with a DSM 5 diagnosis of Borderline Personality Disorder EXCEPT: A. Fragile self-esteem B. Sense of entitlement C. Periodic depression D. Poor interpersonal relationships

A

A 3-year-old is referred to therapy because of her lack of social interactions at pre-school. The foster mother reports that the child was severely neglected as an infant and was diagnosed with Reactive Attachment Disorder. According to Erikson, what stage of development is unresolved for this child? A. Basic Trust vs. Mistrust B. Autonomy vs. Shame and Doubt C. Identity vs. Role Confusio

D

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

C

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

C

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 therapist 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

A

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

A

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

B

A 29-year-old female in treatment for Schizophrenia complains to her social worker about involuntary facial tics and "twitches" in her arms and legs that she cannot control. Which of the following medications is MOST likely to have these side effects? A. Zoloft B. Haloperidol C. Klonopin

B

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

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.

A

A 32-year-old woman is admitted to the hospital after a suicide attempt. The social worker obtains a psychosocial history, while a psychiatrist completes a diagnostic interview. When the multidisciplinary team meets, everyone agrees that the client could either be diagnosed with Bipolar II Disorder or PTSD and Borderline Personality Disorder. What should the social worker do NEXT: A. Give the client a provisional diagnosis B. Prompt the team to definitively decide on a diagnosis C. Refer the client for a neuropsychological evaluation

C

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.

A

A 35-year old woman meets with a social worker due to a long history of anxiety and panic attacks. The client reports that although she is professionally successful, she thought she would be married with children by now, but has never been in a relationship longer than a year or two. She reports being estranged from her family, but minimized this, stating, "They never understood me anyway. It's better that I don't have contact with them." The social worker should FIRST: A. Complete a biopsychosocial assessment B. Explore the reasons for the client's estrangement from her family C. Refer the client for a psychiatric evaluation

B

A 38-year-old woman meets with a social worker after having recently found out that her husband has a rare type of cancer. During the initial meeting, the client expresses little emotion and instead focuses on the success rates of various medical treatments for her husband. This is an example of: A. Rationalization B. Intellectualization C. Displacement

C

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

C

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

A 45-year-old African American man receives dialysis several times a week due to kidney failure. The social worker for the dialysis company is contacted after the client yells repeatedly at the nurses while they are trying to insert his IV. When the social worker meets with the client, he reports that the nurses had trouble finding a vein and "stuck me with the needle about 50 times." What should the social worker do NEXT A. Explain to the client that the nurses are just doing their job B. Provide the client with information about how to make a formal complaint C. Refer the client to a different dialysis company D. Facilitate a meeting with the client and nurses to address the incident

B

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.

D

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

A

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

A

A 63-year-old woman provides caregiving for her husband who recently had a stroke. She seeks support through her company's employee assistance program for stress and fatigue that have started to negatively impact her job performance. She is committed to keeping her husband at home, although his physical and cognitive functioning are impaired and caregiving activities require significant time at a high emotional cost. In the four sessions available, the social worker's PRIMARY objective should be to A. Provide information about services and how to obtain them. B. Teach the client meditation and relaxation techniques to reduce stress

D

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

A

A 7-year-old-boy is referred to see the school social worker after the teacher reported a change in classroom behavior. The boy has been easily distracted, highly irritable, and has been picking fights with peers that he used to play easily with. When the social worker meets with the boy she learns his mother's boyfriend recently started living with them. The boy reports that the boyfriend has choked him on multiple occasions and "said he wants to kill my brother because he dropped his favorite plate on the floor." What should the social worker do NEXT? A. Make a report to the appropriate authorities immediately B. Make a call to the boy's mother to explore what the boy said

B

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.

C

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

C

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

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

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

C

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.

A

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

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

B

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

C

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

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

B

A client who is court-ordered for treatment after a series of altercations in the community presents at the first appointment and tells the social worker that "none of this is my fault." The client goes on to provide the social worker with a detailed narrative about how the client was actually a victim in each of these situations. What defense mechanism is the client most likely using? A. Avoidance B. Denial RATIONALE: This is an example of denial, he is denying any responsibility for what happened. A and C would be described differently. C. Displacement

D

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

B

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.

C

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.

B

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. What diagnosis is MOST likely? A. Language Disorder B. Autism Spectrum Disorder

A

A family arrives for an initial family therapy appointment. During the assessment, the social worker learns that the mother abuses prescription medication. What should the social worker do FIRST: A. Work with the mother regarding her need for a chemical dependency assessment B. Work with the family to complete a genogram

C

A family is referred to a community social services agency. The father recently lost his job, and the mother, who has a history of childhood trauma, is a school librarian and the sole provider for the family. The children, ages 2 and 6, both have developmental delays and behavioral issues. What practice model would be MOST effective in treating this family: A. Structural family therapy B. Task centered therapy C. Multisystems approach

C

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 is adjusting to the new living arrangements

C

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

B B is the best answer because a decrease in intimacy and an increase in arguments may be signs that one partner has relapsed, putting stress on the relationship. This needs to be assessed first. A, C, and D can be done later

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

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

B

A hospital social worker is called to the emergency room to evaluate a homeless man who was brought in by police. The social worker finds the man in restraints and is told that the patient has been threatening to cut himself intermittently since he was admitted. The patient tells the social worker that he needs to use the bathroom. What should the social worker do? A. Immediately evaluate the patient for risk to self. B. Speak with the charge nurse regarding the patient's request. C. Have a staff member accompany the patient to the restroom

D

A hospital social worker meets with a multidisciplinary team regarding the upcoming discharge of an orthopedic patient. The social worker provides information about the client's preference to return home and feelings regarding ongoing medication use. The BEST reason for providing this information is to A. Ensure consistency between team members B. Facilitate discussion on which medications are still needed C. Help determine appropriate treatment goals post discharge D. Effectively support the client's self-determination

D

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

A social worker has started to see a client who has expressed a feeling of, "social awkwardness." The client describes a desire to have friends, but says that any time she interacts with others she feels uncomfortable and judgemental. As a result, this leads to her spending a lot of time by herself or with her family. What should the social worker do NEXT? A. Provide the client with ways to make social connections B. Explore the underlying reasons for her judgments C. Provide psychoeducation on symptoms of social anxiety D. Help the client explore the ways that she wants to develop social connections

C

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.

C

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

B

A medical social worker meets with a client who is diagnosed with cancer of the liver. The client's wife shares that sometimes the client is fine, but then he'll suddenly start swearing and yelling incoherently. The client is friendly and cooperative to speak with, but does not recall the incidents. The client is MOST likely exhibiting symptoms of: A. Major Depressive Disorder B. Delirium

B

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

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

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.

B

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.

C

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

A

A social worker in a community agency is consulting with another therapist on a client case. When putting the case summary together, the social worker finds the case is very difficult to understand. Which of the following methods would be MOST effective when summarizing the case for the consulting therapist? A. Explain the presenting problem, current tools/coping skills, and goals B. Provide a complete written assessment and follow up over the phone

D

A school social worker facilitates a monthly consultation group with colleagues who work at other schools within the district. During a recent meeting, several social workers raise concerns about a new district-wide policy regarding head coverings, stating that it disproportionately affects students of color. Another social worker interjects and says, "It is what it is. We have to follow district policy." The facilitating social worker should NEXT: A. Cite the administrators' positive intentions of the policy B. Contact administration personally to share the group's concerns C. Accept the group's decision to follow district policy D. Help the group identify ways to gather data and advocate for their students

C

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

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.

C

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.

A

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

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

C

A social worker begins the intake process with a new client, a 33-year-old female. Before the social worker can finish explaining the risks and benefits of treatment, the client jumps in and says, "Oh, I just know this is going to work! You're so much better than all of my previous therapists." After acknowledging the client's positive reaction, what should the social worker do next in order to engage the client? A. Begin negotiating the agency's treatment contract. B. Ask what interfered with previous treatment. C. Explore expectations regarding this helping relationship.

D

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

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

B

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.

D

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 D is the best answer because engaging in activities with no consciousness or memory of the activities is a form of dissociation

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

C

A social worker in a community clinic meets with an 8-year-old who has been Oppositional Defiant Disorder. According to the DSM-5 this client is likely to display all of the following symptoms EXCEPT: A. Argumentative/defiant behavior B. Anger/irritability C. Mood swings D. vindictiveness

A

A social worker in a community mental health agency is assessing an 32-year-old man with a diagnosis of PTSD. The agency receives public funding and is required to use evidence-based treatments with all clients. When developing the client's treatment plan, the social worker should: A. Utilize Prolonged Exposure Therapy to treat the client B. Consult with a supervisor about appropriate treatment modalities

C

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.

D

A social worker in a family services agency meets with the mother of a 2-year-old to request help finding subsidized child care. She is in the last month of a second pregnancy and is experiencing episodes of deep depression with hypersomnolence, withdrawal from daily activities and states, "I'm so afraid I'm going to hurt my child by accident." The client has a history of post-partum depression with psychotic features following the birth of the 2-year-old. The social worker should FIRST A. Assist the client in filling out the application for subsidized child care. B. Report the client to the child protection agency. C. Seek immediate psychiatric and medical services for the client. D. Make sure the child is safe

A

A social worker in a homeless shelter supervises several unlicensed clinicians who have recently graduated. During the initial group supervision meeting, one of the clinicians reports that she can't wait to finish her supervised hours so that she can leave the nonprofit world and join a close friend's lucrative private practice. The supervising social worker should NEXT A. Facilitate a group discussion around the shelter's mission, values, and expectations for working with their client population B. Elicit feedback from clients about their negative interactions with this clinician

A

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

D

A social worker in an intensive outpatient program provides supervision to another clinician who is becoming trained in DBT. As part of supervision, the social worker needs to ensure that the clinician is following appropriate protocols for the model. The MOST appropriate way for the supervisor to do this is A. Use a client satisfaction survey to obtain feedback B. Have the supervisee self-report on her use of the model C. Use process recordings in supervision D. Observe a group led by the supervisee

D

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

B

A social worker in private practice facilitates a monthly peer supervision group for clinicians specializing in treating LGBTQ clients. The social worker's PRIMARY responsibility is to: A. Ensure all group members receive appropriate training in this area B. Make sure the group establishes and follows clear rules

D

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.

B

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

A

A social worker in private practice receives a referral for a family whose oldest son, age 9, is experiencing behavioral issues at school after the family's recent move to the United States. During the initial session, the social worker asks all of the family members to identify strengths and weaknesses in the family, but the parents answer most of the questions with limited emotional engagement or expression. What is the social worker's MOST appropriate response: A. Explore the family's cultural background and communication style B. Ask the parents to sign releases to contact the child's teacher

C

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.

C

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.

C

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

A

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. RATIONALE: The child is exhibiting normal, healthy behavior for a 2 year-old. Answer A would be the best place to start. B. Schedule a biopsychosocial evaluation of the child. C. Review possible behavior modification techniques

B

A social worker is facilitating a group for teen mothers. The group's overall goal is to improve client independence and decision-making skills. Many of the group members express being overwhelmed by the combination of parenting duties, school, and relationships with their babies' fathers. In order to support the teens, the social worker should focus interventions on: A. Helping the mother's partialize and prioritize their goals B. Highlighting ways clients have successfully made decisions in the past

C

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 clients feelings about this situation. C. Clarify what the client means by "I'll make sure she pays.

B

A social worker is meeting with a couple who report feeling frustrated with co-parenting their young son. The mother describes a recent incident where her son started to color outside the lines. The husband corrected him and showed their son how to draw within the lines. The mother became frustrated saying, "he's five, it doesn't matter how well he draws!" Both the husband and wife feel judged by one another when it comes to parenting. What should the social worker do FIRST? A. Encourage the couple to try hand in hand parenting as a beneficial way to understanding their son B. Assist each person in stating the perspective of the other to facilitate understanding C. Provide the couple with psychoeducation on developmental abilities of a 5 year old

B

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.

B

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

A social worker is the director of a community agency that provides services to teenagers and adolescents on the autism spectrum, along with their families. The social worker has recently received an onslaught of inquiries and emails from local therapists and other organizations who want to make sure these teens and families are aware of the services that are available in the community. What is the social worker's BEST response to these inquiries A. Create a referral list for families and teens who are seeking other types of services B. Explain to the providers that referrals are done on an as-needed basis and that the social worker will be in touch C. Coordinate a community fair at the teen center where providers, families, and teens are invited to connect

A

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.

B

A social worker is treating a court-mandated client with a substance abuse problem. The social worker has decided to utilize motivational interviewing for the treatment of his substance abuse. Which of the following techniques are NOT considered part of motivational interviewing? A. Open-ended questions B. Confrontation

C

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

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

C

A social worker meets with a 5-year-old girl and her parents for an assessment to fulfill the requirements of a custody hearing. The father currently has custody of the child. The mother has accused the father of probing their daughter to say she was physically and emotionally abused by her mother. Which of the following would indicate that the father told the child what to say? A. The child's story doesn't match the parent's story. B. The child exhibits aggressive behavior with other kids. C. The child does not show fear or anxiety when asked to describe the abuse.

C

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

A

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

A social worker meets with a college freshman who was recently diagnosed with schizophrenia, and her parents. The girl is on medication, which has helped, however, her thoughts have become impaired and she has difficulty concentrating. In family sessions, the parents focus on her goal of becoming a surgeon like her father. The social worker should NEXT A. Identify the steps to reaching this goal. B. Refer the girl to a support group for individuals with schizophrenia. C. Ask the girl if that is what she wants. D. Have a separate meeting with the parents from the young woman.

A

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

B

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

C

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.

B

A social worker meets with a lesbian couple who have a 3-year-old daughter. One of the woman is in the military and recently returned about a 12-month deployment overseas. Since her return, the couple have been fighting daily. The woman who remained at home reports that her wife is trying to direct and control things, while the woman who was deployed says that her daughter no longer listens to her and she doesn't know what to do. The social worker should focus treatment on A. Providing psychoeducation around PTSD symptoms associated with military deployment B. Helping the couple reestablish family roles and responsibilities

B

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.

C

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

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

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

A

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 couple's immigration.

C

A social worker meets with parents and their two children, ages 6 and 8. The parents report having difficulty communicating with the children effectively about expectations and chores. The kids tell the social worker their chores are always changing and even when they do them, their parents tell them that they didn't do a good enough job. The father interrupts and says, "Our kids are great- they are very responsible and smart. We just need them to actually listen to us and follow directions." The social worker should FIRST: A. Meet with the children individually to explore their feelings B. Suggest a role play where the parents demonstrate how they give directions C. Clarify the father's conflicting messages

A

A social worker provides home visits to an elderly woman with anxiety. During an appointment, the client repeatedly suggests that the social worker is mad at her about something and seems angry. At the previous visit the social worker had discussed the possibility of having to make an Adult Protective Services report due to the client's deteriorating self-care. Which of the following defense mechanisms BEST characterizes the client's behavior? A. Projection B. Denial C. Displacement

C

A social worker receives a letter from a personal injury lawyer requesting information about one of the social worker's clients' 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

A

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 RATIONALE: While B, C and D may all be appropriate at some time in the near future, option A is the best choice as medical conditions should always be ruled out before giving a diagnosis. B. Under the diagnosis of Major Depressive Disorder, refer the child to a psychiatrist for medication

B

A social worker sees a couple for therapy. One of the women recently retired after working as a doctor for 35 years. The other women is still working a full-time job. The woman who retired reports feeling excited about all the possibilities now that she doesn't have to work all the time. She reports that she is planning a trip soon, but feels tied down and frustrated by the fact that her wife can't join because of work. The other woman reports feeling less connected to her wife as a result and still wants her to stay home with her even when she isn't working. What the couple is dealing with is BEST described as: A. Needing individual supports around the changes that are occurring for each of them B. Adjusting to a new life cycle stage

B

A social worker starts treatment with a 15-year-old girl and her parents. As part of the assessment, the social worker asks each family member to report on the number of positive interactions they had each day and notes significant discrepancies in their answers. What should the social worker do to gather more accurate information: A. Use circular questioning B. ​​​​​​​Ask each family member to journal daily between sessions

A

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

B

A social worker's husband recently obtained a job in a city about two hours away. The social worker has decided to temporarily close her practice in order to be with her husband. The social worker consulted with her former supervisor around the pros and cons for each client, but ultimately decides to maintain a therapeutic relationship with a handful of clients through phone check-in and once a month in-person sessions, with the therapist traveling back to see the clients. This option is MOST appropriate for clients who: A. Would struggle with early termination B. Are high functioning, stable, and able to manage daily issues C. Are currently struggling with a crisis situation D. No longer need in-person therapeutic support

B

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

C

A treatment team meets to review patient progress on an inpatient unit. One particular patient with refractory Major Depressive Disorder is refusing to try electroconvulsive therapy, but is continuing to take antidepressants. The patient cannot be discharged due to the severity of symptoms. What is the BEST approach for the social worker to recommend to the treatment team? A. Obtain a court order to ensure that the patient will take the new medication. B. Develop a behavior modification plan requiring more participation in social and physical activities on the unit. C. Have the treatment team and patient meet to review the treatment plan

A

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

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

B

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

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

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.

B

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

C

A young mother meets with a social worker in a community agency for financial assistance. The client dropped out of high school to work at a bakery, which closed six months ago, leaving the mother unemployed. Although she has been doing some temp work, the mother cannot find steady employment and is concerned that her family will be evicted and left without resources for food. The social worker should FIRST A. Determine if the children are being neglected. B. Inquire as to the employability of the father. C. Complete an eligibility assessment

B

Parents of a 13-year old boy with severe Autism Spectrum Disorder and multiple medical issues meet with a social worker during a hospitalization. The parents report feeling overwhelmed with the caregiving duties needed for their son, but express their commitment to keeping him at home if at all possible. What should the social worker do NEXT A. Set up respite care for the parents B. Introduce the idea of respite care to the parents as a possible support

B

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. Trust vs. Mistrust B. Autonomy vs. Shame and Doubt C. Generativity vs. Stagnation

C

Which of the following disorders is characterized by distinct periods of elevated, expansive and irritable mood, which may be seen in a decreased need for sleep, psychomotor agitation and pressured speech? A. Persistent Depressive Disorder B. Illness Anxiety Disorder C. Bipolar Disorder RATIONALE: This is a recall question; only C would be characterized in this way. D. Substance Use Disorder

B

Which of the following is NOT considered a symptom of panic disorder? A. Fear of dying B. Hopelessness C. Feelings of unreality D. Feeling of chokin

C

According to Piaget, one of the most important accomplishments of the Sensorimotor stage is the development of: A. Conservation B. Imaginary Play C. Object permanence

D

According to Piaget, the term accommodation refers to when a person: A. Allows another individual to make decisions for them. B. Learns a new language. C. Incorporate new information into our existing ideas. D. Alters existing schemas based on new information

D

According to the DSM-5, for a substance use disorder to be in sustained remission, the length of the absence of the symptoms must be A. 30 days B. Two years C. Six months D. One year

C

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

A

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

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

A

All of the following are examples of primary prevention strategies EXCEPT: A. A social skills group for children with ADHD. RATIONALE: A is the best answer because it does not represent a primary prevention strategy; the intervention is aimed at helping a targeted group of children manage a long-term problem, making it an example of tertiary intervention. B. Free informational sessions on immunizations for parents. C. Ongoing skills training for teens on how to build healthy relationships

C

All of the following are signs that a client may be ready for termination EXCEPT: A. The client expresses feeling that they have reached their treatment goals and objectives. B. The client has completed a pre-determined number of sessions. C. The client expresses disinterest in discussing emotional material.

D

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.

B

An adoption social worker is following up with parents who recently adopted a 3-year-old who was severely neglected as an infant. The family has been attending weekly therapy sessions to address the child's attachment issues, but report to the social worker that the child continues to be very difficult to soothe, does not seek them out when she is distressed, and has frequent nightmares. The parents are considering stopping therapy because "it doesn't seem to be working." The social worker should NEXT A. Refer the family to a more appropriate therapist B. Provide psychoeducation around the treatment process in regard to attachment issues

B

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

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

A

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

What type of validity is a measure of how well a particular test correlates with a previously validated measure? A. Content B. External C. Concurrent

B

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

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

Which medication is MOST likely to be used in treating schizophrenia? A. Lithium B. Prozac C. Zoloft D. Clozaril

B

Which of the following definitions best describes countertransference? A. The social worker's clinical assessment of the client's symptoms and issues. B. The social worker's unconscious response to the client

C

During a session with a social worker, a 14-year-old client discloses that she is experimenting with drugs and alcohol. What should the social worker do FIRST? A. Address how the client would feel about talking to her parents. B. Develop a behavioral contract with the client, asking her to refrain from using drugs and alcohol. C. Explore the possible risks of this behavior with the client

B

During the change-oriented phase of therapy, your client becomes silent for long periods of time and seems to have nothing to say. Which of the following concepts best describes the client's behavior? A. Readiness for termination B. Resistance C. Need for control

B

Hoping to publish an article in a professional journal, a social worker submits an abstract proposing a study of separation anxiety as it has occurred in her caseload. What should the social worker do FIRST? A. Select a matched control group. B. Obtain subjects' informed consent.

D

In a session with a social worker, a client cautiously approaches discussion of a presenting problem and eventually introduces feelings of shame and guilt associated with previously giving up a baby for adoption. In order to communicate acceptance of the client, the social worker should A. Validate the client's choice due to the client's inability to care for the baby. B. Actively inquire about the reasons for the client's choice. C. Explore the client's desire to reunite with the child. D. Listen attentively and convey consistent efforts to understand.

A

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

A

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

D

Individual evaluation serves all of the following purposes EXCEPT: A. Improves job performance of the individual B. Improves agency outcomes C. Contributes to the individual's professional development D. Documents the need for new programs and services

D

Parents of a 12-year-old with depression come to a session with their social worker after their child's psychiatrist has recommended an antidepressant. They tell the social worker that they do not want to give their child medication and want to continue having the child see the social worker for therapy as the only mode of treatment. The social worker believes that the child's depression will not respond to therapy alone and shares this with the parents, but the parents continue to refuse to consider medication. What should the social worker do NEXT? A. Encourage the psychiatrist to intervene with the parents. B. Refer the family to a different social worker due to a value conflict. C. Provide treatment to the daughter without the use of medication. D. Address the positives and negatives of not using medication with the parents

C

Paxil and Prozac are examples of which drug type: A. Antipsychotics B. Mood Stabilizers C. Selective serotonin reuptake inhibitors

B

Piaget believed that children in the preoperational stage have difficulty taking the perspective of another person. This is known as: A. Reversibility B. Egocentrism C. Metacognition

A

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

D

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

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

C

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

The family of a 66-year-old man meet with a hospital social worker. The client recently had an unexpected stroke and remains unconscious; the doctors have confirmed that he has sustained significant brain damage as a result of the stroke. The client did not have an advanced directive due to his relatively good health and his family members are disagreeing about what to do next. His adult children would like the doctors to do "whatever they can to help Dad wake up," while his wife states that she knows he wouldn't want to wake up "like this." The social worker should FIRST A. Focus on interventions that will help the family agree on next steps B. Reassure the family that they have time to make decisions C. Acknowledge how difficult this situation is for the family to face

C

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

B

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.

A

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.

B

The physical education teacher refers the school social worker a 15-year-old Hmong boy for "disrespectful behavior." The student had recently transferred to the school and the teacher reported that the student refused to shower after gym and refused to make eye contact when reprimanded. During the interview the social worker notes that the student keeps his head averted, avoiding eye contact, but he explains that he was paying attention in class. What should the social worker do FIRST? A. Politely ask the boy to make eye contact with you. B. Explore how the client views the situation. C. Initiate education for the school staff in cultural differences