Mini Practice Exam

10. When does a child begin to recognize strangers? A. 2-3 months B. 12 months C. 5-6 months D. 18 months

C. 5-6 months

62. The tendency to elevate the social and cultural processes of one's own society over others is known as: A. Symbolism B. Exploitation C. Cultural bias D. Ethnocentrism

D. Ethnocentrism

37. S, a nineteen-year-old diabetic, has been hospitalized frequently for uncontrolled diabetes. Her father is an alcoholic and there is marital discord between her parents. Initial assessment reveals that S becomes emotionally upset when her parents argue, causing her diabetes to go out of control. The FIRST goal for the social worker should be to: A. Work with S's family concerning the issue of alcoholism B. Refer the parents for marital therapy C. Explore S's feelings about separation from her parents D. Help S discover the relationship between being emotionally upset and her uncontrolled diabetes

D. Help S discover the relationship between being emotionally upset and her uncontrolled diabetes

65. In adult survivors of sexual abuse, the MOST frequently used defense mechanism is: A. Denial B. Intellectualization C. Suppression D. Projection

A. Denial

25. A client expresses love and affection through clenched teeth. This behavior illustrates which of the following communication patterns? A. Double-blind B. Congruent C. Schizophrenogenic D. Metaphoric

A. Double-blind

22. Projective identification is a concept that describes the process of: A. Unconsciously perceiving others' behavior as a reflection of one's own identity B. Assuming an "as if" personality C. Showing another person how to develop a better self-image through role-modeling

A. Unconsciously perceiving others' behavior as a reflection of one's own identity

31. A thirteen-year-old was admitted to an inpatient adolescent unit following a suicide attempt. In an interview with the parents, it was noted that the father continually talks for his wife, labeling her feelings and thoughts. He also speaks for the child in the same manner. The dynamic issue that needs to be addressed in the family therapy sessions is: A. Individuation B. Anxiety C. Suicide D. Depression **Use the following information to answer the next two questions.

A. Individuation

16. The most effective treatment for phobias is: A. Psychotherapy B. Anti-anxiety drugs C. Implosive therapy D. Desensitization

D. Desensitization

26. Mr. and Mrs. X are in a second marriage for each. Mrs. X's children, girls ages ten and twelve, live with the couple. Mr. X's children, boys ages seven and nine, are with them on weekends. There is open aggressive rivalry between the children, and each parent takes his or her own children's part, making discipline inconsistent. Because of the children's unhappiness, the couple is considering ending their marriage of eighteen months. The family's symptoms are indicative of: A. A normal adjustment reaction to becoming a stepfamily B. A disturbed marital relationship C. Each adult's ability to love the spouse's children D. The stepmother's anger at having to be responsible for a second family

A. A normal adjustment reaction to becoming a stepfamily

**Use the following information to answer questions 40, 41, and 42 40. A 55-year-old woman, Ms. F, is brought into the emergency room dressed in a bright orange and purple dress and a green turban, stating that God has been telling her to convert all doctors and lawyers. The emergency room resident stated that he could not interview Ms. F because "I can't get her to stop talking long enough for me to ask her any questions." He also stated that she propositioned him four times. Ms. F's elderly mother, with whom the patient has lived since a previous hospitalization, states that she feels exhausted because Ms. F is up all hours of the night singing and playing the radio; she says that she doesn't think Ms. F has slept more than a total of four hours in the past two nights. She stated that she does not know what diagnosis Ms. F has, but she has been in and out of psychiatric hospitals since she was about 25. Previous to most of the hospitalizations, Ms. F exhibited similar symptoms, but she was told by Ms. F's ex-husband that she was hospitalized following a suicide attempt 20 years ago. What is Ms. F's likely diagnosis? A. Bipolar Disorder B. Paranoid Sxhizophrenia C. Borderline Personality Disorder D. Impulse control disorder

A. Bipolar Disorder

48. In addition to an administrative role, supervision also has which of the following functions? A. Educational and supportive B. Disciplinary C. Public relations D. All of the above

A. Educational and supportive

24. The H family is being counseled because they could not control their five-year-old daughter, M, who has always been willful and hard to handle. By contrast, P, age four, was described as angelic, consistently mild-mannered, and obedient. According to structural family therapy, the parents' basic problem is defined as: A. Establishing generational boundaries B. Disciplining the children C. Their favoritism of P D. Their anger at M

A. Establishing generational boundaries

30. Family therapy is contraindicated when: A. Family members are grossly deceitful and destructive to one another B. There is evidence of consistent violation of generational boundaries C. Family myths and secrets appear to be the family style D. The identified client is resistant and unmotivated

A. Family members are grossly deceitful and destructive to one another

8. In the above scenario, the parents should: A. Give the child extra attention and support B. Get in a baby sitter to give him personal care C. Point out that bedwetting is very childish D. Ignore his bedwetting E. Send him off to his grandparents for a rest

A. Give the child extra attention and support

55. The three hallmarks of ADHD are: A. Hyperactivity, impulsivity and inattention B. Hyperactivity, learning disability and social impairments C. Hyperactivity, defiance and language impairments D. Hyperactivity, poor coping skills and behavioral impairments

A. Hyperactivity, impulsivity and inattention

17. The psychosexual stage of development during which sexual energy is sublimated is which of the following: A. Latency B. Oral

A. Latency

23. A couple are arguing about money. The wife says that she wants to find a job in order to have more money available. The husband states that she spends too much money on entertainment. After a lengthy, heated debate the husband says "Let's go to dinner and talk this over." The husband's statement is an example of: A. Paradox B. Confrontation C. Double-blind D. Metaphor

A. Paradox

52. A social worker has been seeing a client weekly in therapy for six months. During this time, there has been no apparent change in the client's symptoms. The social worker should: A. Raise for discussion the possibility of termination and referral to another therapist B. Seek consultation with a senior colleague about the case C. Search the literature for discussions of similar cases treated by others D. None of the above

A. Raise for discussion the possibility of termination and referral to another therapist

28. An example of a role reversal in a parent-child relationship is: A. Seven-year-old girl repeatedly comforting and reassuring her distressed mother following a marital separation B. Nine-year-old girl sharing her mother's concerns about household bills C. Single mother relying on her ten-year-old son to take on the responsibilities of the man of the house D. Ten-year-old boy demanding of his mother that his meals be on the table at a certain time and that his laundry be done

A. Seven-year-old girl repeatedly comforting and reassuring her distressed mother following a marital separation

53. Which of the following is a neurovegetative symptom of depression? A. Sleep disturbance B. Hallucinations C. Flashbacks D. Numbing

A. Sleep disturbance

1. Delirium, an organic mental syndrome, shares many symptoms with schizophrenia, schizophreniform disorder, and certain other psychotic disorders (e.g., disordered thinking). Thus, the differential diagnosis of these disorders is often difficult. Generally speaking, however, delirium can be differentiated from the psychotic disorders because: A. The onset of symptoms in delirium is insidious while the onset of symptoms in psychotic disorder is usually rapid B. Clouding of consciousness is rare in delirium but common in the psychotic disorders C. The symptoms of delirium tend to be random and haphazard while the symptoms of the psychotic disorders are ordinarily systematized D. The psychotic disorders involve hallucinations and delusions but these symptoms are never present in delirium E. Memory is grossly impaired in delirium

A. The onset of symptoms in delirium is insidious while the onset of symptoms in psychotic disorder is usually rapid

54. The DSM-5 did away with the multi axial syste A. True B. False

A. True

59. A social worker has received training in using a new method for agoraphobia. The social worker is very excited about the effectiveness of this method and is anxious to begin using it on patients. The social worker develops a group program using this method and advertises for clients using statements such as "one of a kind" and "guaranteed results" hoping this will attract clients in a timely manner and allow therapy to begin as soon as possible. The advertising is: A. Unethical since it guarantees results B. Ethical since the social worker is convinced of the program's effectiveness C. Ethical since it is beneficial for the welfare of the clients to start the group as soon as possible D. None of the above

A. Unethical since it guarantees results

56. In the elderly, which type of psychosis has an acute onset? A. Bipolar Disorder B. Schizophrenia C. Alzheimer's D. Disease Delirium

D. Disease Delirium

2. A person manifesting an excessive reaction of sadness due to some external circumstance of recent loss is suffering from: A. Endogenous depression B. Adjustment disorder with depressed mood C. Bipolar disorder, depressed type D. Bereavement

B. Adjustment disorder with depressed mood

12. The term for an impairment in language, typically secondary to Alzheimer's or other cognitive issue is: A. Dystaxia B. Aphasia C. Language Disorder, NOS D. Dystonia

B. Aphasia

19. A client of a Gestalt therapist can expect that the therapist will emphasize which of the following as a major goal of therapy: A. Behavioral change B. Awareness C. Reduction of conflict D. Growth

B. Awareness

38. Mrs. T comes into the family agency to discuss a marital problem. In the social worker's office, she plunges into her life story including her illness, her child's behavior problems, and her husband's abuse of her. The BEST course of action is for the social worker to: A. Simply listen while she tells everything B. Comment early that it seems she has so many troubles that it might help to talk about the ones she wants help with C. Wait until she pauses and ask her to say specifically why she is here D. Ask her to tell more about her husband's abuse and any other problems she is having with him

B. Comment early that it seems she has so many troubles that it might help to talk about the ones she wants help with

27. Where mutual needs are not being met in a marriage, the social worker should look for the absence of: A. Homeostasis B. Complementarity C. Dynamic equilibrium D. Pseudomutuality

B. Complementarity

33. The worker's initial focus should be on understanding the: A. Marital interaction B. Family process C. Parental expectations D. Child's self-concept

B. Family process

35. Mr. and Mrs. S were married two months ago after a long and fairly harmonious courtship. They apply to a family agency for counseling, indicating that they have been quarreling frequently about money. Mr. S perceives his wife is clingy and demanding. Mrs. S complains that her husband is aloof, burying himself in television sports programs when she wishes to converse with him. In the initial interview, both partners say they want a divorce. The social worker should FIRST: A. Refer the couple for divorce mediation B. Offer guidance for a time-limited period, providing examples of coping techniques used successfully by other couples C. Arrange for both partners to be seen in open-ended therapy for resolution of emotional conflicts D. Refer Mr. and Mrs. S to group therapy for couples

B. Offer guidance for a time-limited period, providing examples of coping techniques used successfully by other couples

18. A woman who feels threatened by her sexual desire becomes an active participant in an anti-pornography group. According to Freud, the woman is using which one of the following defense mechanisms: A. Rationalization B. Reaction formation C. Sublimation D. Displacement

B. Reaction formation

7. An intelligent five-year-old boy had been the only child in a family until a sister was born. After the birth, he began to wet his bed after being dry for three years. You should: A. Avoid doing a physical examination since this is clearly an emotional problem B. Refer the boy for a thorough medical examination and take a developmental history, all while discussing with parents normal patterns of regression C. Arrange for a battery of intelligence and projective tests including the Rorschach D. Point out to the mother that worrying is useless and harmful

B. Refer the boy for a thorough medical examination and take a developmental history, all while discussing with parents normal patterns of regression

4. A seven-year-old child who frequently expresses worry that parents will leave and never return, or that (s)he will be kidnapped, and persistently refuses to be at home without mother, is most likely exhibiting: A. Symptoms of abuse and neglect B. Separation anxiety disorder C. Conduct disorder D. Panic disorder

B. Separation anxiety disorder

21. M, an eleven-year-old institutionalized intellectually disabled child, stopped walking several years ago. His social worker, in tryin to reteach him to walk, found that he liked raisins and responded to praise. As a first step, the social worker placed a railing for support next to M. When he stood for ten seconds, he was given raisins and praise. Gradually the length of standing time was increased before M was given praise or raisins. M was not rewarded if he failed to meet the designated time period. During subsequent weeks, the worker moved the railing further away so that M continued to increase his ability to support himself until he was able to begin walking again. This is an example of what behavioral process? A. Positive Reinforcement B. Shaping C. Contingency Management D. Respondent Conditioning

B. Shaping

44. Administrative functions in social service agencies can be divided between maintenance and service activities. Which of the following is NOT a service activity? A. Staff development B. Standardization of procedures C. Program evaluation D. Public relations

B. Standardization of procedures

5. Prolixin is a medication used primarily in the treatment of: A. Major affective disorders B. Symptoms of psychosis C. Psychosomatic illness D. Anxiety states

B. Symptoms of psychosis

51. Barbara White, a licensed social worker, sets her clients' fees according to their ability to pay as determined by their yearly income. Such a practice is: A. Illegal and unethical B. Legal but unethical C. Both legal and ethical D. Ethical but illegal

C. Both legal and ethical

61. A theory that defines behavior as learned through association is: A. Cognitive social learning theory B. Operant conditioning theory C. Classical conditioning theory D. Empowerment theory

C. Classical conditioning theory

32. R, a twelve-year-old little boy, is referred by the school because of his immature, attention-seeking behavior. R is an only child who was adopted at birth by well-to-do parents who are materially indulgent but have rigid behavioral expectations. This is basically a sound family that centers around R. The father opens the initial family session by stating angrily that he is very upset by R and cannot understand his disruptive behavior. The social worker's FIRST intervention should be to: A. Ask the mother how she feels about R's behavior B. Wait for R to respond C. Comment that the father has strong feelings about what is happening D. State that a joint effort will be made to understand the behavior

C. Comment that the father has strong feelings about what is happening

15. After he is severely reprimanded by his employer, a man goes home and is extremely nasty to his wife all evening. His behavior at home is an example of: A. Sublimation B. Dissociation C. Displacement D. Rationalization

C. Displacement

9. Other symptoms that may coexist with bedwetting consist of all of the following EXCEPT: A. Nightmares B. Tantrums C. Eating disruptions D. Autism

C. Eating disruptions

6. The change in DSM-5 chapter organization reflects? A. New disorders and features B. Streamlined classifications C. Lifespan approach D. Integration of scientific findings

C. Lifespan approach

42. Refer to question 40 Which of these medication-related issues will the social worker be most concerned with during her outpatient treatment following discharge? A. Testing for presence of rigidity, tremors, and slowed movements (Parkinsonian symptoms) or signs of tardive dyskinesia B. Making sure that Ms. F follows a strict diet in order to avoid tyramine-containing foods C. Making sure that Ms. F regularly goes in to the physician for a check of medication, blood level, thyroid functioning, and kidney functioning D. Making sure that Ms. F is not increasing her use of the medication

C. Making sure that Ms. F regularly goes in to the physician for a check of medication, blood level, thyroid functioning, and kidney functioning

58. A social worker has been seeing a client for five weeks without any apparent change in the client's symptoms. Consultation is sought, and it is determined that the sessions should be tape-recorded, with the hope that they can be reviewed, and new, more successful ways of working with the client can be found. The social worker: A. Must notify the client of the taping, but should do so only after the taping so it will not affect the client's behavior during the session B. Has no obligation to notify the client of the taping since it is done in the client's best interest C. Must obtain informed consent from the client before taping the sessions D. Should not record the sessions as this is a violation of the client's privacy

C. Must obtain informed consent from the client before taping the sessions

50. Test scores should be released: A. Always to clients B. Only to parents of adolescent clients C. Only to those qualified to interpret them D. Only to teachers in school districts receiving federal funds

C. Only to those qualified to interpret them

60. According to Maslow's hierarchy of needs that must first be satisfied before higher needs can emerge are: A. Psychological needs B. Belongingness and love needs C. Physiological needs D. Self-actualization needs

C. Physiological needs

34. L has been referred to the social worker for counseling because she has been sexually abused by her stepfather. Her mother blames L for her stepfather's subsequent imprisonment. On the initial visit, L appears very withdrawn and can talk only about the situation being all her fault. The social worker says, "I imagine you are feeling pretty much alone now. It's important for you to know that many people share your problem. I have worked with many girls who have had this same experience." The social worker said this in order to: A. Show her competence in dealing with sexual abuse cases B. Reduce the threat the worker may pose to L C. Reduce guilt feelings L has expressed D. Improve L's relationship with her mother

C. Reduce guilt feelings L has expressed

36. A social worker has seen Mr. and Mrs. V for three sessions of marital counseling. The V's, both in their mid-thirties, have been married ten years. They recently have been experiencing conflict over their sexual relationship. Mrs. V reports that she has found it emotionally difficult to engage in a sexual relationship with her husband. Both are involved in their careers and verbalize that they do not want children. The social worker should focus on the couple's: A. Career objectives B. Sexual issues C. Relationship issues D. Birth control issues

C. Relationship issues

63. The assumptions that workers have an inherent dislike of work, prefer to be told what to do, and respond to money as the primary motivator describes which of the following theories? A. Theory Y B. Decision theory C. Theory X D. Scientific management

C. Theory X

47. The ultimate objective of supervision in a social service organization is: A. To provide staff with the necessary skills to do their work efficiently B. To assist staff with work-related problems C. To improve the quality of the organization's services D. To provide the structure for effective service

C. To improve the quality of the organization's services

29. The concept of conscious use of self refers to the: A. Self-awareness on the part of the social worker B. Transference between client and social worker C. Way in which the worker influences the client D. Revealing of personal history by the social worker

C. Way in which the worker influences the client

11. In-vivo desensitization involves: A. A simulated setting B. An imagined aversion C. Imagined punishment D. A real-life situation

D. A real-life situation

45. Which of the following is (are) a common obstacle(s) to successful implementation of policies? A. Negative attitudes of personnel B. Lack of resources C. Unclear directives and communication D. All of the above

D. All of the above

57. A social worker is assisting in the design of a research study involving gang behavior and is concerned that the data may be subpoenaed by the courts. The social worker should: A. Notify the courts that the data will be confidential and not subject to subpoena B. Make clear to the participants, prior to collecting the data, that the information may be demanded by the courts C. Avoid recording any information that would lead to the identification of specific subjects D. B and C

D. B and C

3. A ten-year-old displays the following symptoms: persistent truancy, smoking at school, disobedience, general irritability, and vandalism of school property. Based on these symptoms, the best diagnosis is: A. Attention Deficit Disorder B. Antisocial Personality Disorder C. Schizoid Personality Disorder D. Conduct Disorder

D. Conduct Disorder

41. Refer to question 40 Which of these medications will Ms. F most likely be given for maintenance after she is discharged from the inpatient psychiatric unit? A. Valium B. Thorazine C. Tofranil D. Lithium

D. Lithium

46. Which of the following budgeting techniques is based on the concept that each item on the budget must be an aspect or component of a program that carries a stated agency objective? A. Cost-benefit analysis B. Management by objectives C. Zero-based budgeting D. Program planning budget systems

D. Program planning budget systems

43. A researcher wanting to know the rate of mental illness in five rural communities in Illinoois is using research technicians to administer a structured psychiatric interview (the DIS) to randomly selected adults in the communities. The researcher designates that every tenth subject will be separately interviewed by both technicians and states that the diagnoses reached by the two interviewers will be compared by the researcher. The researcher is most likely doing this to test the _________________ of the procedures: A. Construct validity B. Predictive validity C. Program evaluation D. Public relations

D. Public relations

20. All of the following are contraindications for group therapy except: A. The client is in a state of crisis B. The client has a compulsive need for attention C. The client has a limited awareness of his or her feelings D. The client's problems are related to ineffective social skills

D. The client's problems are related to ineffective social skills

14. Transference is: A. The transfer of feelings from an unacceptable object to a more acceptable focus B. A process whereby unacceptable thoughts and ideas are excluded from awareness C. A form of identification with loved and feared parental figures D. The projection of feelings originally linked to nuclear early life figures onto current objects

D. The projection of feelings originally linked to nuclear early life figures onto current objects

13. A nine-year-old girl displays frequent "eye blinking" and throat clearing multiple times a day, and has for over one year. Her social worker should evaluate her for the following: A. Motor tics B. Autism Spectrum Disorder C. Vocal Tics D. Tourettes Syndrome (Disorder)

D. Tourettes Syndrome (Disorder)

49. A split fee for referrals by social workers is: A. Ethical when it amounts to 10% of total client fee B. Ethical when it amounts to 15% of total client fee C. Ethical when it amounts to 25% of total client fee D. Unethical in according to NASW standards

D. Unethical in according to NASW standards

39. In comparing casework and group process, similarity exists in all of the following pairs EXCEPT: A. Support and consensual validation B. Consideration of presenting problems/real problem and stated purpose/unavowed purpose C. Bio-psycho-social diagnosis and group assessment D. Use of transference and group norms

D. Use of transference and group norms

64. Which of the following circumstances permit social workers to release client information: A. Client/parent/guardian consent B. Substantial or imminent risk of self-harm or harm to others C. Abuse of a minor D. A letter from a lawyer E. A call from law enforcement F. A, B, and C only

F. A, B, and C only