Practice Test 1
A client abruptly stops coming to therapy after the sixth session. She shows up at the office several weeks later demanding a copy of her records. The social worker does not believe that the information in the record could cause harm to the client, but denies access because the client did not provide any reason for the abrupt termination or reason for wanting the copies. The actions by the social worker are: A. Unethical because the client should have access to his or her record under these circumstances B. Ethical because the reason for the release must be disclosed to the social worker C. Ethical because the client terminated without notice D. Unethical because the client is always able to access his or her record under any circumstances
A.
A client who has Schizophrenia has not been taking his medication. He is in crisis, but does not pose a danger to himself or others. The client was recently discharged from an inpatient hospitalization after an involuntary commitment. In the social worker's opinion, the client would benefit from rehospitalization, but the client does not want to be readmitted. The social worker should: A. Identify community resources to meet his immediate needs B. Contact the hospital to see if he can be readmitted C. Recommend that the client be involuntarily committed again to get the medication needed D. Determine if he has a family member or someone who can persuade him to enter the hospital again
A.
A client with a Social Anxiety Disorder will MOST likely be prescribed which of the following medications to take on an ongoing basis? A. Zoloft (sertraline) B. Mellaril (thioridazine) C. Thorazine (chlorpromazine) D. Valium (diazepam)
A.
A family comes into treatment because of their young daughter's behavior. They report, upon intake, that she yells at her parents, doesn't listen, and complains about their behavior. There is little progress during the course of treatment and the girl reports that she has no intention of changing. After the sixth session, a social worker tells the girl that she cannot help with her behavior and she should continue to "do as she wishes." According to strategic family therapy, the social worker's directive is known as a: A. Paradoxical intent B. Pretend technique C. Relabeling paradigm D. Differentiation response
A.
A social worker is charged with creating a behavioral objective to assist her client, John, in his educational setting. Which of the following statements is the BEST example of this type of objective? A. John will make eye contact during conversations in practical arts class at least 75% of the time. B. John will be motivated to complete his homework daily in order to achieve a grade of a B or better. C. The teacher will praise John during class at least 10 times per hour. D. John will sit in his chair at least 80% of the time.
A.
A social worker is working with a client who is anxious about public speaking. The social worker asks the client to close her eyes, visualize herself speaking to a large group, and describe her feelings related to the imaginary situation in detail. This technique by the social worker is known as: A. Covert modeling B. Self-modeling C. Live modeling D. Symbolic modeling
A.
A social worker receives a court order to provide records of a former client. In this instance, the social worker should submit the records: A. And try to contact the client to inform her about the disclosure B. With the contact information of the client so the court can contact her about the release C. But not contact the client as court orders are not to be discussed by anyone other than judges and attorneys D. And write to the judge to see if he or she wants the client to know about the court order
A.
A woman complains that her 7-year-old son "makes things up and exaggerates." He often adds information when recalling experiences and talks about knights and dragons being part of his everyday world. The woman is angry about this behavior and worried that it is an indication of some mental health problem. In order to best assist, the social worker should: A. Explain that the behaviors are associated with the preoperational thought stage of cognitive development B. Conduct a mental status examination on the child C. Refer the child for a mental health evaluation based upon the mother's concerns D. Determine whether this behavior is a concern to others, including his teachers
A.
An 11-year-old child would like to start helping around the house with chores. She approaches her mother many times, but is told she cannot assist because "she won't do it right." During several attempts to do things on her own, she is scolded. According to psychosocial development theory, she may experience doubts in her abilities due to a crisis in which of the following stages? A. Industry versus inferiority B. Initiative versus guilt C. Autonomy versus shame/doubt D. Generativity versus stagnation
A.
Echolalia is BEST defined as: A. Mimicking another's speech B. Spontaneous movement C. Repetitive movements D. Odd mannerisms or actions
A.
Which of the following inhibits the establishment of a therapeutic relationship? A. A universalism approach or the acceptance of a standard set of norms or standards B. A pluralistic approach that values cultural pluralism C. Clients examined as being influenced by their environment with problems being seen as resulting from role ambiguity rather than individual deficits D. Flexible treatment approaches that take into account the subjective realities of clients
A.
Which of the following is NOT a stated purpose of the professional code of ethics? A. To be used by malpractice insurance companies to mitigate liability B. To summarize the values on which the profession is based C. To be used by the profession to determine whether social workers have acted unethically D. To serve as a guide to socialize new social workers in the field
A.
Which of the following is NOT true of life crises? A. They must be precipitated by major life events. B. The ways in which they are addressed significantly impact subsequent functioning. C. They can produce healthier behavior if understood and overcome. D. They produce anxiety, tension, and disequilibrium.
A.
Which of the following is an example of role discomplementarity? A. A husband complains that his wife does not take responsibility for keeping the house clean and a wife is upset that her husband does not financially provide for the family. B. A woman states that she does not like working and wants to quit her job. C. A young child wants to play in the neighborhood unsupervised. D. A man struggles to fit in time at home with his family due to his hectic work schedule.
A.
Which of the following is the MOST important benefit of community participation in social work practice? A. It puts the decision-making power partly or wholly with community members. B. It shows the media that individuals want to get involved when there is a good cause. C. It informs community members about the work that needs to be done to make change. D. It divides the workload so that it can be distributed across a larger group.
A.
Which of the following is the MOST significant change in the DSM-5 concerning Substance Related Disorders? A. Substance Abuse and Substance Dependence have been combined into a single Substance Use Disorder. B. Recurrent legal problems were added to the criteria for Substance Use Disorders. C. Craving or a strong desire to use a substance was deleted from Substance Dependence. D. Recurrent legal problems were deleted from the criteria for Substance Abuse.
A.
A client is currently taking Clozaril for the treatment of Schizophrenia. The client is MOST likely going to be required to undergo what medical monitoring due to this medication use? A. Weight checks B. Blood work C. Dietary restrictions D. Exercise regimen
B.
A new client enters the office walking slowly, using a cane, and has difficulty picking up objects, swallowing, and speaking as a result of a stroke. The BEST diagnosis for this client is: A. Agnosia B. Ataxia C. Prosopagnosia D. Acalculia
B.
A social work administrator is having trouble finding a group home manager for a new program scheduled to open in 2 weeks. Further delays in locating staff will delay clients from moving into the program. The administrator temporarily hires her niece, who just graduated with a social work degree, for this position. This action is: A. Ethical because the niece is clearly qualified for the position B. Unethical because this is a conflict of interest C. Ethical because the position is temporary and ensures clients get the services needed D. Unethical because clients will experience staff turnover when a new manager is hired
B.
A social worker employed in a hospital is asked to use a SOAP format in a client's record. In this format, the "A" stands for: A. Action plan B. Assessment C. Active treatment D. Adjustments to services needed
B.
A social worker is facilitating a psychotherapy group for individuals who are in recovery from substance abuse. After group, a client mentions that she has been having problems dealing with job stress without the use of substances. In order to meet this client's needs, the social worker should: A. Recommend that the client see the social worker individually in addition to the group therapy because she appears to need some additional support B. Suggest that the client bring this topic up in the group next week to see if others are having similar problems C. Evaluate whether group therapy is the best treatment modality for the client due to the issue being mentioned to the social worker outside of the group context D. Determine if there is an employee assistance program in the client's work setting to assist
B.
A social worker notices what appears to be burns on a child's arm and asks the child about these markings. The child responds that "grandma burned me, but mommy isn't going to let me go over there anymore so it's OK." The social worker should: A. Document the conversation in the file and make sure to check the child regularly in the future for burns or bruises B. Report the conversation immediately to child protective services C. Discuss the conversation with a supervisor at the next supervision session D. Contact the grandmother to validate this report
B.
Culture-bound syndromes in the DSM-5 are replaced by all of the following concepts EXCEPT: A. Cultural syndromes B. Cultural stratification C. Cultural idioms of distress D. Cultural explanations
B.
Federal law requires health care facilities that receive Medicare and Medicaid reimbursements to do all of the following with regard to advance directives EXCEPT: A. Inform clients of their rights to have advance directives that will allow them to make decisions regarding their health care B. Use a portion of their revenues to assist clients with the costs associated with creating advance directives C. Ask clients if they have advance directives and document their responses D. Provide education about advance directives
B.
If a client has a Substance Use Disorder in addition to Schizophrenia, these two disorders are considered to be: A. Premorbid B. Comorbid C. Contraindicated D. Dissociated
B.
In the DSM-5, when a social worker provides a reason why a condition does not qualify for a disorder, it should be noted as: A. Not otherwise specified B. Other specified C. Unspecified D. Not specified elsewhere
B.
When clients are at high risk for relapse after discharge, all of the following should occur after termination EXCEPT: A. Regular assessments to determine whether services are needed B. Creation of client contracts that reinforce positive behaviors C. Utilization of natural supports and peer support services D. Follow-up to see whether discharge plans are being implemented
B.
2. Evidence-based social work practice can BEST be defined as: A. Interventions that a social worker has gained training and experience in delivering B. Treatment that yields the most cost-effective outcomes according to a cost-benefit analysis C. Decision making based on the conscientious, explicit, and judicious use of research knowledge, clinical expertise, social work values, and client wishes D. Practice evaluations that adhere to scientific principles
C.
A client needs to access services from another organization. In order to BEST assist this client, a social worker should: A. Let the client identify and contact agencies independently to avoid interfering with the client's right to self-determination B. Refer the client to an agency that the social worker has a relationship with to ensure an easy transition C. Work with the client to evaluate options and select an agency that the client thinks will best meet his or her needs D. Contact the client's insurance company to see which agencies are participating providers
C.
A client was referred to a mental health agency for treatment. Upon admission, he reported feeling lethargic and hopeless and had difficulty getting out of bed. Several weeks later, he states that he is sleepless, agitated, and unable to focus. Which of the following medications is the client MOST likely going to be prescribed? A. Ativan (lorazepam) B. Nardil (phenelzine) C. Lithium (lithium carbonate) D. Buspar (buspirone)
C.
A social worker in private practice designs a standard intake form that includes questions about the client's demographic information including age, gender, marital status, sexual orientation, education, and drug/alcohol use. This form is: A. Ethical since it contains important information for the social worker to know in order to work with the client effectively B. Ethical since all of this information will be kept confidential C. Unethical since this information may not be needed for treatment D. Unethical unless the social worker makes it clear that the client has the choice as to whether to complete it
C.
A social worker is leaving one agency to work at another. In order to address this situation ethically, the social worker should: A. Not inform clients in order to avoid causing them undue stress and harm B. Advise clients that it would be best for them to transfer services to the social worker's new agency to avoid any interruptions in treatment C. Inform clients of appropriate options for the continuation of services and the benefits and risks of the options D. Discontinue services to clients immediately
C.
A social worker receives a subpoena from the courts in the mail for a former client's records. In this situation, a social worker should: A. Immediately send in the original records to the courts B. Prepare a summary of the records to send in immediately C. Claim privilege to protect the confidentiality of the client D. Ignore the subpoena because it relates to a former client and is not relevant
C.
Aphasia is BEST defined as difficulty with: A. Walking or running B. Common motor skills such as combing hair, despite normal strength C. Understanding language or using language to speak or write D. Recognizing familiar objects
C.
During an intake interview, a client reports that she is extremely depressed and has self-destructive thoughts. She has had prior suicide attempts, but tells the social worker not to worry as she won't "do it again." The social worker should FIRST: A. Tell the client that her decision not to harm herself is a good one B. Explore with the client what is causing her depression C. Conduct a safety assessment D. Refer the client to a psychiatrist for a medication evaluation
C.
During an intake interview, a client uses derogatory language to refer to individuals of a particular ethnic group. This language causes the social worker to become angry. In order to appropriately deal with the anger, the social worker should: A. Explain to the client in a professional manner that this language is inappropriate and upsets the social worker B. Suggest that the client see another social worker in the agency without giving the client an explanation C. Recognize the anger and discuss it later with the supervisor D. Tell the client about the reaction so that a decision can be made by the client about whether the social worker is the best match for the client
C.
Which of the following is NOT an exception to a social worker's duty to protect confidentiality? A. When a client poses a serious risk to self and others B. When child abuse is suspected C. When a client has violated criminal laws and has not been properly prosecuted D. When there is an imminent threat by a client to an identifiable third party
C.
Which of the following is NOT one of six levels of cognition? A. Synthesis B. Knowledge C. Affective D. Evaluation
C.
Which of the following is a limitation when using existing case records as the data source for the evaluation of client progress? A. It saves time because the information is already available and does not have to be gathered. B. There are financial benefits because there are no additional costs associated with data collection. C. The scope of the evaluation is restricted to that which is explicitly stated in the file. D. It cannot be done unless the client consents in writing to allow such use.
C.
Which of the following is an example of role reversal? A. A mother who shares her 11-year-old daughter's clothes and collects stuffed animals B. A mother expecting her 11-year-old daughter to stay at home unsupervised C. A mother with relationship problems who is repeatedly emotionally comforted by her 11-year-old daughter D. A mother who arranges a date for her 11-year-old daughter
C.
1. Which of the following is NOT true about motivation to change? A. Motivation fluctuates from one time to another. B. Motivation can be increased by working to remove barriers to change. C. Motivation is driven by hope or the belief that life can be different. D. Motivation that is imposed by external forces is more salient than that which is intrinsic.
D.
3. What are the stages of change in sequential order? A. Precontemplation, preparation, contemplation, action, maintenance, and relapse B. Preparation, action, precontemplation, contemplation, maintenance, and relapse C. Preparation, precontemplation, contemplation, action, maintenance, and relapse D. Precontemplation, contemplation, preparation, action, maintenance, and relapse
D.
A client has been in therapy for about 4 months and has made substantial progress toward achieving his goals. The social worker and client believe that continued treatment would be beneficial. However, the client recently lost his job and has been informed that his insurance coverage, which has been paying for the services, will end immediately. The client states that he cannot afford to pay the rate paid by the insurance company. In order to facilitate continued progress, the social worker should: A. Suggest that the client now only pay the amount of the copay and keep track of what would have been paid by an insurance company so a payment plan can be put in place once the client is employed again B. Brainstorm with the client about services that the client can provide in exchange for treatment C. Terminate therapy immediately, but with the understanding that it will begin immediately upon enrollment in a new insurance plan D. Discuss a feasible amount to be paid by the client while he is uninsured
D.
A man who is having problems at work finds that he is yelling at his children more and has begun to have marital issues with his wife. The husband is MOST likely using the defense mechanism of: A. Reaction formation B. Projection C. Conversion D. Displacement
D.
A social worker is appointed by the court to conduct a child custody evaluation for a couple that is divorcing. The mother reports that her husband is verbally abusive, controlling, and neglects the children when they are in his care. She reports that the children have missed a lot of school when staying with their father because he does not assist with getting them ready for school or doing their homework. The father states that his wife is lazy, irresponsible, and cannot meet the children's basic needs. He reports that the school frequently has to provide lunch for the children because the mother does not supply it when they are in her care. In order to BEST evaluate the legitimacy of the information, the social worker should: A. Ask the husband and wife to put their allegations in writing and sign them, attesting to their accuracy B. Determine whether the husband or wife have had any past instances with being untruthful C. Always speak to the husband and wife together so that they are more likely to be honest D. Obtain information from school personnel and records after obtaining parental consent
D.
A social worker is interested in seeing the extent to which current clients are satisfied with a new relapse prevention program. The social worker distributes a client satisfaction survey to those in the program. The social worker then collects the surveys and analyzes the results that are presented to a management team in the agency. The social worker is conducting which type of evaluation? A. Summative B. Experimental C. Quasi-experimental D. Formative
D.
A social worker sees that a colleague is distracted when interacting with clients and is showing up for appointments late. The social worker learns that this behavior began several weeks earlier, after the death of her colleague's husband. In this instance, the social worker should: A. Give the colleague additional time to grieve and monitor the colleague's actions to see if the behavior subsides on its own B. Speak to a supervisor to see if the colleague's workload could be reduced for a period of time C. Contact the human resources department to see if there are employee assistance services available D. Speak to the colleague directly about the observations to see if additional assistance is needed
D.
A young boy is stopped by a police officer and claims that he is a member of the armed forces, though it is obvious that he is not. This assertion by the boy is MOST likely a: A. Comorbid thought B. Dissociation C. Folie à deux D. Delusion
D.
In which of the following circumstances is task-centered treatment NOT recommended? A. When the client wants to see immediate results or changes in circumstances B. When the client is anxious to be an active part of the change process C. When there is a time limited period in which to work with the client D. When the client is addressing
D.
Upon admission, a client reports that he has always feared disapproval and rejection from others in his life. Several weeks later, the client appears anxious and worried. When asked about his behavior, he states that he feels judged by the social worker and that the social worker is being critical of him when he sees her. The client's feelings are an example of: A. Countertransference B. Psychosis C. Paranoia D. Transference
D.
Which of the following is NOT a key diagnostic criterion of Paraphilic Disorders according to the DSM-5? A. Atypical sexual interests B. Personal distress about sexual interests not strictly due to societal disapproval C. Sexual desire or behavior that involves another person's psychological harm or from persons who are unwilling or unable to consent D. Legal involvement due to sexual interests or behaviors
D.
Which of the following is NOT an essential step in ethical problem solving? A. Identifying the ethical standards that may be compromised B. Determining whether there is an ethical dilemma C. Weighing ethical issues in light of social work values and principles D. Asking a supervisor to monitor practice to identify new ethical issues or dilemmas
D.
Which of the following is an example of social stratification? A. A child is not included in group activities in school because of his or her poor social skills. B. Children who are violent need to be segregated from their peers. C. A child with social deficits is assumed to be delayed in cognition without additional assessment. D. Children from affluent households receive a better public education than those from low-income households.
D.
Which of the following is true of BOTH networking in business and networking in social work practice? A. It aims to educate about the problems experienced by others and thereby helps to effect system changes. B. It aims to attract more individuals to organizations so that these entities can prosper. C. It is beneficial for clients as it keeps the costs down through sharing of resources. D. It creates a community and builds alliances around a common interest or goal.
D.
Which of the following theories is used to explain why clients in battering relationships will not leave until the benefits exceed the risks? A. Psychoanalytic B. Problem solving C. Functional D. Social exchange
D.