Social Work Comp Test 3

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The client is a slightly overweight 30-year-old man who was referred by his doctor. The client's presenting complaint is his recent weight gain. In the first interview, he appears despondent about his appearance and expresses guilt about "destroying" himself by becoming too fat. He says he's been "a loser" for years and blames himself. The doctor has told both the client and the social worker that there is nothing medically wrong with the client. What should the social worker do FIRST? Select one: A. Identify and reframe the client's negative self-statements. B. Assist the client in meal planning to manage his poor eating habits. C. Help the client modify his negative beliefs about himself. D. Convey acceptance of the client's perceptions by referring him to a different physician for a second opinion.

The purpose of state licensing boards is to: Select one: A. protect the public. B. set minimum standards of practice. C. oversee the profession. D. educate the public.

Which of the following skills is MOST associated with active listening? Select one: A. Reflecting. B. Interpreting. C. Questioning. D. Confronting.

A social worker begins working with a family on behavioral problems involving the children. Instead of exploring the family's problems in detail, the social worker asks, "When is this problem not a problem?" What is the purpose of this intervention? Select one: A. To reframe the situation in a more positive way. B. To identify exceptions as a resource for positive change. C. To re-author the familys dominant story. D. To restructure the familys cognitions.

The client is a 28-year-old female who has sought therapy for depression. She discloses that shes been taking sleeping pills every night for months and thinks she might be addicted to them. The social worker encourages the client to stop taking the sleeping pills because she thinks doing so might help her feel better during the day. The client stops taking the pills without seeking medical advice or support, and she experiences a seizure. Which of the following is the MOST significant ethical issue presented in this situation? Select one: A. You inappropriately limited your clients right to make her own decisions. B. You gave advice on a matter that is outside your scope of competence. C. You failed to inform the client of the risks associated with your recommendation. D. You failed to confer with the clients doctor before advising her about her medication.

The geographic region that is served by a social agency is known as the agency's: Select one: A. mission statement. B. catchment area. C. functional community. D. claimed domain.

A 42-year-old woman has been referred to a social worker's agency by a therapist who treated the client for depression about a year ago. The therapist has provided the client's record. The client recently lost her husband in a car accident. She is having difficulty managing her feelings about this and has withdrawn from her family and friends. She doesn't say much when responding to the social worker's initial questions. What would be the reason why the social worker would NOT perform an intake dialogue with this client? Select one: A. He is in possession of the clients record. B. He already knows why the client has come in. C. The client turns out to be in crisis. D. The client seems reluctant or unwilling to self-disclose.

A young woman who was recently admitted to an inpatient treatment center for drug addiction tells the social worker at the center that she wants a pass to leave the facility so that she can go visit her mother who is very sick and may die. What is the social worker's BEST course of action? Select one: A. Find out about the patient's feelings toward her mother. B. Arrange for a one-day pass. C. Verify that the mother is sick before arranging for the pass. D. Deny the pass but reassure the patient that, if she complies with her treatment plan, she will be allowed to visit her mother in the near future.

What is the primary purpose of using self-directed strategies (i.e., self-instruction, self-monitoring, or self-reinforcement) in treatments for attention-deficit/hyperactivity disorder (ADHD)? Select one: A. To enable clients to track their own improvement over the course of treatment. B. To assist clients to record psychosocial phenomena that affect their symptoms. C. To help clients gain more control over their own behavior and rely less on support from others. D. To obtain information needed to complete rating scales during assessment.

When asked by the social worker why he has come in, a client says he has low self-esteem and a lack of direction in his life and wants that to change. In the first interview with this man, which of the following should be the social worker's primary objective? Select one: A. To motivate the client for change. B. To understand the problem. C. To establish rapport. D. To identify the goals of treatment.

Which of the following is required for a valid claim of malpractice? Select one: A. The therapist must have had malevolent intentions and there must be a causal connection between the therapists actions and the harm suffered by the client. B. The therapist must have had malevolent intentions and/or there must be some harm to the client as a result of the therapists actions. C. The therapist may or may not have had malevolent intentions, but there must be a causal connection between the therapists actions and the harm suffered by the client. D. The therapist must have violated normal standards of practice or must have had malevolent intentions.

With regard to the confidentiality of disclosures made by participants in group therapy, the social worker leading the group should: Select one: A. explain to participants that confidentiality standards do not apply to group therapy. B. encourage participants to discuss what they hear in group therapy with others. C. seek an agreement from participants to maintain one anothers confidentiality. D. inform participants that they are legally required to maintain one another's confidentiality.

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

Based on something he reads in a client's employment records, a social worker discovers that he and the client attend the same church. From an ethical standpoint, the social worker's BEST course of action is to: Select one: A. refer the client to a different therapist. B. discuss this with the client. C. stop attending that church immediately. D. seek consultation.

Each year, an agency starts its budget process from scratch and must justify every financial request it makes. What type of budget is being used? Select one: A. Line-item. B. Program. C. Base-increment. D. Zero-based.

A client in need of case management services immigrated to the United States from Mexico two years ago. He is uncomfortable speaking English and asks the social worker to provide her services in Spanish. The social worker speaks some Spanish, but recognizes that her Spanish-language skills may be insufficient for interacting effectively with this client. What should the social worker do? Select one: A. Make an appropriate referral. B. Offer to bring in a translator with cultural knowledge. C. Use a trained paraprofessional who speaks Spanish. D. Encourage the client to speak English and use her Spanish-language skills to assist him when he has difficulty communicating with her.

A client reports that he is being discriminated against at his job because of a physical disability. From what the client describes, the social worker believes that this allegation is true. As this client's advocate, what should the social worker do NEXT? Select one: A. Identify what steps the client wishes to take. B. Schedule a meeting with the clients employer, after getting the clients permission. C. Arrange to meet with the client and his attorney. D. Help the client fight the apparent discrimination.

A female social worker discovers that her new client, a 35-year-old man, has a lot of difficulty trusting women. What should the social worker do FIRST? Select one: A. Ask the client if he thinks her gender might affect their work together. B. Discuss the problems the client has had with woman. C. Explore the clients experiences with other female health care providers. D. Refer the client to a male colleague.

A social work professor has designed a research project regarding the impact of various factors on how students interact with each other during group assignments. He is requiring all his students to participate and has them sign an informed consent document. One student objects to being included in the project, and the professor gives him a failing grade because of it. Which of the following statements is MOST true? Select one: A. The professor should have given the student an alternate assignment to be graded on a similar scale to participation in the research. B. Because the professor had the students sign an informed consent document, he is justified in giving the student a failing grade. C. The professor may allow the student to drop the class if he is not interested in participating. D. The professor acted unethically by asking his students to participate in the research project.

A social worker discovers that a former client has filed a complaint against him with the state board. The board contacts the social worker asking for his clinical records on this client. What should the social worker do? Select one: A. Submit the records. B. Claim the privilege. C. Get the client's permission before submitting the records. D. Submit the records in summary form in an effort to safeguard the clients confidentiality.

A social worker has been doing play therapy with a 6-year-old girl. The girl begins to cry during a session and says wants to leave because she's scared. What is the social worker's BEST course of action? Select one: A. Acknowledge the girls fear and ask the mother to join them in the playroom for a little while. B. Reassure the girl that she will be able to leave when the session has ended. C. Redirect the girl by offering her a selection of appealing toys. D. Terminate the session and allow the girl to go to her mother.

A social worker is meeting with a 21-year-old Korean-American woman who immigrated to the U.S. four years ago with her family. In the interview, the client reports that she suffers from aches and pains and occasional insomnia. She doesn't describe any other symptoms or disclose information about her personal life or family. She says she has come in only because her doctor told her to. What should the social worker do? Select one: A. Offer the client referral to a pastor at the local Korean church. B. Refer the client to a neuropsychologist for testing. C. Focus on the problem brought in by the client and help her develop her own goals for therapy. D. Ask the client if she has been feeling depressed.

An 85-year-old man has become incoherent, incontinent, and unable to care for himself. His daughters have been caring for him, but his problems have become so great that they are now overwhelmed and unable to meet his needs on their own. A doctor recommends that the man be moved to a nursing home. A day later, in a meeting with a social worker, the daughters agree to visit several nursing homes that week to determine where they want their father to live. A week later, the social worker finds out that the daughters haven't called or visited any nursing homes. What should the social worker do? Select one: A. Explore the daughters' feelings. B. Begin the application procedure himself in order to protect the father's welfare. C. Remind the daughters that their father may suffer if he doesn't move to a nursing home. D. Urge the daughters to begin visiting the nursing homes.

An adolescent with a history of aggressive behavior has been referred for individual therapy from a juvenile detention facility. The client also has a history of alcohol use and school truancy. In a session with the social worker, the client says, "I can't stand this kid I know, Pete. He's a total douche, and I'm going to get him." What should the social worker do FIRST in this situation? Select one: A. Remind the client of the limitations to his right of confidentiality and of her related legal obligations. B. Contact the police and try to locate Pete. C. Clarify why the client "can't stand" Pete. D. Either warn Pete of the danger he is in or notify law enforcement officials of the client's threat.

An adult client would be MOST likely to give which of the following reasons for leaving group therapy prematurely? Select one: A. Scheduling conflicts. B. Feeling fearful of intimacy. C. Feeling that he "doesn't belong" with the other group members. D. Feeling unsure about the group leader's competence.

During a therapy session, a teenage boy says, "My dad left my mom six months ago and we never see him anymore." A few minutes later, the boy says, "I've been feeling like there's something wrong with me lately; like I'm a bad person." After hearing these two statements, the social worker says, "I'm wondering if the reason you've been feeling like you're a bad person is that maybe you believe you caused your dad to leave." What technique has the social worker used? Select one: A. Interpretation. B. Paraphrasing. C. Confrontation. D. Reflection of feelings.

The client is a 22-year-old man who has sought help because he is distressed over a decision he needs to make. The client, who is Catholic and whose faith is important to him, believes that premarital sex is wrong, but his fiance has been pressuring him to have sex with her. He has explained his beliefs to her, but she disagrees with him and has been trying hard to change his mind. The client says he is now completely confused and afraid that he might be wrong. In addressing the presenting problem in this case, what should the social worker do FIRST? Select one: A. Find out whether the client has talked with his priest about this, and if not, encourage him to do so. B. Normalize the client's confusion by pointing out that his views are less modern than those of many of his peers. C. Explore and discuss with the client the source of his confusion. D. Find out whether the client has other problems in his relationship with his girlfriend.

While having dinner at a local restaurant, a social worker discusses one of his clients with a friend. Although he doesn't mention the client's name, he describes the client's problems in detail. As it turns out, the friend knows the client and is able to identify her through the social worker's description. In this case, the social worker's behavior is: Select one: A. unethical. B. ethical because he had no way of knowing that his friend knows the client. C. ethical because he did not reveal the client's name. D. ethical if the friend is also a mental health professional.

The symptoms of shaken baby syndrome include which of the following? Select one: A. Bruising, seizures, drowsiness, vomiting, swollen eyes. B. Lethargy, crying, vomiting, loss of appetite, seizures. C. Crying, facial swelling, loss of appetite, seizures, apnea. D. Lethargy, crying, seizures, bruising, bloodshot eyes.

Why do social workers perform self-assessments? Select one: A. To recognize and correct their mistakes. B. To monitor their professional strengths and weaknesses. C. To identify countertransference feelings. D. To recognize when a clients problem is outside their scope of competence.

A 30-year-old woman is an inpatient at a psychiatric facility, admitted for evaluation and treatment after attempting suicide during an episode of major depression. As a member of the treatment team, a social worker performs a biopsychosocial assessment of the patient during which she discloses many different concerns. To determine the targets of treatment for this patient, the social worker should do which of the following? Select one: A. Meet with the treatment team to discuss the assessment results and identify which problems require treatment at this time. B. Meet with the treatment team to review the assessment findings and the patient's priorities. C. Meet with the treatment team to present the assessment results and his view of which problems require attention now and which can be set aside until later. D. Allow the patient to select the problems she wants to work on.

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

A social worker begins working in individual therapy with a client who is suffering from a depressed mood after her divorce. The client has been referred by her primary care physician, and her HMO has authorized ten visits. After meeting five times with the client, the social worker realizes that the client needs more than ten sessions of therapy to address her depressed mood and adjustment to life post-divorce. The social worker contacts the managed care program to get authorization for additional sessions, but the program refuses this request. What should the social worker do NEXT? Select one: A. Refer the client to a low-fee clinic. B. Initiate an appeal with the managed care program on behalf of his client to challenge the denial. C. Explain to the client the limitations imposed on him by her managed care plan. D. Explore alternative treatment options for the client such as working with a psychiatrist who can provide antidepressant medication.

A social worker has a private practice, and one of her clients has not paid for six sessions of therapy. The social worker knows that the client can afford to pay and she has explored and attempted to resolve this problem with the client, but he is still refusing to pay. According to NASW's Code of Ethics, the social worker can terminate treatment with this client: Select one: A. if she discussed this policy at the onset of treatment and the client is not currently in crisis. B. if the client does not pose a danger to himself or others and she has discussed with him the potential consequences of nonpayment and termination of therapy. C. if the client does not pose a danger to himself or others and agrees that termination is appropriate. D. only if the client has achieved his therapy goals because termination of treatment on the grounds of nonpayment is unethical.

A social worker has been seeing a client who has been diagnosed with a psychotic disorder for a few months. At the start of therapy, he was on regular anti-psychotic medication that was helping him to maintain stable employment at a part-time job as well as improving his relationships with his family. However, during todays session he explains how he thinks he may want to stop taking medication because he does not like the side effects. What would be the social workers NEXT response? Select one: A. Tell the client that although the side effects may be causing him discomfort, under no circumstances should he stop B. Utilize active listening and reflection to demonstrate empathy for the clients. Engage him in discussing the behaviors that have resulted from being on his medication C. Show him his psychiatric evaluation that states he should be on medication for his mental illness. D. Explain his right to self-determination and tell him to do what he feels is best

A social worker has been working for several months with a 25-year-old woman who has mild intellectual disability and lives in a group home in the community. The social worker learns that the woman's physician has committed her to a psychiatric facility over the weekend. The next day, the social worker attends a team meeting at the psychiatric facility concerning the woman's admission. What should be the social worker's priority at this meeting? Select one: A. Share what he knows about the client. B. Advocate on behalf of his client. C. Listen to the other team members opinions. D. Assist with treatment planning.

A social worker is meeting for the first time with a client who has sought therapy shortly after breaking up with his girlfriend of three years. The client blames himself for the break-up, saying that he has trouble expressing himself to loved ones. The social worker observes that the client seems passive, and he comes off as needy in the interview. To establish rapport with the client, it is MOST important for the social worker to do which of the following? Select one: A. Be congruent in her words and actions. B. Be aware of her personal biases. C. Be authentic and self-disclose. D. Always empathize with the client.

A social worker is sued by a former client who is alleging that the social worker's therapeutic methods harmed him. The social worker receives a deposition notice informing her of an upcoming deposition that is part of the lawsuit. What should the social worker do? Select one: A. Claim the privilege. B. Attend the deposition. C. Not attend the deposition unless she is subpoenaed. D. Refuse to attend the deposition or to release any information at all until she has a signed waiver from the former client.

A social worker is working in individual therapy with an American Indian client who has suffered from symptoms of depression since the death of her grandfather. How should the social worker address the role of religious and spiritual values in this case? Select one: A. Incorporate a traditional healer in the treatment process. B. Explore and reinforce the therapeutic significance of religious and spiritual events for the client. C. Avoid addressing or incorporating these factors until after the client has had complete medical and medication evaluations. D. Avoid stereotyping and allow the client to take the lead in discussing the role of these values, if they are significant for her.

Diana is a 34-year-old client who has been diagnosed as having borderline personality disorder. She has a great deal of trouble regulating her emotions, and is constantly in turmoil in her personal relationships. The social worker is recommending that she enroll in a clinic that specializes in Dialectical Behavior Therapy for help in learning to manage her out-of-control emotions and interpersonal difficulties. In Dialectical Behavior Therapy (DBT), the core skills of mindfulness are to be able to: Select one: A. observe and become aware of thoughts, feelings, behaviors and behavioral urges. B. observe without judgement, describe by separating the experience from reality and to participate by being fully present in the moment non-judgmentally.q C. being able to inform the wise mind from the logical and emotional minds D. interpersonal effectiveness, emotional regulation and distress tolerance.

During a session, a client describes a recent blind date he had with a woman whom he found to be very unattractive. He tells the social worker that he left the woman in the restaurant and went home after telling her he was just running out to his car to get his phone. The client, who sought help because he was experiencing work-related stress, tends to be arrogant and has told similar stories several times during his sessions. To display positive regard in this situation, the social worker MUST: Select one: A. accept the clients behavior. B. discuss this behavior objectively. C. focus on the clients work-related stress. D. honestly and openly evaluate this behavior.

The primary element in determining "vicarious liability" is: Select one: A. the social worker's intentions. B. the disparity in training and experience. C. the presence or absence of a contract. D. whether or not a waiver had been signed.

Under the Indian Child Welfare Act, adoptions involving Native American children require a release from: Select one: A. the birth parents or the tribe. B. the birth parents and the tribe. C. the tribe and a state agency. D. the birth parents only, unless the child is being adopted by a non-Native American family.

What is the primary role of a school social worker? Select one: A. To coordinate special education services. B. To link the school, home, and community. C. To improve the schools culture and climate. D. To deal with student misconduct.

Which of the following principles is MOST associated with living wills? Select one: A. Confidentiality. B. Self-determination. C. Privilege. D. Informed consent.

A case manager has recently noticed that several of her new clients have been declined for Medicaid coverage in recent weeks. Although the clients are low-income and need quality health care services, their incomes are just slightly too high to qualify for Medicaid under state law. Thus, they remain uninsured entirely. In keeping with your ethical obligations as a social worker, what is the BEST response? Select one: A. Begin individual therapy with each of the clients B. Talk to your supervisor about the clients challenges C. Contact policy makers in your state to let them know that the requirements of the law are too stringent to meet the needs of your clients D. Create a new program at your agency connecting clients with local physicians who are willing to provide health care services pro bono

A client who has been experiencing chronic pain reports that her physician has prescribed an opioid analgesic. The client then says that she doesn't want to take the drug because her brother is a former drug addict and she, herself, has had problems with alcohol in the past. What is the social worker's BEST course of action? Select one: A. Explore the client's feelings and experiences related to addiction. B. Support the client's decision and explore alternative methods of pain relief. C. Offer to discuss the issue with the client's physician. D. Reassure the client that using an opioid for pain relief is unlikely to result in addiction if the drug is taken as prescribed.

A hospital social worker meets with a man whose wife was diagnosed with cancer a month ago. The man has been told that his wife's prognosis is very poor. He came to the hospital emergency room tonight complaining of acute pain. The doctors treated his pain with medication and then referred him to the social worker because he couldn't stop crying. The social worker believes that the man is experiencing grief. Specifically, the man is MOST likely experiencing which of the following? Select one: A. Anniversary grief. B. Acute grief. C. Anticipatory grief. D. Dual grief.

A social worker begins individual therapy with a woman whose husband abuses her. The client left her home to stay with a relative for a while, but her husband found out where she was and convinced her to come home. The client tells the social worker that she wants to "try again and make things work" with her husband. She admits that she worries about him "snapping" again but adds that he has "been good" since she returned home. When questioned by the social worker, the client says she's come in because she's been having trouble sleeping at night; her doctor prescribed medication to help her sleep and suggested she try therapy. What should the social worker do FIRST in this case? Select one: A. Take a psychiatric history to find out if the client has had other symptoms of depression or anxiety. B. Discuss with the client her decision to return home and explain that she and her husband are in the "honeymoon phase." C. Work with the client to develop a safety plan that she can use right away if she is threatened. D. Help the client identify her strengths and survival skills to counteract underlying feelings of helplessness and self-doubt.

A social worker begins working in therapy with a young married couple. In the third session, the wife suddenly asks the social worker if she has any children. What is the social worker's BEST response? Select one: A. No, do you? B. What would it mean to you if I did? C. I'm wondering why you ask. D. I'm sorry, but my personal life really should not concern you.

A social worker engaged in macro practice helps bring together several groups in his community to discuss relevant issues and work toward achieving a goal. What strategy has he used? Select one: A. Networking. B. Legislative advocacy. C. Coalition building. D. Informal co-optation.

A social worker is invited to serve on the board of a large charitable organization in her community. She knows that a client who has been in individual therapy with her for six months has been serving on that board for many years. From an ethical standpoint, what should the social worker do? Select one: A. Accept the position and then tell the client about it before the first board meeting. B. Discuss with the client how he would feel about having his therapist serve on the board with him. C. Decline the position and dont tell the client about the offer. D. Decline the position but tell the client about the offer.

A social worker is subpoenaed to testify in a legal proceeding involving one of her clients. The client waives the privilege, thereby allowing the social worker to testify. During the legal proceeding, the opposing attorney asks the social worker a question about the client that the social worker believes has no relevance to the matter being decided in court. What should the social worker do? Select one: A. Answer the question to the best of her ability because the client has waived the privilege. B. Refuse to answer the question by invoking the privilege. C. Give the clients attorney an opportunity to object by pausing before she provides an answer. D. Answer the question to the best of her ability because her role is to testify, and she should allow the attorneys and the judge to sort this problem out later.

A social worker provides outreach services after a major flood in the community where he lives and works. Soon after the community has recovered, he considers publicizing in the local media the services he provided during this public emergency as a way of promoting his private practice. To behave in an ethical manner, what should the social worker do? Select one: A. Garner support for the claims he will make by soliciting testimonials from people he helped. B. Make sure that the publicity is objective and does not exploit the people he helped or offer prospective clients any guarantees. C. Not publicize his work. D. Publicize his work but avoid giving any professional advice when speaking to the media.

An 11-year-old girl shows up by herself at a community clinic. She requests therapy from one of the social workers and says she doesn't want her parents to know about it. How could the social worker fulfill this girl's request? Select one: A. If the girl is mature enough to participate meaningfully in the treatment. B. If the social worker is able to get consent from any other adult in the girl's family. C. The social worker cannot treat this girl without parental consent. D. If the girl is the alleged victim of child abuse.

A social worker receives a phone call from a woman who is the ex-wife of a client he is currently treating in individual therapy. The woman and his client divorced over a year ago. The woman wants to start therapy and requests an appointment with the social worker. To behave in an ethical manner, the social worker should: Select one: A. schedule an appointment with the woman, but avoid telling his client that he has done so. B. find out why the woman is seeking therapy before deciding what to do. C. refer the woman to a different therapist. D. explain to the woman that he can't meet with her because he is treating her ex-husband and give her the name of another qualified therapist.

A social worker who has videotaped a client in a session (with the client's permission) uses the videotapes during a class presentation without informing the client. Before doing so, she consulted with her supervisor for advice regarding whether or not this practice is ethical. Her supervisor told her that using the videotapes in this manner would be ethical. Who is responsible for this ethical violation? Select one: A. The supervisor. B. The social worker. C. The supervisor and the social worker. D. No violation was committed because the social worker had the clients permission to make the videotapes.

A social worker's 43-year-old client discloses that he is attracted to his 8-year-old niece and has been having sexual fantasies about her. The social worker is shocked and deeply disturbed when she hears this, so much so that her reaction (i.e., body language that conveys shock and revulsion) is clearly visible to the client. What should the social worker do about her reaction? Select one: A. Avoid drawing any more attention to it and emphasize conveying acceptance of the client as a person. B. Gently explain to the client that it would be difficult for anyone to avoid reacting in some way to that disclosure. C. Acknowledge it and emphasize that it was a reaction to the client's disclosure and not to the client as a person. D. Immediately refocus the interview off of herself and back onto the client, and seek consultation before their next meeting.

A woman has been taking care of her 77-year-old father ever since he had a stroke several months ago. Recently, the father's cognitive functioning has declined significantly and his medical needs have become too great for his daughter to meet. The man's physician gives them the name of a complete care nursing facility in their community. The daughter is distraught about the prospect of leaving her father in the care of strangers and insists that she wants to continue caring for him at home. She has been referred to the social worker by her father's physician. Which of the following actions should the social worker take to address the problem described in this case? Select one: A. Tell the woman to discuss the issue further with her fathers physician. B. Encourage the woman to be realistic and take the doctors advice seriously, for the sake of her father. C. Suggest that the woman tour the facility. D. Set up a family session, including the father, to discuss what to do.

After being battered by her husband, a middle-age woman seeks medical attention from an emergency room. The next day, the woman seeks individual therapy from a social worker recommended by emergency room personnel. What should the social worker focus on FIRST with this woman? Select one: A. Identifying coping strategies to empower her. B. Healing the effects of this trauma. C. Establishing safety and providing information. D. Confronting denial that prevents her from taking action.

If a health care provider is faced with a conflict between state law and HIPAA requirements: Select one: A. state law would preempt the HIPAA requirements. B. the health care provider should respond based on the best interests of the client. C. the HIPAA requirement would preempt state law when the requirement provides the client with greater privacy protection or control over access to his or her records. D. the health care provider has the discretion to resolve the issue in any appropriate manner.

In a cross-cultural counseling situation, the social worker should do which of the following to facilitate the development of rapport? Select one: A. Let the client bring up the cultural difference if it matters to him. B. Remain aware of the cultural difference between herself and the client. C. Acknowledge the cultural difference to the client. D. Downplay the cultural difference because focusing on it may lead her to stereotype the client.

A 40-year-old man who is preoccupied with a fear of contracting HIV disease has been seeing his doctor every month, complaining of symptoms and demanding to be tested for the virus. The doctor has performed HIV testing on the man several times, and each test has been negative. The doctor has found no medical problems to account for the man's reported physical symptoms. The doctor refers the man to a social worker. When asked, the man confirms to the social worker that he's terrified of "being infected with HIV." What should the social worker do FIRST? Select one: A. Refer the man to an HIV support group. B. Offer the man reading material and other education about HIV/AIDS. C. Explore whether the man is anxious about other things too. D. Encourage the man to talk about his fear of getting HIV disease.

A client in need of crisis intervention is short on funds and asks the social worker to waive his insurance copayment. He suggests that the social worker bill his insurance company at a higher hourly rate so that the reimbursement will cover her full fee. If the social worker does this, she will be acting: Select one: A. legally and ethically, since the client is in crisis. B. legally but unethically, since the law permits this when clients are in crisis. C. illegally but ethically, since the client is in crisis. D. illegally and unethically.

A client, age 22, recently graduated from college and landed a job at a company in her hometown. She lived at home while in school and has just moved into her own apartment. She's feeling anxious and worried that she'll fail at her job; she's already made a couple of mistakes that her supervisor chalked up to inexperience. The client worries that she might just be bad at her job. Her parents call her almost every day wanting updates on her life, and she's feeling like they don't want her to grow up. She's their only child, and they often say they miss having her at home. The client says she feels like crying all the time and doesn't know if she can cope with being an adult. This information suggests that the client is MOST likely experiencing which of the following? Select one: A. A situational crisis. B. Identity moratorium. C. Role overload. D. A maturational crisis.

A man brings a woman to a medical clinic; he doesn't know the woman but found her wandering in his neighborhood. He reports that she appeared disoriented and upset. The physicians at the clinic examine the woman and find no medical problem to explain her mental status. They refer her to a social worker for services. The woman is Hispanic and speaks almost no English. The social worker does not speak Spanish. What is the social worker's BEST course of action? Select one: A. Engage the woman to reduce her distress. B. Observe the woman's nonverbal behavior to get more information about her mental status. C. Provide the woman with a full list of therapists and other service providers in the community who speak Spanish. D. Contact local resources that provide mental health and social services to Spanish-speaking people and help the woman access assistance from these resources.

A social worker has started working in family therapy with a Mexican American family. After meeting with the family three times at her office, she visits their home to complete her assessment. The mother has prepared a meal and asks the social worker to eat with the family. What is the BEST way for the social worker to respond? Select one: A. Remind the clients of the purpose of her visit and decline the invitation. B. Decline the invitation and explain the ethical problem. C. Decline the invitation with a polite excuse, such as telling the family that she has just eaten. D. Accept the invitation to share the meal.

A social worker receives a phone call from a person with whom she was intimately (including sexually) involved for a short period of time. The relationship ended in a mutually agreeable way, and now, this person wants to start therapy with the social worker. In terms of the requirements of NASW's Code of Ethics, which of the following is true? Select one: A. It would be ethical to begin therapy as long as at least two years have passed since the end of the relationship. B. It would be ethical to begin therapy as long as it is clear that there is no risk for harm or exploitation. C. It would be ethical to begin therapy as long as the social worker discusses with the client at the outset the potential for conflict of interest, and the risk for harm to the client is minimal. D. It would not be ethical to begin therapy.

A social worker suspects a colleague of violating ethical guidelines. To be consistent with the provisions of NASW's Code of Ethics, the social worker should do which of the following? Select one: A. Contact the state licensing board or a professional ethics committee about this as soon as feasibly possible. B. Contact the state licensing board or a professional ethics committee about this only if the ethical violation is a serious one. C. Handle the situation informally by discussing the violation with the colleague. D. Either handle the situation informally or contact the state licensing board or a professional ethics committee, depending on which course of action he or she believes is appropriate.

A social worker who is also a teacher at the local community college is providing counseling to a newly married couple who is having trouble adapting to married life. After getting their permission to do so, the social worker videotapes the couple during one of their sessions. What is true about this situation? Select one: A. The social worker can never use the tape for educational purposes. B. The social worker can avoid being sued for using the tape in a college lecture as long as he receives verbal consent from the clients. C. The social worker can use the tape in a college lecture as long as he does not exploit the clients. D. The social worker can use the tape in a college lecture if he gets signed permission to do so from the clients.

Although the targets for treatment depend on the particular child's symptoms, there are certain goals that are common to the psychological treatment of most children who have been physically or sexually abused or neglected. Which of the following is NOT one of these goals? Select one: A. Educate the child about self-protective strategies. B. Help the child talk about the abuse without embarrassment or significant anxiety. C. Help the child develop healthier attachments. D. Teach the child strategies for getting support from unsupportive family members.

During the first interview, a client mentions that she has been seeing a psychologist for individual therapy for the past four months. The client says that she would like to see both the social worker and the psychologist because she feels that she would benefit the most if she did this. The psychologist has been helping the client feel less anxious around other people and develop her social skills. What should the social worker do? Select one: A. Continue seeing the client and help her clarify her motives and goals for coming in. B. Explain to the client that it would be unethical to see her while she is receiving services from another therapist and discontinue seeing her. C. Contact the psychologist to see if their services would be redundant and, if they are, tell the client that he cannot continue seeing her while she is seeing the psychologist. D. Help the client clarify her reasons for seeing both a social worker and the psychologist and then evaluate whether it is appropriate for her to see both.

Over the course of nine months, an individual therapy client has complained three times about how her treatment is going, and, each time, the social worker has explored the client's concerns and then modified the treatment plan to address them. In the current session, the client says again that she's not satisfied with how her therapy is going. What should the social worker do? Select one: A. Make a clinical judgment about whether the client is benefitting from therapy and, if she is, encourage her to continue in therapy. B. Discuss with the client her dissatisfaction and mutually identify new goals for therapy. C. Tell the client that he is ethically obligated to terminate treatment with her because he doesn't believe she is benefiting from it. D. Discuss with the client her dissatisfaction and the possibility of referral to a different therapist.

The client is a college student who reports that she suffers from test-taking anxiety. She says she finds school difficult because she has always had trouble concentrating for long periods of time. She says, however, that an IQ test she took during high school indicated that her intelligence is above average and that this may be why she's been able maintain fairly good grades. The client then changes the subject and begins focusing on her body; she says she spends a lot of time exercising because she doesn't want to get fat. She admits that she's preoccupied with her weight (which appears normal) and that she's "experimented" with self-induced vomiting after eating too much. What should the social worker do FIRST? Select one: A. Begin cognitive-behavioral therapy for the eating disorder. B. Target underlying depression using cognitive therapy. C. Provide training in relaxation techniques. D. Get permission to speak with the client's physician.

Which of the following is NOT a strategy that is typically effective for establishing rapport? Select one: A. Conveying empathy nonverbally. B. Admitting one's errors to clients. C. A low level of self-disclosure if the client is defensive. D. A warm-up period (small-talk) before asking the client why he came in.

A 19-year-old client who lives at home with his parents has been uncharacteristically hostile toward them and has seemed confused. The client mentions having bouts of extreme fatigue and is very thin. What diagnosis should be considered FIRST? Select one: A. Stimulant use disorder. B. Major depressive disorder. C. Schizophrenia. D. Opioid use disorder.

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

A client has completed her treatment goals and is ready to terminate treatment. During her final session with the social worker, the client abruptly says that she has other problems she wants to work on. What should the social worker do FIRST? Select one: A. Acknowledge the anxiety that normally accompanies termination. B. Refer the client to another therapist to work on the problems. C. Recontract for additional sessions. D. Review the new skills the client learned in therapy.

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

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

A couple has sought counseling because they want help improving their relationship. During the first interview, the husband is extremely critical of the wife. What is the social worker's BEST course of action? Select one: A. Ask the husband to repeat his remarks, then examine them along with the couple. B. Ask the wife how she feels about the husband's destructive style of communication. C. Ask the husband to be less critical. D. Observe the couple for a few more sessions before broaching the topic of the husband's communication style.

A social worker determines that a client who has been abusing alcohol for many years needs medical supervision in order to withdraw safely from alcohol and refers him for inpatient care. One of the reasons the social worker decides this is that, the last time the client quit drinking, he developed delirium tremens (DTs). Delirium tremens includes which of the following? Select one: A. Autonomic hyperactivity, vivid hallucinations, delusions, and agitation. B. Permanent physical damage, with major psychological impairments. C. Aphasia, amnesia, and confabulation. D. Amnesia, perceptual disturbances, and autonomic hypoactivity.

A social worker is meeting with a family that includes a father, mother, and 15-year-old daughter. The daughter has developmental disabilities, and her parents report that she has recently started to approach strangers in public places and touch them. What is the BEST intervention in this case? Select one: A. Arrange to work in conjunction with the social worker at the girls school to develop her social skills. B. Connect the parents to services available for children with developmental disabilities. C. Provide education about the needs of developmentally disabled teenagers and refer the parents to a support group. D. Provide education about the needs of developmentally disabled teenagers and discuss the need for the parents to monitor their daughter more closely and escort her when she is in public places.

A social worker's new client is a 45-year-old woman who has been divorced for 10 years. The presenting problem concerns her 21-year-old daughter who lives with her. The daughter is supposed to pay rent and help with household chores but rarely does. The client admits that she often gives her daughter "pocket money." She also says that she's worried her daughter uses drugs because the she goes out at night with friends and sometimes doesn't come home until the next morning. After acknowledging what the client has shared to this point, what should the social worker do NEXT? Select one: A. Question and observe the client to gain an understanding of how she perceives and handles the presenting problem. B. Find out more about the daughters drug use, provide psychoeducation on chemical dependency, and interpret the clients behavior as codependency. C. Find out more about the daughters behavior and discuss and provide alternative strategies for managing it. D. Actively shift the clients focus off of her daughter and on to herself in an effort to learn more about the client's needs and identify the actual problem.

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

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

Elevated levels of the neurotransmitter serotonin are believed to contribute to which of the following? Select one: A. Autism spectrum disorder and schizophrenia. B. Tourettes disorder and schizophrenia. C. Depression and anxiety. D. Aggression and suicide.

Federal programs such as Food Stamps, Supplemental Security Income (SSI), and payments for adoption assistance and foster care are examples of ________________ programs. Select one: A. selective eligibility B. universal eligibility C. exceptional eligibility D. entitlement

Jellinek's formulation of alcohol addiction is based on which of the following models? Select one: A. Disease. B. Social learning. C. Family systems. D. Self-medication.

Nina is an 87-year-old who has been referred for counseling services by the court. She has recently had a conservator appointed for her, due to being cheated out of much of her life savings by several scam artists. She is currently involved in a situation with a lending agency that, due to its unscrupulous practices, will probably result in the loss of her home. Which of the following factors were MORE likely to have made Nina more susceptible to financial exploitation? Select one: A. Social isolation, cultural etiquette, cognitive changes, poor physical health. B. Cognitive changes, lack of adult children, fear of loss of independence, poor physical health. C. Predatory lending, lack of financial education, theft of services, absence of financial documentation. D. Lack of computer sophistication, high financial dependence, difficulty in activities of daily living, fixed income.

The client is a 12-year-old girl who was injured in an accident one year ago. The girl was paralyzed from the waist down and now uses a wheelchair. Many of the students at her school have been teasing and isolating her in the classroom and on the playground. The focus of the social worker's intervention plan should be on: Select one: A. helping the client adapt to and cope with her disability. B. educating the clients parents on how to help her. C. training the clients teachers about issues related to her disability. D. helping the clients teachers educate her classmates about disabilities.

The client is a 36-year-old single woman who reports feeling bored at her job and at a "dead-end" socially. She completed two years of college and sometimes thinks about re-enrolling to complete her degree but "never gets around to it." She says she's in a rut she can't get out of. The social worker decides to use a brief therapy model with this client. The assumptions of this model include all of the following EXCEPT: Select one: A. a client lacks resources for change and a social worker's key role is to provide skills and knowledge to facilitate change. B. problems are a normal part of life rather than signs of dysfunction or pathology. C. the purpose of therapy is to find solutions rather than meaning or insight. D. a social worker should believe that change is possible and convey this expectation to the client.

The client is a middle-aged Hispanic man with a wife and two kids. He seems very anxious in the first interview and reports that he just lost his job. What environmental factors should be emphasized at intake? Select one: A. Socioeconomic and interpersonal relationships. B. Job skills and interpersonal relationships. C. Social skills and marketability. D. Cultural background and support network.

The client is a middle-aged married man with an episodic drinking problem. He says that he can go for weeks without a drink and that he has not had any alcohol for nearly three weeks. The client's wife is supportive of him and describes him as a good husband and father, in spite of his drinking. The client has, however, had many job difficulties as a result of excessive drinking. What is the BEST way for the social worker to arrange treatment this case? Select one: A. Refer the client to an intensive outpatient program. B. Refer the client for inpatient detox. C. Encourage the client to join an Alcoholics Anonymous group. D. Offer to see the client for ongoing individual therapy.

Which of the following BEST describes the collaborative care model? Select one: A. A model that involves the addition of behavioral (mental) health or allied health care professionals to provide auxiliary services in a primary care setting. B. A collaborative system that is characterized by regular contact and feedback among all providers involved in patient care. C. A system of care, involving numerous professional licenses, coordinated by a care manager. D. A systematic approach to treatment of mental disorders in primary care settings that involves the integration of psychiatrists and primary physicians.

Which of the following is NOT included as an alcohol-related disorder in the DSM-5? Select one: A. Alcohol dependence. B. Alcohol intoxication. C. Alcohol withdrawal. D. Alcohol-induced major neurocognitive disorder.

Which of the following is a true statement about the factors that determine a group's level of cohesiveness? Select one: A. Cohesiveness tends to increase when group members participate in setting the groups norms and goals. B. Large groups tend to be more cohesive than small groups. C. Group homogeneity is associated with lower levels of cohesiveness. D. The level of cohesiveness tends to be lower when the group members have to depend on one another to achieve their goals.

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

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

While the id operates through a mechanism known as the pleasure principle, the ego operates through: Select one: A. the reality principle. B. the morality principle. C. the anxiety principle. D. defense mechanisms.

A child with oppositional defiant disorder is LEAST likely to exhibit which of the following? Select one: A. Frequent conflicts with his parents. B. A high degree of physical aggression toward peers. C. Frequently blames others for his mistakes. D. Often loses temper.

A client reports feeling anxious since starting a new job three months ago. He feels inadequate and irritable on most days because it's been hard to juggle working more hours with his other obligations. His girlfriend has been accusing him of ignoring her. He wants to please her but he also wants to succeed at work, and this is making him feel tired all the time. He says he wants to feel like himself again - like someone who "has it together." How should the social worker approach treatment in this case? Select one: A. Refer the client to couples therapy. B. Provide stress management training. C. Help the client express his anger using I-language. D. Teach progressive muscle relaxation.

A client who is currently experiencing domestic violence comes into your agency for support. A clinician who is well trained in trauma-informed care practice conducts an initial safety planning session with the client. Which of the following questions will the practitioner NOT ask the client during her session? Select one: A. What are some of the things that have helped you stay safe in the past? B. What happened the last time your partner hit you? C. Who are some of the people in your life who could help you find a safe place to go? D. What are some of the risks you might face if you choose to leave your current living situation?

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

A mother brings her 6-year-old daughter in for evaluation and treatment. The girl is clingy and fearful, looks scared, and doesn't make eye contact. The mother tells the social worker that the girl has no friends at school. In light of the mother's report, what should the social worker do FIRST? Select one: A. Make a provisional diagnosis of separation anxiety disorder and get permission to contact the girls teacher for collateral information. B. Recognize the possibility that this girl has been abused and assess accordingly. C. Explore how the mother copes with the girls behavior and counsel the mother about setting firm and consistent limits on excessive clinging. D. Arrange for psychological testing to assess the severity of the girls anxiety and get a better understanding of the underlying dynamics.

A social worker has been working in short-term individual therapy with a client for four sessions. The client has not made any progress yet. What is the social worker's BEST course of action? Select one: A. Discuss with the client his lack of motivation. B. Schedule a case consultation. C. Allow the client more time to progress. D. Terminate treatment and refer the client to another therapist.

A social worker is meeting for the first time with an involuntary client who has been mandated by the court to attend therapy. What should the social worker do FIRST in this meeting? Select one: A. Inform the client of the consequences of not cooperating with the court order. B. Share what she knows about why the client has come in and invite the client to share his side of the story. C. Address the clients negativism. D. Identify a treatment goal that the client is motivated to pursue.

A social worker is meeting with a 35-year-old woman and her 67-year-old father. The man's wife/woman's mother died about six months ago. The daughter explains that she is concerned about her father's recent "overuse of alcohol." She says that he has suddenly started drinking two or three glasses of wine with his dinner. The father tells you that his doctor has recommended that he drink wine as a way of stimulating his low appetite. The daughter confirms that this is true. Taking into account all of this information, what should the social worker do FIRST? Select one: A. Screen for alcoholism and contact the man's physician. B. Explore the man's medical history, history of loss, and support system. C. Screen for alcoholism and assess the man's ability to cope with loss. D. Explore how the system is coping with the wife/mother's death and offer grief counseling.

A social worker meets with a 15-year-old girl who was repeatedly sexually abused when she was a child. Her mother sent her for therapy. The girl reports no problems and says she doesn't know why her mom wants her to get therapy. She says that whatever happened to her when she was a child was "no big deal." The social worker observes that the girl comes across as well-adjusted in the interview, except that her emotional range is limited. In all likelihood, this girl is demonstrating: Select one: A. memory loss. B. dissociation. C. resistance. D. that the abuse allegation was false.

A social worker works in a community mental health clinic and her clients are two parents and their elementary school-age son. The parents have difficulty making ends meet and the family lives in a one-bedroom house near a chemical laboratory. The parents report that their son often has flu-like symptoms and, although they're concerned about this, they can't afford to take him to a doctor. What should the social worker do FIRST? Select one: A. Discuss with the parents their boys medical history and explore whether they also have had flu-like symptoms. B. Help arrange free or low-cost physical evaluations for the child and the parents. C. Identify the familys immediate financial, social, emotional, and medical needs and assist the parents to develop a plan for getting the assistance and services they need. D. Help parents articulate their concerns and identify their goals for treatment by using a goal checklist.

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

A young heterosexual couple seeks therapy because they fight too much. They are on the verge of ending their relationship because they can't communicate well. They say, "It's like we're two different species when we try to talk about things." Based on his knowledge of research on communication style and gender, the social worker would be MOST likely to suspect that which of the following is true about this couple's communication? Select one: A. The man tends to use rapport talk, while the woman tends to use report talk. B. The man prefers talking about activities, while the woman prefers talking about feelings. C. The mans communication style is more expressive than the womans. D. Compared to her partners, the womans communication style is more focused on identifying goals and finding solutions.

An adult client reports difficulty sleeping, a generally anxious mood, and a sense of feeling helpless and lost. The client has been married for 10 years and has two children, a 7 year old and a 5 year old. The client talks freely about her children but says very little about her husband, other than that he is "moody." She says her symptoms are fairly long-standing, and when questioned, says quickly that she can't really connect them to any event in her life. She remarks that her husband tells her all the time that she just has a "weak character." After ruling out the possibility that the client is thinking about suicide, the social worker refers her for physical evaluations which reveal that she doesn't have any medical condition that could account for her symptoms, and she doesn't use any substances at all. What should the social worker do NEXT? Select one: A. Attempt to see the entire family to assess their communication and interaction patterns and the couples parenting styles. B. Attempt to see the couple together to assess their communication and interaction patterns including how they handle conflict. C. Assist the client to identify the source of her depressed mood and anxiety symptoms. D. Discuss with the client her own interpretation of her symptoms including whether she agrees that she has a weak character.

An existential therapist emphasizes which of the following? Select one: A. Confronting the client's "failure identity." B. Listening to the client's own account of her experiences. C. Providing therapeutic conditions to facilitate the client's self-actualization. D. Closing the gap between the client's conscious and personal unconscious.

An individual with schizoid personality disorder is MOST likely to display which of the following? Select one: A. Eccentric behavior. B. Isolation. C. Suspiciousness. D. Excessive emotionality.

During the initial interview, a client reports a loss of appetite, sleep difficulty, and spells of sadness and weeping. What should the social worker assess FIRST? Select one: A. Use of alcohol. B. Suicide potential. C. Medical history. D. Level of anxiety.

During the second session with an Asian-American social worker, an African American client says that he would prefer to see an African American therapist. What would be the MOST appropriate way for the social worker to interpret the client's request? Select one: A. As a manifestation of resistance. B. As a function of racial identity. C. As denial and avoidance. D. In terms of locus of control.

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

In terms of emotional development, a key task in middle childhood is the development of "emotional competence," which is BEST described as the ability to: Select one: A. regulate negative emotions in appropriate ways. B. experience, express, and understand emotions. C. read other peoples emotions and express empathy. D. manage cognitions that produce negative emotions.

Symptoms of __________ are similar to those associated with a moderate to severe case of the flu (e.g., muscle pain and cramps, diarrhea, chills, sneezing, lethargy). Select one: A. opioid intoxication B. opioid withdrawal C. cocaine intoxication D. cocaine withdrawal

The "nature-nurture" debate is over the relative contributions of genetic and environmental factors to human development. Currently most experts agree that: Select one: A. nature is stronger than nurture. B. both are important and have a reciprocal influence on development. C. nurture is stronger than nature. D. both play a role, but culture is the key variable affecting development.

The Brief Symptom Inventory (BSI) would be MOST useful for which of the following purposes? Select one: A. Identifying risk and protective factors related to a clients presenting problem. B. Tracking a clients progress during the course therapy. C. Identifying the affective, cognitive, and behavioral features of a clients presenting problem. D. Making a differential diagnosis between disorders that have similar symptoms.

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

The management philosophy of an agency reflects a "Theory Y" approach. Consequently, one would expect to find which of the following in the agency? Select one: A. Highly formalized communication channels. B. A high degree of self-direction on the part of staff. C. The use of pay and bonuses as the primary mechanisms of reward. D. Promotion and selection based on technical competence.

The parents of a young child seek help from a social worker because their child has been having difficult speaking clearly. The child has been stuttering, and they're worried that he will never speak fluently and will feel different from others as a result. The social worker is MOST likely to conclude that the child's stuttering is normal childhood speech dysfluency if: Select one: A. the child has no associated emotional or behavioral problems. B. the child is 3 years old. C. the onset of the childs speech difficulties was before age 7. D. the child displays only one type of dysfluency.

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

To understand what influences their clients' development and behavior, social workers often use a multidimensional framework that includes three main dimensions. Which dimension is concerned with social regulation and early attachment? Select one: A. Social. B. Psychological. C. Personality. D. Biophysical.

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

With regard to schizophrenia, there is some evidence that the higher rate found among African American individuals may be due to: Select one: A. genetic factors. B. misdiagnosis. C. lower recovery rates. D. a higher risk for complications during birth.

A 48-year-old woman is admitted to the emergency room of a hospital, complaining of chest pain and shortness of breath. While being interviewed, she is very restless and often gets up to pace back and forth. She says she has had similar "attacks" in the past, but that this one is the worst. She also states that the attacks sometimes occur when she's concerned about getting bad news; but, most of the time, they don't seem to be related to anything and they make her feel like she's "going to die." Assuming that there is no medical explanation for the woman's symptoms, the MOST likely DSM-5 diagnosis is which of the following? Select one: A. Illness anxiety disorder. B. Specific phobia. C. Panic disorder. D. Panic disorder without agoraphobia.

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

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

A client has a long history of heavy alcohol use. Although he has been sober for three months, he is now exhibiting symptoms of cognitive impairment. It would be MOST important to refer this client to which of the following? Select one: A. Inpatient treatment for his addiction. B. A residential program for his addiction. C. A neurologist. D. The Department of Rehabilitation.

A local youth minister collects amateur pornography videotapes. He also has a huge collection of nude photographs of young boys. He gets his material through Internet sites, and neither his wife nor anyone in his community knows of his interests. In fact, he is well respected and considered a good role model for the children. Recently, he initiated a group that lobbies against child pornography. This is an example of which defense mechanism? Select one: A. Denial. B. Projection. C. Reaction formation. D. Repression.

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

A new client has been referred by his psychiatrist. The client complains of depression. He says he's been feeling sluggish and unhappy for months and can't sleep well at night. He adds that he's been spending a lot of time alone because he doesn't feel like being around other people. When the social worker questions him, he denies having any suicidal thoughts, though he does say that he's tired of feeling "so down." What is the BEST way to provide treatment in this case? Select one: A. Refer to a psychiatrist for medication. B. Arrange for inpatient treatment. C. Offer individual therapy. D. Refer to a support group.

A social worker has been working in individual therapy with a client who has a substance use disorder and has agreed to abstain from using substances. The client has also been attending 12-Step meetings. In the current session, the client presents, for the first time, with depression-like symptoms. The social worker learns that the client has been using again. The client's depression-like symptoms suggest that she may be experiencing which of the following? Select one: A. Barbiturate intoxication. B. Cannabis intoxication. C. Opioid withdrawal. D. Alcohol withdrawal.

A social worker is beginning therapy with a 25-year-old transgender female who recently started hormone therapy. The client asks for help dealing effectively with peoples reactions to her transition. She also reports feeling very anxious lately. Which action should the social worker take FIRST in approaching this case? Select one: A. Assess the clients understanding of hormone therapy and provide her literature about this medical treatment and its potential side-effects. B. Discuss the clients feelings about undergoing hormone therapy and normalize her intense anxiety symptoms under the circumstances. C. Acknowledge that feeling anxious in these circumstances is common but let the client know you will clarify the source of her anxiety symptoms by consulting with her doctor. D. Assess the nature and intensity of the clients anxiety symptoms and provide coping skills that she can begin using immediately.

A social worker is working in a center that provides services for homeless youth and runaways. A 15-year-old boy who was kicked out of his home for being gay has come in asking for help getting food. He has been living on the streets for about 3 months and acknowledges he has been providing sexual favors in order to get his needs met. Which statement would be the MOST helpful in helping an adolescent who is involved with sex trafficking to begin to share? Select one: A. Have you ever had sex for money? B. It wouldnt be unusual for someone in your position to feel desperate enough to trade sex for money. C. Many kids living on the street feel scared and feel like they need to find someone to protect them. I wonder if youve ever felt this way? D. I wonder if youve ever considered doing things you wouldnt ordinarily do to get by

A social worker is working in family therapy with two parents and their teenage children, a girl, age 16, and a boy, age 15. The presenting problem was frequent arguing in the family, and the focus of treatment has been on identifying and altering the family's maladaptive communication patterns. After the family has been in treatment for six weeks, the father suddenly admits to the social worker that he drinks heavily. He manages to go to work and functions fairly well at his job, but he always drinks at night when he gets home, usually enough to become intoxicated. He says that he drinks at home because he can't stand all the fighting. Under these circumstances, what should the social worker do? Select one: A. Clarify how dysfunctional interaction patterns in the family have played a role in maintaining the fathers drinking problem. B. Educate the clients about alcohol addiction and recovery. C. Establish a therapeutic contract for abstinence with the family. D. Continue working to resolve the original presenting problem because this is what the family sought treatment for and it influences the fathers drinking pattern.

A social worker is working in the first stage of therapy with a 35-year-old African American man who sought treatment because he was feeling depressed and dissatisfied at his job. Why would it be useful for the social worker to discuss issues related to race and racism with this client? Select one: A. To demonstrate her concern. B. Because the client may be reluctant to bring it up himself. C. Because it may have a bearing on the problem definition. D. Because she has an ethical responsibility to work to reduce racism.

According to the DSM-5, a person intoxicated on either cannabis or cocaine is likely to exhibit which of the following signs or symptoms? Select one: A. Blurring of vision. B. Psychomotor agitation. C. Tachycardia. D. Impaired attention.

An 11-month-old baby becomes very upset when his mother leaves the room for a few minutes. This MOST likely reflects which of the following? Select one: A. Autism spectrum disorder. B. An insecure/avoidant attachment pattern. C. Separation anxiety. D. Reactive attachment disorder.

Erikson identifies identity formation as the key psychosocial task during adolescence. At age 17 or 18, this task begins to be replaced by which of the following? Select one: A. The need to come to terms with ones limitations. B. The need to achieve a higher degree of individuation. C. The need to develop interpersonal closeness and solidarity. D. The need to be productive and creative.

Immigrants face many stressors before, during and after resettlement. The immigration process can involve separation from family members, physical stressors, exposure to unfamiliar customs and physical environments, and possibly trauma. The stresses involved in immigration can exacerbate or cause mental health and family difficulties. Immigrant families most often seek mental health treatment for: Select one: A. employment problems B. discrimination and racism C. intergenerational acculturative conflicts D. trauma reactions

In the first interview, a client who works as a city bus driver reports that he drinks alcohol every day. What should the social worker do FIRST? Select one: A. Get an abstinence contract. B. Refer the client to AA. C. Find out more about the clients drinking. D. Confront the client about the dangers of drinking and driving.

The client is a 12-year-old boy who has been diagnosed with a tic disorder. His parents are concerned and ask the social worker how they can help their son control his symptoms. They ask her whether stress plays any part in their son's tic disorder. What should the social worker tell them? Select one: A. There is no relationship between tic disorders and stress. B. Stressful events tend to attenuate (lessen) the symptoms of a tic disorder. C. Stressful events can exacerbate (worsen) the symptoms of a tic disorder. D. Prolonged stress often precedes the development of a tic disorder.

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

When a social worker and a client differ in their racial backgrounds, transference: Select one: A. will probably not occur. B. is identical to transference that occurs when the social worker and client share the same racial background. C. may be affected by the client's past experiences with racism. D. will occur only if the social worker displays racist attitudes.

Which of the following describes an important goal Title XX of the Social Security Act Amendments of 1974? Select one: A. To increase the federal governments role in developing funding for personal social services programs. B. To make it easier for people living in poverty to receive welfare payments. C. To provide social services to low-income people in a more economical way. D. To increase the federal governments role in determining how funds will be allocated to social services.

Which of the following is the strongest indicator of suicide risk? Select one: A. Depression. B. Family history of suicide. C. Hopelessness. D. Alcoholism.

A 19 year old who lives with his parents has sought therapy for help getting his life "on track" following a series of job losses and interpersonal failures. The social worker discovers that the client tends to passively resist doing what authority figures ask him to do, to a point where his supervisor at work has threatened to fire him and his parents have asked him to move out. During last week's session, the social worker raised the issue of the client's characteristic response to authority, and he changed the subject without acknowledging what she said. The social worker raises the issue again in the current session, and the client just sits there, silently. What is the social worker's BEST course of action? Select one: A. Allow the client to remain silent until he regains control of his emotions. B. Actively encourage the client to respond to her. C. Shift the focus to exploring the client's underlying thoughts and feelings. D. Point out the pattern of behavior and help the client explore its effects.

A 9-year-old boy has been referred for evaluation because he is careless, engages in risk-taking behavior, and is not achieving up to his potential at school. When meeting with the boy, the social worker observes that he has trouble staying focused but seems bright and is very engaging. Based on this information, what diagnosis is MOST indicated for this boy? Select one: A. Specific learning disorder. B. Conduct disorder. C. Oppositional defiant disorder. D. Attention-deficit/hyperactivity disorder.

A client reports that her 81-year-old father, a widower, has been having difficultly dressing himself appropriately and no longer cleans his apartment. He was recently ticketed by the police for driving the wrong way on a one-way street. The next day, he drove to his local market and got lost on the way home. The client says she is worried that her father has Alzheimer's disease. After acknowledging the client's feelings about this, what should the social worker do FIRST? Select one: A. Arrange to see the clients father and perform a mental status exam. B. Recommend that the client take her father to a physician for physical examination and lab tests. C. Ask the client for more information about her fathers daily functioning and determine whether he should be moved to a long-term care facility. D. Discuss safety issues and options with the client, such as preventing her father from driving by taking away his car keys.

A divorced middle-aged client had been juggling work responsibilities with efforts to care for his elderly mother, but he then placed his mom in a nursing home three months ago. In a session with his social worker, the client says, "I should visit my mom more often, but I get so busy with work. I feel bad about that because I know she's lonely and won't be around much longer." In response to this, the social worker says, "You've said several times in our sessions that you think you should spend more time with your mom, but you're not doing it. I can't help but wonder whether the feelings you've described having about moving your mom to the nursing home are making it difficult for you to visit her there. What do you think about that?" What technique has the social worker used? Select one: A. Reframing. B. Universalization. C. Clarification. D. Confrontation.

A married couple reports frequent arguments and difficulties in resolving problems. They say that they frequently misunderstand each other when they fight, which leads to more intense arguments. In light of the couple's report, what should the social worker do FIRST? Select one: A. Identify specific problems in the relationship by having each partner, in a separate interview, describe his or her view of the problem. B. Identify successful and unsuccessful anger-management strategies used by each partner and their consequences. C. Assess each partners emotional health and stability. D. Identify the couples specific communication deficits by having them attempt to resolve a major conflict while the social worker observes them.

A school social worker employed at a middle school discovers that a student has been bullying two of his classmates. The BEST way for the social worker to intervene is to: Select one: A. take a wait-and-see attitude because bullying is common at this age. B. perform a comprehensive assessment of the student who bullies and have a conference with his parents. C. arrange to meet with all three students and use conflict resolution strategies such as mediation. D. meet with the student who bullies and tell him that bullying is unacceptable and will end.

A social worker is meeting with a recently divorced man and his 7-year-old daughter. The man was granted sole custody of the girl because his ex-wife emotionally abused and neglected her. He reports that his daughter has been upset lately and seems disoriented at times. She recently stabbed herself in the leg with scissors so deeply that she needed stitches. The man thinks that the behavior was intentional. The man also reports that he lost his job two weeks ago, has few financial resources, and doesn't know what he and his daughter will do. During the interview, the social worker observes that the girl is withdrawn and doesn't respond to questions. Based on this information, what should the social worker do FIRST? Select one: A. Gather information about the girl's mother to find out if she can provide any help at this time. B. Identify, through discussion with the man, what options he will have if he runs out of money. C. Identify ways of helping the girl cope with exposure to abuse and her parents' divorce. D. Get a better understanding of the girl's symptoms by arranging for her to undergo medical and psychiatric evaluations.

A social worker is providing case management services to a client who has been diagnosed with cancer. The client reports that she feels ignored by her doctor who tends to brush off her questions and has provided her with little information about her illness, treatment alternatives, or what side-effects she can expect. When she has pressed him for information, he has told her to talk to the nurses at the hospital or do an Internet search for information. After exploring this problem in some depth and then trying unsuccessfully to negotiate with the doctor, the social worker determines that case advocacy is called for and the client agrees. The social worker's FIRST step in advocating on behalf of this client should be which of the following? Select one: A. To contact the hospital administrator. B. To contact the state Medical Board. C. To initiate a grievance procedure. D. To make a direct appeal on her behalf.

A social worker is providing group-based social skills training to a group of adolescents. In his effort to maximize the effectiveness of this training, the social worker should be MOST concerned about which of the following? Select one: A. Forming a small group. B. Providing filmed demonstrations. C. Providing clear explanations of the skills. D. The group members' active involvement.

A social worker meets with a couple whose adult daughter is gay and has recently decided to adopt a child with her long-time partner. The woman's parents say that, while they want to be supportive, they worry that the child will have problems if she is raised by lesbian parents. They ask the social worker what he knows about the effects on children of being raised by lesbian parents. One thing the social worker could tell his clients is that research investigating the effects of having homosexual parents has found that: Select one: A. children of lesbian or gay parents often differ developmentally in significant ways from children of heterosexual parents. B. children of lesbian parents show no negative consequences, but children of gay parents may display maladjustment. C. children of lesbian parents show no negative consequences, but children of gay parents are often confused about their own sexual orientation. D. children of lesbian or gay parents do not show significant developmental differences from children of heterosexual parents.

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

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

In the first interview, the parents of a 7-year-old boy report having difficulty dealing with the boy's recent behavior. He was caught stealing money from his mother's purse a week ago and has collected an array of pencils, crayons, and other school items from his class that don't belong to him. In light of the parents' report, what should the social worker do FIRST? Select one: A. Discuss the role of inconsistent discipline in the development of behaviors like stealing. B. Tell the parents that this behavior is age appropriate because children at this age do not understand causality. C. Refer the child for psychological testing to clarify factors underlying the problem. D. Seek permission from the parents to consult with the boys teacher.

It would be MOST appropriate for a social worker to refer a client for psychological testing when: Select one: A. the client is not motivated to change. B. the client turns out to be resistant and unwilling to self-disclose. C. the client is anxious as she begins treatment and has a hard time describing her problem. D. the other means used to assess the client have failed to clarify her level of functioning.

The DSM-5 diagnosis of social (pragmatic) communication disorder is characterized by: Select one: A. intense anxiety about social situations in which the individual may be exposed to scrutiny by others. B. a disturbance in the normal fluency and time patterning of speech. C. deficits in social communication and interaction and restricted, repetitive patterns of behavior, interests, and activities. D. difficulties in the social use of verbal and nonverbal communication.

The client is a man who reports feeling mildly depressed and moderately anxious. He tells the social worker that his wife is a terrible housekeeper and that their house often smells like rotten food. He says he smells food all over the place. He also reports that he sometimes feels as though roaches are crawling on him at night. His wife insists that their house is clean and that she has never felt roaches crawling on her. In light of this information, what should the social worker do FIRST? Select one: A. Send the man to a psychiatrist because this case is outside a social workers scope of practice. B. Assess the man's thought disorder using a clinical interview and referral for psychological testing. C. Conduct a mental status exam to determine if immediate referral for inpatient treatment in a psychiatric facility is necessary. D. Refer the man to a neurologist for an evaluation.

When using the DSM-5, a child with dyslexia who has not responded to interventions that target his reading problems would receive a diagnosis of: Select one: A. academic skills disorder with impaired reading. B. reading disorder. C. learning disorder NOS. D. specific learning disorder with impairment in reading.

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

You have been lobbying representatives in the legislature to provide more funding for childhood mental health screenings for children of at risk families. This is an example of: Select one: A. case advocacy B. political pressure C. primary prevention D. cause advocacy

Social Work Comp Test 3

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