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