1.A
doctor notifies a hospital social worker that a child with a chronic illness
has not kept any appointments in the past year and must be evaluated four
times a year. The doctor states that if the child does not come for the
appointments, it will be considered medical neglect by the parents. The
social worker learns the mother has a physical disability and lives over an
hour away from the medical center. The mother asks if the child can be
treated at a local medical center instead. What is the MOST appropriate action for the
social worker to take?
|
A)Insist
that the child go to at least four medical visits per year
|
B)Explore
an alternative treatment schedule with the doctor
|
C)Empathize
with the mother about the limitations of her physical disability
|
D)Determine
if the child can receive health care services near the home
|
|||||||||||||||
2.
A
social worker has set up an initial appointment with an involuntary client.
The client does not keep the appointment. What should the social worker do FIRST?
Premature decision
|
5.
A parent filing for divorce is involved in a gay relationship. The couple's children
are having extreme difficulty with the changes. The custodial parent
disapproves of the new relationship and is not allowing the children to
visit. The custodial parent urges the social worker to support this decision.
The social worker should FIRST:
|
A)refer
the family to a support group for families of divorce
|
B)provide
individual treatment to each family member
|
C)offer
to supervise children's visits with the non-custodial parent
|
(D)Inform
the parents that visitation can’t be prevented
|
6. A
teenager sees someone being mugged and runs away after seeing the victim being
beaten. What best describes the teenagers actions?
A. invisibility nature of a typical teenager
B. giving into impulse
C. immaturity in dealing with crisis
D. Coping Mechanism
7. In developing a therapy group in an adult
psychiatric setting, which of the following criteria will be most important?
A. Diagnosis
B. Family Status
C. Level of functioning
D. Intellectual Capacity
8. A child, age 4, is brought to the
community mental health clinic by her Foster Care Social Worker. The Foster
Care Worker describes her former situation as being characterized by
persistent disregard of the child's emotional needs for comfort, stimulation
and affection. Her current behavior demonstrates indiscriminate sociability
with marked inability to exhibit appropriate selective relationships. She is
excessively familiar with relative strangers. Based on the above information
which of the following DSMIV TR diagnoses seems most appropriate?
|
A.Separation Anxiety Disorder
|
B.Reaction Attachment Disorder, Inhibited type
|
C.Reaction Attachment Disorder, Disinhabited
|
D.Attention-Deficit/Hyperactivity Disorder
|
9. According to Piaget, children in the
concrete operational stage have difficulty with which of the following:
|
||
A
|
Perspective-taking
|
|
B
|
Deductive logic
|
|
C
|
Inductive logic
|
|
D
|
Conservation
|
|
10. In Pavlov’s classic experiment with
dogs, the meat powder was the:
|
||
A
|
Unconditioned Response
|
|
B
|
Unconditioned Stimulus
|
|
C
|
Conditioned Stimulus
|
|
D
|
Conditioned Response
|
|
11. Which of the following is accurate?
|
A.Pervasive Developmental Disorders that occur
early in childhood are often more severe than those that occur later
|
B.Pervasive Developmental Disorders that occur
early in childhood are often less severe than those that occur later in
development
|
C.Pervasive Developmental Disorders that occur
early in childhood often have the same prognosis as those that occur later in
development
|
12. Substance-Related Disorders can result
from exposure to all of the following EXCEPT:
|
||
A
|
Pesticides
|
|
B
|
Stevia
|
|
C
|
Nicotine
|
|
D
|
Carbon Monoxide
|
|
13. The term “V Codes” is associated with
which of the following:
|
|
Axis I
|
|
Axis II
|
|
Axis I and Axis II
|
|
Axis V
|
|
14. Recent budget cuts have necessitated a
policy change in the client fee structure at a mental health agency.
Subsequently, a social worker is concerned that low-income clients will be
significantly affected in a way that could reduce needed services. The social
worker should FIRST:
|
Support the policy and explain the rationale to
his/her clients
|
Inform the clients of the new policy and address
client concerns
|
Serve as broker to link clients to other services
outside of the agency
|
Speak with his/her supervisor and budgeting staff
in an effort to advocate for low-income clients
|
15. A social worker has established a good
relationship with her client, who is 40 years old, and has noticed some of
her client’s errors in thinking over the course of several sessions. The
client has been out of work for a while and has had to borrow money from his
parents to pay his bills. The client recently bought a $300 leather jacket
“to make himself feel better.” His self-worth has begun to suffer, depression
has set in, and he has stopped looking for work. He has been in therapy
because of a drinking problem that resulted in a DUI conviction. The
therapist suspects that the client has started drinking again, though the
client is blaming his current problems on the fact that he is without a car
and a job. What is the BEST way for the social worker to handle this
situation?
|
||
A
|
She should let the client know that she suspects
that he has started drinking again and point out that they need to work on
this issue first
|
|
B
|
She should express her disappointment that the
client has not made progress in their sessions, especially since she has made
changes in her schedule to accommodate his needs
|
|
C
|
She should point out that the purchase of the
jacket was irresponsible, especially since he had to borrow money to pay his
other bills
|
|
D
|
She should wait a few more sessions to see if the
client will begin to recognize his faulty thinking
|
|
16. A child who has always enjoyed kittens
begins to avoid them after having been scratched by a neighbor’s kitten. The
child’s fear would be termed
|
||
A
|
The Conditioned Response
|
|
B
|
The Unconditioned Stimulus
|
|
C
|
The Conditioned Stimulus
|
|
D
|
The Unconditioned Response
|
|
17. Lindsay is a 16-year-old girl who has
run away from home several times and has repeatedly stolen her sister’s
belongings. She is verbally aggressive and dishonest with her peers. Her
parents reported the onset of the stated behaviors at age 11. Which of the
following diagnoses best describe the client?
|
||
A
|
Conduct Disorder; Adolescent-Onset Type
|
|
B
|
Conduct Disorder; Childhood-Onset Type
|
|
C
|
Oppositional Defiant Disorder
|
|
D
|
Antisocial Disorder
|
|
18. Under what circumstances could it be
ethical for a social worker to accept a gift from a client?
|
||
A
|
If the client has been in treatment for a long
time, has made excellent progress, and is ready to terminate services
|
|
B
|
If it is a practice of the client’s culture to
give gifts out of friendship and appreciation
|
|
C
|
If the gift is small, has little monetary or
sentimental value, if it would offend the client to refuse it, if the client
is mentally/emotionally stable, and if the social worker documents the gift-giving
in the client record
|
|
D
|
It is never ethical for a social worker to accept
a gift from a client
|
|
19. If relational problems are the focus of
clinical attention, a mental health therapist should list the diagnosis on
which of the following:
|
||
A
|
Axis I
|
|
B
|
Axis II
|
|
C
|
Axis III
|
|
D
|
Axis IV
|
|
20 A social worker is aware that his
colleague has a drug addiction and it is beginning to affect his practice.
The two social workers have been close friends for many years. Although the
social worker has spoken to his friend about his concerns, the friend denies
that there is a problem. The social worker is struggling with his loyalty to
his friend and colleague versus the protection of the clients. What should
the social worker do?
|
||
A
|
Wait for a while longer to see if the situation
corrects itself
|
|
B
|
Keep the information to himself out of loyalty to
his long-time friend
|
|
C
|
Report the social worker to the state social work
licensing board
|
|
D
|
Ask another social worker to make a report to the
social work licensing board
|
|
21. A couple bring in their 18-year-old son
who is acting out and engaging in delinquent, irresponsible, reckless, and
deviant behavior. This behavior began when he was age 13. You would consider
|
||
A
|
conduct disorder
|
|
B
|
ADHD
|
|
C
|
antisocial personality disorder.
|
|
D
|
oppositional defiant disorder.
|
|
22. A
man comes in to see you because his wife left him. Using a psychosocial
framework, you would
|
||
A
|
deal with the presenting problem.
|
|
B
|
explore the man's personal history.
|
|
C
|
explore why his wife left.
|
|
D
|
a and b.
|
|
23. The defense mechanism reaction formation
is related to which of the following diagnoses?
|
||
A
|
major depressive disorder.
|
|
B
|
obsessive-compulsive personality disorder.
|
|
C
|
paranoid personality disorder.
|
|
D
|
cyclothymic disorder.
|
|
25. A 14-year-old boy is arrested for the
third time for shoplifting. His mother seems unconcerned and says "he's
just going through a phase." His father decides to go fishing on the day
of the boy's court hearing, and his sister says she can't attend the hearing
because she has too much homework. From the perspective of structural family
therapy, this family is best described as
|
||
A
|
closed.
|
|
B
|
emotionally "cut-off."
|
|
C
|
disengaged.
|
|
D
|
skewed.
|
|
26. Client: "Ever since my boyfriend left
me, I've had no motivation. I'm in trouble at work because my projects are
late. I've stopped going out with my friends." Social worker: "Your
life has changed a lot since your boyfriend left." The social worker's
response can be best described as
|
clarification.
|
interpretation.
|
paraphrase.
|
confrontation.
|
27. For Irving Yalom, seeing a client in both
individual therapy and group therapy is inadvisable because
|
the client will spend too much time in individual
therapy discussing problems that arise during the group.
|
the client will terminate individual therapy
prematurely because of the benefits he or she is deriving from the group.
|
participation in individual therapy may decrease
the client's involvement and participation in the group.
|
participation in both individual and group therapy
is likely to be too anxiety-evoking for most clients.
|
28,. A referral is LEAST necessary in which of
the following situations?
|
||
A
|
Countertransference develops.(not negative
compared to other choices,
|
|
B
|
A social worker dislikes a client and therefore is
not objective.
|
|
C
|
A client's depression includes neurovegetative
signs.
|
|
D
|
A client asks for a referral to another therapist.
|
|
29. A 15-year-old boy has made two non-serious
suicide attempts in the past six months. His last attempt was three months
ago, and at this time he does not pose a danger to himself. Based on this
information, you should do which of the following?
|
||
A
|
Find out why the boy feels sad and rejected.
|
|
B
|
Refer for an anti-depressant medication
evaluation.
|
|
C
|
Have him hospitalized to prevent self-harm.
|
|
D
|
Discuss and support more appropriate ways to get
attention.
|
|
30. A client asks the social worker to view
his therapy records. The social worker knows that showing the records to the
client will be harmful given the client’s profile. What is the social workers
ethical responsibility?
|
||
A
|
The social worker should show the client his or
her records as the client has the right to view them
|
|
B
|
The social worker should limit the client’s access
to his records and provide assistance in interpreting the records shown to
the client
|
|
C
|
The social worker should deny the client access
and explain the reasons for doing so
|
|
D
|
The social worker should consult with a colleague
|
|
31. Two major types of communication are:
|
||
A
|
Verbal following skills and focusing skills
|
|
B
|
Verbal skills and non verbal skills
|
|
C
|
Focusing skills and listening skills
|
|
D
|
Paraphrasing and active listening skills
|
|
32. A social worker in a community mental
health agency has been assigned a new client. The social worker should begin
developing a relationship with the client by doing which of the following:
|
Telling the client about herself
|
Asking the client to explain his or her perception
of why he or she is in need of services
|
Listing the goals on which the client should be
working
|
Asking the client what he or she enjoys doing in
his or her spare time
|
33. What is the appropriate amount of
self-disclosure that a social worker should display in working with clients?
|
A.None
|
B.The social worker should disclose personal
information initially in order to make the client feel comfortable
|
C.Only that which is relevant to the client’s
problem
|
D.As much information as the client requests
|
34. It is Kate’s last therapy session with the
social worker. Kate has been in therapy for 3 years and has developed a good
relationship with the front office staff and therapist. As a gesture of
appreciation Kate brought a decorative rug for the front office waiting area.
Which of the following is the the MOST appropriate action for the social
worker to take?
|
||
A
|
So as not to offend Kate, the social worker should
tell Kate that he just recently purchased a rug for that area and, while he
deeply appreciates her gesture, the social worker should encourage Kate to
return it to the store or keep it for herself
|
|
B
|
The social worker should graciously accept the
rug, especially since this is Kate’s last session
|
|
C
|
The social worker should refer to the office staff
since the rug is for the agency
|
|
D
|
Politely decline the gift
|
|
35. John has a history of intense,
reoccurring fantasies about handcuffing his girlfriend and pulling her hair
during intercourse. These fantasies are an example of which of the following:
|
A.Sexual Masochism
|
B.Sexual Sadism
|
C.Paraphilia Not Otherwise Specified
|
D. Abusive Sexual Disorder
|
36. A social worker is conducting marital
therapy with a couple who are considering divorce. The husband criticizes the
wife because she spends too much money, and the wife defends her expenditure
because she has a job and her own income. The husband states that he feels
emasculated because his wife earns more money than he does. The wife replies
that he should not feel that way and she is tired of his complaining. The
husband suggests that they pool their money, divide the household bills, and
each pay an equal amount. The wife angrily responds that such an arrangement
would not be fair. If the couple were using active (reflective) listening
skills, which statement would be true?
|
||
A
|
The wife would insist that the majority of the
household bills be paid by the husband
|
|
B
|
The wife would acknowledge that she understands
that her husband feels emasculated because she makes more money than he does
|
|
C
|
The wife would acknowledge that she understands that
her husband feels emasculated because she makes more money than he does and
would let him know that he should not feel that way- the last part is the
problem with this choice
|
|
D
|
The wife would justify how she spends her money
and ask for her husband’s understanding
|
|
37. Psychosocial approach is based primarily on which of the
following therories?
A.
Operant Conditioning Theory
B.
Ego psychology
C.
Learning Theory
D.
Role Theory
38.
An
assumption underlying the ecological approach is that problems result from which of the
following?
A. Inadequate Coping skills
B. The person’s inability to adapt to its
environment
C. Exchanges between the person and its environment
D. Occupying a niche that is inconsistent with one’s
needs and goals
39. A clinical social worker routinely draws
ideas and techniques from many different practice frameworks when assessing
treating her client’s and adapts her interventions to her client’s unique
situations. What practice framework is she using?
A.
Strenghts perspective
B.
Generalist
C.
General Systems
D.
Ecosystems
40. An 11 year old girl comes by herself to a
community clinic she requests therapy from one of the social workers, and says
that she does not want her parents to know about it. How could the social
worker fulfill this girl’s request?
A. If the girl’s presenting problem involves
substance abuse.
B. By obtaining permission to do so from another
adult in the girl’s family.
C. The social worker cannot treat this girl without
parental consent
D. By waiving his fee
41. A social workers begins working with a
family who has presented with parenting difficulties and acting out by the
adolescent children. The social worker is using a structural approach for
intervention with this family. Which of the following techniques would he
use FIRST?
A. Reframing and relabeling
B. Tracking and mimesis structural fly therapy
concept
C. Constructing a family map.
D. Enactment
42. A recently widowed woman seeks help in
dealing with her young son’s grief. She says the boy seems sad, but they have
difficulty talking about feelings. She doesn’t know what to do and asks the
social worker to advise her about how to help her son. The social worker
believes that the woman also needs help dealing with the grief process. What is
the Most Appropriate action for the social worker?
A. Discuss this with the woman.
B. Build help for the woman into the treatment plan
the woman wants.
C. Offer to provide family therapy
D. See the son for individual therapy, but refer the
woman to a support group for newly single parents.
43. The principle of self-determination
is BEST illustrated by which of the following?
A. Offering advice.
B. Helping a client understand what might underlie a
problem.
C. Using free association
D. Explaining a client’s clinical diagnosis
44. A 16
year old client tells his social worker that he knows the name of someone who
murdered an elderly man in his neighborhood. The client says that he is afraid
to call the police because he thinks the “killer might come after him” What
should the social worker do FIRST?
A. Remind the client of the limits to
confidentiality and call the police.
B. Encourage the client to call the police
anonymously
C. Help the client continue expressing and exploring
his fears
D. Tell the client’s parents about this situation
and urge them to contact the police
45. The client is a 25 year old man with very
little money and no job who urgently needs a place to live. Among the
following, the social worker’s MOST Appropriate action would be to:
A. help him rent an apartment in a building she
co-owns.
B. contact a friend who rents inexpensive
apartments.
C. refer him to an inexpensive apartment complex
with no access to public transportation.
D. help him rent an apartment in a building she used
to own.
46. A social worker is using behavioral to help
a client develop more assertive ways of responding in interpersonal situations.
He begins by modeling the new behavior.and giving verbal instruction. He then
has the client practice the new behavior in his presence. What will be the
social worker’s NEXT step?
A.
Provide support and reassurance
B.
Provide feedback and reinforcement
C.
Use empathic responding to engender the
client’s awareness of her subjective response to performing the behavior
D.
Assign the client to practice the new
behavior in other setting
47.A structural family therapist uses anecdotes
from his own family to emphasize similarities with a client. The technique is
known as:
A.
reframing.
B.
Triangulating
C.
diffusing boundaries
D.
joining.
48.
A
therapist is Most Likely to use play therapy as a primary modality in which of
the following situations?
A.
The client is a highly verbal and
expressive third-grader who doesn’t like school
B.
The client is a 6 year old who wets the bed.
C.
The client is an anxious 12 year old who
has difficulty talking about her symptoms and feelings.
D.
The
client is a 14 year old who has been physically abused by her stepfather
49. In
individuals diagnosed with borderline personality disorder which ego
functioning is MOST LIKELY to be
disturbed?
A.
The ability to focus attention.
B.
Object relations
C.
Stimulus barrier
D.
The
ability to balance abstract and concrete thinking.
50. A
school-aged child with Asperger’s disorder has begun to have frequent temper
tantrums, nightmares and sleep difficulties. These symptoms are MOST
LIKLEY the result of which of the
following.
A: Asperger’s disorder.
B. A co-existing nightmare disorder
C. Sexual abuse.
D.
A co-existing separation anxiety disorder.
ANSWERS
1.1.
Rationale: The goal is to find a feasible way
for the child to receive medical treatment. Hence, (A), (B), and (C) are
incorrect because none of them would remove the barriers to the child's medical
treatment. Finding health care services near the child's home, (D), could
potentially remove one of the perceived barriers
2.
Rationale: A key word in this question is
first. Determining the client's intent to use services (D) would enable the
worker to know the next best step. While (A), (B), and (C) are possible
responses, none of these should happen first.
3.
Rationale:. This is a recall question that
requires knowledge of the phases in object relations theory D.
4.
Rationale:. Option (D) is the correct response
in this case because of the continuing negative behaviors of the prospective
adoptive parents toward the child.
5.
Rationale: The social worker first needs to
consider the legal aspect of what the custodial parent is requesting (D). It
may be that group support (A) is a good idea, but it is not the first thing a
social worker should do. There is no reason to offer supervision for visitation
(C) as there has been no suggestion of improper behavior on the part of the
non-custodial parent. No one is requesting treatment (B), nor is it indicated
by anything in the question.
6.
Rationale: The best option is D. The teenager is coping in a
crisis situation. Leaving is not a matter of giving into impulse because
running away is the best way for a 13 year old to react to a crisis.
7.
Rationale: For successful group
functioning, the participant level of functioning is important to know C.
8.
Rationale: The correct answer is “C”- This child had problems with attachment
related to her home situation (neglect of all sorts), and it is clear from her
behavior that she is disinhibited (the excessive familiarity with strangers).
9.
Rationale: The correct answer is “B” -
Deductive logic. Perspective-taking and Inductive logic (answers “A” and “C”)
are not correct because they were not terms defined by Piaget. Conservation
(answer “D”) is not correct because this term refers to the fact that an item
does not change in quantity just because it changes in shape.
10.
Rationale:
The correct
answer is “B” – Unconditioned Stimulus. In Classical conditioning, this is a
stimulus that elicits a particular response without any prior association
(i.e., it is not a learned association; it is a reflex.). Unconditioned
Response (answer “A”) is not correct, as this term refers to the innate
response to a stimulus (such as a dog salivating when presented with the meat
powder). Conditioned Stimulus (answer “C”) is not correct, as it refers to a
stimulus that does not innately evoke a response in an organism but that the
organism learns to respond to because it has been paired in the past with an
unconditioned stimulus (e.g., Pavlov’s dogs learned to respond to the ringing
of a bell because the bell has been repeatedly paired with the presentation of
the meat powder). Conditioned Response (answer “D”) is not correct, as
Conditioned Response refers to an organism’s learned response to a conditioned
stimulus.
11.
Rationale:The
correct answer is “A”- Pervasive Developmental Disorders that occur early in
development are often more severe than those that occur later. “Pervasive
Developmental Disorders that occur in early childhood are often less severe
than those that occur later in development” (answer “B”) is not correct because
of the specifier “often less severe.” “Pervasive Developmental Disorders that
occur early in childhood often have the same prognosis as those that occur later
in development” (answer “C”) is not correct because of the wording “have the
same prognosis.” The statement, “There has not been conclusive research on the
prognosis of Pervasive Developmental Disorders that occur early in childhood
versus those that occur later in childhood” (answer “D”) is not correct because
the statement is inaccurate.
12.
Rationale: The correct answer is “B” -
Stevia. Stevia is a plant that is commonly used as a natural sweetener. All of
the other answer choices (answers "A," "C," and
"D") may lead to a substance related disorder.
13.
Rationale:The
correct answer is C. The term “V Codes” is associated with Axis I
AND Axis II.
14.
Rationale:The correct answer is “D” - Speak
with his/her supervisor and budgeting staff in an effort to advocate for low-income
clients. Any changes that could result in reduced availability or denial of
services to clients must be carefully considered before implementation. Other
options (answers “A” “B” and “C”) could be used only if advocacy for a change
in the policy fails.
15.
Rationale:The correct answer is “A” - She
should let the client know that she suspects that he has started drinking again
and point out that they need to work on this issue first. Since his drinking
was the reason for therapy, the social worker needs to confront that issue. She
should express her disappointment that the client has not made progress in
their sessions, especially since she has made changes in her schedule (answer
“B”) is not correct because expressing her disappointment likely would not be
helpful to this client, plus in this scenario there is no mention of her
changing her schedule to accommodate the client’s needs. She should point out
that the purchase of the jacket was irresponsible, especially since he had to
borrow money to pay his other bills (answer “C”) is not correct because
criticizing the client for purchasing a jacket he could not afford may be more
appropriately addressed when the social worker believes that the client is
sober. She should wait a few more sessions to see if the client will begin to
recognize his faulty thinking (answer “D”) is not correct because if the social
worker suspects that the client has started drinking again she should not wait
to address that issue.
16.
Rationale:The correct answer is “A” –
Conditioned Response. The child used to like kittens and has now associated the
scratch with all kittens, so the response is learned. Unconditioned Stimulus
(answer “B”) is not correct because it is a stimulus that innately evokes a
response in an organism, and this is not the case with the child in this
scenario. Conditioned Stimulus (answer “C”) is not correct because it is a
stimulus that does not innately evoke a response in an organism but that the
organism learns to respond to because it has been paired with an unconditioned
stimulus. In this scenario, the kitten would be the conditioned stimulus.
Unconditioned Response (answer “D”) is not correct because it is an innate
response to a stimulus, not a learned response.
17.
Rationale:The
correct answer is “A” - Conduct Disorder; Adolescent-Onset Type. Lindsay is
showing a pattern of behavior in which the rights of others and societal norms
are violated. Conduct Disorder; Adolescent-Onset Type is defined by the absence
of any criteria characteristic of Conduct Disorder prior to the age of 10.
Answer “B” is not correct because the onset must be prior to age 10 to qualify
for a diagnosis of Conduct Disorder; Childhood-Onset Type. Oppositional Defiant
Disorder (answer "C") should be considered after Conduct Disorder, but
it is not the correct diagnosis in this case because when an individual’s
pattern of behavior meets the criteria for both Conduct Disorder and
Oppositional Defiant Disorder, the diagnosis of Conduct Disorder takes
precedence. Answer “D” is not correct because an individual must be 18 years of
age for the diagnosis of Antisocial Disorder, and Lindsay is 16 years old.
18.
Rationale:The correct answer is C- If the
gift is small, has little monetary or sentimental value, if it would offend the
client to refuse it, if the client is mentally/emotionally stable, and if the
social worker documents the gift-giving in the client record
19.
Rationale:The correct answer is “B”- Axis
II. Axis II is the location in a diagnosis where personality disorders are
listed. Axis I (answer “A”) is not correct because Axis I is a listing of all
mental disorders and conditions that are the focus of clinical attention. Axis
III (answer “C”) is not correct because Axis III is where a client’s physical
symptoms are to be listed. Axis IV (answer “D”) is not correct because Axis IV
is the where psychological stressors are listed.
20.
Rationale:The . correct answer is “C” – Report
the social worker to the state social work licensing board. The social worker
has already taken the first step recommended by the NASW Code of Ethics, which
is to address the colleague regarding his behavior. However, that was not
fruitful and the social worker has an ethical responsibility to the public to
report the impairment of his friend and colleague, as difficult as this may be.
Waiting for a while longer to see if the situation corrects itself (answer “A”)
is not correct because the friend is in denial about his problem and it is not
likely that the situation will correct itself. Keeping the information to
himself out of loyalty (answer “B”) is not correct because of the ethical
responsibility the social worker has in protecting clients. Asking another
social worker to make a report to the social work licensing board (answer “D”)
is not appropriate, as it is this social worker who has direct knowledge of the
addiction and has attempted to intervene, without success, and now has an
ethical responsibility to take action.
21.
Rationale:The answer is C-Antisocial
personality disorder (APD) involves a pervasive and long-standing pattern of
disregard for and violation of others' rights that has been present since age
15 years. To receive this diagnosis, a person must be at least age 18. Conduct
disorder involves a persistent pattern of conduct that violates the basic
rights of others and major age-appropriate social norms or rules; conduct
disorder is diagnosed in a patient age 18 or older only if his or her symptoms
do not meet the criteria for antisocial personality disorder. In this case, the
information that the boy's antisocial behavior began at age 13 implies that he does
meet the criteria for APD. Oppositional defiant disorder involves less severe misconduct;
i.e., a pattern of defiant, hostile, and negativistic behavior toward authority
figures.
22..
Rationale:The answer is D- The psychosocial
model is concerned with the internal and external causes of dysfunction. It
emphasizes understanding both the person and the person-in-situation.
Alternative "a" addresses the situation and response "b" focuses
on understanding the client. Therefore, alternative "d" is the best
choice given. Alternative "c" describes only one narrow aspect of the
client's internal and external concerns.
23. Rationale:
The answer is B-
Reaction formation involves defending against an unwanted impulse by actively
and usually excessively expressing its opposite. Features of
obsessive-compulsive personality disorder include inflexibility, perfectionism,
and overconscientiousness about matters of morality, ethics, and values.
According to psychoanalytic theory, certain traits of this disorder are a
manifestation of obedience in defense against unacceptable rageful impulses.
Psychoanalytic theory proposes that introjection and regression underlie
depression; projection underlies paranoia; and denial underlies the hypomania
associated with cyclothymic disorder (the individual denies the reality of
unpleasant ideas and perceptions).
24. give yourself an 2 extra point.
No # 24
25
Rationale:
The answer is C-
The family members described in this question do not seem to be involved in or
concerned about the lives of other members. From the perspective of Minuchin's
structural family therapy, this family is characterized by a high degree of
disengagement. A closed system ("a") does not interact with the environment.
Although this family might be a closed system, this is not what is implied by
the information given in the question. Alternative "b" is incorrect
because emotional cutoff is associated with Bowen, not Minuchin. Response
"d" is incorrect because marital skew is a term used by Lidz to
describe a situation in which spouses attempt to maintain a marriage even
though this requires a distortion of reality.
26. Rationale: The answer is C The social
worker's response is best described as a paraphrase: the social worker has
simply communicated his or her understanding of the cognitive, or factual,
aspects of what the client has said. In clarification, a social worker listens
closely to note a client's conflicts and then restates them, using the client's
words. From this point, a discussion takes place that attempts to mutually
develop a plan to resolve the client's conflict. Interpretation involves
suggesting a different perspective to a client regarding his or her problem in
response to something the client has said about his or her feelings. The goal
is to convince the client to change his or her viewpoint, thereby promoting new
alternatives for problem-solving. Confrontation involves directly confronting a
client with elements of his or her behavior, beliefs, etc. (e.g.,
inconsistencies) that appear to be contributing to his or her problems or
preventing him or her from making progress.
27.
Rationale:
The answer is C-
Yalom (1975), an expert on group therapy, has explicitly addressed this issue.
Yalom generally discourages seeing a client in both individual and group
therapy because he feels that the client's participation in individual therapy
will detract from his participation in the group. While alternative
"d" may be true for some clients (see, e.g., Scheidlinger &
Porter, 1980), it is not the primary objection of Yalom or other experts.
28.
Rationale: The
answer is A- The development of countertransference is not unusual and does not
necessarily (or even often) require a referral to another therapist. It can be
dealt with while treating the client, for example, by seeking case
consultation. In alternative "b," you are told that the social worker
is not objective, so a referral probably would be in the client's best
interests. Response "c" suggests that the client should be referred
to a medical professional and receive a medication evaluation. Choice
"d" is ambiguous; however, you should ordinarily respect a client's
wishes if he or she would prefer to see a different therapist. You should
discuss this matter with the client before providing the referral, but as this
explanation has shown, alternative "a" describes a clearer example of
a situation in which a referral probably is not necessary.
29.
Rationale: The
answer is D -This question is difficult. To answer it correctly, you must rely
on the limited information you have about the boy and make as few unsupported
assumptions as possible. There are likely to be other issues present for this
boy (such as those addressed in alternatives "a" and "b"),
but the safest assumption, of those given, is that the boy wants
attention. Alternative "c" is incorrect because it is inconsistent
with information in the question. The question indicates that the boy does not
pose a danger to himself at this time.
30.
Rationale:
The answer is“B” - The social worker should
limit the client’s access to his or her records and provide assistance in
interpreting the records shown to the client. According to NASW, it is
preferable to allow the client access to records (answer “A”); however, this is
not typically the case if there is concern that harm would likely result, as
stated in this question. (Social workers are also advised to document all
actions taken on this matter within the client’s records.) Denying the client
access and explaining the reasons for doing so (answer “C”) is not correct
because clients should have reasonable access to their records. Consulting with
a colleague (answer “D”) is not correct because there is no indication that the
colleague is an expert in this area and there is already another good option
that is supported in the Code of Ethics (i.e., answer “B”)
31.
Rationale: . The answer is A”- Verbal
following skills and focusing skills. Verbal skills and non-verbal skills
(answer “B”) is not correct because “verbal” and “non verbal” are types of
communication, not skills. Focusing skills and listening skills (answer “C”) is
not correct because, while listening skills are essential to effective therapy,
they are not considered communication skills. Paraphrasing and active listening
skills (answer “D”) is not correct because “paraphrasing” is a verbal following
skill, and “active listening” is an additional communication skill.
32.
Rationale: The answer is“B” - Asking the
client to explain his or her perception of why he or she is in need of
services. The social worker should always begin where the client is. This
provides valuable information to the social worker and sets the focus for
treatment. The social worker telling the client about herself (answer “A”) is
not correct because the social worker should begin by showing interest in the
client and finding out about him or her, rather than revealing information
about herself. Listing the goals on which the client should be working (answer
“C”) is not correct because the social worker needs to develop a relationship
with the client before she AND the client develop goals. Asking the client what
he or she enjoys doing in his or her spare time (answer “D”) is not correct
because finding out about the client’s interests is a step that may come later
on in the therapeutic relationship.
33.
Rationale: The answer is“C’ - Only that
which is relevant to the client’s problem. The social worker should not
disclose any information about himself or herself that does not relate directly
to the client’s problem. No disclosure (answer “A”) can make a social worker
seem “cold.” As much information as the client requests (answer “D”) and
disclosing personal information initially in order to make the client feel
comfortable (answer “B”) can result in boundary problems and may pull attention
away from the client.
34.
Rationale:
The answer is D”
- politely decline the gift. Telling Kate that a rug has already been purchased
(answer “A”) is lying and is therefore not a good option. Accepting the rug
(answer “B”) or any gift, for that matter, should be avoided. (Moreover, Kate
may come to the agency for services in the future). Referring to office staff
to make a decision about the gift (answer “C”) puts the staff in an awkward
position and they may not be as well-trained on the implications of doing so
with a client.
35.
Rationale: The
answer is “B” - Sexual Sadism. Sadism involves the desire to inflict pain or
humiliation. Sexual Masochism (answer “A”) is not correct because Sexual
Masochism involves the desire to endure pain or humiliation. Paraphilia Not
Otherwise Specified (answer “C”) is not correct because Paraphilia NOS is
characterized by paraphilias that do not meet the criteria for any of the
specific categories, such as obscene telephone calls, Necrophilia, and
Zoophilia. Abusive Sexual Disorder (answer “D”) is not correct because Abusive
Sexual Disorder is not a real disorder.
36.
Rationale:
The answer is B”
- The wife would acknowledge that she understands that her husband feels
emasculated because she makes more money than he does. Active (reflective)
listening skills involve the listener rephrasing the message of the sender
without making critical or judgmental comments. The wife would insist that the
majority of the household bills be paid by the husband
37.
The
correct answer is B. Psychosocial approach is based primarily on Ego
psychology.
38. The correct answer is C. The ecological
perspective adopts a transactional view of the relationship between an
organism/person and its environment: This means that a person and his
environment are believed to engage in ongoing circular exchanges in which each
reciprocally affects the other over time.
39. The correct answer is B. The question describes a generalist
framework. This perspective, which underlies most social work practice,
involves identifying and focusing on the wide variety of factors that may
contribute to a client’s problems; using a variety of models, theories, and
techniques; and considering several levels of intervention, from micro to
macro.
40. The correct answer is B. The three steps in structural family therapy,
in order, are joining, evaluating/diagnosing,
and restructuring. Tracking (identifying and using the family’s values,
life themes, etc.) and mimesis (adopting the family’s affective and behavioral
style are methods used to join the family system.
41. The correct answer is C. In some states, “mature minor” laws give
adolescents who have reached a certain age the right to receive treatment for
certain issues, such as substance abuse and birth control, without consent of
their parents. There are no
circumstances, however, under which a social worker can legally treat an 11
year old without the consent of at least one of her parents (or, for some children,
a legal guardian).
42. The correct answer is A. The social workers best course of action is to directly discuss his concerns with the woman. Choice B doesn’t indicate that social worker will first develop the treatment goals and interventions without involving the client in a decision about receiving help for herself.
43.. The correct
answer is B. Barker (The Social Work Dictionary, 5th Edition, 2003)
defines self-determination as, “An
ethical principle …that recognizes the rights and needs of clients to be free
to make their choices and decisions.
44. The correct answer is C. The social worker has
no obligation to violate the boy’s confidentiality in this situation. Instead, a clinical response is in order: The
social worker should help and encourage
the boy to express his feelings and fears about this situation.
45. The correct answer is D. This answer, while imperfect is the best one offered because the
social worker no longer owns the apartment building
46. The correct answer is B. Behavioral reherasal involves modeling a new
behavior, giving verbal instruction, having the client practice the new
behavior in your presence, and then providing feedback and reinforcement.
47. The correct answer is D: In structural family
therapy, the therapist’s first task is to develop a therapeutic system by
joining (entering) the family in a position of leadership. Joining allows the therapist to gain greater
understanding of the family’s transactional patterns and also encourage
family members to feel secure enough to begin exploring alternative ways of
interacting.
48. The correct answer is C. Young children
often are not linguistically and cognitively sophisticated enough to talk about
feelings and complex human interactions, while older children are sometimes
uncomfortable discussing these matters. Thus play techniques can be useful for
both younger and older children.
49. The correct answer is B. The term “object relations” refers to a
person’s characteristic way of relating to others. Many psychodynamic theorists conceptualize
borderline personality disorder as a resulting from a failure to complete the process of separation-individuation in a
healthy way.
50. The
answer is C. People with Asperger’s
disorder show difficulties social interaction. The child’s most recent
symptoms-sudden, unexplained change in behavior, nightmares, sleep
difficulties, regressive behaviors are indicators associated with child sexual
abuse.
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