Part IV - 100 Practice Questions

PRACTICE EXAM

The purpose of this Practice Exam is to test your knowledge and understanding of certain content contained in this Social Work Guide.  The PRACTICE Exam was designed to assign you in your preparation for ASWB Licensing Exam. 

(1)         A client comes to you reporting that he has been feeling down for the past 2 years.  The client reports he has difficulty sleeping and, as a result, has little energy and can’t concentrate, which has affected the performance of his job.  The client does not report any other symptoms.  According to the DSM-IV-TR, the client would MOST likely be diagnosed with which of the following disorders?

              A.       Major Depressive Episode

              B        Bipolar Disorder

              C.       Dysthymic Disorder

              D.       Major Depressive, Disorder, Recurrent

(2)         A woman is assigned to you, the Social Worker in a domestic violence shelter, for your assistance in making permanent housing arrangements for her and her newborn child.  During the initial visit, the client repeatedly tells you how scared she is and attempts to engage in discussion regarding her fear and anxiety, what is the Social Worker’s MOST appropriate response to the Client?

              A.       Express to the client that you understand her anxiety and assure her that                                                     everything will be alright

              B.       Disregard the client’s attempts to engage in discussion regarding her fear for                                      now and come back to it after the living arrangements have been made.

              C.       Assess the client for Anxiety Disorder.

              D.      Engage the client in a discussion regarding her fear and anxiety.

(3)         A client is diagnosed by her physician with Anorexia Nervosa and is referred to you for                 treatment.  Accordingly to Freud, what would be the most appropriate focus of the                     treatment?

             A.       Looking at the client’s eating behaviors and working with the client to change                                   those behaviors.

             B.        Evaluating and changing the client’s misconception about food, eating and her                                           body Image.

             C         A combination of Answer A and B.

             D        Exploring the client’s history of her relationship with her parents.

(4)        A 3-year old child who has been trained since he was 18 month old begins wetting his pants on a regular basis.  This started right around the time his sister was born.  The child  is MOST LIKELY utilizing defense mechanism:

            A         Denial

            B          Repression

            C          Regression

D.          Displacement

(5)        A child with an intelligence Quotient (IQ) score of 30 should be diagnosed with:

            A         Mild Mental Retardation

            B          Moderate Mental Retardation

            C.         Severe mental Retardation

            D.        None of the above

(6)      All of the following are differences between the DSM diagnosis of Substance             Dependence and Substance Abuse, Except:

            A.          Impairment in school, occupational or academic functioning

            B.          The substance user’s tolerance increases and s/he needs to take in more to

                          feel the effects of the substance

            C.          The substance user experiences withdrawal symptoms, such as trembling

            D.          Continued use despite physical or psychological conditions

(7)        A client presents appearing extremely depressed and stating that she regularly  feels hopeless and has thoughts about dying, the FIRST thing  that the Social Worker should do is:

            A.        Perform a suicide assessment

            B          Assess the client for Major Depression Disorder

            C.         Refer the Client to her physician or admit her to a hospital

            D.        Begin treatment immediately and continue to assess the client throughout the                         course of treatment

(8)        A Social Worker observes a mother punishing her toddler for throwing temper tantrum in                 department store by punching and slapping the toddler.  The Social Worker should:

            A.        Ignore it

            B.         Approach the mother and encourage her to seek treatment

            C.         Report the incident to the authorities

            D.        Talk to the toddler and encourage her to tell her father

(9)        A single parent seeks help from a social worker to balance parental responsibilities with professional obligations and personal needs. To assist the client in working through a problem-solving model the social worker should FIRST:

A. Explore the client’s intellectual capacity for decision making

B. encourage the client to develop supportive emotional network

C. assist the client in identifying both long and short term goals

D. understand the values and needs of the family and employer\

(10)    A client presents stating that her mother died a few weeks ago and, since that time, she  has  lost a significant amount of weight and cannot sleep at night.  The client also states that she has been feeling dizzy and has been experiencing heart palpitations.  The Social Worker should FIRST:

           A.              Perform a thorough assessment and diagnose the client

           B.               Explore the client’s feelings about her mother’s death

           C.               Obtain informed consent from the client

           D.              Refer the client to her physician

(11)    An individual who has been diagnosed with Substance Abuse is in remission.  The     individual is most vulnerable to relapse during the first:

            A.             30 days

            B.              3 months

            C.              6 months

            D.             1 year

(12)      A couple has been seeing a social worker who specializes in couples counseling for the        past 9 months during which time the wife dies in a car accident. 

            The Social Worker should:

            A.             Begin termination with the husband

            B.              Terminate with the husband and refer him to a bereavement group

            C.               Refer the husband to a therapist who specializes in bereavement counseling

            D.             Continue therapy with the husband

(13)      During therapy sessions, a client confides in you and tells you that he sexually abuses his     daughter.  The Social Worker should FIRST:

            A.        Explore the client’s feeling about his actions

            B.         Notify his wife

            C.         Report this to authorities

            D.        Have the child removed from the home

(14)      A client who only speaks Chinese is referred to a Social Worker for issues that she is            having related to the custody of her child.  The Social Worker however, does not speak           Chinese.  The best course of action for the Social Worker to take is to:

            A.        Refer the client to a Social Worker who speaks Chinese

            B.         Get an interpreter

            C.         Get a Chinese-English dictionary

            D.        Talk to her/his supervisor

(15)      An adult group home Social Worker is trying to form several therapy groups.  The Social      Worker should form the groups based upon which of the following:

            A.        Age

            B.         Gender

            C.         Intellectual level

            D.        Race

(16)      According to Freud’s Psychoanalytic Theory, the stages of development occurred in the       following order:

            A.        Oral, Anal, Phallic, Genital and Latency

            B.         Oral, Phallic, Anal, Latency and Genital

            C.         Oral, Latency, Anal, Genital and Phallic

            D.        Oral, Anal, Phallic, Latency and Genital

(17)      An individual who feigns physical symptoms so that he can obtain long term disability         benefits from his employers is an example of:

            A.        Somatization

            B.         Factitious Disorder

            C.         Hypochondria

            D.        Malingering

(18)      During a supervision session between a Social Worker and her supervisor the Social Worker reports that she has been having difficulty working with one of her clients.  The   BEST course of action for the supervisor is to:

            A.        Transfer the case to another Social Worker

            B.         Role play with the Social Worker

            C.         Recommend that the social Worker tape record the next session and                                      bring it to the next supervision session

            D.        Recommend that the Social Worker attend a workshop on direct                                                        practice.

(19)      During a supervision session between a Social Worker and her supervisor, the Social            Worker tells her supervisor that she has been having difficulty concentrating and has been experiencing a significant amount of anxiety and depression.  The BEST course of  action for the supervisor is:

            A.        Suggest that the Social Worker speak with a therapist

            B.         Reduce the Social Worker’s class load

            C.         Begin therapy with the Social Worker

            D.        Recommend that the Social Worker take a leave of absence from work

(20)      A client has been referred to a Social Worker in private practice and is in need of long-        term therapy for post-traumatic stress disorder.  The client’s health insurance will only  cover up to 10 sessions of therapy.  The BEST thing for Social Worker to do is:

            A.        Begin therapy with the client and discuss reducing her/his rate after the 10^th                           session if the client can’t afford to continue

            B.         Decline to see the patient

            C.         Refer the client to another Social Worker after the 10 weeks

            D.        Refer the client to a public agency

(21)      During a therapy session, a woman tells her Social Worker that she resents her child and       is going to kill her.  The Social Worker should FIRST:

            A.        Have the child removed from the home

            B.         Explore the client’s feelings about her child

            C.         Tell the child

            D.        Refer the woman to her psychiatrist

(22)      A Social Worker has been seeing a client for several years.  The client was just laid off         from his employment and can no longer afford to attend therapy.  The Social Worker             should:

            A.        Discuss alternative payment arrangements with the client, e.g., sliding fee scale.

            B.         Terminate with the client

            C.         Refer the client to a public agency

            D.        Suspend therapy with the client until he secures new employment

(23)      A child is referred to his school Social Worker because for the 8 months he has been arguing with his parents, teachers, and peers, has been extremely angry and resentful, has been swearing and using vulgar language, and refuses to do anything that his parents or teachers tell him to do.  The child would most likely be diagnosed with:

            A.        Conduct Disorder

            B.         Antisocial Personality Disorder

            C.         Oppositional Defiant Disorder

            D.        Tourette’s syndrome

(24)      A woman whose health is at risk due to obesity is referred to a Social Worker by her            physician for behavioral therapy for weight loss.  The Social Worker has never been trained in behavioral therapy.  The Social Worker should:

            A.        Refer the client to a behavioral therapist

            B.         Research behavioral therapy and attend the next behavioral therapy workshop

            C.         Refer the client to a weight loss support group

            D.        Suggest that the client allow you to proceed with treatment using different form                                of treatment.

(25) A structural family therapist would MOST LIKELY advocate use of which of the following techniques when treating a dysfunctional family consisting of a mother and father, two teenage sons, and a 7 year old daughter:

A. becoming therapeutically “triangle” into the spousal dyad

B.pointing out and discussing the origins of dysfunctional transactions when they occur

C.helping the family identify the unspoken “rules” that govern their interactions

D.Blending with the family by adopting its language, behaviors and style

(26)      The woman calls her husband’s Social Worker for an update on his condition.

            The woman has met the Social Worker several times as she often goes with her husband       to the Social Worker’s office.  The Social Worker should:

            A.        Tell the wife that he is progressing and say no more

            B.         Tell the wife that you cannot discuss her husband’s treatment with her because                                 of client confidentiality

            C.         Ask the wife to set up an appointment

            D.        Suggest that the wife attend martial counseling with her husband to improve                          their communication skills

(27)      The Gestalt Theory is based upon the notion that an individual’s person:

            A.        Is composed of three distinct systems

            B.         Cannot be broken up into parts

            C.         Should be viewed as a whole consisting of several integrated system

            D.        Is not an important determinant of an individual’s behavior?

(28)      A Social Worker is seeing a client for family problems.  The client tells the Social Worker that she is very upset because her husband because her husband always puts  in front of her and she does not feel like she is included in the family states that she is  not invited to spend time with her husband and son.   Later  in the session, she states that  she and her husband attend all of the stepson’s sporting events and activities together.  In  efforts to point out discrepancy in the client’s statement, the Social Worker should use which of the following techniques:

            A.        Clarification

            B.         Reflection

            C.         Reframing

            D.        Confrontation

(29)      A drug that is frequently used to treat Attention Deficit Disorder is:

            A.        Haldol

            B.         Prozac

            C.         Ativan

            D.        Ritalin

(30)      A kindergarten child is seen by a school Social Worker because his teacher reports that         he is severely behind compared to other children in his class.  The teacher reports that        the child’s communication skills are equivalent to a 3 year old and the child does not function well in social situations.  The FIRST assessment tool that the Social Worker should employ is:

            A.        Intelligence Quotient Test

            B.         Mental Status Exam

            C.         Sociogram

            D.        C.Interview

(31)      The therapist in the above situation would MOST Likely see the family’s presenting problem as the result of:

A. A failure of complementarity

B.emotonal triangles

C.quid pro quo

D. enmeshment

(32)      A Client is referred to a Social Worker by his employer as part of the substance abuse          rehabilitation program.  The Client is hostile and belligerent.  He tells the Social Worker     that he doesn’t need help and that he is doing this just so he doesn’t lose his job.  The BEST thing the Social Worker can do to engage this client is to:

            A.        Ignore the Client’s emotion and continue with the recommended treatment plan

            B.         Tell the employer that the treatment success is not likely with this Client

            C.         Explain to the Client that he needs to speak and participate in the treatment in                                   order to receive the completion certificate.

            D.        Acknowledge and explore the Client’s feelings and thoughts about participating                                in the program.

(33)      A woman calls a Social Worker at a Suicide Hotline.  The woman tells the Social Worker that she is thinking about killing herself.  Which of the following should the Social Worker do FIRST?

            A.        Call the police

            B.         Assess the Client’s situation

            C.         Set up an appointment with the Client to come in to see a Social Worker

            D         Find out the name of the in-case of emergency contact

(34)The primary goal of strategic family therapy may BEST be defined as:

A. overall structural change in the family

B.defining the “normal”

C. long-term intervention aimed at modifying the family’s characteristic problem-solving strategies

D. resolving the family’s current problems as efficiently and quickly as possible

(35)      The best course of treatment for an individual who want wants to change violent and            aggressive behaviors and actions is:

            A.        Psychoanalysis

            B.         Family Therapy

            C.         Crisis Intervention

            D.        Behavioral Therapy

(36)      Which of the following substances is the most addictive?

            A.        Alcohol

            B.         Marijuana

            C.         Heroin

            D.        Prescription pain killers

(37)      The following diagram is used to describe family structure:

            A.        Genogram

            B.         Ecomap

            C.         Family Hierarchy

            D.        Sociogram

(38)      According to the Psychoanalytic Theory, when an individual reverts former level of             development already attained, this is known as:

            A.        Reversion

            B.         Regression

            C.         Repression

            D.        Retrospection

(39)      The primary goal of forming a culturally competent practice:

            A.        To become knowledgeable about various cultures to better serve and assist                            individuals of different cultural backgrounds

            B.         To bring diversity to the practice

            C.         To bring in new clients from different geographic regions

            D.        To promote diversity among the staff

(40)      During a session with a client, the Social Worker acknowledges the client’s personal             achievements and success.  In response, the client says, “of course I am better than       everyone else.  That is because I am German.”  This statement may suggest that the  client is:

            A.        Racist

            B.         Prejudice

            C.         Ethnocentric

            D.        Culturally Sensitive

(41)      All of the following are Psychosocial Stages of Development except:

            A.        Autonomy v. Shame and Doubt

            B.         Identity v. Role Confusion

            C.         Superiority v. Inferiority

            D.        Ego Integrity v. Despair

(42)      According to Piaget, a child learns the theory of Conservation of Substance during which     stage:

            A.        Sensorimotor

            B.         Pre-Operational

            C.         Concrete Operational

            D.        Formal Operational

(43)      During the holiday season, a client presents her therapist with some homemade cookies.       The therapist should:

            A.        Reject the cookies and explain to the Client that she is not allowed to accept gifts                  from clients

            B.         Accept the cookies

            C.         Accept the cookies on the condition that it will be shared with colleagues

            D.        Accept the cookies, but explain to the client that she cannot accept gifts like this                               in the future due to ethical concerns.

(44)      During the course of treatment, a Social Worker develops extreme resentment and dislike     for a particular client.  The client suggested that the Social Worker should consider losing weigh on 2 separate occasions.  The FIRST thing the Social Worker should do:

            A.        Discuss her negative feelings with her supervisor

            B.         Express the inappropriateness of the client’s comments with the Client

            C.         Refer the Client to another Social Worker in the agency

            D.        Terminate with the client

(45)      The Tarasoff v. Regents of University of California case established a legal duty of  Social Workers to:

            A.        Disclose requested information concerning a Client in connection with a court                                  subpoena

            B.         Report all suspected cases of child abuse and neglect to authorities

            C.         Warn n intended victim of any harm that her/his Client may cause

            D.        Abide by the NASW Code Ethics

(46)During the first few weeks of group therapy, you would expect members to:

A.act in hostile ways toward the therapist as a result of resistance

B.talk mostly to each other while avoiding direct interactions with the therapist

C. turn primarily to the therapist for answers to their questions

D. become upset when a group member refuses to disclose.

(47)      A Social Worker who has the role of linking the community to an agency resources is           performing the role of:

            A.        An advocate

            B.         A broker

            C.         A resource planner

            D         An educator

(48)  Successful outcome in Freudian psychoanalysis can be said to be the result of which of the following four processes:

A. Confrontation, resistance, analysis, resolution

B. regression,formulation,interpretation, resolution

C.  clarification,confrontation,interpretation, working through

D. identification,resistance, working through, analysis

(49)      Object relations theorists and Freud share which of the following in common:

A. an interest in the effects of early relationships on personality development

B. a view of the ego as the “mediator” between the demands of the id and the superego.

C. recognition of the importance of the processes of attachment and individuation in the personality development.

D. an emphasis on the role of repression and other ego defense mechanisms in personality development.

(50)      A Hispanic client goes to a Social Worker to help her work through the death of her newborn child.  The Client tells the Social Worker that the “gods” came and took her child away to become an angel.  As a culturally competent social worker, the FIRST thing the Social Worker should do is:

            A.        Actively seek knowledge about the Client’s cultural and religious background

            B.         Perform a mental health status exam

            C.         Explore the Client’s beliefs

            D.        Ask the Client to explain and clarify what she means

(51)      A 40-year old woman goes to a Social Worker because she is having marital problems          with her husband of 15 years.  During the course of treatment, the client tells the Social Worker that she suspects that her husband is cheating on her.  The client tells the Social      Worker that she is so confused because she is not happy, but is scared to be alone.  In     helping this client, the social worker should:

            A.        Weigh the pros and cons

            B.         Provide a list of options for the client, including marriage counseling

            C.         Explore the client’s feelings about her husband cheating on her

            D.        Explore the client’s confusion

(52)      A social worker in private practice is seeing a client, a single mother, for depression.  The client reports that she lost her job and does not know how she is going to provide for          her 3 children.  The social worker’s husband has been looking for a receptionist.  The social worker should:

            A.        Tell the client about the job at your husband’s office

            B.         Refer the client to the state employment agency

            C.         Explore how the client’s job situation has impacted her depression

            D.        Both B and C

(53)      A female client tells her social worker that she would prefer to work with a female social     worker.  The social worker should:

            A.        Refer her to a female colleague

            B.         Explore her reasons for wanting a female social worker

            C.         Terminate with the client

            D.        Explain to the client that she can talk to you about whatever she wants and that                                 you are gender-neutral

(54)      All of the following are characteristics of Schizophrenia except:

            A.        Delusions

            B.         Disorganized speech

            C.         Loss of interest or pleasure in normal activities

            D.        Hallucinations

(55)      An individual who has several different personalities and is unable to recall certain   information likely has the following disorder:

            A         Multiple personality Disorder

            B.         Schizophrenia

            C.         Dissociative Identity Disorder

            D.        Amnesia

(56)      All of the following disorders are diagnosed during childhood except:

            A.        Rett’s Disorder

            B.         Autistic Disorder

            C.         Conduct Disorder

            D.        Antisocial personality Disorder

(57)      Which of the following drug is used to treat Anxiety?

            A.        Elavil

            B.         Ritalin

            C.         Ativan

            D.        Antabuse

(58)      A Social Worker whose practice framework focuses exclusively on behavioral         modification is said to have a:

            A.        Systems perspective

            B.         Specialization perspective

            C.         Generalist perspective

            D.        Pavlovian Perspective

(59)      According to Margaret Mahler’s object Relations Theory, a child begins to want to act           independently from her/his mother during which stage:

            A.        Autistic Stage

            B.         Practicing Stage

            C.         Rapprochement Stage

            D.        Object Constancy Stage

(60)      The following theorist is best known for her/his work in moral development:

            A.        Kohlberg

            B.         Jung

            C.         Gestalt

            D.        Mahler

(61)      Axis V of the DSM consists of:

            A.        Psychosocial and Environmental Problems that affect diagnosis

            B.         Social Functioning and Assessment

            C.         Global Assessment of Functioning

            D.        Provisional Diagnoses

(62)      Solution-focused therapy is best known for the “miracle question” which function as a(n)

A.  activation of the “a-ah” experience

B.  means of eliciting the narrative metaphor

C. placing behavior within its true context

D.  tactic for change

(63)      Defense mechanisms such as repression and displacement are controlled by which of the     following:

            A.        Id

            B.         Ego

            C.         Superego

            D.        All of the above

(64)      An infant has been in the hospital for 6 days.  Aside from the first day, the parent of the      child has not visited.  The Social Worker should FIRST

            A.        Arrange for foster care

            B.         Contact the infant’s grandparents

            C.         Contact the parents

            D.        Arrange for a hospital volunteer to visit with the baby

(65)      According to principles underlying Rationale Emotive Therapy, a statement beginning with  “I should” is likely to be a reflection of the individuals:

A. irrational beliefs

B.rationalizations

C.parent ego state

D. “ideal self”

(66)      A hospital patient is referred to a Social Worker.  During the visit, the patient tells the           Social Worker that he is not really sick and that he thinks this is a conspiracy.  He also    tells the Social Worker that he has not been taking any of the medications that have been  given to him.  The FIRST thing that the Social Worker should do is:

            A.        Explore with the client why he thinks there is a conspiracy

            B.         Report the patient’s medicine noncompliance to the patient’s doctor

            C.         Contact the patient’s family

            D.        Assess the client for Schizophrenia

(67)      In a group therapy session, the group members begin scapegoating one member.  In efforts to help the group progress, the Social Worker should:

            A.        Allow the group to continue

            B.         Support the individual who is the object of the scapegoat

            C.         Bring it to the group’s attention

            D.        Direct the group to stop

(68)      When identifying a Culturally Competent Social Worker, the MOST important factor is:

            A.        The Social Worker’s ethnicity

            B.         The Social Worker’s awareness of self

            C.         The Social Worker’s thought and feelings about ethnicity

            D.        The Social Worker’s ability to communicate with individuals

(69)      A client of a gestalt therapist can expect that her therapist will emphasize which of the following as a major goal of therapy:

A. behavior change

B. awareness

C. reduction of conflict

D. growth

(70)      A group Social Worker believes that her therapy group for individuals that have been           sexually abused should have reached the Intimacy stage by  now  but has not.  In efforts to    assess whether the group is on track, the Social Worker should evaluate the group’s:

            A.        Power and Control

            B.         Cohesiveness

            C.         Personalities

            D.        Pre-affiliation

(71)      A convenient store manager was held at gunpoint by two robbers.  The store manager emotional feelings about the incident.  The individual is likely utilizing which defense mechanism:

            A.        Isolation

            B.         Repression

            C.         Dissociation

            D.        Displacement

(72)      A client in therapy who is usually reserved and doesn’t speak very much during sessions      has an outburst, get angry, and starts expressing the details of his life as a child.  According to a psychoanalytic Social Worker, this individual is likely undergoing which  process:

            A.        Revelation

            B.         Catharsis

            C.         Cathexis

            D.        Identification

(73)      A man seeing a psychiatrist for alcohol abuse is prescribed a drug called Antabuse.  The       drug causes the individual to become physically sick whenever he consumes alcohol.            After several episodes of sickness, the man stops drinking completely.  This is an example of:

            A.        Aversion

            B.         Reinforcement

            C.         Punishment

            D.        Conditioning

(74)      When a client is diagnosed with a mental illness along with an alcohol-use disorder, the        client is said to have a:

            A.        Secondary Diagnosis

            B.         Dual Diagnosis

            C.         Split Diagnosis

            D.        Axis II Diagnosis

(75)      An individual goes to a Clinical Social Worker and states that he needs help managing  his temper.  The FIRST thing that the Social Worker should do is:

            A.        Refer the individual to an anger management group

            B.         Explore what the individual means by “managing his temper”

            C.         Ask the individual to provide you with specific examples

            D.        Assess the client for an adjustment disorder

(76)      When diagnosing a client with DSM-IV disorder, the Social Worker should consider each of the following EXCEPT:

            A.        Medical Condition

            B.         Psychosocial stressors

            C.         Clinical symptoms

            D.        Physical functioning

(77)      A child charged with shoplifting and truancy is assigned to a Social Worker in juvenile         `detention center for treatment by his juvenile officer.   The Social Worker’s primary role is to:

A.        Take a full social and family history

B.         Investigate the charges surrounding the charges

C.         Prepare a recommendation to the court regarding disposition

D.        Explore with the child her feelings and involvement surrounding the alleged charges

(78)      A client has been seeing a Social Worker for several weeks.  In this short time frame, has     made significant progress and is at a critical  stage of treatment.  The client is beginning to uncover some difficult thoughts feelings about her childhood.  At the next visit, the client tells the Social Worker that she want to discontinue treatment.  The Social Worker does NOT think this is a good idea because she is so close to meeting treatment  goals.  The BEST course of action for the Social Worker is to:

            A.        Begin termination with the client

            B.         Explore with the client her reasons for wanting to discontinue

            C.         Explain to the client the significant progress has been made and that it is natural                                for her to want to discontinue in light of the difficult issues that are being                                    addressed

            D.        Tell the client that you will reduce your fee if she agrees to continue

(79)      Which of the following would be considered a breach of the Code of Ethic?

            A.        Accepting a bottle of wine from a client during the holiday season

            B.         Telling your husband about your client and her issues

            C.         Reducing your fees for a client who lost her job

            D.        Commenting on the physical appearance of the client

(80)      An individual who was sexually abused as a child will most likely experiencing which defense mechanism:

            A.        Denial

            B.         Intellectualization

            C.         Anger

            D.        Displacement

(81)      In a session with a client, the Social Worker explores with the client’s feelings about her       mother.  The client describes her mother as cold and heartless.  She states that, when she             was a child, her mother left her with the next door neighbor almost every night when she         slept at her boyfriend’s house.  The Social Worker explores with client what that was like for her .  The Social Worker is likely utilizing the following practice theory:

            A.        Gestalt

            B.         Phychoanalytic

            C.         Ego Phychology

            D.        Object Relations

(82)      An individual who unconsciously perceives the behaviors and attitudes of others as her/his own behaviors and attitudes is known as:

            A.        Internalization

            B.         Projective Identification

            C.         Mirrored perceptions

            C.         Distortion

(83)      During a therapy session, a client states that her child who has been diagnosed with leukemia is now cured because she bathed the child several times each day is most likely     experiencing:

            A.        Delusions

            B.         Hallucinations

            C.         Magical Thinking

            D.        Psychosis

(84)      A Social Worker in a juvenile detention center is visiting with a client for the first time.         The client is a 13 year old boy who has been referred to the juvenile court for repeated incidents of truancy.  In performing the assessment, which of the following would be the        MOST IMPORTANT information to obtain:

            A.        The child’s peer relationships

            B.         The child’s intelligence level

            C.         The child’s performance in school

            D.        The child’s social activities

(85)      A client presents stating that over the past few weeks she has been unable to sleep, tired       and unable to focus.  Further in the interview, she tells the Social Worker that she feels  worthless and has been thinking about dying.  The client has been seeing a psychiatrist who prescribed a drug for her.  The client could not remember the name of the drug     when asked by the Social Worker.  It is MOST LIKELY that the client has been prescribed which of the following drugs:

            A.        Trexan

            B.         Elavil

            C.         Klonopin

            D.        Xanax

(86)      An individual diagnosed with Tourette’s Disorder will most likely exhibit which of the         following:

            A.        Echolalia

            B.         Fatigue

            C.         Seizures

            D.        Withdrawal

(87)      A woman who stutters when she get nervous is directed to intentionally stutter several          time during the normal course of her day each until the next session.  This is an example of:

            A.        Reverse Psychology

            B.         Paradoxical intervention

            C.         Behavioral intervention

            D.        Psychodrama

(88)      When an individual cannot resolve her problems, the problem solving model looks to:

A. dysfunction in her relationships, which are thought to create and maintain human problems

B.  the barriers created by social structures

C. a lack of motivation, capacity, and or opportunity

D. deficits in her ego structure.

(89)      In behavioral therapy, the term used to describe when an individual learns behaviors by       imitating the behaviors of one or more other people is known as:

            A.        Modeling

            B.         Mocking

            C.         Role Playing

            D.        Reflection

(90)      A child is referred to her school Social Worker for suspected physical abuse.   The Social     Worker should look for all of the following signs, EXCEPT:

            A.        Bruises, welts and burns on the child

            B.         Excessive accommodation of the child to please her parents

            C.         Poor hygiene

            D.        Hypervigilence

(91)      All of the following are key signs to sexual abuse EXCEPT:

            A.        Excessive swearing and use of sexually-explicit language

            B.         Bruise and cuts on legs and thighs

            C.         Physical and medical problems left untreated

            D.        Inappropriate sexual behavior

(92)      A key concept to change according to the Psychosocial model is:

            A.        Insight

            B.         Catharsis

            C.         Cathexis

            D.        Catatonia

(93)      A married woman has been undergoing individual counseling for several months during       which time she has formed a bond of trust with the Social Worker.  During a session, the client states that she is thinking about divorcing her husband.  The client is confused and         asks the Social Worker what she thinks she should do.  The BEST response for the Social Worker is to:

            A.        Explore the client’s feeling of confusion with her

            B.         Tell the client that she cannot give direct advice

            C.         Tell the client that she needs to do what is best for her

            D.        Ask the client if she would like a referral for marriage counseling

(94)      A Social Worker ends a session by saying “unfortunately, we’re out of time for today, but we will pick up from here next week.’  The session ended while the client was  talking about her relationship with her mother for the first time.  At the next session, a client begins to tell a story about what happened that day at work.  The Social Worker attempts to refocus the session to get back to where they ended in the last session, but the client returns to the narrative regarding her day at work.  The client is exhibiting which       of the following defense mechanisms:

            A.        Diversion

            B.         Displacement

            C.         Avoidance

            D.        Resistance

(95)      A homosexual client reaches out to shake the Social Worker’s hand after the treatment         session.  It is not the Social Worker’s typical practice to shake his clients’ hands.  During         the next session, the client acts cold to the Social Worker and accuses the Social Worker of being homophobic.  The BEST response of the Social Worker is to:

            A.        Explain the boundaries that the social worker sets with all of his clients

            B.         Convince the client that he is wrong

            C.         Tell the client how he feels about homosexuals

            D.        Explore the client’s feelings about homophobia

(96)      A client is referred to a Social Worker for substance abuse counseling.  During the    assessment phase, the Social Worker gathers information from the client and diagnoses       the client with Substance Dependence and Major Depression.  In treating this individual, the Social Work should:

            A.        Treat him for Substance Dependence and refer him to another Social Worker for                              the treatment of Major Depression

            B.         Treat him for Major Depression and refer him to another Social Worker for the                                 treatment of Substance Dependence

            C.         Treat him for Substance Dependence first and then Major Depression

            D.        Treat him for Substance Dependence and refer him to a psychiatrist for the                           treatment of Major Depression

(97)      Indentify a characteristic of a child as “congenital” refers to a characteristic that is:

            A.        Present at birth

            B.         Inherited

            C.         Temporary

            D.        Permanent

(98)      All of the following is characteristic of a bureaucratic agency, EXCEPT:

            A.        Task specific departments

            B.         Horizontal power and control

            C.         Hierarchical structure

            D.        Formal channels of communication

(99)      A 10-year old daughter of a single mother is responsible for caring for her younger sister,     cooking dinner and cleaning the house because of her mother’s work responsibilities.      This is best characterized as:

            A.        Identification

            B.         Projection

            C.         Responsibility sharing

            D.        Role Reversal

(100)    A 21-year old client presents extremely distressed.  She reports that her mother is dying        of cancer.  The 21-year old is graduating from college in a few months, does not have a job, and does not know where she will live after her mother dies.  She states that she is             extremely angry at her mother for leaving her in this situation.  The FIRST thing that the Social Worker should do is:

            A.        Assist the client in identifying the resources that can help her find a job and                          place to live.

            B.         Acknowledge the client’s feelings

            C.         Explore with the client her feelings of distress and anger

            D.        Refer the client to a family living with loss resource and support group

ANSWERS 

(1)        C.        At initial glance, the client appears to be “depressed,” however the full criteria for Major  

                        Depressive Disorder (Answer D) have not been met.  The client does not report any other

symptoms such as weight loss, loss of interest or pleasure in activities, or feelings of worthlessness.  The question asks what is MOST likely to the the client’s diagnosis and, therefore, Dysthymic Disorder (Answer A) is the best answer.  The client does not report any symptoms of Manic or Mixed Episode, e.g., elevated mood and, therefore, Bipolar Disorder (Answer B) is not the correct answer.

(2).      D.         During an initial visit, building rapport and empathizing with the client is essential to developing a relationship with the client.  Answers A and B are inappropriate as they dismiss the client’s feelings and do not foster a trusting relationship.  Answer C may be appropriate in the future, but is premature at this time.  Accordingly, Answer D is the correct answer.

(3).       D.        Freud is best known for his work on and research in the Psychoanalytic theory.  The Psychoanalytic theory focuses on an individual’s past and how the past has shaped the individual’s current thoughts and behaviors.  Answer A describes a Behavioral practice.  Answer B describes a Cognitive practice.  Answer C describes a Cognitive-Behavioral practice.  Accordingly, Answer D is the correct answer.

(4).       C.        The child is most likely utilizing the defense mechanism of Regression.  Regression is triggered by a difficult event and causes an individual to revert to past behaviors and thoughts.  For a thorough discussion on Defense Mechanisms, see Chapter 1.

(5).       C.        An IQ score of 30 would indicate Severe Mental Retardation.  See Summary of DSM-IV-TR Disorders for IQ ranges.

(6).       A.        Answers B, C and D are all unique to a diagnosis of Substance Dependence.  Answer A is common to both.  For more on Substance Abuse and Addiction, see . DSM-IV-TR

(7)        A.        As a general rule, when a client report thoughts about dying or no longer wanting to live, the Social Worker should perform a thorough suicide assessment to assess the risk of suicide.  Answers B, C and D may all be appropriate at some point, but the question asks what the FIRST thing a Social Worker should do and, therefore, Answer A is the correct choice.

(8)        C.        Social workers are mandated reporters.  Social Workers are required and responsible for reporting suspected child abuse and neglect.  These types of situations are generally difficult to assess and are highly subjective.  Answer A, Ignore it, simply “smells bad” and should be eliminated.  If an answer does not pass the “sniff test,” the answer should also be eliminated.  So, by the process of elimination, Answer C is the correct answer.

(9)         C        This question requires an understanding of the problem-solving model in social work. The only choice that most closely describes the establishment of goals is C. .

(10)      D.        Whenever a client presents reporting any medical symptoms, particularly symptoms that are potentially serious, the Social Worker should FIRST refer the client to her/his medical physician.  Answers A and B might be appropriate, but at a later time.  Answer C, Obtain Informed Consent, should already have taken place.  Accordingly, Answer D is the correct answer.

(11)      D.        An individual is vulnerable to relapse for substance abuse during the first year of remission.  This is a recall question.  You may or may not have known this fact.  Do not be surprised if you see issues covered on the Exam that you have not heard of or do not know.  Do not panic.  Use the process of elimination and your best judgment.

(12)      D.        The Social Worker should continue therapy with the husband, even if the therapist specializes in work with couples.  The husband has just suffered a huge loss in his life.  Terminating with the client would only contribute to that sense of loss.  If the Social Worker feels that the husband my benefit from a bereavement group or bereavement counseling, the Social Worker may recommend that the husband seek such supplemental counseling at the same time.

(13)      C.        Reporting this to the authorities will trigger the appropriate intervention, which likely will include having the child removed from the home.  The Social Worker, as a mandated reporter, is required to report suspected sexual abuse to the authorities.  Remember, when a child is involved, safety of the child is always the priority.

(14)       A.       One of the key factors in the Social Worker-client relationship is communication.  If a Social Worker cannot effectively communicate directly with her/his client, the Social Worker should refer the client to someone who can.  If the Social Worker cannot locate a social worker who speaks Chinese, the Social Worker should get an interpreter.

(15)       C.       Intellectual level is a key factor in forming a successful group.  Although, at times, age, gender, race, diagnosis and other factors may be relevant, the participants in the group should always be of the same or similar intellectual level so that the participants can effectively interact with one another.

(16)         D.    This is a recall question.  According to Freud, a person progresses through the stages of psychosexual development in this order:  Oral, Anal, Phallic, Latency and Genital.  This is the type of question where the Process of Elimination can be extremely useful.  Looking at the question, you already know that the Oral stage is the first stage because all of the answer choices provided start with the Oral stage.  You more than likely will recall that the Anal stage is the second stage.  Accordingly, you can eliminate Answers B & C.  Even if you were to guess at this point, you have a 50/50 chance of getting the answer correct.  Remember, if you do not know the answer to the question, narrow down the answer choices and make your best guess.  There is no penalty for guessing.

(17)     D.         Malingering is when a person feigns certain physical and psychological symptome in order to obtain some external benefit or incentive, e.g., disability payments, sick leave, etc.  Somatization (Answer A) is when a person develops physical symptoms as a result of anxiety or other psychological problems.  Factitious Disorder (Answer B) is when a person feigns certain physical and psychological symptoms for her/his internal need or desire to assume the sick role.  Hypochondria (Answer C) is the preoccupation with fears of having a serious  disease based on the person’s own interpretation of bodily symptoms despite the results of appropriate medical evaluation and reassurance.

(18)     B.         Aside from performing certain administrative functions of an agency, the role of the supervisor is to educate, teach, direct and train other Social Workers.  The supervisor in the scenario should role play with the Social Worker to help identify the Social Worker’s weaknesses and develop her/his skills in that area.  Answer A would not help the Social Worker to develop her/his skills.  Answer C may violate the client’s confidentiality.  Answer D may be appropriate and should be recommended, but hands-on training working on the Social Worker’s particular weaknesses is the better choice.

(19)     A.         The Supervisor should suggest that the Social Worker see a therapist to work out her issues so that her issues do not interfere with her client’s interests and needs.  Answer B and D do not address the problem.  Nothing in the question suggests that the Social Worker’s caseload is an issue or that she is unable to work.  Answer C would be inappropriate given the Supervisor-Supervisee relationship.

(20)      D.        The best thing for a Social Worker to do is refer the client to a public agency.  The Social Worker in this scenario knows that the client is in need of long-term treatment.  Answers A and C would not provide the client with continuity of treatment, and changing therapists or course of treatment can slow down, reverse, or halt any progress made during the 10 initial sessions.

(21)      A.        The Social Worker should have the child removed from the home.  When it comes to children, their safety is always the priority.

(22)       A.       The Code of Ethics states that Social Workers should set fees that are reasonable and should take the client’s ability to pay into consideration when setting fees.  In this situation, the client has been seeing this Social Worker for a significant period of time.  The Social Worker, in efforts to achieve continuity of treatment, should arrange for alternate methods of payment.

(23)        C.      The client most likely would be diagnoses with Oppositional Defiant Disorder.  Oppositional Defiant Disorder is characterized by hostile and defiant behavior.  Conduct Disorder (Answer A) is characterized by patterns of behavior in children under the age of 18 that violate basic human rights, including aggression to people and animals, destruction or property, deceit or theft, runaway or truant.  Antisocial Personality Disorder (Answer B) is similar to Conduct Disorder, only it occurs in adults over the age of 18.  Tourette’s syndrome (Answer D) is characterized by multiple motor and vocal tics many times a day for a period of more than one year.

(24)     A.         A Social Worker who is untrained to provide certain treatment would not be doing what is best for the client, and the client’s needs should always be the first priority.

(25)     D.         This question entails knowledge of structural family therapy. The therapist’s blending with the family as a group and with each family member, by showing that he understands their unique experiences; includes adopting a family’s behaviors,affective style and communication patterns.

(26)      B.        All client’s have the right to confidentiality.  A Social Worker may not disclose information about a client to anyone, including spouses and other family members.  The exception to this is when the Social Worker is under certain legal obligations and requirements as outlined in Chapter 8.

(27)     C.         The Gestalt Theory, like the Psychoanalytic Theory, believes that an individual’s personality is made up of three parts, however, it believes that the parts are integrated and, therefore, the personality must be viewed as whole.  At first glance, Answer B seems attractive, but if you read on, you would see that Answer C is more accurate and the better answer choice.  It is important to read all answer choices before choosing the correct answer.

(28)     D.         Confrontation is a technique used to help a client compare opposing thoughts or ideas.  In this scenario, the Social Worker should “confront” the client and help her to see the discrepancy in her statements.

(29)      D.        Ritalin is a drug that is commonly prescribed for Attention Deficit Disorder.

(30)      A.        An intelligence quotient (IQ) test should be used as the primary assessment tool when an individual presents exhibiting well below-average skills and knowledge.  A Mental Status Exam (Answer B) is a systematic assessment tool used to evaluate an individual’s psychosocial, intellectual and emotional functioning.  A Sociogram (Answer C) is a diagram used to graphically describe the relationship between individuals in a certain group.  An Interview (Answer D) is one of the basic assessment tools used by social workers.  Interviews are defined as a meeting of two or more people where information is gathered through the use of questions and answers.

(31)      D.        Minunchin talks about families being to enmeshed or disengaged. The other choices are not  associated with Minuchin’s structural family.

(32)      D.        The Social Worker should always seek to explore a client’s feelings to better understand from where s/he is coming.  Ignoring the client’s emotions (Answer A) may only cause the client to become more hostile.  Telling the employer about potential treatment success (Answer B) would be a violation of client confidentiality.  Even though the employer was the referrer, the employer is not entitled to information regarding the client’s treatment.  Answer C may appear to the client as a threat, which may cause client resentment.  It may also cause the client to say anything whether or not such statements are true.

(33)     B.         The FIRST thing that the Social Worker should do is assess the situation.  The other choices may be appropriate down the road, but not until an initial assessment is made to determine the seriousness of the situation.

    

(34)     D.         As a strategic family therapist your goals include; identifying solvable problems, set goals, implementing interventions to achieve those goals quickly and examing the outcome of therapy.

(35)     D.         Behavior Therapy is the best course of treatment for an individual who has identified a behavior and wants to change it.

(36)     C.         Heroin is a Narcotic.  In general, narcotics are the most addictive of substances.

(37)     A.         A Genogram is a diagram describes family relationships for one or more generations.  An Ecomap (Answer B) is a type of diagram that seeks to place the Client in the context of her/his family and social environment.  A Sociogram (Answer D) is a diagram used to depict the relationships and interactions within a particular group.

(38)      B.        Regression is a defense mechanism used by an individual to avoid anxiety or pain by returning to a stage of development already attained.  For more on Defense Mechanisms, see Chapter 1.

(39)     A.         The primary goal of forming a Culturally Competent Practice is to become knowledgeable about various cultures to better serve and assist individuals of different cultural backgrounds.

(40)     C.         Ethnocentricity is the concept where an individual believes that her/his culture is better than other cultures, and that all other cultures are inferior.

(41)     C.         For a thorough discussion on all 8 stages of Psychosexual Development according to Erikson, see Human Behavior Chapter .

(42)     C.         Although it generally is improper for a Social Worker to accept gifts from clients, a token gift such as holiday cookies would be acceptable for a Social Worker to accept.

(43)      B.        Social worker would be acting ethical if she accepts cookies . Gifts should be inexpensive and non-sentimental according to the code of ethics.

 (44).     A.       If a Social Worker begins to experience negative feelings about a client, s/he should discuss it with her supervisor immediately.  The Social Worker, together with her supervisor, should decide the best course of action, which may or may not include terminating wit h the client and/or referring the client to another Social Worker.  Social Workers should not express her negative feelings with the client as that would only cause harm to the client.

(45) C.           The Tarasoff case established a legal duty of Social Workers to warn intended or threatened victims of any harm that a client may cause.

(46)     C.         During the first stage of group the characteristics are as follows; orientation,hesitant participation,search for meaning, dependency.  The members tend to look primarily to the leader for approval and acceptance as well as for answers to their questions.

(47)     B.         Brokers have the role of linking individuals and other clients to resources available in an agency or community.

(48)    C.           The other choices are not interventions used in psychoanalysis.

(49)     A.          Only object relations theorists such as Mahler and Freud studied early relationships on personality development.  .

(50)     A.         A culturally Competent Social Worker should be sensitive to other cultures, and should seek to independently obtain knowledge about the culture to make an accurate assessment.  A mental status exam and exploration of the client’s feelings may be appropriate in the future.

(51)     D.         The Social Worker would help the client most by explore the client’s confusion.  The client states that she is confused because she is not happy, but is scared to be alone.  It would be helpful to explore what the client means.  The Social Worker should not weigh the pros and cons (Answer A).  Although the client may decide what to do by weighing the pros and cons, this is not something that the Social Worker should do for the client or with the client.  Providing a list of options (Answer B) also is not correct.  The client is not confused over what her options are.  She is confused about which option to choose.  Answer C, Explore the client’s feelings about her husband cheating on her, also is not correct.  The question is asking what the social worker should do to help the client with her confusion.  Although the social worker may explore the client’s feelings about her husband cheating on her during the course of treatment, Answer D is the better answer because it is more on target.

(52)    C.          Answer A is inappropriate and may be considered a breach of the Social Worker’s Code of Ethics.  The Code of Ethics requires that social workers maintain a professional boundary between the social worker and client at all times.  Answer B (and D) may seem appropriate at initial glance.  The client, however, presented for clinical treatment for depression and the social worker should stay focused on the issue that the client identified and with which she presented.  It may, at times, however, be appropriate for the social worker at the end of the session to give the client a list of available resources that can assist her in finding a job.  Also, note that the ASWB does not contain answers like Answer D, i.e., both B and C, all of the above, none of the above.

(53)     B.         Before the Social Worker terminates with a client and refers the client to another social worker, the social worker should explore the client’s reasons for wanting a female social worker.  If the client is insistent on not seeing a male social worker, the social worker should terminate with the client and refer him to a female social worker as requested.

(54)     C.         Schizophrenia is characterized by the presence of two or more of the following:  delusions, hallucinations, disorganized speech, catatonic behavior and disturbance in social or occupational functioning.  Answer C, Loss of interest in normal activities, is more characteristic of depression.

(55)     C.         Dissociative Personality Disorder is characterized by the presence of two or more distinct identities that recurrently take control of the individual’s behavior.  Individual’s behavior.  Individuals with Dissociative Personality Disorder cannot be a direct result of some physiological condition.  Note that Dissociative Identity Disorder used to be termed Multiple Personality Disorder.

(56)     D.         Antisocial Personality Disorder is the adult counterpart of Conduct Disorder (Answer C).  Both Rett’s Disorder (Answer A) and Autistic Disorder (Answer B) are Pervasive Development Disorders generally diagnosed during childhood.  The onset of Autistic Disorder must have been before age 3.

(57)     C.         Ativan is a drug that is commonly used to treat Anxiety.  Answer A, Elavil, is a tricyclic anti-depressant commonly used to treat Depression.  Answer B.  Ritalin is a drug commonly used to treat Attention Deficit Disorder.  Answer D, Antabuse is a drug commonly used to treat Substance Abuse.

(58)     B.         A Social Worker’s practice that focuses specifically on one practice theory is termed a Specialization Perspective.  On the other hand, a practice that utilizes numerous practice theories according to the needs of the client and the client’s presenting issue, is termed a Generalist Perspective.

(59)     C.         There are three stages to Mahler’s Object Relations Theory:  the Autistic stage, the Symbiotic Stage, and the Separation-Individuation Stage.  The Rapprochement Stage is the third substage of the Separation –Individuation Stage.  During the Rapprochement Stage, the child begins to wander on her/his own, but comes back frequently to ensure that her/his mother is still there.

(60)    A.          Lawrence Kohlberg is the founder of the Theory of Moral Development.  The theory is based on the premise that, at birth, individuals are void of morality and values.  The individual develops morals and values over time in three stages:  The Pre-Conventional stage, the Conventional stage, and the Post-Conventional stage.  Answer B, Jung is best known for his work on the conscious and unconscious aspects of human behavior.  Answer C, gestalt is best known for his theory that emphasizes the holistic nature of human experience.  Answer D, Mahler is best known for her Object Relations Theory.

(61)    C.          Axis V consists of the Global Assessment of Functioning (GAF) scale.  The GAF is a numerical scale reflecting an individual’s current functioning and/or highest level of functioning in the past year.

(62)    D.          Solution focused therapy is a strengths perspective model. It looks at the client’s current desires and does not focus on the client’s problems. If you didn’t know the answer to this question, the Process of Elimination (POE) would be useful.

(63)     B.         Defense Mechanisms are functions of the Ego.

(64)     C.         Before the Social Worker takes any other action, the Social Worker should contact the parents and find out why they haven’t come to visit their child.  In this situation, it is best to directly communicate with the parents.  There may be some misunderstanding or legitimate reason why the parents haven’t visited.

(65)     A.         irrational beliefs contains a demand such as “ I should”, either about ourselves, other people, or the world in general. These beliefs are known as "The Three Basic Musts."

(66)      B.        If a patient  tells the Social Worker that he is not taking his medication, the Social Worker should first contact the patient’s doctor.  The patient’s failure to take his medication may have serious consequences on the patient’s health.  When health is an issue, the health issue always takes precedence.  Answers A and D may be appropriate after the Social Worker takes steps to ensure that the patient’s health is not at risk.

(67)     C.         Scapegoating is a part of the natural group process.  It refers to the process by which one group member is singled out by the group and becomes the object of conflict or criticism.  Bringing it to the group’s attention can help the group progress and can reveal important aspects of the group processes.

(68)     B.         The most important factor when identifying a Culturally Competent Social Worker is the social worker’s awareness of self.  Other important factors are the social worker’s awareness and knowledge about other cultures, the  social worker’s ability to understand the differences between her/his own culture and that of her/his client, the social worker’s ability to communicate with individuals of other cultures, and the social worker’s ability to accommodate practice skills and techniques for other cultures.

(69)    B.          Gestalt therapy is a phenomenological-existential therapy founded by Frederick (Fritz) and Laura Perls in the 1940s. It teaches therapists and patients the phenomenological method of awareness, in which perceiving, feeling, and acting are distinguished from interpreting and reshuffling preexisting attitudes.

(70)    A.          Groups naturally progress through various stages and processes.  There are five stages:  Preaffiliation, Power and Control, Intimacy, Differentiation, and Separation.  If a group doesn’t reach a certain stage, the social worker should reevaluate the prior stage.

(71)    A.          Isolation is a defense mechanism where memories are separated from their accompanying feelings.  Answer B, Repression is the primary defense mechanism where a person  pushes out of consciousness certain memories that cause anxiety.  Answer C, Dissociation is a defense mechanism in which the individual separates or postpones thoughts or feelings that would normally accompany a situation.  Answer D, Displacement is a defense mechanism used to reduce anxiety that accompanies certain thoughts, feelings or wishes by transferring them to another thought, feelings or wish that is more acceptable.

(72)     B.         Catharsis is the process of “release” by the client that relieves anxiety.  Do not get confused with Cathexis (Answer C).  Cathexis refers to the concentration of emotional energy onto a person, idea or object.

(73)     C.         Punishment is the process of presenting an individual with an unpleasant or undesirable event in efforts to stop a certain behavior. In this situation, getting sick is the undesirable event used to stop the drinking.

(74).    B.         Dual Diagnosis refers to the identification of coexistent diseases within an individual.  Although  it can refer to any two disorders, most often one of the disorders is a substance-related disorder.

 (75)   B.          The Social Worker should first explore what the individual means by his statement and gather more information about the presenting problem.  Answer C, asking the individual to provide specific examples may be appropriate later, but it is better for the client to explain in his own words what he means.  If a client can’t put his thoughts into words, then asking the client to provide examples would be appropriate.  There can be many ways to explore the client’s feelings.  Answers A and D may be required in the future, but not until the social worker has gathered enough information from the client.

(76).    A.         Medical condition generally is not relevant when diagnosing a client.  When diagnosing a client using the DSM-IV, the social worker should consider the individual’s clinical symptoms, psychosocial stressors, and social and physical functioning.

(77).    D.         The child was referred to the social worker for therapeutic services.  Answers A, B and C should be done by the child’s juvenile officer.  Should the social worker engage in any of the activities described in Answers B and C, the Social Worker/Client relationship and responsibility to maintain confidentiality would be tarnished.

(78).    B.         In this situation, because of the short length of time that the client has been in therapy and because the client did not give a reason for wanting to discontinue treatment, it is appropriate for the social worker to explore with client her reasons for wan ting to terminate.  Often times, when a client begins to approach a difficult, painful and anxiety-provoking issue, the client would rather avoid the issue.  If this is the case, it is appropriate for the social worker to bring this to the client’s attention; however, the social worker should never force or try to “convince” the client to continue with treatment.  If the client provides a reason, e.g., job relocation, the social worker should begin the termination process.

(79)    B.          With the exception of your supervisor or colleague or under court order, a social worker should not discuss a client with anyone, including spouses and other family members.  Answer A, accepting a token gift over the holiday season would not be a breach of the code of ethics; however, social workers should not accept expensive or otherwise inappropriate gifts from clients at any time.  Answer C, reducing your fees to accommodate a client’s financial situation is perfectly acceptable and, at times, advisable.  Answer D, commenting on a client’s physical appearance as part of the treatment process, e.g., I see that you look tired, is acceptable.  On the other hand, commenting on a client’s physical appearance, i.e., You look nice today, is not acceptable.

(80)     A.         Denial is a defense mechanism in which an individual refuses to believe or accept the reality of a situation in order to avoid the accompanying painful memories and thoughts.

(81).    B.         The Psychoanalytic Theory focuses on the past.  Freud, the father of Psychoanalytic Theory, believed that most behaviors and thoughts are driven by unconscious, repressed memories from childhood.

(82).    B.         Projective Identification is the unconscious modeling of one’s self upon another individual’s actions, thoughts or behaviors.

(83).    C.         Magical Thinking is when a person irrationally believes that her/his thoughts, actions or desires have influenced or cause certain events to occur.  This is often seen in children and in individuals diagnosed with schizophrenia.

(84).    A.         When working with a truant child, it is most important to look at the child’s peer relationships.  It is also of important to look at the child’s familial relationships.

(85).    B.         In this scenario, the client meets the criteria for depression.  Elavil is a drug that is commonly used to treat depression.

(86).    A.         Echolalia is often seen in individuals with Tourette’s Disorder.  Echolalia is the repetitive imitation of the speech of another.  This is normal for infants under the age of 1 year.  It is often seen in adult individuals diagnosed with schizophrenia.

(87).    B.         Paradoxical Intervention is often used in family or couple’s therapy.  It is a treatment approach where the social worker tells the individual to intentionally continue the “problem” behavior or action, e.g., fighting, and to improve on it.  This makes the individual aware of the existence of the behavior and allows him/her to control it.  Answer A, Reverse Psychology is when a certain thought or image is projected onto an individual in efforts to assist the individual in understanding the thought or image as the opposite.  Answer C, Behavioral intervention is a broad term used to describe methods of intervention to change one’s behaviors.  Answer D, Psychodrama is a treatment technique often used in group therapy where the clients are directed to perform roles playing ei ther themselves or another person (usually their antagonist).  This allows individuals to release anxiety, practice handling the situation better, and view the situation from the other person’s behavior.

(88).    B.         The problem solving model involves a series of interactions between the client system and the practitioner, involving integration of feeling, thinking and doing, guided by a purpose and directed toward achieving an agreed-upon goal".

(89)      A.        Modeling is a behavioral learning technique where a person is asked to imitate one or more person’s behaviors.

(90).     C.        Poor hygiene is generally a sign of neglect.  Answers A, B and D are all signs to look for when physical abuse is suspected.

(91).     C.        Physical and Medical problems left untreated generally is a sign of neglect.  Answers A, B and D are all signs to look for when sexual abuse is suspected.

(92).     B.        According to the Psychosocial Theory, Catharsis is the key trigger to change.  Catharsis is the process of “release” by the client that relieves anxiety.  Do not get confused with Cathexis (Answer C).  Cathexis refers to the concentration of emotional energy onto a person, idea or object.

(93).     A.        The social worker’s responsibility as a therapist is to assist clients in resolving problems on their own. In this situation, the best response would be for the social worker to explore with the client the reasons that she is confused in efforts to assist the client in coming to a decision herself.  Answer B is correct to the extent that a social worker should never project her/his personal feelings and thoughts onto the client.  However, telling the client that you cannot give her direct advice may have negative implications on the social worker/client relationship.  Answer C is not appropriate and may also have negative implications on the social worker/client relationship.  Answer D may be appropriate after the social worker explores the client’s feelings about her marriage.

(94).     C.        Avoidance is a defense mechanism, similar to Denial, when an individual refuses to face certain situations because they present unconscious impulses or punishments.  Answer A, Diversion is not a recognized defense mechanism.  Answer B, Displacement is a defense mechanism where an individual transfers certain thoughts, feelings or wishes to reduce anxiety.  Answer D, Resistance is not a defense mechanism.  Resistance is a therapeutic concept referring to an individual who stops working through her/his issues.

(95).     A.        In this situation, the social worker should explain the boundaries that he sets on the therapeutic relationship with all clients.  Answers B, C and D are all inappropriate responses to a client.

(96).    C.         When a client presents with a dual diagnosis, one of which is substance abuse disorder, the social worker should first treat the client for substance abuse.  A client needs to be clearly thinking and not intoxicated in order to undergo treatment for the other disorder.

(97).   A.          Congenital is a term that is used to indicate that a disorder or condition was present at birth.  Such condition is not necessarily inherited (Answer B), temporary (Answer C), or permanent (Answer D).

(98).    B.         A Bureaucratic agency exhibits “vertical” power and control.  That is, power and authority runs from the top (senior level management or board of directors). Down (employees and staff).  In a bureaucratic agency, departments are clearly defined and employees are placed within each department.  Each department and employee has specific tasks and functions.  In addition, communication is often times more formal.

(99).    D.         Role Reversal is when a person changes her/his behavior and begins to act in a way that is expected of another person.

(100).  B.         The Social Worker should acknowledge the client’s distress and empathize with the client first.  The client needs to feel that she is being heard.  After the client’s feelings are acknowledged, the Social Worker should explore with the client her feelings of distress and anger (Answer C).  Answer A and D may be appropriate at some point in time.

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 ALL THE BEST & GOD BLESS !!!!

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