Part VI Communication (10)

1.     When a husband is assertive, his wife becomes submissive. This makes the husband more assertive, which make the wife even more submissive. This illustrates which kind of communication pattern?

A.   Metacommunication.

B.   Symmetrical.

C.   Double-bind.

D.   Complementary. 2.    Compared to closed ended questions, open ended questions A. are more useful for eliciting specific needed facts. B. better define a topic area. C. elicit more elaborated information. D. limit responding    3.     Dina, age 13, is talking to her school social worker, Don, about being teased in school. Dina is brought by bus to an affluent suburb a half hour from her inner-city neighborhood. Her family cannot afford the clothes and accessories that would help her blend in with the other girls, and Dina’s mother thinks those things are “nonsense” anyway. Don asks, “What is it like for you when your Mother says this stuff is “nonsense”?” Don’s intervention is an example of A.   An open-ended question B.   Mirroring C.   A closed-ended question D.   Underlining    4.    Play therapy is usually successful with children because A.   Play is the natural self- expression of children. B.   The social worker need not be very experienced. C.   Any other therapy could threaten the parents. D.   Parents have less involvement in treatment.

5.    Jose is from Mexico and does not speak English very well, but is in need of expert services that a social worker can provide. Which of the following is the FIRST thing Jose’s social worker should do?

A.   Obtain the services of a translator.

B.   Tell Jose that he cannot be provided with the required services.

C.   Refer Jose to another social worker who speaks the language, even if the specific expertise is lacking.

D.   See Jose as a client and use a basic understanding from college Spanish classes, hoping that the gist of what Jose is saying will be understood. 6. Interviewing is basic to all Social Work services. Currently, many Social Workers view the interview as a cooperative process which defines the client's concerns along with making decisions as to how to resolve them. Following this concept of interviewing, which of the following interview questions techniques is LEAST LIKELY to be helpful in the interview process? A "Miracle questions" B "Scaling questions" C Why questions D Cope questions 7. Interpretation, confrontation, affirmation and clarification are A.  Strategies used by mental health professionals B. Clinical interventions designed to help clients obtain and sustain insight C. Interviewing techniques used in the early stages of taking a history. D. Never used by social workers.    8. A client in an alcohol treatment clinic tells the worker that she has resumed drinking and missed two 12-step meetings. The worker asks her what happened. The clients say she didn’t have money for gas to get to the meetings. The worker firmly points out inconsistency between her statement that she was not able to buy gas and yet she was able to buy alcohol. This is an example of A. addressing the resistance B. confrontation C. Cognitive dissonance. D. A behavioral techniques 9. A social worker is meeting with a 4-year-old boy for the first time. He appears nervous and is not verbalizing his emotions. The social worker should FIRST: A.   Ask the boy why he is nervous B.   Ask the boy's parents if they can help you understand why the boy may be nervous C.   Explain to the boy that he is in a safe environment and is free to talk about his feelings D.   Use toys to engage the boy in age appropriate play 10. “Empathic responding” refers to which of the following? A Expressing sympathy for the client’s problems B Asking the client to use specific rather than general terms in describing his or her problems C Accurately perceiving the client’s feelings and communicating understanding of those feelings D Asking the client open-ended questions to obtain information ANSWERS  - 1.     The answer is D- The question describes a complementary interaction, which is one based on different levels of relating that fit together. A symmetrical interaction ("b") is one that occurs between two equals. Metacommunication ("a") is an implied and usually nonverbal message that comments on a verbal statement. It may either contradict or qualify the verbal message. A double-bind ("c") is an example of a contradiction produced by metacommunication. 2.    The  Answer Is C Both open- and closed-ended questions define a topic area. Open-ended questions (e.g., "How do you feel when your wife drinks too much?"), however, tend to elicit more elaborated information because they leave the client free to express what seems most relevant and important to him. By contrast, closed-ended questions (e.g., "When was your last medical check-up?") limit the client's response to a few words (e.g., a fact or a "yes" or "no"). Factual information ("A") can be obtained directly through asking closed-ended questions or indirectly via open-ended questions. 3.    The answer is A. An open-ended question is one that encourages and allows the client to respond in whatever way she wants and invites elaboration. Mirroring is an expression of the worker’s emphatic understanding of the client either with words or facial expression. A close ended question is narrow in its scope and usually invites one or two word answers.  Underlining is a technique of emphasizing particular content that the client has expressed. The emphasis can be accomplished by the worker repeating the client’s words or using a tone of voice or facial expression or a gesture to highlight these words. 4.    The answer is A. Play is the natural medium of expression for children. When in an open, protective, therapeutic atmosphere, play can be used to express and understand a child’s underlying conflicts. B is inaccurate. Play therapy requires an ability to understand  children’s symbols, to engage in play, and to use interpretation of symbols through the medium of play. These are skills that take time and experience to develop. The treatment must fit the child’s needs. Answer 3 and 4 suggest that the treatment strategy is developed as a response to the parent’s needs. 5.    The answer is A-Obtain the services of a translator. Telling Jose that he cannot be provided with the required services (answer “B”) is not correct because Jose has requested your services and you cannot leave him without options. Referring Jose to another social worker who speaks the language, even if the specific expertise is lacking (answer “C”) is not correct because if a social worker possesses the expertise Jose desires, it is best to work to accommodate the need through a translator. If one is not available then other options may be explored. See Jose as a client and use a basic understanding from college Spanish classes, hoping that the gist of what Jose is saying will be understood (answer “D”) is not correct because conducting therapy with very limited language skills can be more harmful than helpful, especially when other options may exist. 6.    The answer is C- It is generally considered a no-no to ask a client "Why." The belief is that it cuts off dialogue 7.    The answer is B. The techniques associated with the statements are used to sustain and encourage clients, as they struggle to understand and to change. 8.    The answer is B. The worker is challenging the client’s explanation for failing to attend the meeting, and helping her understand she is making excuses and evading her real feelings. It is a particularly appropriate technique when treating substance abusing clients who tend to deny. 9.    The answer is D” – Use toys to engage the boy in age appropriate play. The boy is demonstrating nervousness, which is expected in a new environment and limited verbal expression of emotions, which is typical for his age. Asking the boy why he is nervous (answer “A”) and explaining to the boy that he is in a safe environment and is free to talk about his feelings (answer “C”) are not correct, as they are not ideal approaches to take with a 4-year-old child. Ask the boy’s parents if they can help you understand why the boy may be nervous (answer “B”) is incorrect, as it is best to work with the client first.   10. The answer is“C”- Accurately perceiving the client’s feelings and communicating understanding of those feelings. Expressing sympathy for the client’s problems (answer “A”) is not correct because empathy is not to be confused with sympathy. Empathy is an understanding of the client’s feelings, not feeling sorry for the client. Asking the client to use specific rather than general terms in describing his or her problems (answer “B”) is not correct, as this has nothing to do with empathy. Asking the client open-ended questions to obtain information (answer “D”) is incorrect because it is  a focusing communication skill. ALL THE BEST & GOD BLESS !!!