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Following the death of her son, a 65-year-old Native American mother seeks treatment. To be culturally sensitive and create a healthy therapeutic relationship with Native American client it is important to observe all the following EXCEPT:
An 11-year-old client is referred to a social worker because of social and emotional concerns expressed by the parents. A review of the client’s medical history reveals symptoms consistent with a diagnosis of Major Depressive Disorder. What should the social worker do FIRST?
A 47-year-old father of two meets with a social worker for an intake assessment. He claims that his wife is an alcoholic who when inebriated, becomes verbally aggressive and abusive. He says his wife refuses to attend treatment and argues that they can address the problem themselves. What should the social worker do First:
An eight-year-old boy lives at home with his father and stepmother. The boy is often ignored and poorly treated by his stepmother and father. However, the boy’s treatment does not appear to be at the level of severe abuse, but the situation appears to be deteriorating. Also, it seems that the stepmother is resentful of the boy’s presence in the home and shows poor insight. It appears neither of the parents would like the boy to remain in their home. After the social worker attempts to improve the situation in the boy’s home without positive results, what strategy should the social worker use to maintain the boy’s welfare?
An unmarried mother seeks to put her child up for adoption but refuses to name the child’s father. According to judicial precedents, adoption may not be legal if a father’s approval is not sought. Furthermore, the father’s health information may be necessary for the adoption process. In this situation, the social worker should FIRST:
Penelope, a 21-year-old female, was brought in for treatment by her family due to an episode of expansive mood characterized by rapid speech, lack of sleep, flight of ideas, and nonstop energy lasting ten days. Penelope’s family also reports instances of irritability as well as hypersensitivity to criticism. Penelope’s family stated that substance use was not involved. Based on this information, what is Penelope’s most likely diagnosis:
A social worker is part of a team that evaluates the efficacy of a community outreach program for families with children aged 1 month to 5 years. Qualitative data collection is the responsibility of the social worker. Which of the following is the BEST example of a qualitative measure?
A hospital social worker meets with a 9-year-old child and his parents who recently immigrated from Afghanistan. The child has been sick for five days and was brought to the emergency room with a fever of 104° and a bacterial infection. The hospital social worker was notified by the bedside nurse that during the medical examination the child had bruises and burns throughout his body. The hospital social worker was notified by the parents that “a healer repeatedly performed medical procedures to cure the child.” What should a social work do in this situation?
Sarah is a 25-year-old female who has exhibited numerous physical symptoms over the past 12 years and has seen some of the top doctors in the medical field for her many ailments. Over the past 12 years, Sarah has had trouble keeping up with her many illnesses, countless doctor visits, treatments, and medications. The combination of Sarah’s various illnesses, medical appointments, and medication regimens has prevented her from forming attachments and advancing in her profession. Given this information, Sarah meets the diagnoses of:
A social worker meets with a 38-year-old male who reveals a history of alcoholism and reports that he is struggling with a desire to resume drinking. The social worker encourages the client to meet with his sponsor and attend an alcoholics anonymous group, but he states that he can manage without such help. The social worker has a personal history of alcohol use and recognizes the warning signs. The social worker is considering revealing her personal story, to encourage the patient to seek help. The social worker should:
A married couple is seeing a social worker, with occasional individual sessions for each. During an individual session, the husband states that he is bisexual. He also admits that he has a long history of having sex with other men and recently tested positive for HIV. After talking with the husband the social worker finds out that he hasn’t told his wife about his HIV diagnosis and does not wear prophylactic protection when having intercourse with her. After extensive counseling, he is unwilling to use protection or disclose his HIV status. In this situation the social worker’s duty is to:
All of the following are examples of encopresis Except:
A 75-year-old widow seeks grief counseling services after the death of her husband. The client’s husband died suddenly from a heart attack twelve months ago. The client is highly consumed with thoughts of her spouse, cries frequently, feels distant from others, and generally describes her emotions as numb. She occasionally longs for death so she can “be with him.” Although there is no overt suicidality there is a sense that life would be worthless without him. The MOST appropriate diagnosis for this woman is:
A 35-year-old male client has been referred by a sleep specialist for counseling regarding lifestyle modifications that may help him with his sleep issue. The issue is characterized by abrupt, debilitating sleep episodes that have happened every day for more than a year. The episodes are invigorating and involve REM sleep and cataplexy. These unpredictable episodes are creating significant problems at work. The MOST appropriate diagnosis for this condition is:
A 14-year-old boy frequently acts out in ways that disturb the family’s social interactions and home life. The social worker quickly realizes that he feels misunderstood, undervalued and distant from most of the family. The social worker confronts each member by asking them, “Why do you believe he is behaving in this way?” This is an example of which of the following techniques?
A social worker learns that one of her coworkers has a substance use problem. The social worker’s coworker returns from lunch visibly impaired most days. The social worker’s FIRST responsibility is to:
Information obtained from an ecomap is MOST often utilized in a therapeutic setting to:
A social worker is meeting with a 3-year-old for an initial assessment. Her mother reports that her daughter communicates verbally but not nonverbally. The social worker notices that her eye contact is poor, and her interaction with others is nonexistent. She exhibits repetitive behaviors like hand-flapping, rocking, and jumping, but her cognitive skills are adequate. What is the most likely diagnosis?
A foster care social worker meets with a client who has been in foster care for nine years. The client has behavior problems that are disruptive at school and in foster homes. Her previous foster parent has specialized training to care for youth with significant emotional, behavioral, and social issues. The foster parent informs the social worker that the foster child would benefit from intensive structured treatment to ensure her safety and the safety of others. What type of placement should the foster care social worker consider:
A parent who only allows one-way communication through strict rules and any attempts to reason with them may be seen as backtalk. This is an example of what parenting style:
A patient who is described as “oriented times four” (or oriented x4) can demonstrate awareness of which of the following features:
As a lead social worker in an outpatient mental health clinic you are approached by the director asking how long they should retain medical records. The BEST answer is:
A social worker has been seeing a 27-year-old female for Paranoid Personality Disorder for six weeks and has been carefully documenting each session. During the last session, the patient appeared overly suspicious and became angry and hostile despite the social worker’s efforts to reassure her and regain rapport. The following day, the client arrives without an appointment and demands to see the social workers notes. The social worker’s BEST response would be to:
A couple comes to see a social worker for an initial assessment. They have been married for one year and they are having difficulty adjusting to married life. He’s the youngest in his family and she’s the oldest, which appears to be the root of some of their problems. She feels he’s being irresponsible and he feels she’s being mean and uncaring about his current situation. Specifically, he has been out of work for one year and she’s working two full-time jobs to cover their expenses. The wife reports feeling tired, overwhelmed and angry and wants him to start working. The husband reports that he is waiting for the perfect job. To make things worse, he’s been making unnecessary expensive purchases, which has added to their financial burden. From an Adlerian perspective, which of the following would BEST explain their situation:
A home health referral indicates that an elderly client caregiving needs are not being met by her son, who is the live-in caregiver. The referral states that the client is constantly left alone throughout the day without access to a phone, medication, or food. The report also states there are signs of skin breakdown, isolation-induced depression and questionable nourishment. The social worker meets with the son, he openly acknowledges he cannot meet the client’s needs and he supports nursing home placement. However, he emphasizes that he has given up employment to provide care and is living on the client’s retirement funds. What is the FIRST action the social worker should take:
During the social work helping process the social worker should obtain all of the following information EXCEPT:
An eight-year-old and his military family moved out of state. The boy will be attending a new school and he refuses to accept that his two best friends will not be attending the same school as him. He creates a list of after-school activities that they will do when school starts again. Which defense mechanism best represents the actions of the boy?
A social worker has met with a single mother for several months to provide counseling services that focus on parenting skills. The mother has been actively engaged in services and accomplishing her goals and objectives. However, the mother reports during the session, “I lost it with my six-year-old son spanked him and left welts on his leg.” The mother is tearful and feels ashamed of her actions. The client pleads with the social worker not to contact child protective services because her son will be removed from her custody and placed in foster care. Which is the Best course of action:
A hospital social worker is asked to evaluate a 21-year-old female brought to the emergency room with a blood alcohol level of 0.15. She is uncoordinated, slurs her speech and demonstrates memory impairment. What is your first diagnostic impression?
For a diagnosis of Substance Use Disorder all the following are required Except.
The intentional production of physical or mental symptoms that are false or exaggerated with the goal of receiving an identified benefit is called?
Of these answers which one is least indicative of suicide risk for an adolescent male.
The most prescribed medications for bipolar disorder and mania is:
To evaluate their postpartum depression support groups one organization elected to employ a single subject research design. Which of the following BEST describes why an organization may choose this research model?
Following the death of their two children in a vehicle accident a couple seeks therapy to cope with the loss. The supervisor of the social worker notices that the social worker spends more time on the phone with the couple and sees them more frequently than her other clients. What should the supervisor do FIRST:
A woman presents in the community clinic with issues related to her job. She speaks about a recent event in which she was absent from work for many days without informing her supervisor or coworkers, although having no recollection of doing so. Even though she claims she has never visited Boston, the client discovered a leaflet and tickets for a Musical event in Boston at her home. Which of the following conditions is the client describing?
For the past two months a 14-year-old African American child has been seeing a social worker for depression. He recently learned that one of his ancestors was a slave who led a Civil War revolt. He used to be ashamed of his past but has recently began referring to his ancestor as a “powerful role model.” In terms of racial identity formation, the client’s experience can be summarized as:
A 45-year-old female real-estate agent is referred to her EAP for problems related to interpersonal conflicts with coworkers. The social worker discovers throughout the evaluation that the client routinely dismisses her coworkers’ concerns about sexism and sexual harassment in the workplace and during work activities. The client reports, “they need to get over it, this is a necessary component of the job and they are very sensitive.” This response should be interpreted by the social worker as:
During the initial interview a 22-year-old client appears suspicious of her surroundings and of the social worker. She reports that she wants to reveal specific facts but feels that this would get a family member in trouble. What is the social worker’s most appropriate response:
A pregnant 16-year-old has been referred to a school social worker by her teacher. The client is scared, upset, confused and uncertain about her options. After several sessions with the client the social worker recognizes that her own values and morals may be interfering with the therapeutic relationship with the client. The social worker’s MOST appropriate action is to:
Which of the following tasks is appropriate for a clinical social worker utilizing Strategic Family Therapy?
A social history with an 18-year-old female admitted to the emergency room following a suicide attempt by ingesting oxycodone reveals that she was sexually abused for four months by a relative when she was 16 years old. To complete the social history what information should the social worker obtain Next?
A 22-year-old single mother’s 10-month-old child was placed in foster care for five months because of neglect. The mother has followed her reunification plan and the foster care plan is to return the child back home. The foster care social worker learns two weeks before the court hearing that the mother is four months pregnant. The social worker’s BEST option is to request that the:
A 92-year-old client is wheelchair bound and requires weekly medical treatment. The client is living with her daughter but wants to relocate to an area with limited medical support services despite her daughter’s wishes. The client has requested assistance from the hospital social worker. The hospital social worker should FIRST:
Which of the following social work activities would be considered a PRIMARY prevention strategy to address the problem of elderly abuse?
A hospital social worker meets with a patient at their bedside and introduces herself. The client presents with suicidal ideation and depressive symptoms. What should the social worker do First:
A social worker meets with a client for an initial assessment. The client reports feeling hopeless, angry, sad and in disbelief after the death of her sister. The social worker lost her sister to cervical cancer six months ago and is having difficulty maintaining her composure during the session. What should the social worker do Next:
A hospital social worker meets with a 56-year-old patient with a long history of intravenous drug use who had been diagnosed with AIDS and is being considered for discharge to a treatment facility. The patients elderly parent’s have expressed the desire to care for the patient and have him move in with them. In creating a discharge plan the hospital social worker should FIRST evaluate which of the following factors?
A hospital social worker meets with an 80-year-old male who refuses life-saving medical treatment. What should the social worker do FIRST in this scenario?
During an initial assessment a client reports that her husband had a physical altercation with their son, in which he knocked out the 19-year-old with a glass bottle. The social worker keeps this information confidential between herself and the client. The social worker’s actions are:
A school social worker has been meeting with an 8-year-old for several sessions. He has poor social skills, is aggressive, struggles with academics, and has difficulty paying attention in class. The client does not have an individualized Education Plan (IEP). The social worker is addressing his social skills and behavior issues. Despite improvement in most areas, the student continues to struggle academically and is unable to pay attention in class. What should the social worker do NEXT:
During family therapy the father states, “I suffer from severe Alcohol Use Disorder.” The most important action the social worker should take is:
A 26-year-old male is referred for treatment for marijuana smoking and alcohol addiction. He is also 100 pounds overweight. The client states, “I enjoy smoking and have no desire to quit.” The client denies the extent of his alcoholism, and suggests that he doesn’t “eat much.” From a Freud perspective the client may have a fixation in which stages of psychosexual development:
All the following are true about the Person-in-Environment (PIE) system EXCEPT:
A school social worker meets with a 6-year-old boy for an initial intake. The social worker notices the child repeats the first syllable in a word, prolongs sounds, and has difficulty starting sentences. These are the symptoms of:
A substance abuse social worker has met with a client for relapse prevention counseling. The client has maintained sobriety for three years but fears current life- stressors (new job, death of the mother, and new relationship) will trigger a relapse. What is the BEST course of action?
According to Psychoanalytic Theory which factor is least necessary to assess ego functioning?
According to the DSM-5-TR a diagnosis of Schizophreniform Disorder requires that the episode be:
A social worker meets with a 55-year-old woman for the initial intake. The woman reminds the social worker of her mother with whom she has a strained relationship. The social worker is finding it difficult to keep calm as she becomes increasingly frustrated with the woman. What should the social worker do FIRST:
A social worker is researching the effectiveness of group therapy in reducing depression among diabetic teenagers who have recently been diagnosed. Which of the following describes the degree to which a study findings can be generalized to different situations?
According to the Psychodynamic Theory, a 38-year-old client relates to the social worker as though the social worker is someone from the client’s distant past the client is experiencing:
An 86-year-old client is legally blind and bedbound. The client has been receiving assistance with daily living skills from his 20-year-old neighbor which has permitted him to remain at home. However, the social worker is concerned that the neighbor is taking advantage of the client by taking his money, and providing subpar care. The client wants to remain at home and continue the arrangement with the neighbor. The social worker’s FIRST responsibility is to:
Diagnosis of major depression is indicated by all the following symptoms EXCEPT:
During an initial therapy session with a social worker, a client indicates that she wants to disclose certain information but is reluctant to do so because it involves others in her family. In response, the social worker should:
A client and her children have been evicted from public housing and need immediate housing. The social worker owns an apartment building and has an available unit. The social worker should:
On multiple occasions, a 13-year-old girl has been sent home from school for smoking marijuana and drinking alcohol. Each time the mother becomes upset and attempts to discipline the girl but the father convinces the mother to give her another chance. In this situation, which of the following terms BEST characterizes the father’s behavior:
A hospital social worker is referred to a Hispanic family that has just experienced a non-viable birth. The LEAST appropriate social work intervention with the family would be to:
A 16-year-old mother of a 4-month-old infant wants to return to high school to complete her senior year with her classmates. However, the principal advises the student to remain home until her child is old enough to attend daycare. In addition, the principal informs the student that evening classes are available. The student seeks the services of the school social worker. The social worker should:
The preferred therapeutic approach and treatment for depression, according to empirical research is:
A couple in their mid 30’s comes in for marital and family conflict problems. They are unable to compromise on the fundamental roles that each should play in the relationship. Both have jobs outside the home, both like to keep their income separate, both believe the other should be covering a larger share of the expenses, and neither wants to oversee meal preparation, grocery shopping, or housekeeping. According to Structural Family Theory, the couple is having problems with:
All of the following are common mechanisms of resistance demonstrated by involuntary clients EXCEPT:
The term confidentiality applies to all the following, EXCEPT:
A social worker learns that his organization is not following the NASW Code of Ethics with regard to maintaining and securing records. For example, filing cabinets are left unlocked, computers are not password-protected, and local university students are receiving services without signing confidentiality agreements. A social worker’s BEST course of action would be to:
A first-grade teacher refers a 6-year-old child to a school social worker because the child consistently comes to school late, tired, unclean, and unable to concentrate during class. The social worker’s FIRST action should be to:
All the following are a common indicator of physical, emotional, and sexual abuse EXCEPT for:
The concept of gender roles is BEST defined as:
An 8-year-old was referred to a mental health clinic because of disruptive behavior in the classroom. The parents speak limited English, are confused, overwhelmed, and don’t understand why the referral was made. The social worker does not speak the parent’s native language- Spanish. To complete the assessment, the social worker’s NEXT step is to:
A second grader was referred to the school social worker for having aggressive behavior in class. During a first phone call with the child’s father, the social worker learns that the child has become more aggressive at home since his mother passed away three weeks ago. In this situation, the social worker’s FIRST task should be to:
A social worker employed at a women’s shelter meets with a woman who has bruises on her body. Per the case notes, she has a history of being assaulted by her partner. The client appears anxious and denies being hit, claiming she accidentally fell down the stairs at the subway station. The client’s sense of helplessness and denial is an indicator of:
A social worker at a mental health clinic uses email to communicate with low-risk patients during treatment. The social worker should FIRST:
A foster parent holds idealistic high expectations for a foster child who is Asian American. The foster care social worker BEST explains the foster parent’s expectations as:
During an initial session, a Native American client makes only brief eye contact and speaks softly. The social worker’s MOST likely can interpret these actions as:
A social worker at a mental health clinic receives approval to run a pilot program for treating LGBT domestic abusers. According to a literature review, a psychoeducational group is the best approach when working with this population. What is the social worker’s NEXT course of action?
A clinical social worker is worried that a therapeutic group for transgender teenagers is not developing cohesion. This decreases the opportunity for more intense work within the group. The social worker decides to use several exercises with the group to foster trust. What should the social worker do FIRST?
A teenager who has been hostile and fighting with peers for two months was referred to the school social worker by the principal. What should the school social worker do FIRST to establish a therapeutic relationship: