Practice Quiz 3 (Test Mode) 85 Questions

Based on DSM-5 diagnostic criteria, schizophrenia must include:

A patient who is isolated, expresses negativism and purposelessness, is largely unresponsive, and has a rigid and motionless posture is likely to be diagnosed as:

A case manager meets with a single father for an initial intake. The client reports various psychosocial challenges. After identifying the client’s needs, he signs a release of information for the case manager to contact agencies and submit referrals on his behalf. A month later, the case manager calls the father to follow up. This process is known as:

A hospital social worker receives a referral to assess a client. The social worker uses a specific case note style to document subjective complaints and presenting problems. This documentation style is known as:

One member of a family improves while another deteriorates. This is an example of:

A common defense mechanism used by individuals diagnosed with paranoid personality disorder is:

A father finds his adult daughter drinking heavily. She often apologizes and states she’d like to receive help, though she makes excuses why she cannot call and make an appointment. Eventually, he calls on her behalf and sets up a meeting with a social worker who specializes in substance abuse. In exploring her drinking, the social worker learns that the father purchases the alcohol that is brought into the home. He reveals that he purchases the alcohol because he knows she would suffer from symptoms of delirium tremens if she did not have access to alcohol. He reports that he would at times call in to work claiming to be sick when he knew she was binge drinking. His behavior is BEST described as:

Sarah, age 25, has exhibited numerous physical symptoms over the past 12 years and has visited 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, doctor appointments, and medication regimens have prevented her from forming attachments as well as advancing in her profession. Given this information, Sarah could be diagnosed as having:

The process of gradually exposing a patient to a series of anxiety-producing stimuli until the individual can cope with and tolerate the effect stimulated by exposure is called:

A clinical social worker is assessing a cheerful 5-year-old boy who is having trouble establishing friends at school. He is a very talkative person, but he struggles to answer questions concerning his emotions. He is eager to discuss all the many species of reptiles and is well-versed in them. What next step should the social worker take?

A parent is worried about their 13-year-old son’s constant disobedient, defiant, and argumentative behavior, so they bring him in to meet with a social worker. The issue has gotten worse over the past year, and they cannot tolerate his behavior any longer. The child continues to perform well academically and socially, but he regularly disobeys family norms and neglects to complete simple home duties, like cleaning his own room. Also he is angry, resentful, and vindictive. He does not report drug use and is not being bullied or experiencing other forms of maltreatment at home or elsewhere. In this case, the most appropriate diagnosis is:

A 12-year-old girl is brought in by her parents who recently immigrated from Cuba for evaluation. They are worried because she has unexpectedly experienced her first menstrual cycle and are concerned about possible sexual abuse, though they acknowledge that no other symptoms are present to indicate abuse. The FIRST social work response would be to:

A 38-year-old man schedules a consultation with a social worker for support in navigating a challenging relationship in his life. The social worker finds out during intake that the client believes a well-known movie star harbors secret feelings for him. He states that through her fan club, he has frequently written to her and received responses from the staff but never from the actress herself. He clarifies that she is “not able to express her feelings openly “as a result of a deteriorating relationship with a successful businessman.” There are obvious feelings of competition while speaking of the businessman. When pressed for more information or evidence to support his claims, he avoids the inquiries. The MOST appropriate diagnosis would be delusional disorder, with which of the following subtypes listed below:

A social worker is seeing a new client that has transferred to her after seeing another social worker for the past two years. After completing an assessment, the social worker and client create goals and objectives. The client becomes angry and states, “My previous social worker’s methods were better suited for me.” The new social worker should FIRST:

A parent sets very few rules and has poor boundaries. They are reluctant to enforce rules because they don’t like to disappoint their children. This is an example of what parenting style:

During couples therapy, the wife states, “Please mend our rift so we can live normal lives.” The clinical social worker’s BEST response is to:

A 29-year-old woman meets with an outpatient social worker for an initial assessment. She complains about being rejected by her new boyfriend. They have been dating for about two months, and she reports that he is no longer as attentive as he used to be when they were first dating. She wants to know what she can do to “get him back.” Upon further inquiry, the social worker learns the woman has experienced this type of rejection in multiple dating relationships. The social worker further learns that she frequently calls, texts, keeps track of his social media, drops in unexpectedly, and otherwise attempts to stay in contact with the boyfriend on a daily basis. She fears that he will soon leave her “like the others.” As she talks, high lability is noted in her emotions, ranging from fear and anxiety to intense anger. She also frequently criticizes herself. The social worker quickly recognizes symptoms as which of the following DSM diagnoses:

A normally well-behaved 13-year-old girl is being seen by the school social worker for a recent onset of conflict and behavior problems at home and in school. Both parents are overwhelmed and are in need of support and guidance. They have used a variety of behavioral modification techniques without success. The behavior has become so problematic that it has delayed the father from his normal work travel schedule. The social worker also learns that the father’s employment has taken him away for long periods of the girl’s life, but he now gives the daughter his complete attention. Referring to operant conditioning, the social worker identifies the problem as one of:

A school social worker is seeing an 11-year-old girl for misbehavior in the classroom. The girl refuses to follow instructions, bullies others, and has been accused by multiple classmates of taking belongings out of lockers. In meeting with the girl’s father, he indicates an extended history of defiance of home rules and refusal to follow direct instructions. During the assessment, the school social worker learns that his wife passed away when his daughter was still an infant, after which he had to work long hours. Due to finances, she was bounced from daycare to daycare for some years. Drawing upon Bowlby, the social worker recognizes problems arising from:

A woman has been seeing you in therapy for the past two months. When you bring up topics that involve emotions, the woman ignores them and claims she doesn’t want to talk about it. She talks a lot about her day-to-day life and says she is ready to terminate therapy. As this woman’s therapist, what would you do NEXT?

A social worker is evaluating a 56-year-old patient who has excessive worries about receiving a new melanoma diagnosis. About two years ago, she had a minor skin lesion removed from her nose because it contained precancerous tissue. Since then, she has been preoccupied with her skin and frequently checks and double-checks any blemishes that appear. She continues to worry despite frequent visits to her dermatologist that have not revealed any new dermatological issues. She also won’t venture outside until she is completely covered to avoid being exposed to the sun. She has started to avoid being outside altogether as a result of this. The MOST plausible diagnosis is:

An 11-year-old is referred to a social worker due to social and emotional concerns expressed by the parents. A review of the 11-year-old’s medical history reveals symptoms consistent with a diagnosis of major depressive disorder. What should the social worker do FIRST?

A patient meets with a social worker for a psychosocial assessment in the emergency room. The patient is confused and unable to provide reliable information about the events that led up to the hospital admission. What should the social worker do NEXT?

A clinical social worker sees a set of twins and their mother for family therapy. According to their mother, the twins’ behavior problems began after they returned from visiting their father, who lives with his fiancée and an infant son. The twins’ parents are fighting for custody of their twins. During the initial interview, the twins tell the social worker that their father’s fiancée has beaten them with a belt, burned them with a candle, and threatened to kill them. The social worker should:

A licensed social worker is providing outreach for a town that has recently been impacted by a series of natural disasters. The social worker is going door to door, asking families whether they require mental health assistance and describing how they might obtain them. To her surprise, after the first few days of her outreach campaign, no families have shown an interest in seeking mental health treatment. What should the social worker do NEXT?

A young man was at home when his smoke detector suddenly went off. He discovered that the apartment he was in was on fire. The fire engulfed his apartment and blocked the exit. The man was forced to jump out of his second-story window. Despite the high jump, the man did not lose consciousness during the event. However, upon recalling the event and the details that surround it, he discovered that he does not retain any of the associated affect regarding the incident. The defense mechanism in this situation is:

A 75-year-old woman is currently caring for her 80-year-old husband who has a chronic illness. The man is diagnosed with degenerative disorder, and she is concerned that she will no longer be able to care for her husband in the near future. The women has also been diagnosed with a heart problem. While counseling this woman and helping her to plan for the future care of her husband, a social worker should also:

A client holds grudges, is non delusional paranoid, misreads harmless remarks or events, is worried about being exploited, is jealous and suspicious, and doubts the loyalty of others. This information meets the criteria for which of the following DSM-5 personality disorder diagnoses?

Working with clients face-to-face is frequently characterized as all the following except: 

A 36-year-old gay client meets with a social work intern for help with anger resulting from his partner’s adulterous affair. During the initial session, the client states, “I’m going to do whatever it takes to get even with him.” What should the social worker do FIRST?

A community is gathered in a church and are deciding how to allocate funds for an annual crusades event. A portion of group members are troubled on how the funds are being administered. This an example of which community theory?

A social worker is researching the rate of diabetes in children in low-income communities. He learns that the rate of new diabetes diagnoses has increased from 0.5% to 5% over the last year. The social worker wants to partner with the community to alleviate this problem. What model of community organization is he implementing?

A social worker is treating a client who has been diagnosed with pyromania. The client feels ashamed but states she cannot stop the behavior. The client informs the social worker that she has no idea why she engages in this behavior. What should the social worker do FIRST?

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 to attend an AA meeting, but he responds that he thinks he can manage without such help. The social worker has a personal drinking history 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:

Informed consent is a term used in social work research to describe all the following except:

What type of validity would a social worker use to predict future academic or work success and its outcomes?

During a therapy session, a client experiences strong emotions when discussing stressors and decides to end the session early. Following the session, the client calls the office and cancels their next appointment. The client eventually schedules their next appointment, and at the beginning of the session, the client states, “I am feeling fine and I can’t think of anything to say.” How should the social worker respond?

A clinical social worker is evaluating a six-year-old transgender child who displays a complex facial tic consisting of tongue protrusion, blinking, and sniffling. Bark-like vocal tics are also present. These symptoms are not present during sleep. What is the MOST likely diagnosis?

All the following are exempt from the confidentiality and release of information regulations EXCEPT.