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Jack has a fear of going into enclosed spaces. For example, he has fear of being inside trains, tunnels, under bridges, or other areas that do not have easily accessible exits. Jack’s fears have persisted for more than two years. As a result, he has limited his activities to those where he can be accompanied by his “safe” friends. Most of the time, Jack’s mobility is restricted and requires that adjustments be made. Based on Jack’s symptoms, he is likely experiencing:
What is the FIRST action social workers should take when attempting to evaluate institutionalized racism in their agencies?
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 report various psychosocial challenges. After identifying the clients 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 and use a specific case note style to document subjective complaints and presenting problem. This documentation style is known as:
When 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:
According to psychoanalytic theory, unconscious conflicts stemming from childhood can produce strong and painful emotional symptoms but also protect one from anxiety. This concept is referred to as:
A social worker is seeing a 30-year-old female military veteran who was deployed on active duty in Afghanistan for six months. The veteran reports experiencing symptoms of posttraumatic stress disorder (PTSD). The social worker should explore the possibility of all the following as potential causes of these symptoms EXCEPT:
A 36-year-old male meets with a social worker with complaints of depressive symptoms. Attempts at exploring the onset of symptoms reveal several long-standing personal challenges but no clear precipitating event(s) that led to the depression. Along with dysphoria, the client also reports symptoms of anorexia, insomnia, fatigue, and cognitive impairment. What should be the social worker’s FIRST response in this situation?
Characteristics common to many Hispanic-Latino families include all the following EXCEPT:
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 does 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:
A hospital social worker receives a referral to meet with the family for end-of-life support. When working with the families of dying patients, a hospital social worker should FIRST:
A social worker from a foster care agency is conducting an assessment of a child from the Navajo tribe. When assessing for the risk factors of child abuse on a child from an ethnic background that is different than that of the social worker, the social worker must FIRST:
Cultural competence in social work requires understanding of all the following EXCEPT:
For a diagnosis of persistent depressive disorder in children, the symptoms need to be present for:
A client at a non-profit family services agency discusses with the social worker recent behavioral changes demonstrated by the client’s 7-year-old daughter. The child appears to be withdrawn, sad, and quiet. The client indicates that the changes first appeared after moving into a domestic violence shelter. The social worker should:
During the reconciliation phase in domestic violence, a perpetrator is likely to express all the following EXCEPT:
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 medication’s. The combination of Sarah’s various illnesses, doctors’ appointments, and medication regiments have prevented her from forming attachments as well as advancing in her profession. Given this information, Sarah could be diagnosed as having:
Which of the following group of symptoms are best linked to passive aggressive personality disorder?
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. This form of treatment is called:
A family with high expectations brings their 12-year-old child in for treatment. The boy does well in school, and his teacher claims that he has never had an infraction, even though he appears sad and has social difficulties. What kind of parenting style is most likely being used by the parents?
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 social worker at a community agency receives a referral from her friend’s preschool-aged son for treatment. The social worker should do which of the following:
A parent is worried about their 13-year-old son’s constant disobedient, defiant, and argumentative behavior and 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, neglects to complete simple home duties or clean 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 social worker is part of a team that is evaluating the efficacy of a community outreach program for families with children ages 2 to 10. The qualitative data collection is the responsibility of the social worker. Which of the following is the BEST example of a qualitative measure?
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:
An allegedly health-conscious client admits to smoking cigarettes during an intake interview. The client responds, saying reports on cigarette smoking are loaded with misinformation and the health hazards are not that great. The client’s argument is MOST likely due to:
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 workers methods are better suited for me.” The new social worker should FIRST:
A hospital social worker meets with a client who has a history of intravenous drug use. The client requests an HIV test because she fears that she may have contracted the disease by sharing needles. The social worker attempts to complete an assessment, but the client reports that she is feeling overwhelmed. The social worker BEST response is:
A parent who 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 workers 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 other 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 girls life but that 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 girls 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:
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 clients, it is important to do all the following EXCEPT:
A social worker receives a referral for a child who has poor peer relationships and a preoccupation with sexual behaviors. During the first meeting, the child’s mother states that the child has an abnormally close relationship with her father. The parents are divorced and share joint custody of the child. The mother says the father is highly protective, lets her stay up late, and that they sleep in the same bed. Given these facts, the social worker should FIRST explore the possibility of:
The psychological theory that assumes unconscious factors influence behavior, thoughts, and beliefs is:
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 therapist what would you do NEXT?
A call regarding an adult male who is “behaving in an exceedingly odd way” is received from a family member. He specifically claims to be running from house to house because he is being chased by team of police that want to arrest him. His claims are not supported by any evidence. Although neither of these things appears to be directly related to this incident, he does have a history of military deployment in the Middle East, as well as a history of drug use. The following morning, he seems okay but becomes upset if the incident is brought up, claiming that everyone else is exaggerating it. Which of the following would be the MOST accurate diagnostic impression?
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. Despite no new diagnosis, 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-olds 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 fiancé and an infant son. The twin’s parents are fighting for custody of their twins. During the initial interview, the twins tell the social worker that their father’s fiancé 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 social worker designed and implemented a treatment group for adults who were raised in the foster system. Despite the social workers best efforts, members drop out from the group on a weekly basis. What should the social worker do to maintain strong group attendance?
A 22-year-old female college student has made frequent references to death and violence. The MOST accurate indicator of impending harm to self or others is:
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:
Due to the recent death of his partner, an emergency room social worker is unable to focus and complete her work duties. A colleague informs the social worker that the medical care team is complaining about the social worker’s poor job performance. The social worker should:
A social worker at a mental health clinic has been seeing an adolescent for individual therapy for four months. The adolescent’s mother also requested to see the social worker for individual therapy. What should the social worker do?
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 herself, has also been diagnosed with a heart problem. As you are counseling this woman and helping her to plan for the future care of her husband a social worker should.
A client who holds grudges, is non delusional paranoid, misreads harmless remarks or events, is worried about being exploited, is jealous and suspicious, and doubt the loyalty of others. This information meets the criteria for which of the following DSM-5 personality disorder diagnoses?
A woman tells the social worker that her family is a recent survivor of hurricane Ian. She is worried because every time it rains, she becomes terrified and hides underneath her bed. According to behavioral theory, this is an example of:
Working with clients face-to-face is frequently characterized as all of the following Except:
The parents of a 6-year-old boy who has been placed in foster care have made no progress toward reunification. The child’s social worker has determined that procedures to terminate parental rights will begin in the next few weeks. The social worker’s NEXT step should be to:
A social worker met with a young adult client for bi-weekly sessions. The client has depression related to separation and individualization issues. The client reports that his parents were often demeaning and abusive to him throughout his childhood. The client discusses his past in a flat, unemotional manner. The social worker should:
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 this an example of which community theory?
A social worker is informed by their agency that there is a high prevalence of cases of teen pregnancy in an identified community. The social worker is concerned and wants to assist the community. He gathers information and statistics about the cases of teen pregnancies in the area. The social worker then decides to develop a “teen pregnancy awareness meeting” at a local community center. What type of community organizing is this called?
A social worker has recently observed that the homeless population in a neighboring community has increased since the Covid 19 pandemic. She wants to provide adequate resources to the homeless population but is aware that homeless individuals struggle to seek services. The social worker contacts the Department of Homeless Services for assistance. What type of community practice is she using?
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 hospital social worker is interviewing a recently widowed 80-year-old patient who has been hospitalized for treatment of arthritis and chronic kidney disease. The patient has responded well to treatment and is ready for discharge. The patient has a limited support system and reports being financially exploited and physically abused by extended family members. In helping the patient make discharge plans, the social worker should FIRST:
The two major classifications of research are:
According to psychosocial theory, which of the following statements BEST describes resistance at the beginning of treatment?
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 is planning to develop a Covid 19 awareness meeting in her local community. What should the social worker do FIRST?
Individuals who currently reside at a homeless shelter notify a community social worker that they are having problems with the living conditions. The social worker has no affiliation with the shelter. The staff members at the shelter and the homeless individuals are fighting over these issues. What is the social worker’s function in this scenario:
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:
Hypersomnolence and decreased appetite are reported by a client with a history of severe depression. The client claims that he stopped taking his prescription medication since he feels that he no longer needs it. The FIRST step taken by the social worker should be:
An 18-year-old is in therapy with a social worker for depression and adjustment disorder following a breakup. The parents of the client contact the social worker and request information on what is happening in the client’s sessions. The social worker’s INITIAL response to this request would be to:
The most accurate definition of social work ethics is:
Informed consent is a term used in social work research to describe all of the following Except:
Which of the following conditions is NOT a specifier of conversion disorder?
What type of validity would a social workers 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?
Which of the following definitions BEST describes transference?
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 diagnoses?
During the assessment phase of therapy with a 28-year-old male who voluntarily entered treatment for depression, the client asks many questions about the social worker’s qualifications and demonstrates a reluctance to discuss anything other than general topics. Which of the following concepts best describes the client’s current behaviors?
A competent 21-year-old college student has been waking very early, has lost interest in eating and socializing, and is unsure about her continued ability to handle her college studies. These symptoms occur most of the day every day and have been present for 3 weeks. These symptoms MOST likely indicate:
During a group therapy session, a member spends 30 minutes discussing her weekend. Then, when other group members attempt to share, the client redirects the group back to her. The social worker notices that group members are becoming annoyed and frustrated. The BEST way to address the issue is:
All of the following are exempt from the confidentiality and release of information regulations EXCEPT.
A foster mother brings her child to a social worker following a disagreement. The foster child wants his feelings to be heard and respected by his foster mother. His foster mother agrees that their communication needs to improve. In developing a treatment plan, the social worker should write which of the following as their objective:
A social worker receives a referral from her neighbor’s daughter. The social worker should: