PRACTICE TEST (Study Mode)

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. It seems that the stepmother is resentful of the boy’s presence in the home and demonstrates poor insight. Also, it appears that neither of the parents would like the boy to remain in their home. After the social worker has made attempts to improve the situation without positive results, what strategy should the social worker use to maintain the boy’s welfare?

Roxy, a 21-year-old female was brought in for treatment by her family do to an episode of expansive mood characterized by rapid speech, lack of sleep, flight of ideas, and nonstop energy lasting for 10 days. Roxy’s family also reports instances of irritability as well as hypersensitivity to criticism. Roxy’s family reports that substance use was not involved. Based on this information Roxy would probably be diagnosed as:

The presence of long-lasting pain symptoms that exist without a physical or organic origin and prevent a person from engaging in normal activities and family relationships is known as:

An openly gay couple is seeking couples’ counseling. The couple reports that they are both in long-term recovery from alcohol use. The couple claims that their relationship has become more distant because of regular fights. The social worker should FIRST:

A 45-year-old man is seeking treatment after losing his factory job where he was employed for over 20 years. He claims that “nothing in his life is going well,” his marriage is on the verge of collapse, his 401K is losing money, and reports having “no true friends.” Aside from a risk assessment, what should the social worker concentrate on?

A social worker meets with a client for an initial intake. When the social worker inquiries about the client’s daily routine. The client states, “I’m not sure how much longer I can endure this, I work full-time, then come home and do all the housework and take care of my wife with terminal cancer. I feel as though I’m at my breaking point.” An empathetic response from the social worker would be:

After completing an assertiveness training, the client notifies the social worker that the social skills being practiced in training made him feel uneasy, distressed, and unsettled. The client’s feelings are consistent with:

A school social worker receives a referral for weekly individual meetings for a 6-year-old boy who was removed from his home due to physical abuse. The abuse was perpetrated by his stepfather and mother and the boy has been placed in state custody. The social worker should obtain consent from:

Monoamine oxidase inhibitors (MAOIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are primarily used to treat what DSM diagnosis?

A transgender person comes to see a clinical social worker about a compulsion that is troubling him. Whenever someone brings up something severe (a family death, loss of a job, or other major misfortune), he finds himself compelled to resort to humor to minimize the intense feelings involved. This behavior has offended many people. In exploring the problem, he informs the social worker that his father was violently intolerant of any expression or display of negative emotion. According to classical conditioning, the client’s compulsion is best described as:

A school social worker is seeing an 8-year-old boy who has symptoms suggestive of reactive attachment disorder. The boy reports that he is abused and neglected by both parents. He also reports excessive punishment on a daily basis. What should the social worker do FIRST?

Social workers must be sensitive when considering issues of cultural diversity for all the following EXEPT:

A social worker in a mental health clinic meets with a 22-year-old female who identifies as a lesbian. She expresses that she is comfortable with her sexuality and that she is an active participant in the LGBT community. However, she has not revealed her sexuality to her nuclear family or close friends, stating that she is worried about rejection. What stage of the coming out process is the client struggling with:

A client arrives at a mental health clinic for her first appoinment. She is polite, easily engaged, and discusses the need to work on interpersonal problems. When the social worker inquiries about prior treatment, she reports seeing another social worker for treatment for the past four months. However, she now needs to seek services closer to work due to a change in her work schedule. When the social worker inquiries about completing a record release form to contact the prior social worker, the client becomes angry and declines to complete the form. What should the social worker do in this situation?

According to Erikson’s psychosocial development stage: autonomy vs. shame and self-doubt,  if a toddler does not develop an appropriate sense of autonomy, the child will then?

A hospital social worker meets with a client who reports that he was up late last evening with a gun and was contemplating suicide. When the social worker inquires if the client has a plan, he convincingly denies current suicidality and reports giving the weapon to his mother for safekeeping. What is the best course of action?

Which of the following is NOT part of a mental status exam:

A client regularly shows up late for sessions and occasionally forgets to cancel by phone. When questioned, she downplays the issue and says the social worker has unrealistic expectations. The MOST suitable answer from the social worker is:

The primary reason a social worker provides feedback during an interview is to:

Children who suffer from neglect will exhibit all the following characteristics EXCEPT:

A social work intern provides case management services for homeless clients who are seeking housing assistance. What should the social worker do FIRST to locate appropriate services?

A social worker at a partial program is evaluating a 65-year-old male who claims to have been sober for a few days. The client is concerned because he was unable to engage in sexual activity with his partner. The social worker should FIRST consider that sexual dysfunction:

When he turned 18, a young man with a developmental disability entered a group home. His adoptive parents inform the group home staff that they want to cut all ties with him. What should the social worker at the group home do FIRST?

A social worker is interviewing a client for who is seeking services. During the interview the client’s pattern of speech in different from that of the social worker. The social worker’s PRIMARY consideration should be that:

An outpatient therapist meets with a client who expresses feeling hopeless, change in sleep, loss of interest in activities and lack of sexual desire for the past year. These symptoms are MOST characteristic of:

A social work intern has been working for eight weeks with a client who is diagnosed with borderline personality disorder. During supervision, the intern recognizes that she has lost her objectivity and was manipulated by the client. This is an example of:

A client seeks therapy with a social worker following a recent diagnosis of borderline personality disorder. The client reports that she has extreme difficulties with trust and that she is constantly in a state of crisis. The social worker has no experience in dialectical behavior therapy and feels uncomfortable working with the client. Social work values require that the social worker to:

A social worker is treating a client with persistent depressive disorder. During therapy, the social worker realizes the client is against abortion which goes against the social workers personal views. The clinical social worker should:

A social work intern at a non-profit overheard another social work intern agreeing to meet a client later that evening for dinner and a movie. The social work intern in this situation should FIRST:

In an initial intake with a hospital social worker, a recently engaged client reports that her fiancé yells, hits, and throws items at her. She’s upset and tearful and says,it’s all my fault, and I need help, so he does not end our engagement. The hospital social worker should FIRST:

A supervisor at a non-profit is completing social workers’ annual evaluations. To meet legal and ethical requirements, the supervisor’s duty to evaluate a social worker’s performance MUST be based the evaluation of which element?

A social worker provides individual therapy in the town’s only mental health clinic, where clients and staff know each other. The social worker has heard through other clients that a new client is unsatisfied with the services the social worker provides. The client also believes that the social worker is rude and has unrealistic expectations. The social worker should:

The executive director of a non-profit receives a phone call from a social worker who expresses various complaints about the agency supervisor. What should the executive director do NEXT:

During a parent conference, the parents of a 5-year-old boy express concern that the child may not be meeting developmental milestones. The parents are concerned because the child has an imaginary friend named “Isabelle.”. The social worker explains to the parents that this is appropriate behavior. The social worker identifies the behavior as being part of:

Privileged communication is BEST defined as:

Research findings from a study of patients receiving treatment at a hospice agency in a large population can be generalized to:

A non-profit has a high incidence of clients who regularly miss appointments. The social work administrator for the organization performs a client satisfaction survey, and the results show that clients feel that the organization is unwelcoming to their children. To address the clients’ concerns, the administrator should FIRST:

A social worker in a rural community has been assigned to see a recently convicted child molester. The social worker lacks the necessary expertise or experience to treat sex offenders effectively. What should the social worker do in this circumstance?

What should social workers do FIRST when attempting to assess institutionalized racism in their organizations?

A social worker is providing therapy services for a family who recently immigrated from Ukraine. After several sessions, the family gives her a handmade piece of folk art that they created as a gift. The worth of the finished handcrafted item is unknown, despite the low value of the materials used. The social worker in this situation should FIRST:

Psychoanalysis and Gestalt therapy use the word introjection in different ways. Which of the following ways is the word used by Gestalt therapists:

The idea that the same results can be secured in different ways is referred to as:

A client tells the social worker during their first therapy session that she wants to share certain information but is hesitant to do so because it impacts other members of her family. In response, the social worker should:

A client requests sleep medication during an intake appointment. The client has used alcohol as a sedative since losing his job several weeks ago. The client worries about money and fears getting evicted. The social worker should FIRST:

In the case of the death by either the client or the social worker, confidentiality agreements:

An automotive mechanic is receiving treatment from a social worker. The client offers to complete necessary auto repair to the social workers vehicle in lieu of receiving payment for therapy sessions. The social worker BEST response would be to:

Which of the following management theories BEST describes the idea of productive conflict management?

A 78-year-old man was discovered wandering the streets by the police and was brought in to be assessed. He appears “senile,” according to the staff, and may require placement in a residential care facility. The social worker conducts a Mini-Mental State Exam to assess the patient. The results indicate that he has cognitive impairment, and is disoriented, forgetful, and confused. He has no urgent medical demands, according to the medical team. His family cannot be located, and there is no information about his prescription medication use. In this situation, the social workers BEST response is to:

A 7-year-old girl is brought in by her mother because she is unable to sleep in her own bed at night. The mother has co-slept with her child since divorcing the girl’s father when she was two years old. The daughter’s insistence on sharing a bed with her mother and this has been problematic as the woman has recently remarried. The daughter becomes incredibly upset and throws a tantrum when attempts are made to send her to sleep in her room. This completely disrupts sleep for the entire household until she is permitted to sleep with her mother. This behavior would most likely be diagnosed as:

An 8 year old boy is diagnosed with numerous significant developmental impairments. In particular, the child exhibits signs of self-isolation, including an apparent lack of interest in social interaction, a peculiar use of words and language, a lack of imaginative play or social imitation, difficulties with peer relationships, and limited responses to stimuli. Which of the following diagnoses BEST fits this presentation?

Major neurocognitive disorders are most frequently caused by:

A 34-year-old married man is receiving counseling from a certified alcohol and drug counselor about his continued alcohol consumption. The man typically drinks heavily twice a month and only consumes alcohol on weekends and at gatherings. He has occasionally missed work on a Monday’s due to being hung over and on one occasion he received a DUI citation, which led to this court-ordered treatment. The client’s drinking behavior can BEST be summarized as follows:

A social worker receives a phone call from biological parents who’s parental rights have been terminated and child has been placed in foster care. The parents request that the child be return to their custody immediately or they will pursue legal actions. The social worker should:

A 15-year-old child is referred to a school social worker by her homeroom teacher for low self-esteem, problems focusing, inability to make decisions, irritability, and poor concentration. The teacher reports that these symptoms have been present over the past year. Which diagnosis would be most appropriate for this child?

A program evaluator needs to select indicators of organizational performance. Which of the following is the MOST critical factor to consider?

Which medication would MOST likely be used for treatment of depression?

A social work intern is completing treatment goals for a client who is diagnosed with a borderline personality disorder. For the treatment goals to be MOST effective they should be:

A clinical social worker in a rural community notices that many Afghanistan immigrants have recently moved to the area, and only a few seek mental health services. The social worker wants to have a better understanding of this population. To understand this population, the social worker needs to be aware of:

During an intake interview with a school social worker, a 6-year-old child is unable to have an appropriate conversation. The child also repeats the same words and phrases while talking. When the social worker engages in play therapy, he lines up car toys and gets upset when order is change. His teacher report that the child has no physical problems, but compared to his peers, he is noticeably slower in developing age appropritae verbal and nonverbal communication skills. According to the DSM 5, what is the MOST likely diagnoses?

A 6-year-old girl has been referred to a social worker by her pediatrician because she refuses to attend school. She complains of feeling unsteady, shortness of breath, accelerated heart rate, and chest pain when she goes to school. The child’s medical labs and exams are within normal range. The MOST appropriate diagnosis is:

For a diagnosis of persistent depressive disorder to be met in adults, the symptoms need to be present for:

During the initial phase of treatment, the role of the social worker is BEST defined as:

A social worker at a mental health clinic received a referral to assess a 10-year-old boy who is exhibiting aggressive, impulsive, and argumentative behavior at home. The boy has daily tantrums, hits his parents and siblings when upset, and refuses to follow all household rules. The parents report that this behavior has been ongoing for three years, and the behavior is becoming worse. Last week, the parents attended a parent conference, and his homeroom teacher indicated that the boy has minimal behavior problems and good grades. The MOST likely diagnosis for this child is:

A social worker witnesses a colleague giving a patient money to purchase his medication. The social worker confronts the colleague. The colleague replies that the patient needs his daily medication, so there’s no issue with helping the man pay for his medication. In this scenario, the social worker should:

A social worker at a mental health center is providing therapy to patient who has been mandated by the court to attend treatment. When working with the client, the social worker should do all the following EXEPT:

A client informs a social worker that he recently participated in a violent criminal act towards an identified gang member and plans to repeat the offense. The social worker should:

A school social worker is approached by a student with developmental delays. The student wants to receive therapy services. What should the social worker do FIRST:

A 16-year-old is brought to therapy by his mother after being expelled from school for smoking marijuana on school grounds. In the initial assessment, the mother reports that there’s family conflict on daily basis. The social worker asks the mother to schedule a family session to address the conflict within the family. The social worker’s is using Bowenian family therapy.  In this case the goal of the therapy is to:

During a group therapy session a social worker notices that members are motivated to work together as a cohesive group, are working toward goals, and are finding ways to solve lingering disagreements. The social worker is observing what stage in group development?

A parent with high expectations for achievement and maturity that is also warm and responsive. This is an example of which parenting style:

A social worker was asked by the medical team to conduct a mini mental status exam of a 78 -year-old elderly female who is suspected of having early symptoms of dementia. At one point, the social worker asks the woman to interpret the idiom, “If you say you’re feeling under the weather.” Her response was, “people stand underneath the rain” This response represents an example of:

A social worker at a mental health clinic meets with a young man for an initial intake. The client reports that he moved in with his girlfriend for six months but was evicted from her apartment two days ago. He was also carpooling with her, and now he is unsure how to keep his job given the loss of transportation. This situation has left him unhoused and at risk of unemployment. In addition, he does not have a support system in the area. But emotionally, he is only interested in talking about the breakup of his relationship. According to Maslow’s hierarchy of needs, the BEST response to this situation is to:

A hospital social worker receives a referral to meet with a patient and their family for end-of-life support. The patient was given a diagnosis of terminal cancer and was told they had two months to live. When the social worker visits the patient and the family, they are all laughing and planning a celebration of life next month. This is an example of what stage in the grieving process?

A social worker has been treating a client for four months in a mental health outpatient setting and is experiencing intense sexual attraction toward the client. The social worker’s BEST response is to:

A client presents at an outpatient clinic with several symptoms of depression. Her partner of ten years recently died of lung cancer. She reports that she is not sleeping, eating, and cries throughout the day. One additional symptom that would lead to a diagnosis of major depressive disorder rather than bereavement would be?

A social worker is developing policies for a non-profit that will support service delivery for disadvantaged families. The FIRST action the social worker should take is to:

A social worker at a foster care agency has been working with a mother towards reunification. The client and the social worker mutually agree on a reunification plan. The client reports wanting the children to return home but does not follow through with the reunification plan. The social worker should FIRST:

Several students with physical disabilities attend a support group that is facilitated by a social worker. The students report significant difficulties with accessibility and accommodations, which has affected their sense of belonging on campus. After determining the students’ concerns are valid, the social worker should:

A neighbor refers an 85-year-old man to a social worker after losing his partner of 50 years and his younger brother. During the initial interview, the client stated feeling sad, hopeless, helpless, and a sense of uselessness. The client also expressed grief over the loss of a friend. FIRST, the social worker should:

A social worker meets with an adult client who grew up in a home with alcoholic and abusive parents. The client informs the social worker that she avoids getting angry or upset in front of her parents because she worries about how they will react. The client also states she tries to keep her parents happy because she believes this is the only way to make herself happy. What should the social worker do FIRST to help the client?

A social worker submits an insurance authorization for additional therapy sessions. A representative from the insurance utilization review indicates that only two more sessions have been approved for a client who is depressed, anxious, and has suicidal ideation with no specific plan. The social worker argues that at least ten additional sessions are needed to stabilize the client, but is unsuccessful in convincing the reviewer. The client is unable to pay for more sessions. The social worker should:

A 30-year-old transgender client comes to a social worker complaining of persistently intrusive thoughts. The client is seeking help to better manage her thoughts. What should the social worker do FIRST?

A social worker leads a group for individuals with an antisocial personality disorder at a prison. One of the group members is the informal group leader. She intimidates the other group members and attempts to control the discussion by highlighting her past crimes. What should the social worker do?

A substance abuse counselor meets with a new client who is cocaine dependent. The client reports that he has abstained from using cocaine for the past 4 days and is now experiencing depressive symptoms. The client’s depression is MOST likely the result of:

A social worker has been tasked with developing services to address family caregiver burdens. When designing services, the social worker should keep in mind the factors that are linked to caregiver stress. Which of the factors below is MOST frequently linked to caregiver stress. 

During the initial assessment of a recent victim of domestic violence, a social worker witnesses a rapid emotional decompensation as the client recalls past childhood assaults. She appears upset and then withdraws into a trance-like state while responding to visual and auditory hallucinations. The  client MOST likely:

A social worker working the phones at a mental health crisis hotline receives a call about a woman who has been seen walking around naked. She was also seen defecating in a nearby playground. What should the social worker do?

A recent immigrant from Afghanistan arrives to the emergency room after several panic attacks. The patient is referred to a social worker, but he kindly declines mental health services. The MOST likely explanation for this refusal is that:

During a family session, the parents of a 17-year-old pregnant teenager seek guidance for the daughter’s unplanned pregnancy. The parents want the daughter to have an abortion because she has plans to attend college, and they cannot help raise the baby. The social worker’s FIRST response should be to:

A social worker on an interdisciplinary team at a substance abuse treatment center for adults should make it clear to the residents that confidential disclosures are:

During an interview with a hospital social worker, a husband describes multiple problems his family has experienced following his wife’s recovery after Covid 19. Given the various issues faced by the family, the social worker should consider which of the following actions?

A client asks a social worker in a mental health clinic to contact her partner and let him know that she needs additional support from him. The client feels overwhelmed working two jobs and being responsible for all household chores. The client explains that she feels her partner would listen to the social worker because she is a “professional.” What should the social worker’s response be to this request?

The PRIMARY purpose of obtaining a signed informed consent before an assessment is to:

A social worker begins treatment with a client who fled his country because of violence and war. Since the client fled his country of origin he has has suffered a significant loss. The social worker can BEST demonstrate empathy by:

A social work supervisor at a mental health clinic is developing learning objectives with a social work intern. The intern identifies areas of interest such as group work, cognitive behavior therapy, and case management. Before completing a training and staff development plan for the intern, the supervisor should NEXT:

A social worker recently sold a camper to an individual. The social worker later discovers that the individual is the spouse of a current client. This is an example of:

Which of the following is NOT a stage of the the referral process:

A 5-year-old has been in foster care since infancy and has experienced significant inconsistencies from several caregivers. When the child begins kindergarten, a school social worker is MOST likely to notice that the child experiences:

In the older adult populations, mental health disorders are frequently:

A hospital social worker is counseling a client who has tested positive for HIV. The client admits that he will not inform his sexual partners of the diagnosis. The social worker should FIRST:

Which of the following indicators MOST accurately measure a client’s progress during treatment?

A social worker intern is conducting intake interviews for applicants seeking food stamps.  FIRST, the social worker needs to determine if an applicant:

A social work intern at a non-profit is organizing a community resource fair. The intern advertises for the event using public service announcements, door to door canvasing, and placing flyers in the service area. This is an example of community:

To understand the relationship of family history to the client’s problems, the social worker should:

The social worker on a multidisciplinary team in the intensive care unit learns that the physician recommends a client start taking medication for anxiety. The client will be discharged in two days to a homeless shelter. The shelter does not accept clients on medication. In discussion with the social worker, the client denies symptoms of anxiety. The social worker should FIRST:

How can a social worker at an inpatient unit BEST contribute to the comprehensive treatment of a client?

A client meets with a social worker for an initial intake. The client reports seeking therapy due to current relationship issues. After two sessions, the social worker becomes aware that the client is in a relationship with the social worker’s brother. In this case the social worker should:

The initial symptoms of schizophrenia often occur between which of the following years of age?

A client meets with a social worker for the last pre-termination session. During the session, the client discusses new issues and expresses concern about terminating. The social worker should FIRST:

A social worker at a hospice center receives a referral for a 70-year-old patient whose physical health is worsening. The patient wants hospice care services at a facility, but her son wants her home. The son feels he can take care of his mother at home. The social worker should FIRST:

During an interdisciplinary meeting about a 90-year-old patient, the members decide to withhold information about his terminal illness because it might complicate medical care. The hospital social worker is opposed to keeping this information from the patient. The social worker should FIRST:

A client has been in treatment to address depressive symptoms and issues of abandonment for the last six months. The client was laid off from her job and has decided to end treatment due to financial hardship. The client declines to participate in a pre-termination sessions because of financial concerns related to being unemployed. The social worker should:

A youth who is aging out of foster care is often fearful and suspicious.  The youth has seen a clinical social worker intermittently for six years, and they have a strong therapeutic relationship. The focus of the interventions has been to promote client independence, self-sufficiency, and autonomy in decision-making. Because the client is aging out of foster care he needs to move into a group home that offers additional support. The client is anxious and reluctant to talk about the living option. Before deciding against it, the social worker requests that the client visit the group home first. The client agrees to see the group home because he trusts the social worker. This scenario is an example of:

What’s the FIRST step that a social worker should take when meeting with a client in crisis:

A child can walk, climb, jump, and run with an awkward gait. The child can also coordinate the movements of their wrist, fingers, and palm so they can turn a doorknob or unscrew a jar lid. They can also hold a crayon or pencil, even though the grip might seem awkward. The child’s vocabulary is about 25 words, and they can combine two to three words to express an idea. This child is at the developmental age of:

A social worker is interviewing a student for an initial intake. The client reports taking an entire bottle of acetaminophen in a suicide attempt because he “hates life.” The social worker cannot reach the child’s parents. What should the social worker do FIRST?

A social worker interviews a 22- year-old patient at an inpatient psychiatric unit. The client was transferred from the emergency room to the inpatient unit a week ago because of suicidal ideation and depression. The client continues to present with suicidal ideation and depressive symptoms. The client tells the social worker of plans to leave the inpatient unit even though a discharge date has not been scheduled. What should the social worker do NEXT?

A social worker assesses a 22-year -old client who was recently fired from her job. The social worker concludes that the client is coping well and is focusing on internal qualities. According to psychodynamic theory, these qualities are referred to as:

During an initial therapy session with a transgender client, a social worker realizes that the client recently ended an intimate relationship with one of their other clients. Neither client knows the other is receiving therapy services from the same social worker. The social worker questions whether providing therapy to both clients is ethical. The social worker reviews the code of ethics but is still unsure what to do. What else should the social worker do to resolve the issue?

A social worker receives a referral for a family with a past history of child abuse. The parents of the child are 18 years old and under a significant amount of stress. During play therapy, the three years old child reports being abused again by both parents. In the social worker’s assessment of abuse, which aspect would carry the MOST weight?

An 83-year-old male was hospitalized due to acute malnutrition. The physician referred the patient to the hospital social worker to evaluate the patient level of functioning. The client exhibited nervousness, perplexity, and disorientation during the interview, which is unusual for this patient. The patient’s psychological state is MOST likely caused by:

A social worker from elderly services assesses a client for suspected dementia. The client lives with his wife and receives weekly home health services. The wife states that the client’s cognitive ability has changed in the past weeks. In addition to being puzzled and confused, the client also has an unstable gait. What should the social worker do FIRST?

A social worker is seeing a client who has established the goals of self-empowerment and achieving structure in family life during their sessions. Each week, the client mentions concurrent participation in homeopathic treatment, from which the client benefits. The PRIMARY responsibility of the social worker in this situation is to:

A social worker is providing play therapy to a child that was sexually abused for two months. When assessing the impact of the abuse on this client, the social worker should be MOST concerned with:

A social worker is asked to treat a child who was sexually abused by an older sibling. The social worker learns that the victim and the perpetrator are living in the same house, with the permission of social services. What should the social worker do FIRST?

Which defense mechanism is MOST likely used by clients with a diagnosis of borderline personality disorder?

A retired 68-year-old requests therapy services because of “feeling useless and bored.” The client was a successful attorney before retiring and looked forward to spending time with family and friends and pursuing new hobbies. However, the client now spends more time napping and watching television rather than enjoying long-anticipated past times. The social worker should FIRST inquire about:

A first-grade teacher consults with the school social worker about a six-year-old student who has consistently come to school with the same injuries, which are blamed on a friend or outside activities. The student is increasingly reclusive, depressed, exhibits anger, and is hesitant to board the school bus to go home. What should the social worker do NEXT?

During a family meeting, the parents of a 2-year-old discuss their childs misbehavior. In the session, the clinical social worker becomes aware that the parents have no knowledge of what constitutes age-appropriate behavior. What should the social worker do FIRST?

A 16-year-old pregnant woman and her boyfriend come in for family therapy with their parents. The parents are furious with the daughter and boyfriend, and are at odds on what course of action they should take. The social worker should FIRST:

A social worker at a local hospital is asked to meet with a 38-year woman who is experiencing severe abdominal pain. The hospital orders a series of test that come back negative. Her medical history shows that she is a Ukrainian refugee who immigrated one month ago with her husband and children. The MOST appropriate initial assessment of the client’s problem is that she is:

During a visit to provide routine family preservation services the social worker finds the mother appears tired, ill, and overwhelmed. The husband is sitting on the couch playing video games with the children, while the mother attends to all housekeeping obligations. When the social worker expresses concern about the mother’s physical appearance, the mother states, “I’m doing the best I can, and I don’t need help.” In response, the social worker should FIRST:

A social worker is preparing service plans for four siblings in foster care. The social worker should recognize that it is MOST important to:

A social worker meets with the parents and their two children under the age of 6. The parents report that they have been arrested three times and have had six substantiated child abuse complaints in the past four years. The social worker notices that the parents have slurred speech and smell like alcohol. When the social worker inquired about the alcohol consumption, the parents reported having only two drinks in the morning because they had to drive to therapy. What should the social worker do NEXT:

A college student in a social work program is studying the communication practices and values of several ethnic populations. To become proficient in a multicultural approach, it is essential that the student also:

A social worker at a community mental health center has a client who has ignored two written requests for payment of past services. The social worker plans to terminate service due to nonpayment at the next scheduled session. Before initiating termination, the social worker should FIRST:

A social worker is interviewing a 22-year-old client at a mental health clinic. The client reports ingesting a bottle of acetaminophen prior to the interview in an attempt at suicide. What should the social worker do NEXT:

A social worker is interviewing a 15-year-old client at a family counseling center. The client reports physical and sexual abuse by his father. The father says that it only occurred one time while he was under the influence of alcohol. The father feels ashamed of his actions and is currently seeking treatment for his substance abuse. What should the social worker do Next:

A social worker at an LGBTQ community mental health center receives a referral for a 21-year-old male to join group therapy. The social worker reaches out to the case manager and asks about the clients sexual orientation. She states that having this information will help determine the level of services that will be appropriate for the client. In this situation, the case manager should FIRST:

All of the following areas are all covered by a mental status examination, EXCEPT:

The purpose of diagnostic specifiers in the DSM-5 is to:

A theoretical viewpoint that claims all connections are interrelated and that altering one relationship would result in altering others. This theory is BEST characterized as:

A crisis is an event that threatens or upsets a state of equilibrium in ways that exceed the participants’ capacity to cope. All the following crises may require attention EXCEPT:

A contingency contract in a behavioral approach is used for all of the following Except: 

A client and social worker are working collaboratively to clarify the clients problem, identify treatment goals and develop objectives to meet those goals. The process is then concluded with feedback and an assessment of the client’s progress. The model of intervention that is being implemented in this situation is BEST characterized as:

A 35-year-old male Veteran has come to treatment complaining of troublesome dreams, which have been present since his deployment to Afghanistan. The Veteran experiences recurring dreams of combat experiences where members of his infantry team are being shot and killed. Together the social worker and Veteran work to alleviate and psychologically reconcile these occurrences, thus enabling the client to release the repressed feelings connected to them. This method of psychotherapy is commonly referred to as:

A social worker has been invited to facilitate a weekly group session for newlyweds. The objectives are to strengthen relationships, increase marital success following the birth of a child, and reduce pressures associated with the need for career advancement. This group has no set termination date. This group is best described as:

The following are examples of social work roles for pursuing changes in people or communites, EXCEPT:

The main objective of supervision is:

Which is Not part of The Americans with Disabilities Act of 1990:

A social worker is contracted to provided therapy for clients who are under court order in a probation-sponsored drug recovery facility. An information release form for the program allows for the release of “any relevant material” to “any interested party” without regard to a deadline for “any requested purpose.” The staff explains that this broad form is necessary because of the clientele, which sometimes requires that information be urgently delivered to law enforcement or other parties. As an ethical social worker, how should you respond to this release?

A social worker is served a subpoena requiring him to appear in court and produce case notes about a client. The social worker declines, and bases his decision on the following statute:

A social worker has been assigned to work with an adolescent who regularly misses school and is struggling academically. The client was determined to have above-average intelligence during psychological testing, but has poor impulse control and a strong propensity for antisocial behaviors. The social worker completes a social history to:

A client who the social worker has been working with for over a year passes away unexpectedly. The death has caused great anguish for the social worker. To help the social worker cope with the situation the supervisor promotes emotional expression and ventilation of feelings. This supervisor is providing what type of supervision?

A social worker evaluates a 13-year-old girl who admits to regularly eating paper goods. The issue has persisted for around six months, and as a result the girl has lost a significant amount of weight due to a lack of nutrition. After further discussion, the parents reveal that their daughter has also begun skipping meals, picking at her food, getting up early from the table, has a poor body image, and often uses laxatives to control her weight. There is also evidence that she has ingested additional non-food items including mud, mineral oil, and sand. The MOST likely diagnoses for the girl would be:

A social worker is asked to evaluate a 20-year-old woman who presents at a local hospital for unspecified psychotic behavior. When first approached, the patient presents as disheveled and unkempt, in terms of grooming and hygiene. She frequently makes strange pauses when speaking with the social worker, rambles on about irrelevant topics, chuckles to herself, and then turns away. The patient periodically attends to the social worker and has difficulty following the conversation. The women then spontaneously asserts that the social worker is in charge of her mind and claims to notice strange items floating around the room. These symptoms have been noticeable for most of the past year, and she has no recent history of substance use. The MOST likely diagnoses is:

The most crucial determinant in assessing the severity of an intellectual disability is:

A 30-year-old man is being assessed by a social worker at a hospital emergency room. Although he initially thought he was having a heart attack, doctors have since ruled this out thanks to laboratory and clinical testing. He says that while his symptoms have reduced, when he first arrived his heart was racing, he was trembling, gasping for air, and his chest felt tight. Following a protracted conversation, he admitted that the symptoms had been coming and going quickly for the last month. Within minutes, the symptoms started and peaked. These signs MOST closely resemble:

A 23-year-old female who recently got married has been experiencing extreme discomfort and pain during sexual intercourse. There is no background or history to draw from because she was not sexually active before marriage. The concern is painful penetration, which is not accompanied by vaginal spasms but rather by pronounced vaginal dryness. The term for this presentation is:

If you do your homework, you can go to the park with your friends afterward. This statement is an example of:

Which Neo-Freudian psychotherapist differed from Freud’s theories regarding the primary causes of anxiety.

While working with a couple who has serious conflict issues, several delicate and anger-inducing concerns start to surface. The social worker tries to avoid taking sides in order to prevent:

A community member approaches a social worker and reports that a Latino factory owner has been employing illegal immigrants. The owner then denies the employees work breaks, pays them below the minimum wage, and then threatens to report them to deportation if they do not comply. If the community member wishes to act, the FIRST step they would be advised to take would be:

An approach to program evaluation that looks at how effectively objectives are met and how results can be applied to other groups and contexts is called:

A mother and her three children are being evaluated by an interdisciplinary team at a transitional family shelter. The mother reports that she was looking for work in a bigger city after losing her job in another rural area. They were living in her car when it was completely burglarized. Everyone appears sick and congested. The oldest child, a boy aged 4, requires a sheltered environment due to his severe asthma. The three-year-old child exhibits a lack of emotion and expression. The 9-month-old female newborn is clearly hungry and is also in need of diapers. Food is being supplied for everyone. The FIRST step for social should be to:

A patient requests access to his case records from his social work therapist. The therapist worries that exposing the client to some sensitive information in the case file would be harmful. Which of following would be the MOST appropriate response to this request:

All of the following are  ways to maintain confidentiality in group counseling sessions Except:

After treating a client for two months in an agency setting, a social worker has developed a strong sexual attraction to the patient. The BEST response from a social worker is to:

A social worker is seeing a woman for an initial interview at a family services organization. The woman states that she has  recently been experiencing depression. She claims that there are no problems in her life, thus she shouldn’t feel this way. She is married, works at a good job, and has two healthy kids. The social worker should FIRST:

A family presents to a mental health clinic for family therapy. During the initial assessment, the social worker learns that the mother abuses opioids. Which of the following interventions should the social worker take FIRST?