DSM-V
These people are miserable. Most feel sad, down, depressed, or some equivalent; however, some few will instead insist that they’ve only lost interest in nearly all their once-loved activities. All will admit to varying numbers of other symptoms—such as fatigue, inability to concentrate, feeling worthless or guilty, and wishes for death or thoughts of suicide. In addition, three symptom areas may show either an increase or a decrease from normal: sleep, appetite/weight, and psychomotor activity.
What is Major Depressive Disorder?
A school principal told parents of an autism spectrum child that the school does not have special services needed for their child. Whatis the school social worker’s BEST action?
A. Advocate for more services
B. Find another school which has special services
C. Assist the family in calling the board of education to file a complaint
A. RATIONALE: The best course of action would be to advocate for more services, so A is the best option. B and C couldbe done if advocating is ineffective. Many people are tempted to choose C because it involves the family, but C ispremature and shouldn’t happen until we first advocate for more services.
A school counselor refers a family to a social worker after finding their 7-year- old child pretending to have sexual intercourse withanother child at recess. The mother states, “I’m so embarrassed about this happening at school, and not sure what to do.” What shouldthe social worker do FIRST:
A. Report suspected child abuse to the proper authority.
B. Provide psychoeducation on normal child development.
C. Assess for further signs for sexual abuse.
D. Consult with the school counselor to obtain further details about the incident.
c
RATIONALE: This is outside of normal behavior for a 7-year-old, so B is out. Ruling our sexual abuse would be the first step. A is premature and D could be done after talking with the parents.
A perfectionist. "I dont understand why everyone else doesn't keep their house immaculate like mine!"
What is Obsessive-Compulsive Personality Disorder
What defense mechanism is displayed here?:
A woman recently diagnosed with depression focuses on learning about the symptoms of depression instead of expressing her feelings.
what is intellecutualization
These people feel euphoric (though sometimes they’re only irritable), and there’s no way you can ignore their energy and frenetic activity. They are full of plans, few of which they carry through (they are so distractible). They talk and laugh, and talk some more, often very fast, often with flight of ideas. They sleep less than usual (“a waste of time, when there’s so much to do”), but feel great anyway.
What is Bi-Polar I Disorder?
A social worker meets with a 22-year-old client who recently immigrated from Iran to attend college. The client is uncomfortable insocial situations and is having difficulty finding friends. In one session, the social worker reflects the client’s stated feelings aboutdisconnection and missing home. The client becomes offended at the social worker’s comments and says, “You have no idea what I’mtalking about.” The social worker should NEXT:
A. Restate the reflection so the client feels understood.
B. Explore any cultural issues that are coming up.
C. Refer the client to a Persian social worker.
D. Encourage the client to further clarify his statement.
D. RATIONALE: Asking the client what s/he means is the best answer. If the client mentions a cultural issue, then B wouldbe next. You cannot do A until you understand what the client means.
A social worker meets with a mother who has two young children with severe asthma. One of her concerns is the mold in their apartment unit that has become increasingly worse. In order to advocate for the client, the social worker should:
A. Obtain a release to speak to their pediatrician.
B. Support the mother in speaking with her landlord regarding her concerns.
C. Determine if other neighbors share their concern.
D. Provide psychoeducation about mold removal.
B
RATIONALE: The question is asking about advocacy, which means trying to make change. The first step would be B. Aand D are about dealing with the incident, not about change. C could be done later if the landlord was unresponsive.
"I just met him tonight, but I think he's my soulmate!"
what is histrionic personality disorder
Appearance, Orientation, speech pattern, affect/mood, Impulsive/ potential for harm, judgement/insight, thought process/reality testing, Intellectual function/memory are components of what kind of assessment?
What is Mental Status exam?
For at least 6 months, these patients have had two or more of these five types of psychotic symptom: delusions, disorganized speech, hallucinations, negative symptoms, and catatonia or other markedly abnormal behavior. Ruled out as causes of the psychotic symptoms are significant mood disorders, substance use, and general medical conditions
What is Schizophrenia?
A client tells her social worker in session that she is planning to join a local gardening club. The social worker is the club leader, but the client does not know this. What should the social worker do?
A. Step down as club leader.
B. Allow the client to join the club but ask her not to disclose to other club members the nature of their relationship.
C. Address the conflict with the client.
D. Provide the client with other gardening clubs in the area.
C. RATIONALE: This is a boundary issue and should be discussed with the client. B and D could be things discussed.
A client meets with a social worker and states that she has a medically frail child who is 3-years-old. The client states that she feelshopeless that things will change, and is angry at how it’s affecting her family. The client feels that the needs of this child are impactingthe client’s other children who are oppositional and having problems in school. What should the social worker do FIRST?
B RATIONALE: The problem is affecting the whole family, so that is the best method of treatment. The key for this question is that if an individual presents for therapy and family (or couples) therapy is what is needed, we can make tha trecommendation. This is an initial session and it is okay to make a recommendation for family therapy when that is what is most appropriate to address the presenting concerns. The client is concerned about how her medically frail child is affecting her family as a whole (this is what is causing her stress). Since she is concerned about the whole family(and this is what is causing her stress), addressing them as a unit makes the most sense to alleviate her stress. Tha twould be the first thing we would do. If it said she was coming in with symptoms of depression or anxiety, then wewould address that with her. But what she is presenting with are family related issues. A, C, and D could all be done aspart of the treatment.
"You're cheating on me, I know it!"
What is Paranoid personality disorder
true or false?
Korsakoff's Syndrome is associated with prolonged use of opioids, such as heroin
False-- korsakoffs syndrome is caused by alcohol
A person with this personality disorder seeks attention, talks dramatically with strong opinions is easily influenced, has rapidly changing emotions, and thinks relationships are closer than they really are.
What is Histriornic Personality Disoder?
A therapist has been seeing a client for 6 months when the client reports that she lost her job due to funding. The client reports that herpartner recently took a pay cut to start working at a non-profit whose mission she is passionate about. The client expresses worry around supporting their children now that they are only on one income. Which of the following should the social worker do FIRST?
A. Prompt the client to explore how this is affecting their family
B. Refer the client to an agency that assists people in finding jobs
C. Assist the client in looking at her budget to see what areas can be cut
D. Provide the client with referrals to financial aid resources
A. Prompt the client to explore how this is affecting their family
RATIONALE: It’s important to understand the hierarchy of needs in order to determine the next step in this case. Thetherapist needs to get a sense of how the loss of income is impacting the family and what needs are not being me tbefore can move forward. Without knowing how it is impacting them we won't know what specific financial resources are needed or will be available to them (D) or how much of their budget may need to be cut (C). Once A has been completed, the therapist can explore B, C, and
A social worker meets with a client who is diagnosed with Major Depressive Disorder and is also dealing with an addiction to prescription painkillers. The client is fearful of relapsing on pills during periods of stress and anxiety. To help this client cope with the urge to use drugs, the social worker should FIRST focus on:
A. RATIONALE: This question is asking what to focus on to help the client with the urge to use drugs. The client uses drugs to cope, so the best focus is on dealing with stress (A). The other answers won’t give the client tools to cope. Motivation (C) in and of itself will not help the client cope with the urge to use drugs.
"I dont know how I will figure things out without him! He helped me make all my decisions!"
What is dependent personality disorder
This design is where the participants, as well as the researchers are unaware who gets the independent variable, and who does not.
What is double blind experiment ?
Patients with this disorder move their bowels in inappropriate places, such as into their clothing or onto the floor.
What is Encopresis?
A mother brings her adolescent son to therapy following the recent death of his grandmother. During the initial session, the boy tells the social worker “I was close to my grandmother, but I am doing fine. I don’t know why my mother brought me here.” What is the BEST course of action for the social worker to take?
A. Ask the boy about his relationship with his mother.
B. Ask the boy about his relationship with grandmother.
C. Conduct a psychosocial assessment.
D. Refer the boy to a grief support group.
C. RATIONALE: The best answer is C. It would include doing both A and B. There are times on the exam where one answer will actually include the other good options. That is the case here. Also, C would include finding out additional information. You would not want to do D until you had completed the assessment.
A social work supervisor meets with a supervisee who shares that they are sexually attracted to a client they have been seeing for several months. What should the social work supervisor do FIRST?
A. Work with the supervisee to get the client transferred to a different social worker
B. Process the social worker’s feelings of attraction toward the client
C. Help the social worker strategize how to bring up their feelings to the client
RATIONALE: B is the FIRST thing the supervisor should do with their supervisee. (A) may or may not be necessary depending on whether the supervisee is able to manage their feelings toward the client. If this were a brand new client,A could occur, but since they have an established relationship you would only want to refer out if the supervisee were unable to manage their feelings. (C) is not appropriate and should not occur.
"I've always had a special gift. I can sense when bad things are about to happen!"
What is Schizotypal personality disorder
What defense mechanism is displayed here?
A father who recently lost his job finds himself yelling at his kids more often
What is displacement